85436D - Farasy

s' ''4 (` CAMA DREDGE & FILL N° 85436 A B C
N
. GENERAL PERMIT Previous permit
Date previous permit issued ,
New n Modification n Complete Reissue n Partial Reissue
As authoriz4l by the_State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC a 4..\` G-U Ej n Rules attached. r General Permit Rules available at the following link:www.deq.nc.gov/CAMArule5
Applicant Name 117
1 r t" i. t -', V.,e``i \ .,. Authorized Agent `, �: -,',A
Address C I , -. C\/ d Project Location(County): ��I a`. t r(<
City '•^ State INA C ZIP Street Address/State Road/Lot#(s) >> r; 1. I
Phone#( ) --1
Email Subdivision
City I ZIP �' �t"i` sc
a Ad Wtr. Cc„.. I n unk
Affected ❑CW .n EW PTA n ES ❑PIS j• Body -�q
AEC(s): ❑OEA IHA ❑UW n SPIMA PWS Closest Maj.Wtr.Body J 1 IN,\' 3 ( J-c.., \,
ORW:yes/ho PNA:yeskio ,
Type of Project/Activity k. . (L, V. , ( ,,<\ Vic',, ,. \r.. -6 _P ;',
c),-..-.1 c_ c \ 0 (.\ (Scale:;_ ,
Shoreline Length
Access Length I._.f,IL ...... �' •. .r .:.. _........_
Pier(dock)length 41 L� i
Fixed Platform(s) _ '; ML L co('S ^Q> iJ`
i
Floating Platform(s) +__ \t__� { .-__. A fi r'"� .._(`^.^v,—"
i cx 1
Finger pier(s) I` 1 `,f4- I
1i i
Total Platform area ,1
Groin length/# ,.- i . r
Bulkhead/Riprap length ___ �.�.. ---"' _ 6, • S.
J.
Avg distance offshore � � ,.
��'`
•
r
Breakwater/Sill _ � '� ! r � Y �
`y A I
Max distance/length ,
Basin,channel 11""
Cubic yards - �..
Boat ramp —____--_-
Boathouse/Boatlift I ■
Beach Bulldozing
Other V'W ( _c< c-' j �,. ...�
IC tic 2 3
SAV observed: yes i no 1 I t
Moratorium: n/a yes + '
Site Photos: yes r.� •
Riparian Waiver Attached:('yes) o I I
A building permit/zoning permit may be required by:)v.,':>P" ¢ ``L- (\.
Permit Conditions t t '-r‹,, `) ., t�)O�'.A \, TA t .,f �, d k ❑TAR/PAM/NEUSE/BUFFER(circle one)
,. .' ' i L_ -I) .k. ., b (")d . \;;, ,•\ S"\-r-,,.\\, . ❑See note on back regarding River Basin rule:
nSee 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)
Z-24-22
Agent or Applicant PRINTED Name Permit Officer'siPRINTED N me
\�
. i, k---U-24-2.2

statement of Compliance and Consistency
*his permit is subject to compliance with this application and permit conditions. Any violation of these terms may
ubject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
'his permit must be on the project site and accessible to the permit officer when the project is inspected for
ompliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
iermit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
a cal land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
ias been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
'he State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
iformation 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.
)ivision of Coastal Management Offices
Morehead City Headquarters Washington District
l00 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
152-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
;ounties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
i01 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
152-264-3901 Fax:[phone]
Serves: Bertie,Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

AGENT AUTP$ T`!N OR SA P1 RMAITAPPLICATIQ .
Marne of Property Owner Requesting Permit: fYi '
Mailing Address. - •�-- -
,.
Phone Number: .°
Email Address: TM js ` 01 ' ' 0941+ , L '
I certify that 1 have authorized t�p•c; �tf�r�°, w
Agent t Contractor
to act on my Inehaff for tho purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development ;:olvr ; 1
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at my property located at I frig":s r.'•0 S'441 '
4-.
in -,C j t'4: - TCounty -.)rgW
frnrttie norir oat* that tam authorized to grant, and do in tact grant permission to
Division ci Coastal Management,staff, the Local Permit Officer and their agents to enter
the aforemention.ed lands in connection with evaluating information related to this
permit application.
Proferlyigwher
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LC
Pant L}'r Type pe Name'
•a
rifts
I t
Date
This certification is valid through

. ,
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT1ONIWAIVER FORM
jitTuFtht IREC, PT REQUESTFD _I-1:.I.x,.-4 .., ,c...T.-0.i'
t Top poft,on to be cverip..e.i.--,1 by ow,tt. - . - .1 -
,,, •
wimp ot Ptoperty 01,,,,,n,-i i , __ ...11, 1:1, , p„, /
A s,;:,0 'ga,:"e,..)t,...3 de 4:11--,
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g 4..itinft.4.
owner s crnoi1 0,,,r1-• t4iorivaj 95d411- '::,rj ,} --:-.1• '1 r/it'
i t / I • ,r--
•-•r,)(ntAwl,Phor ..e ..)-I 114
-sr.,..,.-.s: : • 4•1 - • •": 1 ' ••••• •
= wl 4 4 0-. , t••
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
potlom_portiors to bc comptetecl by the Adjacent Praperty_pi.Vner
3.1 '5.1rtCyfal tcri toil. .:itt7-,-ned nr-71,1,19 Ivr- the-iitoPriloent rti r: rr-m".
tkaAteg *th itirronvol&pitgt bt,u•ro.insleJ 1,..,111 inmlojer
.A. i
'X _ t DO NrYlr have Oblec10414 te ti'l*S promal _ I DO have objeclions to Ills orop-,.,:%,
Ff-Ple i'-o-v--c 7r:';:',.:7-7:74: r- Myst nt, bir'nt:,, i7vonted, vorr elt.,s+ notify tiut N.C—avivon or-Coastal
Management iDCM, lig writing %Won 10 days of receApf of 1116-notice. Correspondence sire Wei be
mai!vd to 127 Confine Drive Ext. WiiniOnglon, NC 23405-3645. DCV representative* Can 0150 be
contacted of(910) 796.7215 No response is cons Idered ttn same os no cbon if you hove been
notified by Corrrried Mai)
WAIVER SECTION
I uneeistano 0.11 any propCd pier data rnoornly. paings boat ramp proof,:.6.trle- 127A ,10..45 ..': --•
War must be scat becl a ritnirrUM cl+stanCe of 15 from My area of moaner) axes t vrnasE..%,.- 41 b; 1-4.,
.:his does not noty tO balkhearls or rip ars revetrner's'l di yt-A. .vlsro to AraivE'In;tvetsacic ,c..must lila
the apz-copnate bank beVyal)
...k- ---I",i•Do iocj• to wahm-0..erne ail oi,trwt lz::sciback
1. vtql,
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,s,,,,,,,rure 0,4:4ecvnt Riwoo crve, y 'pit'Th'
op.
i do not orsh to won't the 15 $elhackteouireoer!ortoat Pve besot
------ — i 1
5 lnalurts of Adiatenr Rtjtallan Propelty Ovvrw.r
TypecitPt oiled name of ARPO a."-•- ^%. .-- - .,-- //VA 1.50A) „ig
_ ........, #
Mailing Acid fess of ARPO: 5'i 41. FA:r•Atii/ii'? ..1), A,11: V E: /Aft--S",r-
s 1 MAd t.0 I'S.
1,1),pt.)s*maw re i.e‘LoerVcon 4., i cA PO$ einonee
Catty AI.,1.,, Z 1 z 67," .waiver os vand for np to one year from ARPO s Strinattire•
iRloi,r,m641„July 20:r
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N C DIVISION 01= COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION!WAIVER FORM
CERTIFIED MAIL RE.ION REt EJP i RI ,°UJESTED or HAND DEL.I'JERY
(Top portion to be completed by owner or their agent)
Name of Property Owner i r'4. 'i, -.k t. .
L_ .. —
Address of Property 1-,)f q r ._.7ua 4 ..
Ma+!rrrg a4ddrt3 of Owner J C ' - �-r1 YC
Owner S email ,�, Owners Phone* 9 `i
' Agent Phone* .' 't✓- ] _
AgentsNarklir _ f,_<' i.4
ADJACFNT RIPARIAN PROPERTY OWNER'S CER5[FICA TiON
Bottom portion to be completed by the Adiacent Property Owner
I hereby comfy that I own property adjacent to the above referenced property The rndrvrdual applying for this
Qermit has described to me as shown on the attached drawing the uevelopment they are propOsing A
S ry gn or tM iti i wtth thine Stops mot be prrvided with thr5 IOW;
...__ t DC NOT have t7blect C►rr8 tca If";proots3 . .___... I DO have objections to this prr:•-s-r
__...� �. o.
If you hays ob}ectic»ts to whit is being proposed you must the N C ttssrrsrcrrr of Cuasta
Management(DOW in wnring within 10 days of receipt of this notice Correspondence should be
marled to 127 Cardinal Drive Ext. Warrington, NC 28405-3445. CJCM representatives can also be
contacted at(910: 746-7215 No response in considered the sarrre as no objection if you have been
notified by Certrf'ed Mad
WAIVER SECTION
i urreerstar'd that any proposed pier door mooring pii ngs. boat ramp breakwater boathouse I1ft or
groin *rust be set hack a minimum:distance of 15'front my area of riparian access`Unless waived by r-e
ithis does not apply to Clulknead5 or riprap revetrneet8' Of you wish tO waive the setback ys t, must sign
the appropr ate blank below )
' i 00 syi+h 10 warve sue/via sue/vise of the 15' set aok �� i�� ,„ _..
Signal `: of Ad fhcenI l a►ian Proderty Owner
I do not wish tc waive the 15'setback.reduirement°Initial the blank 1
S,gnature ofAdjacent Riparian Property Own** Ndk! A 1' j b k v�JC.1-!--
Typedirrinted name of ARPO. - l �!�
Marling Address of ARPO' I`1 t_"'C. - feti.Tr, /� 7
AkFrCI's email: LAO j�}���.��
-r:1;00 RPO% Pharrr�st: '�-'lot -f' - ` 5 C.p'
Date I's Z, `waiver is valid far up to one year from ItRPD°s Signature'
Revised July 2021
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Check
id Dete Deposited Check From(Hemel Nemo of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column2 Column.) Column) Column3 Column6 Column? Cokunn6 Column➢
OP I AMW Docks&Mane Construction MiclNd 6 0014 Fame Truk) i 7078 3 200.00 GP k854360 BB rd 16906