86704A_Pollard, Mark_20220809

LICAMA ❑ DREDGE & FILL N° 86704 B C D
Previous permit wo
u e
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 ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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/6
Type of Project/ Activity
Shoreline Length l6''
Access Length
Pier (tfock)' length `
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
r
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
(Scale:
❑ 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
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name /
Signature
Issuing Date 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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

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N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be//IIcompleted jplleted by owner or their agent)
Name of Property Owner: n 14 R r 1 � � 1 GI /-G
Address of Property. ( d -3 "il i G 0'01a, D -
Mailing Address of Owner: -$a1vi e, ^� r
Owner's email: �� Owner's Phone#
Agent's Name: L ujaelto, /%�lGt�inr, 4/1L Agent Phone#: d Sd - 3� �' llfJl
Agent's Email: ! 6!yc�('Ni yytt9i fn [r10 Z/0' i rrk6r . (• C c) 4a
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Adjacent Property Owner)
1 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
description or drawing with dimensions must be provided with this letter.
—k/ I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to what is b-ing proposed, you must notify the N.C. Division of Coastal
Management (OCAQ in writing within 10 days of receipt of this notice. Correspondence should be
maned to 4o1 a Griffin St., Ste. 300, Elizabeth City, NC, 27909. OCK representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Marl
WAIVER SECTION
I understand that arty proposed pier, dock, mooring pilings, boat ram, breakwater, boathouse, lift, or
groin must be set back a minimum distance of iS from my area of riparian access unless waived by me
(this does not apply Ilo bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank bekyw.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent P4wian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the 13100 )
Signature of Adjacent Riparian Property Owner: r=�4'�"'�'C� �. UiL&Ifka A
Typed/Printed name of ARPO: �N i 1 �. 1„1W a (Y jc,&
Mailing Address of ARPO: �P �yY�'t riP= trK • CALf n'T2,0k �
ARPO's email: ARPO's Phonate
Date: `1 . - Z-- Z �_ *waiver is valid for up to one year from ARPO's SignatoW
Revised July 2021

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d`M'41�❑CAMA ❑ DREDGE & FILL";%,G fr --. >s C D
Previous permit
3 : GENERAL PERMIT _ ___J -- Date previous permit issued
❑ Now } 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 �A+C, 'r Authorized Agent
Address �\, '� �Ag Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone #
Email Subdivision ) 1.
City ! r . .. ZIP
Affected ❑ CW ❑ EW ❑ PTA F-] Es nPTS Adj. Wtr. Body t (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA PWS Closest Maj. Wtr. Body f '!
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: ` )
Shoreline Length 5 `_
Access Length
Pier(dock)length
Fixed Platform(s) ---�
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length 7
Avg distance offshore
Breakwater/Sill -7r "^-
Max distance/ length
Basin, channel
Cubic yards i
Boat ramp I
Boathouse/ Boatlift
Beach Bulldozing f
r
Other
r
SAV observed: yes 4�0)
Moratorium: n/a yes no
Site Photos: s) no
Riparian Waiver Attached: yes �`no
A building permit/zoning permit may be required by: r •r K' u n E /
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"
Application Fee(s) Check #/Money Order
Signature—'
Issuing Date Expiration Date