Prevette, Grady 88634C

CAMA 1 DREDGE & FILL N° 88634 A B/ c.•�D
Previous permit L/
E N E RAL PERMIT Date previous permit issued
JNew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by t S of atoll/�]r Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC O t / []Rules attached. &General Permit Rules available at the following link: www.dea.nc emdCAMArules
App4NMon, Authorized Agent
Add Project Location (Courity):City PStreet Address/State Road/Lot 8(s)
Pho
Email SubdWlskm
City ZIP
Affected
AEC(s):
ORW. vc
❑ CW W I ]MTA ❑ Es ❑ PTS �1. Wtn fbdy r �) rr k)
n OEA IHA '��"�❑"\11UW ❑SPIMA ❑PWs closest Mai.wtr JRC61lAE-
Type of Project/ Activity
Shoreline Length _ l
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platform(s)
Finger pier(s)
Total Platform ared
Groin length/g
Bulkhead/ Riprap le
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp _
Beach
Other
SAV observed: yes no i
Moratorium: n/a yes no �e �, , 1
Site Photos: yes no y}� ��==j��=•-���L IIkLLLLLL���LLY!!
Riparian Waiver Attached: yes n ry
SliGNmit/zoning permit may be required by: �1 C_ PQ Cih
NERD ,
Agent
Permit
A.g I
r V` `
❑ TAR/PAM/NEUSE/BUFFER (circle,
❑ See note on back regarding River &
❑ See additional notes/conditions on
statement on
Fee(s) Check #/Money Order Issyfng Date

IrNewA;NERAL r ❑DREDGE & FILL
EPERMIT ❑Modification ❑ Complete Reissue ❑ Partial Reissue
N° 88634
Previous permit
Date previous permit issued
A BOD
As authorized byy�the S of Nohh ar�oliinn Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC "TT�{,(LSLL`� ❑ Rules attached. XGeneral Permit Rules available at the following link: wwwdea.nc.aov/CAMArules
Applicant
Phone #
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) n
Subdivision
City
Affected ❑ CW I �F►fA ❑ ES El Adj. Wtr. Body n
na4 &mnk)
AEC(s): ❑ OEA IRA ❑ UW ❑ SPIMA ❑ 9
PWS Closest Maj. War. Body 94
Type of Project/ Activity
Shoreline Length
Access Length P
Pier (dock) length
Fixed Platforms)
Floating Platforms)
Finger piers)
Total Platform area
Groin length/p
Bulkhead/ Riprap le
Avg distance offshore \
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ BoatliR
Beach Bulld g
other f
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning permit may be required by: nM/ rf C )&r n. Ln
Permit Conditions TAWPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Agent
Mcompliance statement on back of permit" Y3 //' /�►f
App cation Feels) Check p/Money Order

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:
Tar- Pamlico River Basin Buffer Rules 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/ 1-888ARCOAST 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 Mail 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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.C. DIVISION OF COASTAL MAN,PGEMEiT'�7G
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed
Name of Property Owner: (5�/
a1 / � bV 6- 6
by owner or their agent)
Address of Property: 4/j/ iv, )e(,A) 4vF. 2i
Mailing Address of Owner: 5.4A1 , l j
Owner's email: 90 tv E Mi i (,eV % �N4)bw�rs Phone#: Z $ lr ' b f/6 �y6-Z,
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
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.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if 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 some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
M
I do not wish to waive the 15' setback requirement (initial the blank)__ RECEIVED
Signature of Adjacent Riparian Property Owner:
JUL 15 2022
v
Typed/Printed name of ARPO: /�Q OBERT _�5 .S�CctrMA N/ DCM-MHD CITY
Mailing Address of ARPO:
ARPO's email:
110, 6mu cas
Date: (s—�'-- 27 *waiver
Ga•
ARPO's Phone#:Z
(YCG
valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: G QAO\./ PAurTE
Address of Property: yll N • kwoo-i Ayli . - 1451,M1riG B69GH, N G 2 fr r ! Z
Mailing Address of Owner. SAME
Owrters email: 6g4V6A4E&4 J AMA11.60A Owners Phone#: 7iSL • �t/6' y6Z
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent Property Owner)
i hereby certify that I own property adjacent to the above refere id properrty.Tbe individual applying for this &*Arj4
permit has described to me, as shown on the g, the development they are proposing. A
description or drawing with dimensions must be provided with this letter. 1 ,
I DO NOT have objections to this proposal. I DO have objections to this proposal S T`�
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal �� 10
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be 1
mailed to 400 Commence Ave., Morehead City, NC 2tt5M7. DCM representatives can also be contacted L �U+`"
at [phone]. No response is considered the same as no objection N you have been notified by
Certirled 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 rlprap revetments). (If you wish to waive the setback, you must sian
the appropriate blank below.)
RECEIt/F'.r�
l cne-fs sectiacic
t2iparianPrsperryowner JUL 15 [011
40R-
wsh to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner:y iJk liter ��FZ�
Typed/Printed name of ARPO: 14NE4GA �oofKk u//G�iS
Mailing Address of ARPO: PO Bex q 17 / AIL,4wr
W Sov � CQ," ou- S i /� k-
ARPO's email: ARPO's Phone#:
0
DCM-MHD CITY
Sf 7
Date: t , 0 T? 'walver is valid for up to one year from ARPO's Signature'
QS W /106 I
Revised May 2021
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