87841B - Wysocking Wildlife Sanctuary

'''A"s'" F ICAMA I I DREDGE & FILL N� 87841 A .B C D
GENERAL PERMIT �14i� � � 2�0 Previous permit
li
Date previous permit issued
n New Modification n 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 n Rules attached. n 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 n PTA DES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): IDEA n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity /r
(Scale) -j )
Shoreline Length
Access Length l �..._.. +_ ..._.._. ..__.._1,-__
!! IA I
Pier(dock)length 4 !
Fixed Platform(s) i .. (� ? I
Floating Platform(s) ! •
t I
i Y. _ r a _ —
Finger pier(s) a�I� J ) f
I r
j-/
Total Platform area 1
Groin length/# 1 i 1
Bulkhead/Riprap length — i i I j
Avg distance offshore - J i _-_
Breakwater/Sill t
Max distance/length
Basin,channel �..__ _�
Cubic yards { _._ 1 4._ t
Boat ram t- n,'�_ _._ 4 T _—.. -- _. .—. _�._ II _ —T
t
P q �1
Boathouse/Boatlift r' ' j ` ^ «.� ;
Beach Bulldozing
•
Other
•
SAV observed: yes no ._ --� —+
Moratorium: n/a yes no. ',! t J fi( , ,': i f - /f r ..41 l
Site Photos: yes ? J — N,
Riparian Waiver Attached: yes no { 1 l
A building permit/zoning permit may be required by: �/ 7
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee 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�'*`°"r"� LAMA — DREDGE & FILL `""' No. 87841 ABCD
3
GENERAL PERMIT Previous permit
Date previous permit issued
n New [Modification Complete Reissue 1 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:wwwdeo.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 CW I EW _PTA I I ES I I PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): 7 OEA p IRA UW SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )4, )
Shoreline Length
I I I I
Access Length I' i I "
Pier(dock)length )• I (
{ : I , J
Fixed Platform(s) j I iE f 'I
�r i 1 I
+e' r 7
Floating Platform(s) I
fi
,-, ' --, \\,.......:
I Finger pier -
s) i t . i� ,1 1 i
,
r
! _ T
Total Platform area
Groin length/4 I
1 THIL----------4.---.—±--
Bulkhead/Riprap length Avg distance offshore —_---- H......
Breakwater/Sill I \I I
Max distance/length ti �- -
Basin,channel ..`"�� I ' f- I
Cubic yards i - _._ iJti : tH
.-._ _.�
y 1 I —Blift I j if ,
•
SAV observed: yes no �~ • -" I ,
Moratorium: n/a yes no u': , , -. . ' I!' 1 i
Site Photos: yes no i i •r 1 t
Riparian Waiver Attached: yes no i • i J
/, r� -
A building permit/zoning permit may be required by:
f I TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
I I See note on back regarding River Basin rules
JSee 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 5. 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

From: Wilson,Brent R [e-mail]
Subject: RE:[External]tile replacement permission
Date: August 18,2022 at 2:31 PM .4 „''
To: star [e-mail]
Signed form attached
Brent Wilson CWB® RF 1109
Coastal EcoRegion Supervisor
Land&Water Access Division
North Carolina Wildlife Resources Commission
Mailing Address: 110 West 13th St
Washington,North Carolina 27889
Cell: [phone]
Original Message---
From:star [e-mail]>
Sent:Thursday,August 18,2022 1:57 PM
To:Wilson,Brent R<[e-mail]
Cc:mlchael Breese<[e-mail]>
Subject:[External]tile replacement permission
CAUTION:External email.Do not dick links or open attachments unless you verify.Send all suspicious email as an attachment to
Report Spam.anailto:[e-mail]>
Email cones andante to and from this sender is sub ect to the N.C.Public Records Law and ma be disclosed to third arties.
N.C.DIVISION OP COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIF1CATt MATAiVEFt FORM
CERTWt O MAIL-RETURN RECEIPT REQUESTED oMAND DEtf5t5RY
(Top portion to Do®ornptted by moor or agent)
ttsnea.Prrp,4 oven; %+nf- '1!;`,f 4v, .Tf-l+r- -; ,»a: ,
Address etPrepriny: 33WO Clog 44*k / SCn4POL yJ Attt 27,24
ea4inaAddretsofowner: 3T50&cif f=cck. leol •4,r+,+1 err 77kator
Crantesem enbe--teteA,Nis4 jmmPi Awnefs Phaset Z-t'fl-12.r7h
AgenfsWang AsentMonat
AMIN Erna*
CAlt1ANPROWasRTY OWtttnnCattTIFcAmoN
f,JAJ?•S sicritntftsAdbtseniprocersvOwnvn
Ibotmbyasseneati too property ad ntttSieabt refer Ifrodoey.The3delodal operying fiert.
Wad tad dctxddat a aro%as shaaa antaat attaaaao d?aiai%the adedtPladal at/aoa
PalOduaL
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rr n}.ava+aaataSar;ts agree Ja pairre pnpax04,1,09 rast,74 rho tt : vial s ,:fir
MonsDaasirt(OCdttltr t'aff5 B rrtihta Masys at moll Of of eta notk'o. Connsuadersasstiotimtke
mew ea Rq9 Woafdngroa donors taea4 Wesoloptan,are run oast Atpniaentrft atn tin
caatsctoaatRat/•te4at,ItoreEpeasadacaaaWWeredat UAW ISM o0r fDimtliorOkW?
fwarraaAltDOrrareo daft.
WANSR SUCTION
tundaretsnd.Oat any proposed pier,dock troorind pings,but tarp.trteles ststaa*esdo,e,a
4a1mustaoaldbattslfptr3rueaSwed sotGhcmm7fordpoftanaceacpsedestwar adDo mie
Etna doca mxoppryto bsfdr3eeae s orOprap c odroods),at sou waft to wars*Orr arrttastic.yea
the am000tiour hion oath)
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su arodO entk sear atttftertranarer:

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rite,DIVISION OF COASTAL,MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL•RETURN RECEIPT REQUESTED or FjAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. U/7/SOcdte.r(i hCA't l . l tok.%r71
Address of Property; 3rOle) Ad/ eat ed. EN4r'/G.t.ii Arc 271c2A
Mailing Address of owner crira f,
Owner's ansitltthruell-ci.adSQDC-nr.,.J.4a Owner's Menet 26,24.. 5-JZoo
Agents Name: Agent Phone*
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be correlated by the Adiaeen%Property Owner)
thereby cerbly that town property adjacentt0 the above referenced property.The Individual emptying forthts
permit has described to me.as shown on the attached drawing,the development they are proposing.g
pesnriplon or drgwtno,with dimensIens mist be Provided with this letter
N../..1 DO NOT have objections to this proposal,,I DO have citations to this proposal
If you nave objections to what is being proposed, you mat notify Um N.C. Division of Coastal
Management(DCM)In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mad, Washington,NC 27889.CCM representatives can also be
contacted orgy)946.6481.No response Is considered the same as no objection if you have been
noticed by Certified Mail.
WAIVER SECTION
I understand that any proposed pier,dock,mooring Pilings.boat ramp,breakwater.boathouse,lift,or
groin nrvstbo Set badk a minimum distance of i5'from my area of riparian access unless waked by me
pha does not apply tobulkheads orriprap revetments).(If you wish to waive the setback,you mustatarr-
the appropriate blank below.)
100 wish to waive somerau of the 15'setbaeg gE .�
signaweofAdja nt erlanPrope Owner
•OR-
I do not wish to waive the 1S'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPdeted name of ARPO: g; 1(r Mrr, p� �/ /
Malting Address otARPO: -31-20 ry y� 44se. F ri..34.4.1 e_
ARPO's smailr ARPOra Phoneb: 9 i
Date: awalveris weld for up to one year from ARPO's Signature,
Revised May 2021