84569C - Walker, Howard & Judy

f(�CAMA ❑ DREDGE & FILL N9 84569 A B t % D
Previous permit _._.._.�
GENERAL PERMIT Date previous permit issued.
�f New ❑ Modification ❑ Complete Reissue ElPartial 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 07'k '❑ Rules attached. 19 General Permit Rules available at the following link: wmw dQ q rasQvKAMPrujgs
Applicant Name NIiWAn sr �U ...-..1 A�"'7� _.___._.. _.__ Authorized Agent_(jf✓( W ')
Address _ i (.lyI �' I 1 �%��♦;w b%1....__ - Project Location (County): _(%zf/��L w --- ----
City...�&*P �} Q.Y /State. 1.T..L _........-_..ZIP p[J......_...... Street Address/State Road/lot #(s), nMj ._..._____._. .___...__._,._.
Phone#(T.UY)J'1....fJ-
Subdivision.__._.___......__
City-.._s��r_.--y ____"_____........---- __.___ZIP FU'NiG/J._-_........---- .._
Affected ❑CW �,EW ®PTA ES ❑Pi5 Adj. Wtr. 8ady �LW .._(naV an unk)
AEC(s): ❑ OEA ❑ IHA FJ UW ❑ SPIMA ❑ PINS Closest Maj. Wen Body �vJW __- - ----
ORW:yesfiUL PNI
Type of Project/ActiVlty [x(1(?i_ 4A D4Cit)A)& DPCXINf, ri9�lMn by 04"(5 fj- %1!t"lL1� (NIXFjW
U00(j(Nb aVltl C?LS Gt /� e!n�Sr/ryG Wee S/./V _ (Scaler )
Shoreline Length-'
Access Length
Pier (dock) length _ N
Fixed Platform(s) /
Floating Platform(s) s J .---
Finger pler(s)
Total Platform area
Groin length/rf
Bulkhead/ Riprap length
Avg distance offshore - r 1
Breakwater/Sill,V
Max distance/length____
Basin, channel
Cubic yards
Boat ramp ••P\`p\41� fir ✓ s/
Boat heuse/ oatl
Beach Bulldozing
Other _—_.___._.__._.. _._ \�\tl� ,.% ✓../
SAV observed: yes en,
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: ye no /
A building permit/zoning permit may be required by: _,-9NS�A<u-..__. __._._ -
/�;'�' ��,�� �{fiMx, eNf ROA(.M TANPAM(NEUSE/BUFFER (circle one)
Permit Conditions emu__ _ --
(1)i(1�d�'hll;:..lr�(YG, r�•��Q7/iL /-A ZI N(;--G-.�Gh�r� jylJyC^�...--�[',.yp�.(1t�,1'[{� ❑ See note on back regarding River Basin rules
i-'-.-_. Nr�K).ek (?L� Q� Jr_. Lj,S'�'-f�"�j ZC-FL-�P's--V--lf�=z-iz----`-- ❑ 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 Inidal) ..
Agent or Applica>� Permil Officer'sPRNFFD Name
Sign..... ease read compliance statement on back of permit*• Signature
0 °o
_ ---
Applirannn Fee(s) check—II/Money Order Issuing Date Expiration Date

NCAMA ❑ DREDGE & FILL N° 84569 A B � D
° Previous permit
!GENERAL PERMIT Date previous permit issued
4 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:
ISANCAC O7'rrrl�p .w -{I'(�� �� ������❑--//Rules attached. [ZGeneral Permit Rules available
n_att'the following link: wwwdecnc.gov/CAMArules
Applicant Name
C EiOVJqAP-D 4'J()N u k-kf G Authorized Agent Pr1 WNS
Addresss 2 51 f 1a"D �1.e'W ��• Project Location (County): /hf/iG�JW
City
bNA . (2�jcca'�e/Y,'�Sta�te, NL zip qA2 Street Address/State Road/Lot#(s)
Phone # (ILO) P/%- 6gbs
Email .141 0 Y �IQ n1 ;1 ) 6Q1 / Subdivision
City CN' FEV-2y zip 294W
Affected ❑ CW �&W ® PTA ❑ ES ❑ PTS Adj. Wtr. Body _ AAW IN (na an nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body M W O
ORW: yes& PNA:b/no
Type of Project/ Activity
Shoreline Lengthy
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Total Platform area i
Groin length/# /
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill /
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ oat
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
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Yes
no
yes no
yes
ye no
n Alr. ..• ... I
CONDITIONS THAT
)N5' 410600V
PRINTED Name
Signature "Please read compliance statement on back of permit**
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06 2kII
Application Feels) C� /Money Order
P MIRK)
(Scalers )
1AJ
❑ TAR/PAM/NEUSE/BUFFER (circle one)
{$ ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Perm Officer's P NTED Name
Z �, �
Signature
� - N - Z Z 3 Z9 ZZ
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: fiDl�rfirQ 1 j y, ally W a l Ir2 rr
Mailing Address: ? (- ,-or-tdoew 7ri �e
Srieads FerrL{._rsc. a84Coc�
Phone Number: —7-70- 85Co• to4g 5
Email Address: J udu P— (LIn I.tyr 4Qto 0 620w1Qi I • CtXrt
I certify that I have authorized Qf=L C x-a v 4g,+&-0
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 Zc57 &o Cyr\6vtLW iY
in (-AG4oW 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 0}aner Information: Z
`Print or Type Name
Title
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Tf UWGtr(,1 WC-t j%2� d �IJC(TD. �!':-Q✓
Address of Property: 2 5Z
Mailing Address of Owner: sn m -
Owners email: y1� Walktr4?4 �''9rrtollOowner's Phone#:
Agent's Name: Josh Barber/PFL Construction Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
Nescription or drawing,with dimensions must be provided with this letter.
a x I DO NOT have objections to this proposal. _ I DO have objections to this proposal.
If you have objections to what Is being proposed, you must now the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28657. DCM representatives can also be contacted
at [phone]. No response Is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.) -
I DO wish to waive some/all of the 1 V setback (a- � x
Signature of Adjacent Riparian Prooft Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO:y9s=yw1b f-16h11 I-V
Mailing Address of ARPO: 2-65 CIVAAVt2[,� Ytt t610 .
ARPO's omail: Pocti�4r($9cmhtf- v6RPO's Phone#: _31Q d 20 pj2%
Date: 22• 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONryYAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: �Y' y J uny
Address of ProPerty: C -7 1 -i✓2 S'te2Al iz't'Y>-f tJL 2syW
Mailing Address of Owner. Su rYyPi
lilallt.ff uii4�C(fVlP�1. COW ii0_ <S�J (0 -(o
Owners email: Owner's Phone#: -ke
Agent's Name: Josh Barber/PFL Construction Agent phone#: [phone]
Aden's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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
IUD NOT have objections to this proposal. __ 100 have obleclions to this proposal.
if you have objections to what is being proposed, you must moray Inc tas. uwr>,vn w wea.a,
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or nprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive some/all of the 15' setb 'A ) /
1#12
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owneri �` ✓�IPX.IX V flt/q %Ir1-/�af
Typed/Printed name of ARPO:�R U nar"r VA ILrf it A-n :re-
-Z -- ,,,,�'�' ��,,,, f1 G
Mailing Address of ARPO .P kAAr> > ilia
L �-i
ARPO's email: �,� 7,y O%,C4,ARPO's Phone#: 02— �Y7/
Date: .6 %-Z *waiver is valid for up to one year from ARPO's Signature'
Revised May 2021