87804_Douglas Kelly_20220809

°�`°"r" riCAMA DREDGE & FILL -P N . 87804 ABC D
3 4 GENERAL PERMIT ZD 2=3 2 Previous permit
Date previous permit issued
n New n Modification —Complete Reissue n 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:
ISA NCAC In Rules attached. General Permit Rules available at the following link:www.dea.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP
Affected n CW n EW PTA n ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA n IHA n UW SPIMA I I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity /
(Scale: , ..>)
Shoreline Length
Access Length — t n • - 1. r.._; (l_.._ ,
Pier(dock)length j I
Fixed Platform(s) e: i t
Floating Platform(s) / ) i
Finger pier(s) I i
- } -a--j 1 rI r -
Total Platform area ; 1. ' i ) ,,,; l')r
Groin length/# ( 1 . —
i �� � Prl �
Bulkhead/Riprap length .. .._-__.__. —_--
-�
f
Avg distance offshore +---- -- f I
Breakwater/Sill -- ( L
Max distance/length ,
Basin,channel _.._ _7- —
Cubic yards —__ryiv _ _....__ ___
Boat ramp tl i__ /
i
Boathouse/Boatlift P—•• �' —� - 'i
Beach Bulldozing ( i i
Other + }-.
• ' - - t- i' 1 - 1 i
SAV observed: yes no ' I •
— ; �_ j__
Moratorium: n/a yes no t I r
Site Photos: yes no I ` ti C' , { {
Riparian Waiver Attached: yes no ;. .'J` 'I y - ' I i i i 1 • f
A building permit/zoning permit may be required by: ' C
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
nSee 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** Signature
Application Fee(s) Check#/Money Order 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:
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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

�o�°`C0�'�`t4y9
i CAMA nl DREDGE & FILL No. 87804 ABC D
GENERAL PERMIT Previous permit
Date previous permit issued
New i Modification Complete Reissue I I 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:
I 5A NCAC Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name - Authorized Agent
Address Project Location(County):
City_ State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected I I CW EW PTA I I ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA IHA UW SPIMA ❑P Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:
Shoreline Length _ _
Access Length 1 f -. ---- I,� '- 4 .7
( C \� 1 �,
Pier(dock)length i I - I
Fixed Platform(s)
Floating Platform(s) ) r - ! I • I E .
P . I;
1
Finger pier(s)
I
Total Platform area i `l �� jr ' t
! r•
Groin length/# J i
Bulkhead/Riprap length )
Avg distance offshore
Breakwater/Sill -
I I
Max distance/length I 1 I 1
Basin,channel
Cubic yards _ JNL
Boat ramp i . /'
Boathouse/Boatlift ( 'I•a
Beach Bulldozing (
t
Other {
( r
SAV observed: yes no I ---I- 9
Moratorium: n/a yes no 11^r. 1. l I I ; tF .
Site Photos: yes no
Riparian Waiver Attached: yes no j 1 1� 1Y' /' . - '` / (I'' 1'(I-
A building permit/zoning permit may be required by:
Permit Conditions I I 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** Signature
Application Fee(s) Check It/Money Order 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:
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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ROY COOPER
t Governor
MICHAEL S. REGAN
. - Secretary
Coastal Management BRAXTON DAVIS
EviRONMENTAL QUALM Director .
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 &.0259.The
Division of Coastal Management(DCM),through a Memorandum of Understanding with the Division of Water •
Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations. ,
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
>_. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer .
perpendicularly(which is defined as between 75 and 105 degrees)unless.otherwise approved by DCM.The . '
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six(6) feet.
I
4. Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your •
property indicating the relative location of the pier or docking facility and any requested access way.This -
drawing will be used to aid in compliancec andn monitoringri_ efforts.' /� //n
• Pre-project site conditions: '`El r ;5 "n j � 2o/_'" / -147'2
By your signature below you agree to be held responsible for meeting all of the conditions liste bov and verify
rttaLa
fJ iJn/jf/g�rmation prov ded is complete and accurate.
•
/� nt or Applic t rated Name P ffice s 'gnature
Agent or A plicant Signature Issue t�e
CAMA GENERAL PERMIT#: 70 K
State of North Carolina I Environmental Quality I Coastal Management
Washington Office I94a Washington Square Mall Washington.NC 278891252-946-648!
• Wilmington Office 1127 Cardinal Drive Eat.Wilmington.NC 28405-38451 910-796-T215
Morehead City Office 1400 Commerce Avenue Morehead Crty.NC 28557 1252-808-2808

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOURICATIONNVAIVER FORM
CERTIFIED MAIL-RETURN RECEIPT REQUEb t tti or HAND DELIVERY
(Top portion to be (h byo neroreiragent) 63LS
Name of Properly Owner t2 E Pit (t1 R12T(n)
337 6-6r. eft'11*
Adefaes of Property. 2 Cr I CA-WA C /LO/ ME/2/MT AIC 2r5SG
MaifmgMttessofOwner . (s2 1064 VA— 23522-
Owner's emelt LA R / .;'G. °Mster's Plume 105 t `i']i '><'43D5 t44-1
- i Doi fig)o90?)
Agents Name: Agent Phone*:
Agents Email
ADJACSIT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the AdiacentProperty Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
penott has&sorbed to me,as shown en the attached dram,the develcpment they are proposing. A
description or drawing,with dimensions.'must be provided with this letter.
X--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 roast notify the N.C. Division of Coastal
Management(DCM)in writing wain 10 days of receipt of this notice. Correspondence should be
rmailedto400 CarrmerceAve,Morehead aly,NC28557.DaIrepreswrlafhrescan also be contacted
at(252)808-2808.No muse is considered the same as no objection if you have been notified by
Certified Marl.
WAIVER SECTION
I understand that any proposed pier,dock mooring pilings,boat ramp,breakwater,boathouse,lift,or
groan must be set back a minimum faience of 15'from my area ofSatan access unless waived by me
(this does not apply to bulkheads or rtprap revetments).(If you wish to waive the setback,you must slim
the appropriate Mank i.)
I DO wish to waive sonRia f of the 1Sse bads
Signature of Adjacent Riparian Property Ormer
-OR-
Ido not wish to waive the 1s setbackrequirement(in al the blank) CIVA-
,
Signature of Adjacent Rip' erten Property Owner 'tar C
11
TypedlPdnted name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone2
Date: 'waiver is valid for up to one year Pram ARPO's Signature•
Revised July 2021

•
x ik£ON€ * 4tIA yh N±R,y��h l' i � °¢�`� "z'�r Y' �GFY' ^�, .,.{ ir17,4.••i (1#04440�l.t 4.0
r., !!��t,�,, 9 s4{ F �a�Ss,x f • ,,,iiill �3,.}€, ''`At �Si-xq`f�.a. d i t n'P `,lz, t `�' +'},",',,,,,,,
4i +At
f � " iLV ,� 6 r e+ v 1 4 rY 5?"'
Y�4.1):::}�+{'tt yJjl� 'e .v t y,.'� [G €,}, 1. ° P P r Y' 1 .. s J Su p '.
�+hiY 4sJs 4� Y ♦:,A�. t+..r Ss' '.A £ • p�t \r+s�� r��l "y.4f Fk ...
s`�+S Y '� ,,,,' t b ��, .fit•t7ti # a ,fit t ' t a -•14 r,tN . [ cth *,.`4_. t i t
°� �sit$vrri,�, lleA '"^e �y tmt #g k f l'f. S ' ,. P"tt �.a' 444��� �.Yr'b'<"r }-,e r '.=ia
r-P
Ito
•
s�` �n -Kr-A".• ,+'}/�'!,• � �y]�``� i t� �,� vCd+ J• s� P� °cs � i � v .�€�'fl3 p€ t"��'+/{ z� i ,s,
,`•E°'� �II w' 't. `* a. a l°� •4�bVe ci 'Y i v a Y't`i{ iF` s
SYip� " ''A cn 3 £ � � ti �,,, „ti . � .- A� t �{a�i,
A r!Spy '' n y�`�� rt., ).„ ,t r "' d i c�+ frmt#a T r' t �-j ��., t ' *iA
r �""� y."€tp�v.�` °f�+'�,�:`'�iw s � •f 2 r d° �'t ,+ti J �%'T� a• `�Sf' t"� t + l �f5� � t,. '.t Fn$g ✓* Jrp , t�6y`-,S i � � Y fpY f• r{` € C t{f
i f�('n�� � ° M i•'�'' , f' 9 a � h +�, r ,4t f tN�� 1
(.rgr a' rL rry ."„ .4,;. m gt �, e „or/ 5l,i. . ' t.,,cU'�t 1. % f'`,,' ;tr it.. r5.
V.� y . �y t! ,, v Y` rt , 1Y " y
AY y .- . ' £4 y 7 Y 44 k /.4 , 'p y3 l Oe > }! & 3 1b i5 0' i r d } 2�e, '' 1
�'W.at L a 1 =T '.,!'s Art, , '" _ ' -silt..ek n ;,d• .14: �y'`�;t kr ,
✓r�. ra a �N vl �+ �,� fir'. "Ex`� �, r � t a, i >E'�� ,� �
t • d i i�yk� ,r'1 :. rik r#?< 'C'TY- ' ,mg: ?'xe � st'e a '" '1y,>Y s . a +�
tew i i .�` due t ^ c �`,C H ?` t e V � � �s t .f< x os k.
•f t4�p,� " s' w°,-;.t N,. xk "" fx xc ' 4origi,y ;., 'tAl �
;,-ikv s � €t"' kfi, O -i at A .,a "k, +. , * . Y4.)t, �k`t U-. - n;<N S. it'aj� s �j w x`5,A;1>s„
•1*T
• r • � "`{atY ,.T �q�-.r✓�P� '$ �� uay" *+.ti�•}w�p{�yP,�V � d " ,Yh �''�+ a �CAy'�'^g�.: n* � "'3$ } �.. 1 �'.�� p�as 44P�/.�, y}0 i .'� ° Ye °.fi'�� }i�.r)ru , �f#r%�}� � f�ta^ 1' .r^u�`,� .��y y t k } i'tip tb� "' 'S " k w' �.: t r�6-�`.}^r t {� P ti RFc t! -1< `-c • ki. 'npZ3` r a•
-•;e3 rt i '.' ct Jr
r .� per t' j€tah a rt db t 'A�•� J'„.„.,. v. s. Fa .s'� � • �' r xxs r A. 3,:.ri{'H.yF s iFs t.14
.v - � '�h,4,„. . j` 6 itt .,w. t. "va :•-es,, 4... tia:, 7 a w}e5aaSs Siedr•n$ y2 , o-aY ,n
�3 `; r,�y,��yam` tiTm n ;ar aei"+"<Sy'a. §Z k ��}'y�(444L;,n�e�i i✓t"Yt *�',,'4. V A. { f y����,t14, 4114 a ,�.
bct-l;-'N S� �i we x F 6�etk,,4 * {a ` . 14 C 14'u y ,, ` �"�£j..,, 8 s Y a, Wl
sr€r*t4„,• €- 5�' ti I, ,s .) l > rt+ _e e e a �. , f..'14 4t,, � x� �y.' �^t �v �d'aY'�t, r {r r
*:$ }' 4-kra s R s' ` .cn'.4iC-s'' 's7t r. s• n ^> k a m 41 ,,,>... a .:w ,.?�• ' " rn Hif rst{rr }�+�'' y t,• s10 s, .a d • - c b o fF t 'y` d,S krjlit
` � ' , } d e.Ck - N, WR'fv+"v re �y to � s f. a spa' e,4 ,
r r 5,14.l�w r'4„;. Pc� $ 's ! wc. 4 ..r �q�s 4Y " yy.
^'.s . '1 k ' �P- dui k.r •z.„r rAHN,r 0 1 4 .� t,.,(f�, „yes• rtyr t y��.„y.3 � .- .,
"vnfk , � �` p't,�La G���A r� � "ilr�lro � A P�'' 1d � ,, r��r
A e i x w a.t f 'R� no£ ^+sY`}' vow:# �40, i v'- r2 rt * Pam{"'r #�l �s �','� e k�.s� -
4 �10 t s_p d L t o '�l^F!. A4 x e A ;'� x U
�fir t }t ?§, r{�, Y i �.,,�,�.s t y r ,
7Ag
� ��dy, ti'v . ,�'�� ��� t ��1,, ,y� N-._° �" r �€? ��`"r'h"ti, ��. lyt3�€ `1 M �7�5,� �ti e ,
4% bye ICY U�j ' T M A •4 3 3h ': Y�% 7r` F r{S Nd A %n
4. fd" ' .., 4— ,-, � - "r .,m'' rs a r , sue :r34x � ,M , s`2 fg
{��/' ♦9 *"Z"Y 4 W y[{[qj "i- ,` �rYv "t D '- aw x "€9v ,p k M}• '!1 -F ''AF �(h�„ r
Cli „$.> +. �wi .R?�l tU t " E A* dX ,V. tY F.A ? ,�. 'e $ . -4 , -r•- . V° %
—710
dl e 1„ .. ' i s itrtkl9 ,45gw cont
' I Jk +';;wow,}' rdi"R 44 'rr d - `
Y' 2r ;t 'G rk t
Zat
nit
n� c lit,
�' �" ,4:ear I�sn'� � ��£ ��',rY�°v5 h {� -1 a .� �• �p � `�.�° "
J d+ s f � }` ,1: �, T R�f5ifi ye >` v vim{' .- ,44,,p �yi
�. ffi Ewa° `' s , 'prh N+R• a:.. 4 � t• .+ f .'"` 6 - Q . •� y�• 7 �l '�
tine
r x a q ,,....` a a, a v 'cc,- t" F i$'' k�, - r ! r-1`
yro,.,� t e `y �a o F '"a;x 4„. > .,
:,,_ b ;a Aq,.a,�'ti,3",, •1. ,-, '4t,3a`lair' e its' T F , ii �".YTM1 `+S.0 wax 7 i,'� ,? ' t 4 i d
,q, e s,q k ,mr ,-. tssN4,yViR., ; . ' �,�y syu a.. ,r , s Air, :siy C"
g `A. ....:t h I t i ate_:. '�F f. ,,, �v @ Xi - r� ..
7 " 3� S .w * R i r 2r vg r k 1%, ; c ,} nd*�+ . b z.i + ,i "
4}�1 � �b K I � e Nr..
"`,,'� Sy Sk:. x m day. hu e� y,c e " t�,,} ` .�. ydk t$ Sy ' '7 h,4 + A i
+1" _ti R nx, n'. • tr'wb �•i�" d"1".3�f �r i, . t C�1' V�aa }i
i.
-' v i .1- zis , tFe' ° , s a+ 4 j M'�8 ..g '' p �4 a i.. -iyt .• F w i e ew t
si it. 't N�d+- ;q rAe x ri N w f 4s,,;,- k 5 , x arx. t 1 ``�4 :n ` ' ' y tq 9,' ' ;
I r k. �°C+d4 2x k It:. .�,{ a• '4wq?k�'�a'e Y,,,MI l 1� A4� �� �y �, a A� s
n - r ..* i+01s=v`' JI T ``i'€�-7 - , rnxi �tr, > 2C$ r-0 i"�nA Ys» £ Kt 'w YV Y>�,:,4:
' es ` � r 'Icr y. .. clew�"�i i"a ` " k , `s `a€ ` ` 7 ' WI.- ''" ^ ' %` '.'.
syr?t` [_ V .in Vg+ ry,&s7 '...VP.
..V1 4�� a, r �'• c{�$.4,
v � ya+nc�t 4 � �`" � h4 r 4� d s dy t }`i a e Rp�f Y� ,7'^f �z ��
l s �t t m f *x,� ' `-N � e w �4 a. 4 N
s 5a t r*�. 6ta4' „ 't ..� .' i. • ..r `„+>y �- 5 C� aSL. a + fia '.
�.
.75r(���rf4ws -,: :`,�Wrr _ •• ` jn 'rY C n'q4-mac �, j' ... C,
sn*l ,tp.;H' E ., UPoIr{ Yaek9. 7.4?' .°.+' .. °a..n6AW n .. . m... .� �'�'w.�. +_ h 0021,....1 .

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H.Gregson;Director Dee Freeman,Secretary
Date 8/1/2022
Name of Property Owner Applying for Permit Douglas Crist Kelly
Mailing Address:4305 Warthen Dr Ilarwwod MD 20776
I certify that I have authorized Trent Prescott to act on my behalf,for the purpose of
applying for and obtaining all CAMA Permits necessary to install or construct pier
renovations,at 337 Cabin Creek Road,Merritt NC.
This certification is valid thru 8/1/2023.
8/1/2022
ao C
Property Owner Signature Date
400 Commerce Avenue,Morehead City,North Carolina 28557
Phone: 252-80a-28081 FAX: [phone] Internet www.nccoastalmanagenrentmet
An Equal Opportunity 1 Affirmative Action Employer—50"%Recyded 11O%Post Consumer Paper

cP/IDaCREEc
- - 9iSImeA
, . �/Pavhfohd i �*
c it S�sw an tcs'._ ka .i d '.
•
( d ;Jt,4�„l3 T i� 4 : 5 - .t.-
IIc t Y f�� 1h, 9 da'pc
��sps r°e 1 %f `_ "5 LSD
s f�4ht. Y`L >i �t t . 7
t a�
_ i , 4-- r,, "14 .`f EST",,,, ;r, fin.
y y •s '1• ' ( }F Fs��W ,711C( Ill
I II ^ r I
I1II
O. \ k
I
if,
Doug ICOlif 4'le'Cr A"
337CableO lc Road X \ •
N titer
ri
ZP
Vf
•
3i -c.
et ivi
a ��
a