Amato, Frank & Holli 84706C

a+F COAfT4, OCAMA ❑ DREDGE & FILL 9 84706 A B C D
tiro
Previous permit
i 3 GENERAL PERMIT, Date previous permit issued
0 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:
5A NCAC ' ,f"`) 1 (� '' "" ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name f-V U1, 1 K -ramam1 11 T n1 ftt✓
s {{ n
Address
City State JL i i ZIP
Phone # () ~
Email i U)fVN' `:�' d,L;,
Affected ❑ cW 0 EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/
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/# "
r "i•.'_
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I,
SAV observed: yes no C
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 ".
Authorized Agent
Project Location (County): f i
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
%... ZIP
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body T!
(Scale:;
❑ TAR/PAM/NEUSE/BUF9ER (circle one)
ElSee note oh back regarding River Basin rules
❑ See additional notes/conditions on back
1 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
t
Application Fee(s) Check #/Money Order Issuing Date
(Please Initial)
Expiration 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:
F-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

1*F`°"ST41 FILAMA ElDREDGE & FILL Na 84706 A B CID
a Previous permit
y GENERAL PERMM
11, Date previous permit issued
New 0 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:
Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules 15A NCAC ❑
Applicant Name ,I Au th
orize en
Subdivision
City
P
Affected ❑ CW ❑ EW ❑ PTA DES ❑ 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
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
t
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
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
i
❑ See note on back regarding River Basin rules
;1
t
❑ See additional notes/cbnditions 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
Application Fee(s) Check #/Money Order Issuing Date
(Please Initial)
Expiration 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 Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT
I hereby certify that I own property adjacent to
property located at ;
n
Alt
Pbody)
� 000 -
W1
AOA
(Larne of Property Owner)
is
m, Lot, Block, Road, etc.)
in C K.C.
(City Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locabzn
—� 1 have no objection to this proposal
{'ha e_obj-s to_t.his_pr_oposal--________....__- _
DESCRIPTION AND/OR DRAWING OF PROPOSE® DEVELOPMENT
(Individual proposing development must fill in descnpti n below or attach a site drawing)
i -- uisr"nv S
-:��0,J�-
tf1lA1!/EI2 SECTION
I understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.) No RECEIVED
I do wish to waive the 15' setback requirement. CGK�
SEP 13 2021
I do not wish to waive the 15' setback requirement.
CITY
Information)
Print or Type N me
a r�.g-A Jdr�s(l � s.
City/staf /Zi
Telephone Number
(Adjacent Prope Ow LIfformations
Signature
Print or Type Na'
1� 'U � 0cj�'. L�
Mailing Address ��••
euJo<�,.� w,
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Cify/State Ip
Telephone Number
DateCS
'
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D�ate Got
(Revised 611812012)

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I hereby certify that I own properrty adjacent to
property located at
on
VkN(11 . in
(Waterbod
)WNER STATEMENT
Name of Property Owner -
(pity/i®wn and/or County)
N.C.
has described to me, as shown below, _the development proposed at the above
I have no objection to this proposal.
DESCRIPTION SAND/OR DRAWING OF PROPOSED DEVELOPMENT
i
(individual proposing development must filln description below or attach a site drawing)
6 W� o
19 WAIVER SECTION
I .understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.)
RECEIVED
{,/do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. , SEP 13 2021
er intorrr�ation} (�c �acea�, ope�j Owner In CITY
Print or Type Na
Nlailing-Addre s
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City/StardYZip
Telephone Number
Date � n
Print or Type Na(�(� , n
Maili Address
City/State 0
Tele one umber
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ADJACENT RIPARIAN PROPERTY IO,WNER STATEMENT
I hereby certify that I own property adjacent to�
property located at
on
(Name of Property Owner)
3s, Lot, Block, oad, etc.)
in ! C, N..C.
I (City town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locaU�t oa -_ tw o\��z_i\��515
--TS 1 have no objection to this proposal.
: C I haLe_objectiortsto_t.his_proposal-_-___________..__..-_._^�_— --
DESCRIPTION AND/OR DRAINING OF PROPOSER DEVELOPMENT
(Individual proposing development must fill in descripiipn below or attach a site drawing)
Cr�S�no S
� � N
A 4
C d•�6 rUr�
�.boc1AJ WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.) No RECEIVED
I do wish to waive the 15' setback requirement. C.i'�GK�
SAP 1 2021
a-2 I do not wish to waive the 15' setback requirement.
CITY
(Prne4 Xner Information) (Adjacent Prope , Ow r Information)
i
Sign Lure Signature
F v G\ o o
Print or Type Name Print or Type Nam?
a� ,� 00 L k' m' `a , f�� I��i rest.
ai ing'A dr' s Mailing Address
City/Stat /Zip City/State ' tp 17
Telephone Number Telephone Number
Date Date
(Revised 611812012)

I hereby certify that I own property adjacent to
property located at
Wel
�c '�ddresn,
(Wate
A., 0
(Nameof Property Owner)
ck,
ity/Town and/or County)
N.C.
has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must filiVn description below or attach a site drawling)
j(� C►���i�in�5
WAIVER SECTION - _...
I understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.)
RECEIVED
o wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement,
Information)
rlCx"\(
6YATI G'
Print or Type Narr
Mailing-Addre s
t ��- N (
t, ...
City/staf YZip ,
Telephone Number
Date I .
,4. `n
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SEP 13 2021
Owner I
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Print or Type Na e
t rA t� o �ttvq.
Maili Address
City/state ip— ,
(
---Ur_�
Telex one umt�gr
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Dat GX�
(0 V (� o e� ,� (Revised 611812012)
CITY

RFr ,r--IVED
SEP 13
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