86397A_Sellers, Mark_20220510

- CAMA !✓, DREDGE &FILL �"i 96397 �`..? B C D
rvs Previous permit
51 GENERAL PERMIT Date previous permit issued 1WRIAZI
XNew ',--] 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 C General Permit Rules available at the following link: vrww.deq tic -go ales
Applicant Name
-- - — �'�' � --- -- Authorized Agent _ 9 Y? r tKL�L��Pi✓VL I 1,a 1 , fit__—._---
Address
2 cA. iir V C� , - Project Location (County):
City —__ fl•�C.t__ ____.._
_ _ —�r StateNt IC'
� _ Zip _2--1 i a_ Street AddressiState Roadd//Lot #(s) �4� ��ti� K�✓i r_.�iwr--_ _______.
Phone #nun } �a 3 "' 2� J ��o-__,5LeL _t]IVA
Email _.....___. __ __ _._.. __ . ____ Subdivision ! "tk
City _y1(.l_�v �S
Affected i CW EW PTA rr]� ES r pTS Adj. Wtr. Body C'tka Y 1 •A-e.-Uj �✓R ' ►i �i �� rffa1 antunk)
u L— —
AEC(s): G OEA ElIHA 1:1 UW CI SPIMA C PWS Closest Maj. Wtr. Body C`_u., " !-t.zc
..................
ORW: ye PNA. ye no
Type of Project/ Activity
Flea�yafa(s)
, M eFfwcsE5) --�
oral Platform —_���' �"
Groin length/a
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill _
Max distance/ length
Basin, channel
Cubic yards _
Boat ramp
Boathouse/ Boatlift
'Beach Bulldozing-... 'r `
azi
SAV observed �� es no
Moratorium: (K7 ) yes no
Site Photos: �••�� es no
Riparian Waiver Attached- s no
TARIFAM/NEUSEtBUFFER (circle one)
0 See note on back regarding River Basin rules
See additional notes/conditions on hack
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. iPlease InitiaR..�D7"t�_
tit Or Applicant PRINTTECED Name _ J .- Permit Ricer's PR/INTED Nar
Si , Ture '*Please read compliancy ,t< nt on bar; of prrmit'" Signature
69w,Z2- y to 2C2
___-----_._ _- _-_- _-- r 1__
Application ree(s) Check W/Money Order hsuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: � a —�'?. {' jz�
Mailing Address: 4 �s� c �� l Y"Zii C_.>Q i X �,c
{
Phone Number:
Email Address:
I certify that I have authorized _ ! Ytt.r' t. t� P
s
Agent! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
.�, GU.
at my property located at
in __D-�O'E— County.
I furthermore certify that / 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
r Tide
Date
This certifi
RECENED
''
APR 0 4 2022
DCM-EC
Revised Mar. 20I6

N.C. DIVISION OF COASTAL ANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
ERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Marne of Property Owner:
Address of Property: fi
Mailing Andress of Owner, � � �!`� -
Owner's ema?r Owner's Phone#:
Agent's Marne: c i :.L_... Agent Phone#:
Agent's Email:
ACjAC NT RIPARIAN PROPERTY OWNER'S CERTIFICATION
,50211111 DO 'on tct III OLM0le#e9 by the Adiaoent Propertv Ownerw h„ V—
_
l hereby certify that I own property adjacent to the above referenced property. The €r�divinuai applyingfor tnis eyvyy-11'11the , the development
permit has describers to rile, as shown on The attached drawing y are proposing, Ro sin
g A ho D0a� N
escri tion o a d win with im n rovi with this letter,
C; 1: 1 ; 'i 3 CJLi rt t i r t.t t lE �r _4 t VqY
I DO NOT hat- objections to this proposal. I DO have objections o this proposal. JC--� Y:2�a
!
If you have objections to what is being proposed, you must nottfy the N.G. Division of Ceara# 5tthwa4
Management (DCM) in writing within 90 clays of receipt of this notice. Correspondence should be , (/"
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27'WQ. CC rspresenfativ can also be (/
contacted st [phone], No response is considered the sage as no objection if you have beer,
notified by Certified Mail,
WAIVER SECTION
l understand that any proposed pier, CdOCK, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groins must be set back a Minimum distance of 15' front my area of riparian access unless waived, y mer % �°�p
j
(this does not apply to bulkheads or riprap revetments). (lf you wish to waive the setback. you ����
the appropriate blank below)
l DO wish to waive some/all of the 15` setback
MAR 10 2022
-OR-Signature of Adjacent Riparian Property Owner
DpM-E
I do not wish to waive the IV setback requirement (initial the blank}
gigraatura of i` djaeont Pi ariaan r1rQporty tJ r r4er +�
Typed/Printed name ofARPO.
Mailing Address of ARPO; '710-01G eAf WA! -r 40,d-
ARPO's entail. s+� �+��y� �r�c�+r� RPO's phone#:Z 3
Date= 1 � `waiver is valid for up to one year from ARPO's Signature,
Revised May2021

N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top Portion to be completed by owner or their agent)
Name of Property Owner
Address of Property. t l
Mailing Address of Owner C,
Owner's email" Owners Phone#"
Agent's Name J-— j' C y-
Agents Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNEWS CERTIFICATION -
(Bottom Portion to be completed by the Adiaeent Arooerty Owned
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
-des cn Ion ar drawin wit imensions must b r w thi tter.
�-t" t j � fir` C`r ► ,
€ QO NOT hac�� objections to this proposal. ` € BO have objectioons-1 this proposal
Jf you have obiectrons to what Is being proposed
Management (DCM) in writing within 10 days of receipt of this nofrc thCorr"po Division
a should be
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certifier! Mail.
€ understand that an WAIVER SECTION
Y 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 nprap revetments) (If you to
waive the setback, you mus
the appropriate blank below ; �1 t sign
q
€ d0 wish to waive some/all of the 15' setba � ECEI �
V
-OR- Signature diacenf ip rian Property Owr;er
APR A 9 2022
I do not wish to waive the 15' setback requirement (initial the blank)
®CT\ -EC
S,gnaturp of,4�jacent niperin npro Owner: pony (i ,,
Typed/Printed name of ARPO: l i' �� -(.� t( , Yl^c t
Mailing Address of ARPO: � ( �?7C C i�.n., -A 0
ARPi?`s ema
/il
;- NX 10547
ARPt3's Phone#: _/ �y /.�
Date: `� 'waiver is valid for up to one year from ARPO's Signature -
Re v1sed May 2021

New
� Modification
`' Complete Reissue
.-Partial Reissue
As authorized by the State of North Carolina. Departmont of Env,rcnmental Quality and the Coastal Resources Commission in an area
of environmental concern pursuant to.
1 SA NCAC !
V Rules attached
_ General Permit Rules available at the follovnng link: vyAv deo nc govtt AMq=�-
Applicant Name �l��ftr
n
—,tee �1 f �� �_
Al
Althnnzed Agent
Address �(
514
Project Location (County) --�
--
Ciry i r;-j.1 � ;h; - Satc I V L.
ZIP " Ct L(e r
Street Address;State Rcad/Lot #1,sl
L% f i�.� ILAI'tit F f /
Phone = t. 22� )r-�J ° �j=c.
2 � 3
' 0 '
C
Emil --
— -- —
Subdivisiony ri.t11- ,rt ,� �C
r ,•�.;—
Gry
ZIP Z
Affeaed 1 CW
EW ! PTA
�ES 7 PTS
`
Adj. Wtr Body - —(~ ! Ir } }"�{ (�
`- L( ■n1ri runk)
AEC(sl' iii OEA
7 IHA E] UW
J SPIMA PWS
Closest Mal. Wtr Body
ORW yes rto 1
PNA yes to
Type of Project/ Activity Co}�g�Yw C,}- & iLv: l•yltf .i
Shoreline length
�, Access Length x 5
Pier Idock) length f 0 9 t )(5)
Fined Platform(s) Jjpli
CcVey 'x1fl'� i
Floating Platform(s)
—t - — -
Fingerpier(s) —_--
Total Platform area
+- .
Groin length/4
�)
Bulkhead/ Riprao len, h
_
Avg distance offshore
Breakwater/Sill
�7
7
a
Max distance/ length -_-
Basin, channel
Cubic Vards
_ "a•'
Boat ramp
-
Boathouse/ Boatlih
Beach Bulldozing
Other _
'// V/
t -A
2Xi5�inq k
YL �kla
ti
1
UI RES
eA 91u�i
tit
SAV observed esl no X 4'a' jtX,jG
Moratoriuma, ;es no • G� OC,�t►�l G1��+
Site Photos. L no r
Riparian l+'atver Attached ees no �/� ) ' r/ �l r •��
A building permit/mningrrrseMay be required by �Ly_i ` i L .'t 1,
Permit Conditions i l: [A "C4t�S biVpuie. fi'lem hDi'tQ> _14
-�yi . .t�s) �_ l vn�?��Sr✓ Y�i �dcv ii nAA
OF STATU7JE, CRC RULES AND CONDITIONS 7HA7 APPLY TO THS PROJECT AND
;. :.nt .)• Appficant t`?:rJ?=•` Man:., �� `f
r
LW
S :r :tore "Please read c•_mpiranc•_ ;tst•, n t on bacc of V�Cirmit"
apnhcalonFc-tsi Chec•. •..,.tone, Jrrfc:
7 (Scale: �y
rim ._
{-JYj,
>� fo% �
N/
Ile •lI
r---I
i TAR/PAM/NEUS&SUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
1Please Inmai)
/L.l V C-t.y`- t y il: li cV,
t rn it Oifi;.ar s PRIP;TED h:anlr i
ii,uin7,, D - R[ °�-.10iranon Date --
MAR 2 2 2U22
DCM

Legend
GP permitted total length
`y►',< W� -125' total length limitation
I ,
,► ' k' '' 7012 Currituck Rd
.•' + - Pier Line r
r
• ,,�, r" mat: Waterward wetland limits
0 L a.
.s` a
a v°
6,4
_ w
t,4L
.
• `' m�r?t: ' r
i
Y _
�` , , .

,o��`°�r'r ��„CAMA � DREDGE & FILL NY �60 l'+ I
Previous permit
ERAL PERMIT GEN (T5� ( ) T)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 NCACRules attached. General Permit Rules available at the following link: www.deq.ncgM oviCAArules
Applicant Name
Address PC*,'�._.._.__...._--ZIP
city �.a��Y Ci�A 'ir �-~_. state
Phone #(96 )_.��v-
Email -.=
Affected ❑ CW YEW
9PTA
AEC(s): E-I OEA IHA
EluW
ORW: yes'.) PNA: yes49
Type of Project/ Activity f aK�c
^ 6 1L4 )s �-' C
ye,i`L
Shoreline Length It 100 1
Access Length P-0 i X 5
i
Pier (dock) length.-AD-1 )'A - 15_.._......_..._
Fixed Platform(s) ' I l W
co.q ev ca et x 18' Ct o_
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/ Boatlih _.
Beach Bulldozing
Other
Authorized Agent ,���'ii _l"lLi%✓
Project Location (County):
Street Address/State Road/Lot #(s)
utt
Subdivision _ r
City --��JLY....'L`[yt% __C�.;..__�'_..] - -.� _ZlP 3r'1
ES u PTS Adj. Wtr. Body } 3Gtt1` T__ `t`t j � na ' an/unk)
1SPIMA PWS Closest Mai. Wtr. Body C4"o' �t �'�rt �%1e- f�:.L.+'> •;�
t "
(Scale:
",'Net,
;! ,r A for
Ole 4c,",
T,
9vil VA
P�
1_ rA
SAV observed: es no
Moratorium; /a, yes no
Site Photos: a no
Riparian Waiver Attached: es no
A building permit/zoning permlmlay be required by:
Permit Conditions s N)LhL�+
i AM AWARE OF
gent r Applicant PRINTED Name
LOWD ; z�
piw
rl _OL)PG CAO
Ole- '// 4- 7 /
TAR/PAM/NEUSEIBUFF (circle one)
See note on back regarding River Basin rules
Q�j ❑ See additional notes/conditions on back
- -
THAT APPLY TO THIS PROJECT AND REVIEWED
Signature •'Please read compliance statement on back of permit."
-02 A64
Application Fee s) Check n/Money Order
(Please Initial)
Permit cer`s PRINTED Narq"e
Signa urq
Issuing Date Expiration Date

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