85174_Timothy Balke Mitchell_20220329

0'44 I.VCAMA DREDGE & FILL .-" D7o `T`TRN() 8.5174 A6)C D
1 GE
i_ w „Modification ❑Complete Reissue n Partial Reissue
PERMIT Previous permit 4/1,4
Date previous permit issued ,J•,/t
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 5A NCAC O77/ 1/f1 U yy /Rules attached. oneral Permit Rules available at the following link:www.deqmc,gov/CAMAndes
7 i M o T
Applicant Name /� 1j /'�r. ,Y�1,•_/l Authorized Agent /�!
Addresss��� 7{�/y ,t.-rc7 /4et, I U Project Location(County): /-{ye e-- ,/J / J 7J
City/f 1/•N6es,/k/�G State Ze_C-- _ ZIP Pl rf ZY Street Address/State Road/Lot#(s) /(' /ire•..t I,�:,e 54j,„,�- ,' '
Phone#( 76 56 y- 753-tJ
Email byes kit A•/1 G 31 du.4Jrc_, CV i.) Subdivision i1,09.City (Yr ac, ,,Je ZIP .. C�7 6O
Affected Dcw DEW [PTA ES [pf5 Ad).Wtr.Body "rr?(-s. v cc.,e�-` _- �at�l{san/unk)
AEC(s): 0DEA [IHA � Wm[SPIMA [PWS Closest Maj.W Body /.N1/ (
:r �r e,c+ c/
ORW:yes/KO PNA:ye i ! J / /
Type of Project/Activity /4a ///
.7Nar,.-rr.e. v S 2 'ilea)as/it' cci 4/c25 Aarr�'re/ iv-de, /ecvJ
(Scale:/ l©)
Shoreline Length a(,)
Access Length
i11- s
Pier(dock)length
Fixed Platform(s) / ---__.
(4 l..c
Floating Platforms) /u
ok N cl
r'
Finger pier(s) IV �.-
Total Platform area
Groin length/II `
Bulkhe Iprap length t'2 S'
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp liL .4/1.••L.
Boathouse/Boatiift
Beach Bulldozing ffk c. -_ -_ _,
Other � � ._._._.w_.___--._ .._y'--._---+--
•
SAV observed: yes (To.)
Moratorium: n/a yes -
Site Photos: no
Riparian Waiver Attached: yes el,
/� / /7
A building permit/zoning permit may be required by: N y r{r�- 4D
Permit Conditions._ ce
D7l�r`� / n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
CSee 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)_ _. _ _--__-_
_
�� w� �7�! Itf
Agent orAPP •RINTED Name --- Permit O c i s PRINTED Name
Signature"Please r- •com. ••nce statement on back of permit" Signature
Application Fee(s) Check it/Money Order Issuing Date Expiration Date

•
NC Division of Coastal Management 7 2 7 A�' C ll
Cashier's Official Receipt ,}
/.J!<�� Date: Al, 2920 . 2:.2_
�i�-o �LI.c=L�
Received From: -inc/4 �'f- =a=rrrr`.."�-��.`"."'- $ L�00 ev0
Permit No.: r $/ 71/ �-r Check No.: -�-7 2. -2-2-
Applicant's Name: •/ �No j et/t LZbt, County: y • �
Project Address: f� An , I7ar /ec' jPreinn,Z AA: tr^2//G.C'
Please retain receipt for your roof of payment for permit issued.
Signature of Agent or Applicant: Date: Y.
At. era
Signature of Field Representative: re -" ' Dater /Cr .2/1 o2G-.0-
,

+�`°"'"` 9CAMA I�f DREDGE & FILL No 85174 A)C D
a = GENERAL PERMIT Previous permit /f/�
Date previous permit issued mot///
Vew n Modification n 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 07y /�/do ❑Rules attached. neral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name /7,"i o r /.4�c /����`rL, `l Authorized Agent ,.t/ /4-
Addresss� 76�c / t,-��J %cF I ' Project Location(County): /��d//� .� / / /�/
City A�eiferi ilife State /VG ZIP o77�24i Street Address/State Road/Lot#(s) /6 A,c.c,e S ( ,_cl/et'
Phone#(..V ) 5 y- 7550
Email L/r1,/[J
Heil @ 3/Code. Gor'+ Subdivision lY,/ Q /
City dN sf c.,I CC / /ZIP �7< [oD
Affected n CM/ n EW PTA Plc-
T5 Adj.Wtr.Body f'�os+`'l o /�ce.., / gig . unk)
AEC(s): n OEA 0 IHA n UW n SPIMA ❑PWS Closest Maj.Wtr.Body ��[ci _5Z ss c+
ORW:yes/ PNA:ye ihlil
// / J / / / /
Type of Project/Activity /-f�.""G�ar,'zs- 2 �` n,✓/�A iLe 4 " ,0 r,•u/ carte• �,,
(Scale: /'lo,)
Shoreline Length O
Access Length_
ew:r7i a/"
Pier(dock)length
Fixed Platform(s)
4 y" i
lv
Floating Platforms)
So k n Gi
Finger pier(s) i -,.._______
•�—
Total Platform area
Groin length/#
Bull ea Riprap length 025
Avg distance offshore i.
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
Boat ramp ��L .✓ �
Boathouse/Boatlift
Beach Bulldozing (J mot Iit 1
Other Ad ;LF1
/ 1 l
.'II P Al,-fL// ,zsf dklt c�.c<� a.....,-,
SAV observed: yes ��/
Moratorium: n/a yes
Site Photos: no
Riparian Waiver Attached: yes
•
A building permit/zoning permit may be required by: f 1i�
Permit Conditions cee- O7/-/,//� / n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
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)
_MANE sI.ky0 lLf
Agent or Applicant PRINTED Name Permit O 'c is PRINTED e
Signature"Please read compliance statement on back of permit** Signature
ir 400ac- -7' ',F.2.2.2 cL a41) 20.22 Jul 02.1) ,2o2
Application Fee(s) Check#/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 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
forrthe 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RC0AST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck,Dare,Gates,Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

lOtw'"` 1 iCAMA DREDGE & FILL No 85174 A. B C D
a GENERAL PERMIT Previous permit
Date previous permit issued
n New n Modification n 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:
ISA NCAC F , Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name /r, . Authorized Agent
Address /7/ Project Location(County):
City " ��• State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email L to,/e ' Subdivision
City ZIP
Affected n ow n EW n PTA n ES I. I PTS Adj.Wtr.Body . (nat/man/unk)
AEC(s): n OEA n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:/'1a )
Shoreline Length r T____
Access Length f; _ , r _ .. y.... 7._ !.._._I
Pier(dock)length / l
Fixed Platform(s) illI -1-: -
i
Floating Platform(s) ® i
Finger pier(s) _ `
* ' Nil ! i - --T--- r--
Total Platform area
Groin length/# I =ME •-.. I
Bulkhead/Riprap length _.___ _..-....__, T_ ._.-_..---. �_--_ _.___�.i
Avg distance offshore _ a...._......
Breakwater/Sill
Max distance/length ■•�
Basin,channel
Cubic yards }II I '
I
) , il.. ._ il i _ .
Boat ramp I �rJ"ram C,.--•---=
Boathouse/Boatlift �- -- - �-� — I _
Beach Bulldozing F,'.,, •
1
Other I• , 4.
I
SAV observed: yes no C I !
i I
Moratorium: n/a yes no.! I
Site Photos: yes no -
Riparian Waiver Attached: yes no.„� . _ ,
A building permit/zoning permit may be required by: / /c' Cc7
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions - --
nSee 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)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name '
Signature**Please read compliance statement on back of permit** Signature
;
Application Fee(s) Check#/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 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie,Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

°'''`'', ❑CAMA DREDGE & FILL No 85174 AB CD
20
GENERAL PERMIT Previous permit
Date previous permit issued
New Modification Complete Reissue I 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 5A NCAC Rules attached. General Permit Rules available at the following link:www.dea.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected CW EW PTA n ES PTS Adj.Wtr. Body (nat/man/unk)
AEC(s): OEA I 1 IHA UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: / )
Shoreline Length
1 1
AccessLength __.. _. ; r_____.._.._.._.._.._...;.._* I_�_...._._, .-...._.._. i T_
Pier(dock)length I I ¢ I
1
Fixed Platform(s) i € El/ f'
77 4 -J 1
Floating Platform(s) { ) ( I
I
Finger pier(s) _ mm `
Total Platform area7 ,
Groin length/# y I I '
I 1
i
Bulkhead/Riprap length , , I
Breakwater/Sillvgdistance
offshore — r— I_ �...... -- — �..
Max distance/length 1
' 4 4I
Basin,channel
Cubic yards —
Boat ramp F u y=�
Boathouse/Boatlift
-- i I
Beach Bulldozing i i
Other F 1
r_ L.
SAV observed: yes no I
Moratorium: n/a yes no 1 I
Site Photos: yes no -
Riparian Waiver Attached: yes no )
A building permit/zoning permit may be required by:
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
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)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/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 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden, Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://porta I.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.C. DIVISION OF COASTAL MANAGEMENT
111 ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL . RETURN RECEIPT REQUESTED or HAND DELIVERY
r' ' (Top portion to be completed by owner or their agent)
Name of Property Owner: 1 1"`�
st, 6/4L. /''��.�,tl
Address of Property: • '."+ v S�"'�S ��'�+ .-
Mailing Address of Owner:
76/1 ClurL a-,_ 0- Ictw/f--. AA__ -1 7 a VI
Owner's email: 1> 4.1"e 3/chjc.c.,.. Owner's Phone#: 3 - 5-6 Y ) - -
Agent's Name: Agent Phone#:
fti* Agent's Email:
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. 8description or drawing, with dimensions, must be provided with this letter.
/?
— ✓ KSP 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
:, contacted at(252) 946-6481. No response is considered the same as no objection if you have been
notified by Certified Mail.
•
Iv
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 skin
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback � f g44, _ 5���"""7"'
Signature/ of AdjacentRiparian Prope Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: /�" _ _f�UI� . S "" 1 .:
Typed/Printed name of ARPO:'O rje � tP'h,)1 f s , r ' S I') I\ p
Mailing Address of ARPO: O 1(0 S Egt:rd Emc P(c .c ( n:+ —109 ut JC�t;3
P ARPO's email:bold 9V1;III ps o�u i 5 �'�' )"la'1. R p
PO's Phone#: 11-4do5-3$35 6°3
Date: 031 a y 'a-oar- *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 toe completed by owner or their agent)
Name of Property Owner: J i'^0°`7 ,J J, `— /t 'f 4
Address of Property: A. 7) 1/ v S L- _:, Ocrtk.c,r AA-- ?.7 n.Co
Mailing Address of Owner: 7 /4 Cu-G,. I2 -s-- °i- Jfi. r /..1/ A/L 2 7 I '1
Owner's email: 6-++1 i,i-t-i e 3/ ,c,e.g.-. Owner's Phone#: 3 - SG Y- )5 5 c.,
Agent's Name. Agent Phone#:
Agent's Email:
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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. 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 siqn
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback Z7 - t t-
Signature of A jacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
` Signature of Adjacent Riparian Property Owner: ea-tl Z7�dtc.a
Typed/Printed name of ARPO: Cathy Duncan
Mailing Address of ARPO: 2071 Derbyshire Road, Furlong PA 18925
ARPO's email: [e-mail]�RP0's Phone#: [phone]
Date: 3/5/2022 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021