86583A - Trenary, Deba & Donald

❑CAMA ❑ DREDGE & FILL N° 86583 A B c
a GENERAL PERMIT Previous permit
Date previous permit issued
El -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 �� f 1 i I I " / 1" ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgg.nc.gov/CAMArules
Applicant Name De it
Address!
City �� a State ZIP f'
Phone #
Email df I }�- 2 f\^a
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Authorized Agent
Project Location (County): f
Street Address/State Road/Lot #(s)
Subdivision C'�)
City ZIP .L 17
Affected ❑ CW ❑ EW ❑ PTA 0 ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body J
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
r-n
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avgdisfance 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
Site Photos:
yes
no
Riparian Waiver Attached:
yes
no
r
(Scale: )
A building permit/zoning permit may be required by: S
❑ Permit Conditions TAR/PAM/NEUSE/BUFFER (circle one)
� n ,. � i ��: �• � ci
c� ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on ack
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
- w
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

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Date
06-10-2022
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ANCHOR DETAIL
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R..E W B UZKH..A`AID - Harrington con:
Donald and Debra Trenary N g Head NC st
4623 s Roanoke way Nags Head NC
A

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: r Cf �'. c�.- �j �j ,1' �•
Address of Property:
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CIA , IC" r,t /I L
Mailing Address of Owner: —�v
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Owner's email:
Pho
// Owner s ne#: ' V
Agent's Name: Agent Phone#:.2 �� " -1?' 5 d
Agent's Email: > z �f r ' �✓ ` �`' �—m `,(�'�
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 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 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 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 1.5' setback
Signature Trf Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:'
9 J f //��/�
Typed/Printed name of ARPO: . J 1 �� f>� / �1; Tfi LC� rt1 ' 7� I r Dii-til
Mailing Address of ARPO:
ARPO's email:zxg(,0,t)N),::r 1 L,4%ARPO's Phone#: 252-
Dater &,2-C) "waiver is valid fonup to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF C ASTAL 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:
Address of Property: 116
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Mailing Address of Owner: 4. YKI c'✓'
Owner's email: rv,1 � O
Agent's Name: 4A Y, ' !�
Agent's Email: r, (r `+r'
-7gYi
rIs Phone#: S" y-
Agent Phone#:
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ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
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
I DO NOT have objections to this propos 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representai'ives 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'setbaw����t����
Signature �f Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property O'�wnner:A
Typed/Printed name of ARPO: >=-fJ�er11-)L
Mailing Address of ARPO:
ARPO's email: _ ARPO's Phone#: _
Date: �1.� _ `waiver is valid forupto one year from ARPO's Signature*
Revised July 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number: %
i
Email Address: ( YV)
1 certify that I have authorized ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in 1 County.
i
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the focal Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application. j
Property Owner Information:
Signatures
Print or Type Name
Auw-�Q—
ll vv Title
Date
This certification is valid through
Revised Mar. 2016