Anderson, Leon 84560C

H CAMA ❑ DREDGE & FILLN9 84560 A B C D
GENERAL PERMIT Previous permit
C�
Date previous permit issued
[RNew ❑ 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 r� ){ ' I I ob ❑ Rules attached. © General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
ApplicantName J.-t-00 / 1 ✓'/ G(2` 0-A)
Address
City �(X-.y l 1// t: v + 4 state zip
Phone # (,i (ri) 11`
Email '�f'( <i N M: `, i I G'il
Affected ❑eW
AEC(s): ❑ OEA
❑EW ❑PTA
❑IHA ❑UW
PNA:-je§/no
Type of Project/ Activity
i
O ES PTS
❑ SPIMA ❑ PWS
5a' 9
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body 1� b- /1/I/AA) (nat/man/unk)
Closest Maj. Wtr. Body S V M ?
(Scale:'' J )
i;
Access Length �.-
---.+l.
lit�i�
v-�V
,--..
r
-I__
-_-
Pier (dock) lengthI..
Fixed Platform(s)
T'
Floating Platform(s)
Finger piers)
Total Platform area
at /
Groin len h N Bulkheatj/ Riprap length
Avg distance offshore n
Breakwater/Sill / `—
Max distance/length
- ---
j---
i_
r
—
r
—
—
—
l.-.-.L--�
-
7
�-
I
__L
Basin, channel /1
Cubic yards i
t'1%
_
-__.t�.
I
rj��(�`�
---
CI✓r
[—
�
I
Boat P
Boathouse/ Boa[lift
Beach Bulldozing
Other /
'..
. 0
SAV observed: yes no-
Moratorium: n/a Yes no
Ritoarian Waiver Attached: ves no
k...
_
A building permit/zoning permit may be required by:
Permit Conditions
"i
❑ 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).'
i
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
i
Signature **Please read compliance statement on back of permit" Signnature
Application Feels) Check p/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:
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
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(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

Ote"ru H CAMA ❑ DREDGE & FILL N9 84560 A B /c'' D
GENERAL PERMIT PreDateepSpermp
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: wwwdeq nc gov/CAMArules
Applicant Name
City
Phone # (
State r" 1'- ZIP
Authorized
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA `� ES 0 PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity - "��✓!''�- 1.
(Scale: )
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 i
Boat ramp
Boathouse/Boatlift i
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 required by:
Permit Conditions
❑ 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 lnitial)IX 1
Y.,^ +"t$
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name _.
Signature **Please read compliance statement on back of permit**
Signature
7
Expiration Date
Application Fee(s) Check tt/Money Order Issuing 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 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
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(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

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DIVISION OF COASTAL MANAGEMEN
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATI
Name of Property Owner: /,, - `, YJ -4)� ti -e s5�
Address of Property:
t') r P V' I //�y L r'I -(_
(Lot or Street #, Street or Road, City &
Agent's Name #: N74 e i> k-e- I t
Agent's phone #:
MailingAddress: It I 5 i" e
FORM
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawinc3. with dimensions must be Drovided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Divis on of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact info anon for DCM offices is
available athttp://www.nccoastaimanagement.netlweb/cm/staff-fisting or ycaliingl-Sbil-4RCOAST.
No response is considered the same as no objection if you have been no ified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, Doathouse, or lift 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 low.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Ownel Information) (Riparian
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ignature Si a ure
Lear, ndif- rson
Print or Type Name
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Mailing Address
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City/State/Zip
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Telephone Number/Email Address
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Date
Print or Type Name
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Telephone Number
Date
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(Revised Aug. 2014)
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DIVISION OF COASTAL MANAGEME
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICA
Name of Property Owner:
Address of Property:
K
(Lot or Street #, Street or Road. City 8
Agent's Name #:
Agent's phone
Mailing Address:
FORM
I hereby certify that I own property adjacent to the above referencec property. The individual
applying for this permit has described to me as shown on the attached drawingjhe development
they are proposing. A description or drawing, with dimensions must be Drovided with this letter.
V I have no objections to this proposal. I have objec " ns to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(OCM) in writing within 10 days of receipt of this notice. Contact Info ation for DCM offices is
availableathttp://wwvv.nccoastalmanagement.netlweb/cm/staff-tistinaor ycalIng1-888-4RCOAST.
No response is considered the same as no objection if you have been no fled by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, ooathouse, or lift 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 low.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
j(Pr party Owner Information)
' e-)t,
Signature
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Print or Type Name
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Mailing Address p
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City/state/Zip
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Telephone Number/Email Address
Date
(Riparian
Information)
Signaturl ✓
Print or Type Name
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(Revised Aug. 2014)
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Name of Property Owner Requesting Permit:
Mailing Address: Coa /'a
Phone Number: '9/ -
Email Address: qf tt
I certify that I have authorized z 1
Agent / Contract r
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1 3 L) I
✓3f � �11- O r S T4 ^' y o u
at my property located at
in I "' S �0 L County.
! furthermore certify that i am authorized to grant, and do in
Division of Coastal Management staff, the Local Permit Officer
on the aforementioned lands in connection with evaluating it
permit application.
Property Owner Information:
(� Signature
Art 4erSor-\
Print or Type Name
yu3ne.r
Title
18 !
Date
This certification is valid through ! I
r-
grant permission to
their agents to enter
ation related to this
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
certify that I have authorized'k IYi 1 r�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 7' /P13 0�42
U L2 /AV"
at my property located at Sn'r (J f i✓� —
in _61L>we, County.
1 furthermore certify that / 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
D to
This certification is valid through I I / / z3