84562C - Homer, James

o'Aro r,41, VCAMA ❑ DREDGE & FILL
GENERAL PERMIT
j New ❑Modification ❑ Complete Reissue n Partial Reissue
N9 84562
Previous permit
Date previous permit issued
A B O D
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:
1 SA NCAC OTH • �� ❑ Rules attached. General Permit Rules available at the
� following link: vvvvw.dgq nc.aov/CAMArules
Applicant Name , JAM �o -iL Authorized Agent C 3 JC.VIAC✓
Address --1Sq p�TWAU02, DR- Project Location (County): CjNSLbt�J
City _1 State ZIP _ Street A�dddress/State�(Road/Lot #(s) - SLID P __!G� --
Phone # 0-2-) G . - -% — RI { s f[ .S _s_�%A¢ S�lltrt
Email
Subdivision _y f
CityG�-�' ZiP SL_
Affected ❑ CW �&W t4pTA ❑ ES ❑ pTS Adj. Wt, Body W HM: i na man/unk)
AEC(s): ❑ OEA ❑ IHA UW SPIMA 0 PWS Closest Maj. Wtr. Body
ORW: yes/noy PNARno
Type of Project/ Activity Am q I:a'x (J ' aw 1--L ( l=-r m Ap ejUS71116 i)' It eyvlt 51-) P
r
Shoreline Length jl�u
Access Length
Pier(dock)length /(
Fixed Platform(s) Z'
Floating Platform(s) C'v
Finger pier(s)
Total Platform area
Groin length/# i
Bulkhead/ Riprap length %
Avg distance offshore /
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards !
Boat ramp
Boathouse/ oath
Beach Bulldozing /
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes no
Riparian Waiver Attached: es o
A building permit/zoning permit may be -- required
rby: �/fj� j(1 G1J C CJ JN t `1 /
Permit Conditions t (vvt t t �i��« 00 0" (3 ,
(Scale: KS )
T
N
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I And AWARE F STATUTES.CRC RUJJEfANtfONDDI�(OAIS APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please initial)
X �
Agent or Applicant PRINTED NaMe
Signature 'Please read compliance statement on back of permit* * SignWture - /
)A0,60 1502. 3 -Z/'Z2- - Zl-2Z-
Application Feels) Check /Money Order Issuing Date Expiration Date

Acomr''xN)�CAMA ❑ DREDGE & FILL N9 84562 A B (D D
Previous permit
GENERAL PERMIT Date previous permit issued
XNew ❑ 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:
I SA NCAC OTH . Zip. i ❑ Rules attached. General Permit Rules available at the following link: wwwden nc gov/CAMArules
Applicant Name , AOU W T1pr 60-
Address �,�/1�5y�
City 41ALL+ State I\ ZIP
Phone # (26 A&
Email
Affected ❑CW �&W
AEC(s): ❑OEA ❑IHA
ORW: yes/nZ PNAr'
Type of Project/ Activity APD
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) /
Floating Platform(s) /
Finger pier(s) /
Total Platform area
Groin length/# i
Bulkhead/ Riprap length 1�
Avg distance offshore
Breakwater/Sill
o'
Max distance/ length
Basin, channel
Cubic yards /
Boat ramp /
Boathouse/ oatli 1.1)03
Beach Bulldozin /
Other
tgpTA ❑ ES ❑ PTS
❑UW ❑SPIMA ❑PWS
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes no
Riparian Waiver Attached: es o
A building permit/zoning pzt may be required by:
Permit Conditions c)V� is h-smir
WIM/r1 :l P _W?,Z
I AM AWARE OF STATUTES, CRC RULES AND CONDIT
X
Agent or Applicant PRINTED Name
K
Authorized Agent L, 9.3 Lx,JLA [AIL,'
Project Location (County): CA6f1DLJ
Street Address/State Road/Lot #(s) �)u P t)r UZ
FW812 6 K-S MAP 1JJ Ft
Subdivision
City f ZIP
Adj. Wen Body W N)T�04Y.,/a. na man/unk)
Closest Maj, Wtr. Body I& I ! L
Q
(Scale: Ks
N
iFl �TAWPAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Signature **Please read compliance statement on back of permit**
200,6D 160Z
Application Feels) Check /Money Order
0..3 2/-721
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J,q/14 t S 11 !�/1'l ek
Mailing Address:
S&/l� 1& 22 9-2,
Phone Number: s> /'� G 3 q 13
Email Address: f}r✓c/ enOrYl�r-& CI 43a; / , c o m
I certify that I have authorized C3 Scott, Inc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: BOAT )-I i
at my property located at
in e a124eK- c- County.
f� ] la/ Nt/ L
I furthermore certify that 1 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:
Q
—' Signature
Ir)o
��imes f-ly`H�✓�
Print or Type Name
�
01yilie /--
Title
,�
`9
RECEIVED
V
(�
lLl)-41 t ' 2
Cn
MAR 3.1 2022
Date
DCM-MHD CITY
This certification is valid through P3 1 b q I Db,)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�: oR
of%
I
I hereby certify that I own property adjacent to
property located at rVetC
(Address, Lot 8locic, Road, eic.) N-C.
e � in
on (Waterbody) (City
iTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
C•_ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
jlndivi'dua! Proposing development must-O in descnpfwn hetow or attach , srte.drawing)
sew
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. (ifyouwish to waive the setback, you mustinittial the appropriate blank below.)
1 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)
Si ure �/ Si a
Ff•1'1'r25 r1'DiyIG2 �t,i, a('� "11 Uy�'�.e5`G!1
Print or Type Name Print or Type Nam_e1-
i1.�...,�.lo.�Gr�
Telephone Number/email address t eepr
Date Date*
=var.i 9nr nnP mlandar vear after sidnature'
I
v/U` %)
Number/email address RECEIVED
Na
MAR � ) ?02z
(Revise�CO-AHI ))CITY

MAR 11 MU
DCM-MHD CITY

Drawing Prepared By: C3 Scott, Inc Property Address
Date: 1/20122 159 Deepwater Drive
Scale: 1 ": 10' Stella, NC 28582
Property Owner:
James Homer
White Oak River
Proposed Work:
-Install four new 10" piles to
support a 10,000 lb. boat lift in
Boat Slip 22.
M