85466D - BHU

al
e' • CAMA )DREDGE & FILL N9 85466 A B C
4 GENERAL PERMIT Date previous permit issuedNew ❑Modification ❑Complete Reissue ElPartial Reissue
Previous permit
As authoriz}`d by the State of porch Carolina.Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC Di •(1°6 El Rules attached. 7tGeneral Permit Rules available at the following link:www•deq nc.gov/CAMArules
Applicant a �f{ l/2. � 4--� �/ t rtleuAli-flAuthorized Agent ij /kr�Address F''�1''/�1 //N'te�. Project Location(County): !/a"` QI4)
}
City TA gat,m v/,,,q - State_/'C/ ZIP 04 Street Addrms/State ) ,
Phone;M/�T!I [ (/ 7
Email ` Subdivision � �,+City_/J(','� t T_�ZIP —"►a
Affected 0 CW W ]PTA ES pis Adj.Wtr.Body i�1 4IIt'T ! 4 Is (.4=',unk)
AEC(s): OEA f IHA UW 0SPIMA [11PWS Closest Maj.Wtr.Body .✓Jk 5rr%HdQ
ORW:ye ne PNA:y lieI /� / ' yam r /, /rType of Project/Activity y (G.LL, ;/-` . I C " 4'A/ta�—
/I (Scale A. /)
Shoreline Length Nf `w
Access Length ���
Pier(dock)I gth 0
Fixed Platform . /� W It A
Floating Platform(s)
a" ( 0.{ -�ti�
Finger pier(s)
Total Platform area —/Y it..
Groin len Nil / l
�
ulkhea pray length*I...."-ik:I y , �/
distance offshore ��'
Breakwater/Sill 1-CIM414‘
uZ2 ( '0 ,16)*—._
Max distant length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other
SAV observed: yes dyi 1
Moratorium: n/a yes y?Y
Site Photos: yes /
Riparian Waiver Attached: yes All ?'V APt
A building permit/zoning permit may be required by:
0 TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
nSee note on back regarding River Basin rules
ElSee additional notes/conditions on back
:t�
• AW OF ST T ES,CRC R AND CONDITIONS THAT APPLY TO THIS PROJECT AND REV WED COMM. STATEMENT. (Plea- ' '£• " I
_AAA0 ' A._JI II►t./ ► A -
5 }F t ,) . 't a er's PRINT r Name
, _;r 4 ,6, - A Alli 5-Iq,ZOZZ
r A_
Signa ur •pPlease readsp{npliance statement on bat mlt'• .
� 5�7 I:r 0 i. ' 11 ' — s- l�
Applicati n Fee(s) Check II/Money Order Issuing Date Expiration Date

.40 "sN L I CAMA DREDGE & FILL No. 85466 A B C o,
GENERAL PERMIT Previous permit
J. Date previous permit issued
New Modification I I Complete Reissue n 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 (/ J C1 I(J U G ❑Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name.1?C//f e V 7 7 eivi T(J ' /v i ,id r r; Authorized Agent /"/ I
Address i J.v` ' 74 Project Location(County): ,J��
0
City f/'r State f` ZIP { i'' t/O Street Address/State Road/Lot#(s)
)h ,
Phone 4/t g.- ) ?11
.
Email Subdivision
cM 4
Affected n cw DEW \L PTA ;]ES n PTS Adj.Wtr.Body „ , -1 t'`" Lilt-,tom` 4 j S Omar'unk)
AEC(s): IDOEA n IHA In UW n SPIMA In PWS Closest Maj.Wtr.Body r,~ r PI 1/7 r/ _t�G/7,/
ORW:yes/no PNA: ID
/ J J
rype of Project/Activity -- A , `-,. r r, , �i` ;/',- !(� __
(Scale/h (_ I )
Shoreline Length
/-L-,;_.
Access Length ._ .-.___ _ ........ ......... Aus
...._...�..
Pier(dock)length i 1 '�� f+` T"
Fixed Platforms) 111
t �i �44_ 4_, yvQ Tfi .,.T—l t
Floating Platform(s)
_____ - -
r
Finger pier(s) ( i1.... .:.-I-S _,
t— i 1
Total Platform area _
Groin length/ft
Bulkhead/Riprap length -_ __._ _______ i1 It' t �K ti,,�
!rc_
Avg distance offshore —44,.., _ _ ...._..__
Breakwater/Sill ...... . LP 707
I
Max distance/length I v ! ff E t U ��`
Basin,channel ( l {
Cubic yards
Boat ram _____�-_ __ — .._._..._._ m_...._.— .— _ _ _..— __.
p _
i j .
Boathouse/Boatlift I
Beach Bulldozing
i
Other __... ... ..... ........... _.__ ,_ .._.._._.._ ._ ... — _._...._.. ..
SAV observed: yes ` — • t ` ` "
Moratorium: n/a yes n
Site Photos: yes j i '
Riparian Waiver Attached: yes C f i i I i
A building permit/zoning permit may be required by: `-
Permit Conditions IIITAR/PAM/NEUSE/BUFFER(circle one)
111 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)
: v, 1 r/;
gent or Applicant PRINTED Name Permit Officer's PRINTED Name
'/ _-/

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:
Tar - Pamlico River Basin Buffer Rules 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: E Nu 'eccc7ja r
Mailing Address: ' S fin- ,ems c'// mod" (-23
GkS- - v'I/i /1(' —7AS 4/e)
Phone Number: q/O -Jg-q- 7 7 , 1
Email Address: deedee- &_ repr.sw-r r. <>/51-27
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in County.
I furthermore certify that I am authorized 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 in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
I I
Date
This certification is valid through I I

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RECEIVED
JAN 18 2022
DCM WIL.MINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to `14t' P ---Oe c`(I t.iS 's
(Na a of Property Owner)
property located at 7a (� SG
(Address, Lot, B ock, Road, etc. S/mac,
on C€i2 - "1 S��ii,o,rs , in -3 t,4'� yam, lvL' , N.C.
(Waterbody) ,,c.; (4ity/Town a dlor County)
The appl' ant 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)
SP " 4J/C,
I- ,S
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum dista a of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback ou 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 Prope Owner for ation)
Signature / n Si ature
1J0//.t .. _ C/ r 2 7( n le 5e 9-#L .Jo f-/,v, r/1
Pri or Type Name ,, , Print or Type Name ,^
�� G)asi titI:o(, 4/_3 -- u w' .n / � n C c7�
M '' Address 1 -�
� A- v ii t)C Z 5ylj ailing Add(ress ij 3 3
City/Stat ip City/St e/Zip
'V/6 - 3 -��. -7 73 7 City/State/ZIP Q- q 9 - � _lo l
Telephone Number Telephone Number
/-/-5-,2 2— /- /i- z
Date Date
� 9EIVED
(Revis 8/20f 2)

,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT nn
I hereby certify that I own property adjacent to / z9 Q 7'14 < e_ i- s
h Name of Property Owner)
property located at 70 9 / VA S e c
(Address, Lot, Olock, Road etc.) Ph on Ctih�i / 'el/� , in ic�f �, l� N.C.
(Waterbody) 51{f/r°c 5 /(City/Towr'and/or 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)
,.‘e( tefrka-7-- ( ,Lic. , Li
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Pro erty Owner Information) (Ac)ja ent Property Own r I rmation)
4
. CUAA- iDA0-7L./
Signature y
Si Lure
'ite 6 /rreoe( RO SSa
n
Print or Type Name Print or Tyem?
12 S 6r6rfn art-�r de S 4 1.3 '7 D c'q 7`/' -5-7e/ e
Mailing ddress Mailipg Ac e s, I`
,
^J���lSc61r/i/7'e ice Z �`/L) �Gct'F f� C C 2�s [ -
City/State/Zip City/State/Zip
Sit) -,3 2 - 7 7 7 .- 3 t,,- (0(0 -__c3 8 7
Telephone Number Telephone Number
/-/S%l - J - /S ' 2-
Date Date
Rev/ism/MOWED

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Check
Date Received Dab Deposed Check From(Name) Name of Penult Holder Vendor Chock number amount Permit Number/Comments Receipt or Ra*und/Reallocah
Cohmerl Column2 f Column3 Column/ Columns Column° Column? Co/umn8 Column9
1/20/2032 •Doha Uaok same Bank d Amriu _ _ __ _ 1l%411 f 3C9.W GP alL5166D JQ tat 16123