88522C - Minsley, Kelly

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Basin, channel
Cabic yards
Boat ramp
BoathoUS2/ Boarlift—
Beach Bulldozing
Od-ar
SAV observed, yes -'nd
rhoratorium: n1a yes I no
Site Photos: yes no.
Riparian Waiver -Attached: yes t no
A building permit/zoning permit rnay be required by.
Permit Condidons
7
1,el, AKIARE OF S-WoUTES, CRC RULES AND CONDITIONS THAT APPLY
l n�'ur� alFa.4 read compliance statement cn bac!: of permit" - - -
Fee(s) Check gj%loney Order
L, iA 'P.*VNE"
E3See note on back mgafffirg Kwei Szs'n -ules
lee add-itonal notes/ociadifians ci beck
AND RMEWED COMPLIANCESTATEMENT.
Permit Officer's PRINTED -Name
Signature
Isming Date Date

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,o1*FjW 41 AMA ❑ DREDGE & FILL � �`, NQ 88522 A B/ C D
2 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 0 A.r.-f-F/LJ ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
1/ w. A
Applicant Na e f Y
��� 7��
Address Q 01,11 { 'Z �1 �/10
City�ilV1`'� State AK, _ ZIP
Phone # ( )
Email
Authorized Agent i P
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW EW _ PTA ❑ ES ❑ PTS Adj. Wtr. Body ` na ar unk)
AEC(s): ❑-�� OEA ❑ ❑ IHA UW ❑ ❑ SPIMA PWS Closest Maj. Wtr Body
ya ORW: s!io7l PNA: yeii!5)
Type of Project/ Activity. PVa-X)g ' t9L�t ► n� fA C`n�l _
(Scale ;�([) )
Shoreline Length _ �j
Access Length
Pier(dock)length
Fixed Platform(s)
1 Floating Platform(s) ?KS 1
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length r
Avg distance offshore
Breakwater/Sill
Max distance/ lengt 4AQ
Basin, channel S �jr �j
Cubic yards
Boat ramp i 1' ►' ` A® r�
Boathouse/ Boatlift JJIII
Beach Bulldozing
Other
SAV observed: yes n
Moratorium: n/a yes no,io���
Site Photos: yes no
Riparian Waiver Attached: yes no
• t
A building permit/zoning permit m e required by: Yl Q ?
P it Conditio s CK7 ❑ TAR/PAM/NEUSE/BUFFER (circle one)
v �[Ie-5,;. [:]See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARk OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please I ' 'al)
'J" � f
t or Applicant PRINTED Name Permit Officer's PRIM
Sign,1# IV ur **Pleead compliance statement on back of permit** Si at e
i -�le , E
A lication Feels) Check #/Money Order Iss ng Date Expi ation Datlt
_

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 Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: N F J
Mailing Address: 0244 `C /,Ll.1 br.
Phone Number: * — -
Email Address: 1.! Ila . M14/1 S
I certify that I have authorized / ,
Ag t / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: L
at my property located at
in Lar k 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.
Property
71011
Print or pe Name
kom (, Owl) (r
Title
Date
This certification is valid through ot RECEIVE®
JUN 16 ?022
DCM-MHD CITY

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL. RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
NaJA�acent arian Property Owner / /'
1' A0 4?ri cfye l
Address
ity, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property �c tthatI am applying for a CAMA Minor permit to
�l06-7"//*114 �—
on my property at a
in _ ounty, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed f your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
a,s'possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
e
�Prerty Owner's Nam
91 - oz!�'- - k
Telephone Number
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
r- /� T-wlj
ce t Riparian Sinatpre T
Date
( I (--A TZJ 001
RECEIVED
Id �rype Name Telephone Number
JUN 16 2022
CM-MHD C!�°
Address City State Zip
Revised July 2021

I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
1 6/ 9 / D
Date
Name of Adjacent Riparian Property Owner
r o3 /ttc..[hwvy �.
Ad
dxxess
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
t y I L , -Jr) i0_c - )tdc ,
on my property at
in �'�(�� County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received `Within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or cdh ments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAM> OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name Telephone Number
Address
City
State
V, I have no objection to the project described in this correspondence.
I have objections) to the project described in this correspondence.
-Adjacent Riparian Signature
Print or Type Name
i, / -7 / y Z,
Zip
Date RECEIVED
Telephone Number J U N 16 2022
DGM-MHD CITY
Address City State Zip
Revised July 2021

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AGENT AUTH�r ORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: c'��+ _ f �r .�✓.
Phone Number:
Email Address:{ f� • �'%'Ir S Xj
I certify that I have authorized Irv;
Ag ,t I ,.,)rrtra�
to act on my behalf, for the purpose of applying for and obtaining all CAME, permits
necessary for the following proposed development:
at my property located at alic
in i( a / Y�CrG Y'�' 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
Print or pe Name
k0M(,CWn(,r
Title
This Certificatior> is valid through / ��

'WILT.) V
3 fig.
5� a' u•". I ..�,1 y, .�?i� I iif;�4-.-. �r �f� f if i '.3 i i

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL. RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
Name A 'acent ' arian Property Owner J / XL
Address �" TO >�ri U✓ I
?ityW,Sta_t0etZaip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property' att'_�3Dsf3
in——'—Cf�1.1
drawing is attached/enclosed
which is adjacent to your property. A copy of the application and project
your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVI?RNMEN1', MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
s
TelephoneZmber
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence. '
/ � �a 2
d tRiparian 9' ature �— Date
Pri t.Qr ype Name Telephone Number
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ADJACENT RIPARIA,. _ ISIn..
state Zip n Ne
To Whom It May Concern
000
Pt°
This correspondence is to notify you as a
b n f�
9
ing
(�— i Pari
� Property owner that I I PP ��on �d Pf °Jew
on MY Property at the appQ
in County, which is i AcoPy01 II
drawing is atfpched/enclosed for your revieH'�JaCent to your propem to mew
eat beloIfyou have no ob� you �e II
as possible. Ifno comments are fete ved within j'0 lei mark the appropneleivdl ��
comments or objections regarding this project• days of receipt of this n0u0e, �:
nd yc� Co ZIP � CODE)
If you have objections or c°Mments, please irrark the appropriate statement bti0WW d se d Y ��' STA
TF-
(LOCAL PERMIT OFFICER, NAM14 OF LOCAL t,OygRNMENT, MAILIO lister lowsor
Ifyou have any questions about the project, please do not hesitate to contact meeko addtessfo��t
contact (LOCAL:PERMIT OFFICER) at (PHONE NUMBER), or by email a1:lG� EMA� )'
Property Owner's Name _ TeleplwneNumber
Address ' City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence,
7 aZ
Adjacent Riparian Signature
Date
Print or Type Name Tale , O - 4
phone Number
Address
City State
Zip
Revised i►,i„ -

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