86085D - BHU

Docu':ign Envelope ID: D034A350 6113 473B-91D6-8ED40731964E9 86085 A B C
GENERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification ❑ Complete Reissue J_ ] Partial Reissue
As authorized by the Statp of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC _ bl k ( l 7DV -- __ U Rules attached. &I General Permit Rules available at the following link: www.dea.ttc.goy/CAMArules
Applicant Name V
Address
City n 271J✓ UzS''t]a ee
Phone #��11 r-
Email l
rr'' Authorized Agent
✓f�� U7Project Location (County):[/
ZIP -, Street AddressStatejtoad/Lot #(s) -
City _ _ -- ZIP C- 0 Gr6f —� -
Affected CW EW PTA - ES �- PTS Adj. Wtr. Body !/aVs'r Q tS (n an nk)
AEC(s): OEA IHA UW SPIMA PWS Closest Maj. Wtr. Body
ORW: yes PNA: ye
Type of Project/ Activity
(Scale:M )
Shoreline Length
Access Length �d
Pier(dock)length �V
Fixed Plat> rm(s) d �ti �� NA--L,
Floating Platform(s)
Finger pier(s)
Ir
Total Platform area
Groin leng OffN6J
Bulkhead/ Ri aplength h v
Avg distance o hore -- __ 1
_7
Breakwater/Sill
Max distance/ lengt _ f l
Basin, channel -7511
Cubic yards /' �:-P P,
Boat ramp����'
Boathouse/ Boatlift �O
pop
Beach Bulldozing
Other
SAV observed: yes n
Moratorium: n/a yes no
Site Photos: yes
Riparian Waiver Attached: yes o
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
E OF ITNrUTES. CRC -RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED
��pll nt PR'�ITED Nptt�e- ` it Officer's
gnature s rrU tlth/`plli^Iance statement on back of permit`
74
Application Fee(s) Chec #/Money Order Issuing Date
1NCE STATEMENT. (Please Initi
D Name
Expiration Date

3&0C.PA`rk&❑CAMA ❑ DREDGE & FILL 9 86085 A B C'
Previous permit
GENERAL PERMIT
Date previous permit issued
El 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 ❑ Rules attached. Q General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name i-Ttff d� '�
E!; t' Authorized Agent
Address / / ��� i%P V7 /" �' Project Location (County):11i
City State �' ZIP Street Address/State Road/Lot #(s)
Phone #
Email Subdivision
City zip
c�.41
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body - (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
e
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) _
3
Finger pier(s)
4.
Total Platform area f,.•
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
1
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other i
SAV observed: yes no -
Moratorium: n/a yes no
Site Photos: yes t
Riparian Waiver Attached: yes o
A building permit/zoning permit may be required by: v
Permit Conditions
f
(Scale:. )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

I hereby certify that I own property adjacent to 6
property located at
{� C (Name of Property Owner)
I
(Address Lot lock, Fria a .)
on urof vt�L N-� 64.c/
(Waterbody) (City/Townfind/or County)
The ,appli/cant has described to me, as shown below, the development proposed at the above location.
v I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below.)
a/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
A" /1.e,
Print or Type Name
Mailing ddress
2 z/ 1;)
City/ atel
4 � A /�((
Teleph a Numbe
io - 3i-'` 77_3 7
Date
(Adjacent Property 949�r Information)
Si.f*alure
J�A,, JYJ �B SSo h
Print or T e Na e
MailingAddress
City/S�tat p
Telephone Number
'5_6 .zz_-
Date
(Revisers^'��810,� 2� n

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to LS 14 a. pi"'-y ne, b- s
c ( me of roperty Owner)
property located at C� J
r/ (Address, Lot, Block, R d tc j �'j l
on i �r' t);r in N.C.
(Waterbody) (City/Town a d/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
v/1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum dis nce of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setbac ,you must initial the appropriate blank below.)
�'/- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
F
Telephone Number
-2 Z-
Date
(Adjacent Propert Owner ormation)
6' ature
Pn'?WpOtame j
Ma�g Ad ress
City/State/Zip ,?/?�
TelephoNua0er
Date
(Re viseq,"lf 04 21

r J C
Gt
L a tl/
RECEIVED
g ( MAR 14 2922
l l
DCM WILMINGTM �!
C�

-21vgD
MAR 14 202i.

Date
Date
Check From
Name of
Vendor
Check
Check
Permit
Rct. #
Received
Deposited
Permit Holder
Number
amount
Number/Comments
3/30/2022
3/31/2022
Dollie Uzzell
BHU Properties
Bank of
1035
$200.00
GP #86085D
JD rct.
America
16305