84859C - Weinwright, Jennifer

`OMR4, ❑LAMA ❑ DREDGE & FILL N9 84859 A B. c D
GENERAL PERMIT Previous permit
y Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
5A NCAC "' ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address
City
Phone # (_)
Email
State . zip
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW.: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no;
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be re
Permit Conditions
zip
(nat/man/unk)
(Scale: )
II I AfV fHl"I/ INC VJC/ 0 V r— k-I — unc)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINT P,Name
".
1
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check if/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules F-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

IN\IOAA41 ❑LAMA ❑ DREDGE & FILL N9 84859 A B C D
GENERAL PERMIT Previous permit
y � Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
i
Moratorium: n/a yes no
Site Photos: yes no — t
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:,
�1
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
u ' X
Application Feels) Chcck'#/Money Order
Permit Officer's PRINTED Name
1
Signature /> %
Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CA PERMIT APPLICATION
Name of Property Owner Requesting Permit; men n tife wa i Y� w r a h
Mailing Address:
�0_5_� s Lo we\� czoad
* AhGtma, NC 2i50�
Phone number: of 1 q 4 -1 S -- w ko
Email Address:
I certify that I have authorized i\-k an nc) h Gpch rc� Y, I J +AZt� n G t e, V t ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: dP.mo1 ii �rti o� x1,S}� nq
cloGV-- o'ncl Or\Si r v►C{-1 Oh Qf q ,0nC'tire-tc�j OC_ k _
at my property located at __L -A t4 soy, r,d L2r i vL ,
County.
i furthermore certify that l am authoRzed to grant, and -do in fact. grant permission to
Division of Coastal Management staff, the Local, Permit Officer and their agents to enter
on the aforementioned lands inconnection with evaluafing information related to this
permit application.
Property Owner Inf nation:
V
109nafum
_Jenny eY jQiY) WY� �
Print or Type Name
ow,n�Y
Date ,% D O
This oertfinavon is vanci throuoh ! !
RECEIVE®
JAN 0 5 10(
iDCN`ialUlHD ``t

. ..
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r, , ' ','�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that l own propet adjacent to J��,r,� der wg �h w r ant 's
' (Name of Property Owner)
praperty located at e u S nd D V
on anoV
, (Address, Lot, Block, Road, etc.)
'� �� An 1 , in_�mP �1d, isle/ ocArteret N.C.
(Wa erbody) j (City]Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I
I have no objection to this proposal.
i
have objections to this proposal.
DESCRIPTION AND/OIL DRAWING OF PROPOSED DEVELOPMENT
(individual proposing devetopsnen 7iust filt1h 0 escnpfion: below or attach a site drawing)
ex�st�hg �oQ+Pr,r>+
WAIVER.SECTION
i understand that a pier, dock, mooring p7iho, boat'ramA breakwater, boathouse, flit, or groin
must be set back a minimum distance of is' from my area of riparian access unless waived by
me. (if you wish to waive the setback; you must Initial.the appropriate blank below-)
CS I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner Information) (Adjacent Pro e
U � rty Owner Information)
51Pnnif1r yt ihw r�G1Y1t Snatzw
Print or TypeNamorm� AS G.Prinworyp
eNP
Malling Address -�gQ X �O '�'"I
Malim Address
gaharn�, NG 2'150� G-�a doh �^
C /State2i G/� �� N C 2-1 Z
Teteph neTMberlemall'addressi %,Number/emaY address
D—ate� -
Date"
-`Valid for one calendar year after: signafure'°
(Revised Aug. 2014)
JAN 0 5 2[l2r'
8'-1 k ko DCM-M H D CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that l own property adjacent to J en n , w �Y, w r i `S
(Name of Property Owner)
property located at 8�41,4 SoyAr,d PY;ve
(Address, Lot, Block, Road, etc.)
on ®oQl� f SQ�,And , in Ecr, ergldi IS4P / GAYte-Yet , N.C.
(Waterbody) (CitylTown andior County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback; you must initial'the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
,Property Owner information) (Adjacent Property Owner Information)
Meiling Address
?)Grnc�' N G D S O
Gity/xSfl �e2. R,� i.� (031
Teleph e lumber/email address
Date
Signature*
Dpt�_o�ar�_gr Do,�yiC1��t-���h
Print or Type Name
0�21 G1QrK�'C�rC!^ �r�V('i
Mailing Address
2a_leigh_, NG 277 0 43
City/SfateMp
Telephone Number/emit address
Date*
(Revised Aug. 2014)
*Valid for one calendar year aftf signature* RECEIVED
JAN 0 6 ZON
0CM-MHD 01T`,�"

UNITEDSTATES
IIIIIIIIIINIIIIIIIIII�IIIIIIIIIIII�IIIIIII�IIIIIIIIIII _
NnosrAc ssERv .
SWANSBORO
664 W CORBETT AVE
SWANSBORO, NO 28584-8572
[phone]
12/07/2021
------------------------------
05:01 PM
Product Oty Unit
Price
Price
-------------------------
OM--
Express 2-Day 1
$27.10
Flat Rate Env
verna Park, MD 146
F1 Rate
Sign ture Re ested
Sched ed ivery Date
Thu /09/2021 06:00 PM
Money c Guarantee
Tra ng #:
E1141881 5US
surance
MOO
Up to $100.00 included
Total
$27.10
PM Express 2-Day 1
$27.10
Flat Rate Env
Raleigh, NC 27613
Flat Rate
Signature Requested
Scheduled Delivery Date
Thu 12/09/2021 06:00 PM
Money Back Guarantee
Tracking #:
EI141881191US
Insurance
$0.00
Up to $100.00 included
Total
$27.10
PM Express 2-Day 1
$27.10
Flat Rate Env
G dsboro, NC 27532Z
Fl Rate
Sign ture Reque's, d
Scher! ed Del' ery pate
Thu 2/ /2021 06:00 PM
Money Ba Guarantee
Tracki #:
141881 BUS
In rance
$0.00
Up to $100.00 included
Total
$27.10
PM Express 2-Day 1
$27.10
Flat ate Env
Ra igh, NC 27606
Flat at
Signat e Req ted
Schedule De {vGate
Thu 1' 9/2021ery 06:00 PM
Money Bac uarantee�
Trackin
E 418811 S U
E#:
Insu nce
$0.00
Up to $100.00 'ncluded
Total
$27.10
rand Total
ti m 4n
JAN 0 5 2022
DGM-MHD CITY

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DCM-U H D CITY

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