84572C - Riggs, Mearle & Gayle

6 R� IAJGAMA � DREDGE & FILL j`ievi u I n A u �c) �
A A g PERMIT
�I Previous pet mit__-
' GENERAL PERMIT Date previous permit issued ._.__....
NNew ❑Modification LiComplete Reissue []Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area or environmental concern pursuant to:
15A NCAC t/_'�:I'�.___��'iLJ.tt—i—'_"LOO ._-_n Rules attached. l General Permit Rules avallahle at the following link: ww Aeq. m.swLCAMkrsiles
Applicant Name 1trl.{ti41{ pT
Add, r� [_ Z�
CR k 0P (��'j[}--_p____ State, .l.irL: __ - zlr . G6,y,� 4'
Phone # ,0) _S._' l___ r 'sL-7
Email "," .-------- _.-____-___._
Affected L&W &IEW PTA MCES IJPTS
AEC.(ss�)::y I_IoeA L]IHA OUW LISPIMA I- -I PWS
ORWty.p/no PNA: yestei)
Type of Project/ Activity
Shoreline Length, -JAL
Access length_..._14:_ 0d_....___.__-_.
Pier block) length _G_�,.-f%c
Fixed Platfonn(s) ----- :_._______.
Floating Nationals)
Finger pier(s)
Total Platlormarea
Groin length/11_
Bulkhead ipr_al mtg(h�
Avg distance offshore
Breakwater/Sill_, '____.
Max distance/length
Basin, channel
Cubic yards -,
Boat ramp __..
Boathouse/ Boatlilt____.-.-_�
Beach Bulldozing
Other
GI VP'47Ui-14
SAV observed: yes roy
Moratorium: n/a yes ,tom
Site Photos: yes fpl V�i1t(IU�+Y.l
Riparian Waiver Attached: �u�5 no ,rI
A building permit/toning permit may be required by: �4Y
x/
back of penrel"
.—Tr ivioney 01dor
Authorized Agent
P4oject Location (County)
Street Address/Stato Road/Lot #(s) ��•/ ...— — �-
City
Adj. Wtr. Bodyna man(mil<
Closest Maj. Wtc Body_....-...(��Yy 1Gi!j—......___
of
jscaleYVI1'� )
i�5`G'f�trr�t��
VC REs(GIGtit
n IARjPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
11 See additional notes/conditions mt back
(Please Inilial)
Issuing Dan! v ENPIratlah Date

DREDGE & FILL N° 84572 A B O D
GENERAL PERMIT Previous 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:
15A NCAC Oa[ • 7 jon t - 1100 ❑ Rules attached. [2f General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name
City ( State It.Ci zip M53Y
Phone # O s r p
Email 4 (Vc�.. �r. �ig(o
Authorized Agent '-
Project Location (County): ONE Levi
Street Address/State Road/Lot #(s)
City
Affected ® cW K EW X PTA ® ES ❑ pTS Adj. War. Body jqi `(w.' I) (a man/unk)
❑ AEC(.): OEA ❑ IHA ❑ UW ❑ �iV / 11 Yt/ SPIMA ❑ PWS Closest Mal. War. Body
ORWO/no PNA: yese)
Type of Project/ Activity
Access Length U r I17
Pier (dock)length �Idy,�
Fixed Platform(s)
Floating Platforms) "�
Finger pier(s)
Total Platform area ttA A 11Ct�' Q/ryyi
Groin length/#
Bulkhead Ipra ength r(}�'
Avg distance offshore VV fK�
R.n^L,.rmu./Gill I �
Max distance/length V
Basin, channel
Cubic yards `V
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
1
Other
SAV Moratorium:
yes
Moratorium: n/a yes `
Site Photos: yes j�lUdD
Riparian Waiver Attached: & no
A building permit/zoning permit maybe required by:
__.niiAln -,IH tZ 2..L1v PT4ra :n ADc
IAM
Agent or Applicant PRINTED Name Pe rml.
Sgnature**Please read compliance statement on back of permit** Signatu
Application Feels) Cc!)/Money Order Issuing
y y
0
(Scale;/) /eS )
r ❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
sl ❑ See additional notes/conditions on back
(Please Initial)
Date

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I REFERENCE:
I, Pate D. Phillips hereby certify that
this map is correct and that Mere
no encroachments either nay on saitl
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FA
MEAKLE I RAMS KqG S
GMLE K14.S
SWAOS50RD TWSe ONSLDW 4, N.C.
SCALE 1 GO, JAtiUAK-Y '3, 1"1
PATE PHILLIPS and ASSOCIATES, P.A.
swansboror n. c. 28584
Project No. _32

DocuSign Envelope ID: IA2215D7-A5094D76-A3CD-DD285331D451
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DocuSign Envelope ID: IA2215D7-A509-4D76-A3CD-DD285331D451
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DocuSign Envelope ID: 79F8262F-657C4764-B03F-2584D9C7D2F1
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
Address of Proper
Mailing Address of Owner:.-- rlyd .9 440LC CY / A G o-76
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Owner'semaiI f/ 5 ec.rr.cOm Owner's Phone#Q1/0- 2%v-OY/ °7/0-3901_22f
Agent's Name: A0 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 forthis
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 nouty the N.U. u/wsion 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.)
DOCUSigned by:
I DO wish to waive some/all of the 15' setback r W&
Signature ofAdjl ;iWplaF1WVropertyOwner
-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:TjA/le A
Mailing Address of ARPO:
ARPO's email: ul1C t boo, COAPO's Phone#: 916 - 3 R6 -7 �Q
2/22/2022
Date: 'wai er is valid for up to one year from ARPO's Signature'
Revised July 2021

DocuSign Envelope ID: 1A2215D7-A509-4D76-A3CD-DD285331D451
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
Address of Property:
rd
Mailing Address of Owner: IS_ Ol W o{ f e lu r Al 9 3 9
Owners email: F' nQ eC . r r', Can Owner's Phone#: �0 - �gq 083`T191D S9 2q7
Agent's Name: ` Agent Phone#:
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 forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
orI 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 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 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 50...
Signed by:
Signature of gAjAlgWjqn 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-D 10 VW di //
Date: 2/21/2022
F69,
� 67948FIC797410...
AM's Phone#: Q O 3y
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

DocuSign Envelope ID: 79F8262F-657C4764-B03F-2584D9C7D2Ft
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REFERENCE:
I, Pate D. Phillip. hereby certify that
this mop is owed and Ihol (there are
no encroachments eithor way on sold
lol)ll`- __..._-......_.-5.�.:.s, ..ad-Ael-er.
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SLIRY0 FOR
MEAF,LL I RAMS RIGGS
AA E RI CLC�S
SWAOS15DRO YWSP. ONSLDW
SCALE I"= IeOr jkkja ry 3, 1991
PATE PHILLIPS and ASSOCIATES,P.A.
awansboror
n, c. 28584
f
Prgecl No. -57-

DocuSign Envelope 10: 79F8262F-657CA764-B03F-2584D9C7D2F1
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DocuSign Envelope ID: 79F8262F-657CA764-803F-2584D9C7D2FI
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DocuSign Envelope ID: 79F8262F-657CA764-B03F-2584D9C7D2F1
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DocuSign Envelope ID: 1A2215D7-A509AD76-A3CD-DD2853310451
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Ownel
Address of Property:
I
Mailing Address of Owner: ISK Q1W Gtltn ,� f�t�n be f I /u C ,2 9L3 G/
Owner's email: fj(IOL(C 2C,r Co/h Owner's Phone#:9� -38Q 083`I1910 389-297�
Agent's Name: J %♦ ` 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
de f�' tion or drawing,with ih dimensions, must be provided with this letter.
/ I DO NOT have objections to this proposal. I DO have objections to this proposal.
It you have objections to what IS being proposed, you must notify the N.G. 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 scan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback �o...Sl n d by:
I i%6lnA�.A, f6St,
Signature of AVjag@p1ALWrJwi 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 All
Mailing Address of All
ARPO's email-D o noo d
Date: 2/21/2022
r6st,
Phone#: q 10 - 3 99-.) ©3 0
*waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

DocuSign Envelope ID: 79F8262F-657C-4764-B03F-2584D9C7D2F1
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
Address of Proper
Mailing Address of Owner: du6eY4 NC
Owner's email i 5 ' ec. rr,COn4 Owner's Phone#:all0-32%t7Y3 J, "1i0-399-2q?6
Agent's Name: 011_ 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 properly 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
d AA' lion or drawing,with dimensions must be provided with this letter.
J�� 1 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 (DCMJ 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.)
oocus
I DO wish to waive some/all of the 15' setback igned by:
�� � W�N
Signature ofAdjl Jt Mpat1&NVropenyOwner
-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:7lAae At,
Mailing Address ofARPO:/00 LeOS e Lane, 4mbe.t"F, %I%C rm-3�
ARPO's email: :uric P t boo, L0APO's Phone#: 910— S a la -17 LQ i
Date: 2/22/2022 *wat er is valid for up to one year from ARPO's Signature"
Revised July 2021