84545C - Brunnells, Mike

EDGE & FILL -Q� ailed �j/ N9 84545 _ A e`�c�D
3 GENERAL Previous permit
PERMIT �t9► ure, 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. rA General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
9.-.M
❑CW
❑ OEA
�E W
❑ IHA
ORW: yes/no PNA: yes/no
54ES ❑PTs
❑SPIMA ❑PWS
Subdivision
Closest Mal. Wtr. Body
Type of Project/Activity JZUDAJ& VJ AlU pjtSrIN(A DyC)C(AJ& F'40LIV 10 -rN6 54k(t�_ VOTQiQIN7
1 )'14 Nth��ADDlTICAS IfY, f�Sld^%S (Scale:Itl_
ray�t)
Shoreline Length a') f
'1`� n r
Access Length
Pier (dock) length (A Y �2 1 JJ ✓lW t l LL /c)
Fixed Platform(s)
Floating Platform(s)
Finger piers) r
Total Platform area JIGU 1r—
Groin length/N
Bulkhead/ Riprap length
Avg distance offshore "
Breakwater/Sill I
Max distance/ length r--
Basin, channel'—
Cubicyards i
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing,
Other �
SAV observed: yes 01,
Moratorium: n/a yes9
Site Photos: yes
Riparian Waiver Attached: Lpp no
A building permit/zoning permit may be required by: _
Permit Conditions -rll5 Mit(.t'T M9%
Agent or Applicant PRINTED Name
NNW
116
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
teT
Permit Officer'$ftNTEq Name
Signature **Please read compliance statement on back of permit**
Application Feels) eck /Money Order
SignatureW u J 93�7'
Issuing g D ' FV1Expiratin 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:
1-1 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 PenderCounties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: M i k I �tnuN 2 �i 3
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
,bsg\ ©►TQA 2� .
91b- Z-61- 560+5
Agent/
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located
in N cr5c,-) County.
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 related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
otJA,1e f
Title
Date
REGF\�'O
This certification is valid through lD l 1 1 20� �O�,ej►Nd '\

a ti t
Iri.i'`�j�(,r.
7lguouil bilev ai noifsoilih90 ad i

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to rn ;�p ! lki riiuQ S s
(Name of Property Owner)
property located at ( 3 ) �_eL) V i n�
r n on CkLL�4ti (Address, Lot lock, oad, etc.)
cLc ��ti in �T%r ( N.C.
(Waterbody (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to do .
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, boat ramp, breakwate
must be set back a minimum distance of 15' from my area of riparian
me. If you wish to waive the setback, you must initial the appropriate
w 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Ow er Information)
A D J
Siznature
*Valid for one calendar year after signature'
boathouse, lift, or groin
access unless waived by
blank below.)
(Adj cent ropert� (Rw er Information)
1
Sig tune*
Print or Tvne Name
2
Fele hone Number/email address Fj
Date*
(Rev/sedAug._2Q CJ

DocuSign Envelope ID: 9664A78F-6F55-42E6-9E77-D23CE29BD52A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mike NkN N P, 1) S 's
2 p I P (Name of Property Owner)
property located at �7� !JL' l� I'f0) ii
"�"(Address, Lot, Block, Ro d, a c.
on b �W)ur LlglI in ��h q _ �r)61,6h N.C.
(Waterbody) (City/Town and/of County)
e°9pplicant has described to me, as shown below, the development proposed at the above
I cjij�on.
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)
r t-�odb L,) ay i t\r-sarr,< ra'b� P Y i Ni
Rp�GziY l aULV VN .s DLO (�-4 P01
WAIVER SECTION
I understand that a 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. (if you wish to waive the setback, you must ipjtial the appropriate blank below.)
eS I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Propert Ow r Information)
i
Signatur
Mil e ( (LN N C,lls
Print or Type Name
Mail ITTss o l -i _I U.
City/State2ip
1'cg�2��v;))P NC
Telephone Number/email address
gIL)-7(01-5gy5
Date
`Valid for one calendar year after signature'
(Adjacent Property Owner Information)
oocusi9nea by:
Signature* P-elv 15rqf,
OBEF61]8CE0948]_.
PrintorTypeName Peter Bryce
2296 ooit2 Blvd
Mailing Address 2296 opitz Blvd #250
City/state2ip woodbridge,vA 22191
Telephone Number/email address
[e-mail] �wfy.V
Date* 3/28/2022
(Revised Aug. 2014))
oGM MAD ���

Keefe, Madeline J
From: Keefe, Madeline J
Sent: Monday, April 25, 2022 2:02 PM
To: [e-mail]
Subject: RE: General Permit No. 84545C Signature Needed - 131 Bell Point Rd.
Attachments: 84545C Brunnells Signature Needed 001.pdf
Importance: High
Good Afternoon,
I would like to follow up with you about the attached General Permit.
Please sign, initial and return via email.
Thank you
Madeli� Keefe,
Administrative Support
Division of Coastal Management
Department of Environmental Quality
252.515.5400
252-515-5401 Fax
[e-mail]
400 Commerce Ave
Morehead City, NC 28557
- 5= Nlothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Keefe, Madeline 1
Sent: Monday, April 11, 2022 12:50 PM
To: [e-mail]
Subject: General Permit No. 84545C Signature Needed - 131 Bell Point Rd.
Good Afternoon,
Please sign, initial, and return the attached General Permit via email.
Make sure you keep a hard signed copy for your records. Let me know if you have any questions!
**Check with your local municipality if they are going to require any further permitting.

Thanks,
Ma4el.i, Keefe,
Administrative Support
Division of Coastal Management
Department of Environmental Quality
252.515.5400
252-515-5401 Fax
[e-mail]
400 Commerce Ave
Morehead City, NC 28557
0 -'� Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.