Grimsley, William & Diane 87364C

O*�FCOAMlg1 ❑CAMA El DREDGE & FILL �' �` A g c D
yc= Previous permit
0- GENERAL 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State
Authorized Agent
Project Location (County):
ZIP Street Address/State Road/Lot #(s) _
Subdivision
City
P
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
Type of Project/ Activity
(Scale. 11 )
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
I AM AWARE OF
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
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" r
Application Fee(s) Check #/Money Order
Signature nn,
Issuing Date Expiration Date

1+°`r-0Mr*k ❑ CAMA ❑ DREDGE & FILL NO 87364 A B c D
m
y =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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
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
Type of Project/ Activity
(Scale: )
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 "
i
Site Photos: yes no
Riparian Waiver Attached es no
A building permit/zoning permit may be required by:
Permit Conditions
❑ 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 Feels) Check #/Money Order Issuing Date Expiration Date

Styron, Heather M.
From: [e-mail]
Sent: Wednesday, May 4, 2022 9:29 PM
To: Styron, Heather M.
Subject: [External] Needed Permit for Grimsley
Attachments: Doc 05-04-2022 07-23-54.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam. <maiIto: report. spam%Ly,nc.ov>
Hey Heather,
We are wanting to add some rock in front of the seawall. I am sending a separate email with a picture of the area. There
uses to be marsh in this particular area but now the marsh has eroded and is gone. We have repaired this area multiple
times. The rock will really help knock down the wave action. There are existing rocks on both sides of the area. I have
attached the forms below.
Thanks
Andre
252-665-4378
Sent from my iPhone

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED f
4AIL RET RN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Nam of Property owner: x,��,w�yL tA.,n
Address of Property: Y
Mailing Address of Owner: *
rY'.Gmr"f��
Owner's email: e1rim Owner's Phone#:
_ �/`��+ ��� Agent Phone#: 2Se- -66 S
Agent's Name: y� f'
Agent's Email: l,,'� '��/�� 4,
ADJACENT RIPARIAN PROPERTY OWNEWS CE rnMAT'ON
(Bottom portion to be c�.._.rn>~ by the Adisce A P� Owner
I hereby certify that I own property adjacent to the above referenced property. The indWidual applying for this
permit has described to me, as shown on the attached drawing, the Torrent they are proposing. A_
description or drawing with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
tify the At. � l?ivrsivn of Coastal
ff you have objections to what is being Proposed , You rrrust nore should be
llrfanagement {DCM) injw,� siting witfi►in ft1 days of receipt of this nobo�►� �n � be �
mailed to 400 Comm�eme, Ave , Morwi j d Cfity, NC 28557. DCA# r d have been c by
at (252) 806.28M. No nes,Porrse is considered dw some as no objective � Y�
Certified MAY.
WAIVER SECTION
understand that any proposed pier, dock, mooring Pik, boat ramp, breakwater, boathouse, lilt, or
I unde area of riparian access unless waived by me
groin must be set back a minimum distance of 15' from you wish to waive the setback, you must si n
(this does not apply to bulkheads or riprap rewet ). ( y
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
signature of Adjacent Riparian Owner
-OR-
do not wish to waive the 15' setback requirement (i itia the blank
I
Qwne .
Signature of Adjacent Riparian Property t 1 O
Typed/printed name of ARPO: 1.. , K��9`t
� �. � l �,..,►
Mailing Address of ARPO: ril 3 CrD
ARPO's Phone#':
5kcARrO's email:
valid for up to one year from ARMS Signature'
Date: , -waiver is Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIC' mmAIVER FORM
E TIFI D MAIL - RETURN PT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Y
Address of Property: 77
Mailing Address of Owner:
Owner's email: AOwner'sPno e#: '-!jj 1-.
Agent's Name: Agent Phone .
Agent's Email: d��c �' �''•�,'�,v
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
rtion to be r&MPkftd by the Ad agent PrONEW Owner
I hereby certify that I own property adjacent to the above referenced prop" • The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter,.
X I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have obbjecdons to what is being posed, you must notTY the N.C. Division of Coastal
Management (DCM) in wriir'ng wfthin 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave... Morehead City, NC 28557. DCM representa&es can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certifled Mail.
WAIVER SECTION
I understand that any proposed pie', 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 somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property owner:
Typediprinte+d name of ARPO:
Mailing Address of ARPO:
(ii
a V+ N c 9LS5-70
ARPa
r$ small: ARPO's Phon+t L ..
2.1
eai�JaJkPCrs Signature*
one
Date: , _� �e2�' ...*waiver is valid for up to y
Revised May 2021

i
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAMER FORM
CERTIFIED MAIL - RETURtl RECEIPT REQUESTED or HAND DELIVERY
(TOP portion to be Completed by owner or their agent)
Name of Pro
party Owner.
Address of Property: C OI )A L %A% C ; Y'G L
Mailing Address of owner:
O,e,. fY'. Gmrv+ 5 Sc
Owner's email: oi.at ri�M �Sl�v Owner'$ Phone:
Agent's Name: �/`�044(- PAM Agent Phone$: ZSZ _66 S
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bolbom portion to be cernoisted by the A Owner
I hereby certify that 1 own property adjacent to the above referenced Property. The individual applying for this
permit has described W me, as shown on the attached drawing, the developrnent they are ProPming• A
description or drawing. with dimensions must be omided with this IOU-
1 DO NOT have objections to this proposal. I DO have to this proposal.
N you have objecdons to what is being proposed, You must now the N.G. Dh4sion of Coastal
Management (DCM) fn�writing V11d*110 days of MOW of this noffim C0F7wpwPdwm.xbouM be
mailed to 400 Commeme A m, No bead CRY. NC 26557. DCU relrnesentadves em also be contacted
at (=) 808-28M No IBsponse !s the same as no if you have been notified by
Cerdtfe+al Mall.
WAIVER SECTION
doh mooring pilings, boat ram, breakwater, boathouse, lift, or
I understand that any proposed.. access unless waived by me
groin must be set back a minimum distance 15 from m aou wishwaive dw , you �t s_ Wn
(this does not apply to bulkheads or ripraP ) (if
Y
the appropriate blank below-)
1 DO wish to waive some/all of the 16 setback
Signattne &Aownt Riparian Property Owner
-OR-
theI do not wish to waive the 15' setback requirement (� iba blank
en ik�u
rian Property Own
v Sinnature of Adlacent Riga _ _ _ , l w

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Cg-RTIFIED (NAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Pro .
Perty Owner: CIVVL Ave l •
Address of Property: _t n '07 14LA.1 I ( , i CC, JAA
Mailing Address of Owner:
ma, a v. `o"''w%
Owner's email: Owner's Phone#: 1.59L 9 4.O - 298 r
Agent's Nam: �eA)i
/w,/-/1 Agent Phone:
Agent's Email: %Xc, E°
SUM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Donlon to be comDlebd by the Adlacent PrOMIN OHMrt
I hereby certify that 1 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 c riDtion or drawing. with dimensions. must be provided with this letter.
X I DO NOT have objections to this proposal. I DO have objections to this Proposal.
If you have objections to what is being prr�posed,ou ymust notify the N.C. Di�nisron of Coastal
Management (DCH) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., �/or�ehead City, NC 28557. DCM rsproserntstives can also be contacted
at (252) 80&2808. No response is considered the some as no objection N 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.)
I DO wish to waive somefall of the 16 setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner

Styron, Heather M.
From: [e-mail]
Sent: Thursday, May 5, 2022 9:53 AM
To: Styron, Heather M.
Subject: [External] Grimsley Picture
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam. <maiIto: report. spam o nc.gov>
Hey Heather,
I just took this picture so I figured I sent it to you
Sent from my Whone
1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: QvAr��F
Mailing Address: % /,/G 4 C. 61KC-4
/Uc�1000&;7- Ile, 0 e5 %a
Phone Number: `7 S'2 Z Yo s165f
Email Address: 67/ r,.nS,lei Kr", 48,''1
I certify that I have authorized ,%��°+' >2e- PI-IfIf
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 9,°el- R 4,(We
�r��,v� vr� S�•4w� G t
at my property located at 407 AvL C clrze% a' /��E�P�r� i� IU 6 Z SS- 74)
in��
County.
1 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.
Signature11511,62,
Print or Type Name
rtle
5' 1 �- I �-
Date
This certification is valid through 7 _Y_1/S" I ;?oZ Z