Perry, Daniel 84209C

❑CAMA ❑ DREDGE & FILL N9 84209 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
A"evv ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by �tthe State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC (i -7 /-/ 1 /2 CO ❑ Rules attached. F4General Permit Rules available at the following link: wwwdeo.nagov/CAMArules
Applicant Name
Address 't
City �f.•,
Phone #
Email
Affected ACW XEW ,RPTA
AEC(s): //❑OEA ❑IHA ❑UW
ORW: yesrno) PNA: ye no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length Co x �l7
Fixed Platform(s)
Floating
Finger pier(s) _7
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length_
Basin, channel
Cubic yards
Boat ramp _ _ate,\
BeachB Ildozibg_
Other � I Vtn(V
6
SAV observed:
yes
no
I'-
Moratorium: n/a
yes
no
Site Photos:
yes
no
Riparian Waiver Attached'
yes
no
A building permit/ oning permit
'j.;
may
be required by:
Permit Conditions � (
a
n'
OF STATUTES. CRC RULES
Name
KI ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent r-
Project Location (County): 7; '" -� A
TY
Street Address/State Road/Lot``#(s) < 70 IILeG.
Subdivision 0C- `.
City ZIP
Adj. Wtr. Body /V;
Closest Maj. Wtr. Body
REVIEWED
Permit
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Signature *Please read compliance statement on back of permit**
/-� � a
Application Feels) Check q/Money Order

��`°"'�(]CAMA ❑ DREDGE & FILL ' N9 84209 A B C D
3� Previous permit
3 GENERAL PERMIT Date 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: w degnc.gov/CAMArules
Applicant Name Authorized Agent
Address - Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone # (_ )
Email Subdivision
City ZItP
EW PTA / Affected ❑ CW Ad1• Wtr. Bodl' (nat/man/unk)
ppi
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mal. Wtr. Body ('�/'2 I�,• �11 L� I
ORW: yes/no PNA: yes/no i
Type of Project/ Activity
(Scale/ Y
k.,l
Floating Platform(s)
Finger pier(s)
®
�i■Gn■■■.■■■■■■■I
Total Platform area
Groin lenaih/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
Basin, channel
Cubic yards
INN
In
Permit
I / u IAIprAm/Nt:ubr/"Vrrtmkcu-ae one)
� !1 r,
i !, ❑ 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 PROJECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
rl
Signature *'Phase read compliance statement on back of permiP• r, Sign�ture
Application Feels) Check p/Money Order Issuing Date zpirstion Date

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: A,,J , CL A N J AM`I P e PUN
Address of Property: 2.o1 Aubc,PHpR[V 3EHvrou-_NC 28-t10
Mailing Address of Owner: Z2o2 Sr, MA2y'5 5 T fLcET ZALEIGH NG Z-1to09
Owner's email: 1) PC RR`j C) Sli EUCO LLL',cbwner's Phone#: ci 19 - 346-LLI I to
Agent's Name:
Agent's Email:
Agent Phone#:
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 for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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 noury the mu. umrsion or uoasrar
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 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 15' setback I , n /o(
S791ure of Adjacent Riparian Property�Wner
_pR_ 7v�
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Toy A-VNRl1
Mailing Address ofARPO:Z03 �V90�-Ply-A�v%L4 �CAVFa1ZC A- Co
ARPO's email: ARPO's Phone#:QaSz
Date: 2' 2 Q -� O Z - 'waiver is valid for up to one year from ARPO's Signature`
Revised July 2021

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: b A N E L A N b A m`I 0 e
Address of Property: 2.01 IZubo"PHbu\iC 3EAUFo2j�NC. ZBSIto
Mailing Address of Owner: ZZ-025T.MAR4'55TfLECi kPiLEIGH,NC Z—I1c60
Owner's email: bPe RR (5 SH ELCO LLC,6zwner's Phone#: 919 - 3`I5-L�LI I U
Agent's Name:
Agent's Email:
Agent
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 for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter.
_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 notify 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 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 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 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initiajAhe blank) _
Signature of Adjacent Riparian
Typed/Printed name of ARPO:
Mailing Address of ARPO: l TT
ARPO's email- a6rl3 /!erf RPO's Phone#: l(�
Date: ';2!4,,2,pZ *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

Daniel and Amy Perry
2202 St. Mary's Street
Raleigh, NC 27608
February 28, 2022
Jonathan L and Sarah Brearey
203 Rudolph Drive
Beaufort, NC 28516
Dear Jon and Sarah,
Daniel and Amy Perry are applying for a CAMA general permit to build a pier, deck and boat lift, located
at 201 Rudolph Drive, Newport River, Carteret County, North Carolina. The specifics of the proposed
work are in the enclosed drawing.
As the adjacent riparian property owner to the aforementioned project, we are required to notify you of
the development in order to give you the opportunity to comment on the project. Please review the
attached drawing.
Should you have any objections to this proposal, please send your written comments to the NC Division
of Coastal Management (DCM) 400 Commerce Avenue, Morehead City, NC 28557, within 10 days of
your receipt of this notice. Such comments will be considered by the DCM in reaching a final decision on
the application. No comment within 10 days of your receipt of this notice will be considered as no
objection. If you have any questions on this project, please call us at 919-345-6416, or email us at
[e-mail].
Sincerely,
Dan and Amy Perry
Enclosures

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DANIEL WILLIAM PERRY &
AMY LOUISE PERRY
201 RUDOLPH DRIVE
LOT 3,DEERFIELD SHORES SEC 10
BEAUFORT TOWNSHIP
CARTERET COUNTY, N.C.
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