86340A_Perry, III, George & Lauren_20220325

0j "rk ❑CAMA ❑ DREDGE & FILL N9 86340 A B C D
kNPrevious permit
' G E N E RAL PERMIT +` V
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. ❑ General Permit Rules available at the following link: www.deq_nc.Qov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
(Please Initial)
Application Fee(s)
Check #/Money Order Issuing Date
Expiration Date

I hereby ce ify that I awn property adjacent to George Pegy _
(Name of Property Owner)
property 10 Perry
located at � 112 N. Beach
(L,ot, Block, Road, ect.)
on Chowan River
in Bertie County
( atcrbody) (Town and/or County)
The pplicant has described to me, as shown below, the development
proposed at he above location. I understand that any construction, a luding
bulkheads, ust be set back a minimum distance of fifteen feet �L,5rom my
area of ripar an access unless waived by me. 4
I lave no objection to the projcct as proposed but do not wish to waive
the (15') set ackrequirement.
�l I iave no objection to the project as proposed and do wish to waive the
) setbac requirements
1 object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT Ic�c;��a�.h
(To be filled in by individual proposing development.) GLT�:z, /�/yt Gt.GtGCrt.�
To Install New Concrete Pier and 4 piling Boatlift.
P ' t r,IWx name Signature
15 13�e a- V`%.3S� c I
'elep hone Number ate

I hereby cet tify that I own property adjacent to George Perry
(Name of Properly Owner)
property located at 112 N. PqM Beach
(Lot, Block, Road, ect.)
on Chowan River in Bertie County
( aterbody) (Town and/or County)
The applicant has described to me, as shown below, the development
proposed at the above location. I understand that any construction, excluding
bulkheads, r nust be set back a minimum distance of fifteen feet (15') from my
area of ripa ian access unless waived by me.
I ave no objection to the project as proposed but do not wish to waive
the (15') set ack requitement.
I ave no objection to the project as proposed and do wish to waive the
(15') setbac requirement.
Lobject to the project as proposed.
DESC JI.PTION AND/OR DRAWING OF PROPOSED DF.,VELOPMF.NT
(To be filled in by individual proposing development.)
i'o Install New Concrete Pier and 4 piling Boatlift.
Type name �SignattW­w"�
'JS .t- )S- .2 7-X)-
Telef hone Number Date

ArcGIS Web Map Z N.
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bertie nc_parcel_annotation ? 0' �'� 0 001 001 0 03 ml
Centerlines — Green: Green Ceie
- -� Orthoimagery_2020 0 001 002 0 04 km
--- Parcels Blue: Blue Sources Esd, Airbus DS. USGS. NGA NASA, CGIAR N Robinson. NCEAS
■ Red: Red NLS, O.S. NMA. Geodatastyrelsen. RQkswaterstoat. GSA, Geoland. FEMA
County Boundary ArcGIS WebAppBuilder
Esri Community Maos Contributors State of North Carolina DOT. 0 OoenStreetMao. Microsoft Earl. HERE Garmin SafeGraoh. GeoTechnolooies Inc. METIINASA USGS EPA. NPS US Census Bureau USDA I

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