85109B - Mebane/ Pully Property

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o`°"'k v�CAMA I DREDGE & FILL No. 85109 A € C D
Previous permit IJ��
x : GENERAL PERMIT
saDate previous permit issued riJ/�
lew Ill 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 0 141 P ►l oD ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name MChQII e /ar!( �op1_ \/ Authorized Agent JOI A
Address PS PO /vwOcD3 A✓e_ Project Location(County): Ty{'tr�.l1
City IOC fy tilcukrti State A)L ZIP "C50 StreetSt� Address/State Road/Lot#(s) 5 R. 1229 �/
Phone#c 31) CAI-- Ec I 1 S' /P', 2 l ,/� OLP LI 1-4tAY t 7
Email ` 1 n Me_ nQ e V n'1 U, , , CO On Subdivision/ /4
J f City (COI tim 6►G.. ZIP .3-492-5
Affected ❑ON I I EW �A ❑ES I-Pfc Adj.Wtr.Body ul t.�/J /41 IC,llA� Wit?� na an/unk)
AEC(s): ❑OEA n IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body KIP f*AGi.+t v Qt ut✓
ORW:yeses PNA:yes/IDJ ` (�
Type of Project/Activity ��5 11 t �U c� (�i res. ( 'e XI S►1 h j 'D a-Wpfir
h p'- '�X L�c J a- vra�c r c,4 10' ( i'�'cc�Gixs 0.4 1'J U - . fs) e.i Q.T,=-F(Scale:/''—ZCD r
Shoreline Length ± Z Za O r JJ t'be- P�Ce Z tcrC-/T-1 CIF—D Qr.R,
Access Length / g
``,, cy1
Pier(dock)length )�`�
Fixed Platform(s) ('��uj
Floating Platform(s) :411i
G
Finger pier(s)
Total Platform area �p`KWy �Oy 1 S� ; "h 01 a
Groin length/ifa� G4 i, N
Bulkhead/ ipra�e gth t SLp r ►IC-`fl e! K cf IXO O C t 0
Avg distance offshore / s' G(K �� i,1 r #kb / 4: Z.
ift
Breakwater/Sill ;�( 4. �$ t 1 u. k J
Max distance/length C ut n ``� 1►
Basin,channel ` •
Cubic yards ,. c4•114tir `
Boat ramp • +�
Boathouse/Boatlift .'
Beach Bulldozing y, "eft S:S' r2`ae,„i .Y,il0 u 4 v CI eJCI�T1�t
Other `i•{�. ���, =do:.0,:`, �".►0i's �� Der
SAV observed: yes VII eA; se./
Moratorium: n/a yes I 4Cr nOr-L '
Site Photos: s s,l iu�r f
�
Riparian
W
Waiver Attached: � o
`t rlO on�A building permit/zonin permit may be reyquired •by: U
Permit Conditions I1 pr '7 Ot {/)O -tt �([ee c rr i& cc ❑TAR/PAM/NEUSE/BUFFER(circle one)
iLObtk!'0 Y N 1.-r (V Ztrp Ceti) f i be n See note on back regarding River Basin rules
+?lL (1 I ti w CA107 CkYieVt.. -[Jeckz:A-1, 'h, he r-e_i t.tc_es
nSee additional notes/conditions on back
OV7(� C;f' 'f IS 1"'\S1�t
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED
COMPLIANCE STATEMENT. (Please Initial)
yAgent or Applicant PRINTED Name Permit�ffi'cer's PRINT��Name
Sign t re**Ple read mpliance sbtement on back of permit** Si lure
C, 1` 4�00•D 1(b� l qri L - 2 d z2 - 0 - S(..1 Zo 2_2_
Application Fee(s) Check#/Money Order Issuing Date Expiratiot5 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

la`OASt( I ICAMA DREDGE & FILL S 85109 A s' C D
3� Previous permit Imo/�'A
GENERAL PERMIT Date previous permit issued 70/H
n'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 Y*-I- H • i)0 v ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name f ie i_7c, r / Authorized Agent M I
Address '`- .• ' ' , -' Project Location(County): I•,(r-P
City ' •, • State •',)G ZIP ,� CC.:-,Z> Street Address/State Road/Lot#(s) S R i 2 Z 9
Phone#( . 2)`7 t.,4 - -...l i to I; J ., F{c.L f z/
Email •\ ro M� I'1(��' c (,')C1 1 1 • co Y1' Subdivision !/7
J City `Gl 07 h t ZIP :1.,-719 2-55
Affected ❑cw ❑EW I fPTA Eli ES ❑'PTS Adj.Wtr.Body ,1.'�-t 1; '-i `/lc` ,r , �, 'i �S�•�r r( rtmn/unk)
AEC(s): ❑OEA Li1
.IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body I , )�• -i t
ORW:yes/no PNA:yes/no1
Type of Project/Activity 1Y)Sfali+ --•
(/U� c�.,� c1 ,`> rC ,l LAh 1:1 f -PX1`---nLiej ? lA\ ( r
S,;, t - »::x c r r- ) ,-- ,,-,.Y k c,: 1()' ✓i „-,`-„ .-,. ) n.4 N(4i L . 1,30 F .<--; .c,(Scale:/"- 2C)
Shoreline Length • ' c. f;� e 't,. ; _ tx,-c1--1 -3
Access Length ,
) I I 'tZt i 1 I .
V Pier(dock)length ' �)rt� v i
/
Fixed Platform(s) �
' ,\ tt J
Floating Platform(s) t 1 (
' ( 0
i
Finger pier(s) ._l.. —
.a_
i g F-1)
Total Platform area t + ) e.
T
Groin length/# 4`d ,p
Bulkhead/afprap length _ — --- —--
Avg distance offshore • I - I 't`•\ I 'A� V U� f./ -.
�`7 ^ } ,n
Breakwater/Sill . i 14" ,p.� -
Max distance/length ! f t'� {� �)' b
\' 7
Basin,channel � _ —r- i -it.A
.
Cubic yards t
Boat ramp 1 '
Boathouse/Boatlift 11011111 -. .._ NM _«_ ,`
Beach Bulldozing a bajtc� ,,��
Other 11111111 "'' ,1,!:'�� f�IS *" •1. �.�i MINX
i �j
SAV observed: yes — I r^`► +'TUB Se I
Moratorium: n/a yes -� • I i i 1 ' fir— P, ; r t,.
Site Photos: y s — —I- I } i rr •• }
Riparian Waiver Attached: �% 1 I I rr k
fZ ,
A building permit/zoning permit may be required by: 1 /.{(i I' i D U N4 j�
! I I TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions .\' }V,,r ' ' ('f' y `J 1104 +J F')( (r-tom- G I'Y ,a X
/ L. ( -tfl V LUG{('/) (!C' N`A)L r tt.. '17 ( c>)-) tc be n See note on back regarding River Basin rules
�1Lr%r,' �. T ^c--• t?; rah. L`
( / El Seeadditional 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
Sig.nature'•Ple ,se read ompliance statement on back of permit** Si ure /1
ivn� 'PO. .f y&n• l i 2/1,Y 1:. - 2 6 22 - /if -
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

"``°ui.kt,, LICAMA DREDGE & FILL No. 85109 AB CD
a
G Previous permit
GENERAL PERMIT
Date previous permit issued
I I New I I Modification I I Complete Reissue I 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:
15A NCAC Rules attached. I General Permit Rules available at the following link:www.degnc.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 n EW PTA I I ES I I PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA IHA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project Activity (// )/ ti ` ',t I '€ X1 e�fl t1 ' 1, '7 I'
\11,R1 r— . .'-0 ,I. (Scale:)' - )
Shoreline Length f•_. .. -. ,,`_ 1
• i i I I
Access Length j j
Pier(dock)length , k,v A t I
Fixed Platform(s) j r,t� 4:i
J
I
Floating Platform(s) i I .... i : i
1 j
Finger pier(s \ .4>!--- i ';
)
I t
— i
a
Total Platform area tt + I
f� �, r •
Groin length/tt i/ a• I _
Bulkhead/Riprap length +—'C- f '�_ '.: --_._
\ L 6
Avg distance offshore i /IN
it \' 1` �� .' 1,
Breakwater/Sill " I citi l' 1c'� > 1V
Max distance/length ('�`'k `)�'L !F�'
Basin,channel V `1 rA\ N
Cubic yards r=• f 'C
Boat ramp 1 •i I ,_4_ . J
Boathouse/Boatlift i ... _�__
Beach Bulldozing Jj �-'� � �:,� ^" ��'4��� ,- IC
• t{ ...�:
I r }-f
Other �j r �t I "• C�c.t C �- �� I—
SAV observed: yes no I I l �� .5 ^t ;�
Moratorium: n/a yes no j 1 ' •�
Site Photos: yes no --+— I ' J ' I y- .fst -,•T r
Riparian Waiver Attached: yes no _ �'
A building permit/zoning permit may be required by: --r-i( I 'Li r'!1" 4!
Permit Conditions L, I 04 ` N.'1 x I I TAR/PAM/NEUSE/BUFFER(circle one)
- X•.i( ,' 1-, I 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 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 U/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

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)/ JJ
Name of Property Owner.wi'/4)+, n 4/7� �v`�GhllL cl�i � 1/q- E/ �C�-- /- /K'l/f.T/fc o07
Address of Property:' q?8// .e'4'eS iS i��ivay 6/y 4&ly�J4 ' /'/C'
Mailing Address of COMM: fir a:e/:y/p,J /VG /<a - 45949..'�`/4.?2Qp'3
Owner's email�y72ecltal#tha c p �Owrfer's Phone#: 2s-i- 70 eon C
Agent's Name: c./a`, „' 47 /ABC '� r7, Agent Phoipe#: .04'2 f'o yc/l?'
Agent's Email: (//h m ��iq� g/y�Gp,`� / atrj. •
- ADJACENT RIPARIAN PROPERTY OWNER'SCERTIFlCATION
(Bottom portion to be completed by the Adjacent Property Owner) '
I herebybertify}hat 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.-
r. 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
malled-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 hot apply to bulkheads or dprap 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
'Signature of Adjacent Riparian Properly Owner -
-OR- - .. . -
•
•
I do not wish to waive the 15'setback requirement(initial'the bbllank)', -
Signature of Adjacent Riparian Property Owner. , 277,cfl /; , /iAcA
Typed/Printed name of ARPOi Oye e 'P. A fr�r s o 71. -' �i
Mailing Address of ARPO: _D 0 BOX a co To S ('h ,(/ G d 7?3(O
• 1 // .til.Com.
ARPO's email:Jp 0.TC.f�L5O4&n&yARPO's Phone#: cl S ' `rao 6 2 a/
'Date:.3_a. a' *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��po��rtion to be completed by owner or their agent)
Name of Property Owner'R/i��liAzt; �l' ir,X � lr n lbkn�;.*4kseivie7>-�J47
Address of Properly. a 3*/ N ,� Ss j LD lain b/a /V C _
Mailing Address of Owner. •//S a/,`elfttfvdl ./ Re 4 AC ¢ 't r2 71° 3
Owner's email:/Y/4C ti Din Aef pul Owl�ner's Phone#: 7So? y'Oe ere_
Agent's Name: (TO . ieban 71"Agent Phone#: o fl
Agent's Email: J 44.1vre {JQaa 0 rai-Qc ` COvr7
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be:onipleted bV the Adiacent'Properfv 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
desoription or drawing,:with dimensions;must be'provided with this letter.
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)94641481.No response Is considered the same as no objection if you have been
notified by Certified Mall.
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 riprep revetments).(If you wish to waive the setback,you must stun
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
✓ r
-Sig -Mee Adjacent Riparian Property Owner
-OR
I do not wish to wake the 15'setback requirement(initial the blank)
( _ Signature of Adjacent Riparian Property Owner. _. / _"1_'�_.
_TypedlPrinted name ofARPO: ' J4rsLc1I 441 for Gr70T
r Mailing Address of ARPO: gal
OS ,Ew7 _69 � j1JitiI e;h I II �>, Ptz1&S�
_. ARPO's email: M i I I encdoJ+ Qo✓ ARPO's Phone#: 2 l -G/.cb
• - Date:, a- 2X `waiver Is valid for up to one year from ARPO's Signature'
Revised July 2021

John M.Mebane,Jr
115'Wildwood Avenue
Rocky Mount,NC 27803
[e-mail]:
cell 252-904-8118
February 22,2022
Mr. Marshall Gill
District Engineer
North Carolina Department of Transportation
19210 US Highway 64 East
Williamston, NC 27892
RE: Notification of Permit Request for Riprap Installation at 2341 Old US Highway 64,Columbia
NC(Pully/Mebane Property)
Dear Mr.Marshall Gill,
This letter is to let you know of our permit application with the N.C. Division of Coastal
Management to install riprap beneath an existing deck that is located adjacent to our house at
2341 Old US Highway,Columbia, NC. Our property line runs along Old US 64,Columbia,on the
south side with the Little Alligator River on the west side of our property which makes us
directly across the Little Alligator River from the DOT landing. The purpose of the riprap is to
stabilize about 40 feet of shoreline beneath an existing deck. Attached is a drawing of the area
with the proposed riprap location marked in red.
If you have objections,you should contact the N.C.Division of Coastal Management at 252-
946-6481. In the mean time I would appreciate your signing and returning the attached form.
The 15 foot setback waiver does not apply in this case. In the event you are not the correct
party for this notice, please let me know to whom this should be sent.
Thank you for your consideration. Any questions can be directed to me at 252-904-8118.
Inc'rely,
hn M Mebane,Jr.

•
Locality - - - - _ Permit Number - I OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
i
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
POcean Hazard - Estuarine Shoreline_ORW Shoreline Public Trust Shoreline_Other_ treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
C (For affront use only) Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION
��-s_..__...___-�.. ._.�_.�..._-._-_...»-�...-}-• .-_..._..__-
/C4l(S e 9 /J / r4 �( "zoo? STATEMENT OF OWNERSHIP:
LAND OWNER-MAILING
,rADDRESS / ram,I' `/ YA / �/_ I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in anAEC or
Name,oars 4-e -Y�t 4 .c .._ k-fer (( cer_r 11L e41C person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
/ . c/ listed as landowner on this application bas a significant interest in the real property described therein.This interest can be
Address ////���, VC(4/a's' ( /4--2/-c__- 2 �7 described as:(check one) _ ��� //� /]r/�e 4147i -
City ClG !! /�^,At+1 C— Zipog 7 114 0�1-�• 9 Q6 oS 6S �an owner or record title,Title is vested in name of 4tti i LK helaittt �f qf/c/a /¢ /,(,�l(�
Email /J2 et-icr Gt�K p yn P_. ern et 77L1/�/ a see Deed Book page _ in the 'Fv/ /l County Registry of Deeds. /
AUTHORIZED AGENT / _an owner by virtue of inheritance.Applicant is an heir to the estate of/-
�,z / •probate was in County.
Name �06,, /�7,n erY/a n sz, J.77
�/s^�i r���J��� // _ if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address/�/x ///� �/� /7'7Aq`- - ry p-- ['�Q
C[l��tgr'Le' .2[yr State- 4 ` Zip,7 J p'_J 7 o7Cj�/ NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
'�''`�(� I furthermore certify that the following persons are owners of properties adjoining this property.l affirm that I have given
Email d ni (VN e ha in Q eiIn)G/ Z cD-v✓L ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply fora CAMA permit.
(Name) (Address)
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody,) (I) r/L O o r Q a7v u 5 t/`��V y �jr 2�r
259/ o/d u-s,y1lw,6V1 6/14,ntl,(4 NLanis er/u y !� .vcA7ifq�
°-.To`r ,e .•A:A., c / v 8 Cie eAra :Cy'rys° A) f a 7926
/ � (4)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) rPL.044/-C2 VC k6 ACKNOWLEDGEMENTS:
- � /n� a I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
/e)Od$4.4 v"'t' w.ye',.cc. f!l rr ya/Ci f B f�[ ' r;0 / / may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
O-zn p�yr!>d`Ke� , - _ led O/£-N -mice e-rYe.Cle-ros/a.cia----lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabilize-
SIZE OF LOT/PARCELr square feet 2 7.-- acres tion and fioodproofing techniques.
PROPOSED USE:Residential (Single-family Ipseg1ulti-family ID) Commercial/Industrial❑ Other 0 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
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies related to this permit application.
to your properly): 81/(oAM is die day of ,20(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space) Landowner or person authorized to act as i cr agent tor purpose of filing a CAMA permit application
(2) COASTAL 9HORF�Ir F=AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This application Includes:general information this form),a site drawingas described on the back ofthis application.the
UPON SURFACES:(]-ff ggftee feet(includes the area of the foundation of all buildings,driveways,covered decks, pp f ( fj pp
ownership statement,the Ocean Hazard AEC Notice where necessary,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.) a check for S100.00 made payable to the locality,and
any information as may be provided orally by the applicant.The details of the application as described by these sources are
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which maybe issued.Deviation from these details will constitute a violation of
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? any permit Any person developing in an AEC without permit is subject to civil criminal and administrative action.
YES NO
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: ,ems square feet.
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TESENEER CHARLES W
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U.S. Postal Service'"
•
' UNITED STATES CERTIFIED MAIL® RECEIPT
I,/// m Domestic Mail Only
POSTAL /`j/g�r� a For delivery information,visit our website at www.usps.com .
r-
4ESTRIDGE o WI f tt A L U S
3695 SUNSET AVE m t „urr�MauFee 0814
ROCKY MOUNT, NC 27804-a995 t� $3.75 10
(8i)0)275-8777 ra $ 13-i15
Extra Services&Fees(dredr box.add fee r$tr 1e1
02/22/2022 01:49 PM ru ❑Return Receipt a P» $
--- -- r.a ❑Ream Receipt(electronic) $ f 0.Lill Postmark
Product Iry Unit Price o ❑Certified Mel Restricted Deiven s $0 CIO "ere
Price o ❑Adult Signature Required $ $0.00
------ -_--...--.- -. O ['Adult Signature Restricted Delivery S
First-Class ail0 1 $0.78 tm Postage $0.78 02/2272022
Leyte- $
WI 1 l i ems t on, NC 27892 .D Total Postage end 77.558
Weight: : lb 1.10 oz s _
Estimate: Del i�fer/ Date cn#treet
ntTo ��/ �C�01 Ifu° 10 yrt6�,iF
Thu :2/24/20'22 tvand --r:n . --Flo-�oXKr;: a� y
Cart i f i e: Mai l O $3.75 t�6,'4 S.r! A/C--
Trac<i ng #: �` city,State,ZIP+4®
02006.10000121730713
Return R eel pt $3.05 PS Form 3800,April 2015 PSN 753o-02.000-9o47 See Reverse for Instructions
Trac<inc #:
:590 9402 6541 1028 9768 36
Total $7.58
U.S. Postal Service-
First-Class veil@ 1 $0.58 CERTIFIED MAIL' RECEIPT
Lette-
F-i sco, \C 27936 �' Domestic Mail Only
ru
W3i ght: : lb 0.8C, 02 -=' For delivery information,visit our website at www.usps.com..
Estimate: De l i very Date r i Sca r'1tlC;` 74
Thu :2/24/2022 m
C ert i f i e: Mti i l iB $3.75 Certified Mail Fee $3.75 0814
Trac<ing #: ru $ $3.0 10
i 0200640C'i 1012173424 7 Extra Services&Fees kffsur box.addfee mil
Return Receipt $3.05 r� ❑n ec
et Rent � $
Trac<i ng #: o ❑RMr*Rece+p`(eteetrordc) S $0.00 Postmark
:59'] 9402 6541 1028 9768 12 0 ❑Certified Mal Restricted od re
very $ $0.00 He
❑Adr Signers Regtired $ $0.00
Affixed :ostagtf -$0.58 ❑Adult Siwn.e Restricted Delivery s
Affixed Amount: $0.58 CI
Postage $0.58
Total $6.80 -II $
0 Total Postage end Fees_ 02/22/2022
------------- t.38
Grand Total : S14.38 To
Cash $20.00 O_ .tr a --.- or�bteo No.
Change -$5.62 �
cryoiaiAs
C. -. 7 f 4/4
PS Form 3800,April 2015 PSN 7530-02-000-9037 See Reverse for Instructions
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te r .:
John M.Mebane,Jr
115 Wildwood Avenue
Rocky Mount,NC 27803 V ��'y
n
60
February 22,2022
MS.Joyce Atchison
P 0 Box 250
Frisco, NC 27936
RE: Permit for Riprap installation at 2341 Old US Highway 64, Columbia NC(Pully/Mebane
Property)
Dear MS.Atchison,
This letter is to let you know of our permit application to the N. C. Division of Coastal
Management to install riprap beneath an existing deck that is located adjacent to our house at
2341 Old US Highway, Columbia, NC. Our property is located on the west side of your property.
. The purpose of the riprap is to stabilize about 40 feet of shoreline. Below is a drawing of the
area with the proposed riprap marked in red.
If you have objections,you should contact the N.C. Division of Coastal Management at 252-
946-6481. In the mean time I would appreciate your signing the attached form. The 15 foot
setback waiver does not apply in this case.
Thank you for your consideration. Any questions can be directed to me at 252-904-8118.
Sin erely, (Scale el- )
`r 1111l11 Ii 'i_ I n , iiiili i1 11 II I /
ohn M Mebane,Jr.n _.T I I 1 1 1J_/ 1 ,4 h! I oys I "1 "-'"1 "-' i i i i ?
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•
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top ��po��rtion to be completed by owner or�their agent) /� /� y�
Name of Property Owner tt/i /1/4M X f6 i / d- S Y)'/1,*Loa,/LLC, be d/'4/yeti407
Address of Property: °z 3 9/ O/4//LS/1/,jhcJay , 6/iC n bb1,r,Q N C-
Mailing Address of Owner: /// a'.!ell,aor �//g /eb c4r ,Mca r NC 02 7,v3
/ntaJ(-tpn'J
Owner's email:$tK 6/.atriii44n.4&I Owners Phone* 7C - per O Q r
Agent's Name: ;To Gt . �' i A ebern,l7kAgent Phone#: �S� 90 f awe
Agent's Email: J M nne /JQGi.? rD rim ati 1, to n-7
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.
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 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(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature•
Revised July 2021

John M. Mebane,Jr
115 Wildwood Avenue
Rocky Mount, NC 27803
[e-mail]
cell 252-904-8118 /' P
February 22, 2022 (/
Mr. Marshall Gill
District Engineer
North Carolina Department of Transportation
19210 US Highway 64 East
Williamston, NC 27892
RE: Notification of Permit Request for Riprap Installation at 2341 Old US Highway 64, Columbia
NC (Pully/Mebane Property)
Dear Mr. Marshall Gill,
This letter is to let you know of our permit application with the N. C. Division of Coastal
Management to install riprap beneath an existing deck that is located adjacent to our house at
2341 Old US Highway, Columbia, NC. Our property line runs along Old US 64, Columbia, on the
south side with the Little Alligator River on the west side of our property which makes us
directly across the Little Alligator River from the DOT landing. The purpose of the riprap is to
stabilize about 40 feet of shoreline beneath an existing deck. Attached is a drawing of the area
with the proposed riprap location marked in red.
If you have objections, you should contact the N. C. Division of Coastal Management at 252-
946-6481. In the mean time I would appreciate your signing and returning the attached form.
The 15 foot setback waiver does not apply in this case. In the event you are not the correct
party for this notice, please let me know to whom this should be sent.
Thank you for your consideration. Any questions can be directed to me at 252-904-8118.
cerely,
ohn M Mebane,Jr.

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top hit
to be completed� by owner or their agent)
Name of Property Owner hi t�li R ni !1 /4/4 Ri -,{jz/A/fithai/tC-, kw�c 47?"v f— 07
Address of Property: 'zit'/ D/e/is/tjtaiay , L0/'itrnofa tiC
Mailing Address of Owner: //S. Gl/,Yell, ,r,/ /�+//t:i_yeb ce �O�r.-.c-T 4 C 761 v3
Owner's email:OW/ t a:MI C29a,�4et Owner's Phone#: �c2sa free' Orel j
Agent's Name: ,04 /M Aebern Agent Phone#: oTS-2- ,Of cP//t
Agent's Email: J. 44 vine hci,.e re, finial la, co nr7
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.
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 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(initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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S ,CAMA/E DREDGE 9FILL Nc) 54837 —a
V ENERAL PERMIT Previous permit# 4 )A
1te eW OModifiation DComplete Reissue ❑Partial Reissue Daze previous permit issued . )./}
As authorized by the State of North Carolina.Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC D I H • 124° .
J ' /DRues attached.
ApPRant Namet-r!,__4rr16 r/ 4a,L�Y '-. . r:,t% Project Location: CountyrTYP-PELC-
Address =t1'-5 'WitiltiS6a D "Q•s,a- .1 Street Address/State Road/Lot#(s) NI- « 122'j
chJ .n y. 4u.s� state•1JG2P2'1Cca3 two t +4<.:, CAL 7z41
Phone#(34Ot}- IIt fit#( t): ' '' Subdivision . tJ/A '
Avtltor(zedAgent 3o r- I4£r' ,Z 't - ' City rot.tunra t14- ZIP 27 7 2-S
ARected CCV/ DEW A DES 1S Phone# (_) - _ River BasinlayNtrSTr'2T1K
AEC(s): OOFA ❑N ❑IH ❑ilea ON/A Adj.Wtr.Body L.t'rf-t.F A,,At,A,Zs,L.15_ottgrjrnan Amkn)
❑PWB: OFC
OW yes ;) PHA yes/ Io) Caller,. yes/ no Closest Maj.WV.Bady.A cis 4A,ohL 'Thy EA._
type of Project/Activity co eJamP4oT 1/5-0 FC 34,t riat WA. 3/4,'x .1/61 T-dJG.M
9!./Lri=r'11-M (Scale/°.go )
Pier(dock)!kWh"Ka Cs 16 v O
= t .; 1 1 1 I 1_lI 1 !. ' I I Ical__ I i I i I
Pbttormb) I4. R 16 1 '. I�j--L f �.. '. I_ L: f I EE 1
Fingerpier(s) n { h I -1_' �- 1iThEJAi+d a vet1__- ' I i !
Groin length - fLr _ {..;, I -- I t -1 - I Eli 1
i i y 1 ; f1_.j 1 : 1 I 1 t IC trl 1 rim I
mnnber 1 i__I F_. i ' I 't 6. .i'k.i'g• i i j� i
Bulkhead/Wprap length - 1 1 1 1 1-_ I T - I 1 1 i
distance offshore .--- ! �j -h
maxi ^ L C l h 1 i 1 _I " T_' �a H f ��EEE
Basin,channel it--I-
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Beach Buadoing �,.. I_1__.- T�_i..� ' I .
Other — Gs„7 � ili
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Shoreline Length-�220E3 y jWE E .1_:_.T1 a� 1—
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5ahhebage rctvm yes __1 -r, tartttt �' ---( •
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A building permit may be required by: ''flfla. CLL1ag.T`'( _. ❑See rote on bath regarding River Basin rules.
Notes/special&edhbm Ar'i'ri 4GM1)tCO i�t='r At Tr CDIb ma n}S Cc,"/4 . YL02)
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