88072_J.H. Miller_20220805

r**** N AMA ❑ DREDGE & FILL it) - , i a� N° 88072 A ®c D
€ GENERAL PERMIT Previous permit y✓�
Date previous permit issued /✓�
lew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Coas Resources Commission in an area of environmental concern pursuant to:
ISANCAC 07N. /9W
/ '/ ❑Rules attached. General Permit Rules available at the following�/-� link:www,tieQ.ncyov/CANIArules
Applicant Name J, 1'1• r j/er Authorized Agent /Oou S '/ ,C/de.-
CityU" .+4-.•
Address P® >r /OS 3 Project Location(County): •//1 e /� �/
Q!'�/',an KC State Al( zip o27 960 Street Address/State Road/Lot#(s) . -a•I. y [ /.ryPhone#(as.2) 359- G97...2 .ccfa r•
Email Subdivision -"t/// /'y
City t•../C�ti c uAL ZIP oZ 7Fp 6r(/
Affected ❑CW f W EtierTA ES [ Adj.Wtr.Body 9.,,/e. ch a i � -a.c ( (natl�nk)
AEC(s): ❑OEA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Maj.Wtr.Body /' t J r�ii.c C
ORW:yese PNA:yes 9/ 4yc.
Type of Project/Activity AL. sL i•to /75 // 1/�� 4-d/JAcrvri' Al• •/4L I
� i�t
ry (Scale:/ )
Shoreline Length 70 I
Access Length CY \\<\
Pier(dock)length
Fixed Platform(s)
•
Floating Platform(s) H 4,1_ ./1/`4/
Finger pier(s) ��s�� /
Total Platform area
Groin length/#
Bulkhead/Riprap length 1
Avg distance offshore
•
11 L
Breakwater/5111 A s- JW� r
/
Max distance/length
Basin,channel !/
Cubic yards 0 0
Boat ramp
Boatho - Boatli /. s.*c/-7s
Beach Bull ozing ,.
Other ��✓4— 0 0 4/4/1..—
/\
SAV observed: yes �'►'/Lr-
Moratorium: n/a yes i �/C a J"a'r`/ •
�i,�'q tih
Site Photos:
t!
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: /•/ L
Permit Conditions See ON /020ZJ ARIPAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM
��AWARE OF STATUTES, APPLY TO CRC RULES AND CONDITIONS THAT APP TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) ('i)4
Agent pliant PRINTED me Permit c ' PRINTame
nature• se read compliance statement on back of permit'• Signature
X2 - 6 r5f ,v45�a z J.z/-5/a
Application Fee(s) Check It/Money Order Issuing Da a xpiration Date

ATLANTIC ENVIRONMENTAL CONSULTANTS, LLC
PO Box 3266, Kitty Hawk, NC 27949
July 29, 2022
Shane Staples
Division of Coastal Management
943 Washington Square Mall
Washington, NC 27889
RE: Miller—CAMA General Permit—Boat Lift
Dear Mr. Staples,
Enclosed is a request for a CAMA General Permit to install a boat lift for Jarvis Miller on his
property located on lot 41, Cutten Sage Lane, Ocracoke, Hyde County,North Carolina.
The following information has been submitted as part of the permit application:
1. A copy of the survey with location of boat lift.
2. Signed adjacent property owner notification forms.
3. Agent authorization
4. A check for$200 made payable to NCDEQ.
If you have questions or need additional information please contact me at 252-599-2603.
Sincerely,
Doug orman RECEIVED
Atlantic Environmental Consultants, LLC
AUG 0 3 2022
DCM-WARO
Cell: [phone] Office: [phone] Email: [e-mail]

NOTES. DISCLAIMER: te'
• CURRENT PROPERTY OWNER: THE PURPOSE OF THIS PLAN IS FOR SITE c\cil,
JARVIS H. MILLER, JR PLANNING PURPOSES AND SHALL BE
ANGELA K. MILLER CONSIDERED AS M/NARY, NOT FO1R 01
l'
195 MULLET BAY LANE RECORDADON, VEYANCES OR SALES G1,
HER wow), NC 27944
• SUBJECT REFERENCE. D.B. 284, PG. 241; P.C. A, SL 103A t A
• ADDITIONAL REFERENCES: O.B. 179, PC. 405; D.B. 280, PC ' } ,,�,� ,,,��, $ It
�/ tu���u SITE
�‘�. :� CARD .,,�
• TiIS SURVEY WAS PERFORMED WITHOUT ME BENEFIT OF _,...•
�0� ...............
'� �••. /y '
TITLE REPORT AND MAY NOT REFLECT ALL EASEMENTS �� '�C 0�. 5
RESTRICTIONS OR ENCUMBRANCES THAT AFFECT E ;;5r . Q- �•'. t
PROPERTY ���� _ "-- SEAL
• THIS PROPERTY IS SUBJECT TO ALL SE ^C'' '' L-4958 = VICINITY MAP
EASEMENT REQUIREMENTS SET FORTH BCOUNTY 1 N. - Q{ _
ZONING ORDINANCE AND COVENAN (�ti\'� 11 •'.• ,� �.' ; NOT TO SCALE
BASED UPON GRAPHIC PLO N E PRO/ fl' ���
• DELINEATED ON THIS OE AR TO EOCATED ,�-•• ✓/Sr~........••�� .•�,,
iN ACCORDING A FEMA
O IDEN F. CD0000 / RD AREAAP is ••til„LLE(Z,,���%
3720950100K U I N0. JTQ1�, PANEL 9501
DATED E 2020 RiEr PROPERTY LIES WITHIN
FLOOD ZON L JFT) "AREAS SUB.ECT TO INUNDATION
BY THE 1t N AL CHANCE FLOOD'AS DEFINED THEREIN.
BASE FLOOD FORMATION WAS OBTAINED FROM THE FLOOD
RISK INFORMATION SYSTEM! FIT7P://FRISNGGOV/FRIS' PROPOSED LOT COVERAGE
03/22/2021.
• AREA BY COORDINATE METHOD ALL DISTANCES HORIZONTAL PROPOSED BUILDING = tow SOFT (22.210
GROUND. A.E.C. AREA = 3,737 SQ.FT.
• THIS SURVEY IS BASED ON FOUND MONUMENTATIOV AS COVERAGE IN A.E.C. 1,088 SO FT. (29.1 t7
SHOWN HEREON.
Proposed boat lift location
EIR IS N 82'02' 27" W
2.80'FROM EIR(A) PROPOSED NEW
EXISTING BULKHEAD ALIGNMENT
WOOD DOCK CANAL
LEGEND:
4 FOUND IRON REBAR 2' L 1
FOUND MAC NAIL h
UnUTY POLE
PROPERTY LINE
ADJOINING PROPERTY LINE •
— — —p— OVERHEAD WIRE (A) x PROPOSED
— — — — — TIE UNE I 4' WOOD WALK
_._ rFN: 511434.44'
,._ SOD FENCE E: 2903828 70_
m RETAINING WALL
00000000o BULKHEAD x LOT 41
r EDGE OF PAVEMENT EIR Is 4,977.22 Sq.Ft. ti�
N 78'06' 08- W 0.11 AC. '7' 1-
1.59'FROM EIR(A) xp Qp�
ENCROACHES 7 '1QFENCE l'') •'Z -1R -_ 9
x9.4' 1 -------32.00' — W ti
8 4' R
J (Q
NA- } Q
LOT40 I x I N
SCOTT T. CALOWE7L 3 I ( EXAMPLE —;
•MARINA Al CALD WELL R 8 BUILDING o LON/F
T 42
JOSEPH M. MIDGETT, BAR o`O N n ENVELOPE 8 k 2
D.B. 280, PG. 613 BARRY a BURGAN
PC. A, SL. 103A _N I m h +I KAREN Z. BURGAN
P1D: 8448 0 ^ D.B. 179, PG. 405
NI- PC. A, a. 103A
cn 32.DO' NI P1D: 8448
8.4' Ci
EXISTiNG 19.4
SEPTIC TANK
LINE TABLE - --- __71'a-£.C_ _ PROPOSED
t 9'x30' SEPTIC
LINE/ LENGTH DIRECTION o I (2 BEDROOM)
L 1 49.83' N 46' 58' 14' W •? A 5.0'
TRASH BIN ENCROACHES —
Saillnal
S 48' 34' 59" E _ ,
�- s 45' QJ' O7+ N: 511500.99'
382.05' (tie to mag —
- E E: 2903885.44'
Toil in CL TNT. of CUTTENSAGE S 6N. 45- E P-49.94'
and CUTTING SAGE RD ` 3 7 — p =I'
— rf �PROPOSED
�t1e) 51.aza 46 WATER METER
CUTT
GRAPH/C SCALE E'NS,q GE / 4 Air- ,.�

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AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 284 PA 3E NO: 241
STREET ADRESS:. Lot 41, Cutten Sage Lane, Ocracoke,NC 27960
Please Print:
Property Owner: JH Mil.er
Property Owner:
The undersigned property owners of the above noted property, so hereby authorize
Doug Dorman ,of Atlantic Environmental Consultants, LLC to,
(Contractor/Agent) (Name of consulting firm)
1. Act on my behalf and take all actions necessary for the processing, issuance and
acceptance of permits and/or certifications and any all standard and special
conditions attached.
2. Enter the property to obtain site information including inspections with regulatory
agencies(Dare County,North Carolina Department of Environmental Quality,
U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or
certifications.
Property Owners Address(if different than property above):
PO Box 1053, Ocracoke,NC 27960
Property Owners Telephone Number: 252-339-6932
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
tra/t L'
Authorized Si a Title Authorized Signature and Title
Date: 0�' 27 ' 2-" Z Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jarvis&Angela Miller 's
(Name of Property Owner)
property located at Lot 41 Oyster Creek Banks
(Address, Lot, Block, Road, etc.)
on Canal adjacent to the Pamlico Sound , in Ocracoke, Hyde County , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
The proposed development includes installing a boat lift. The lift dimensions
are 12'x15' and would be installed adjacent to lot 40 property line in the 15'
riparian setback.
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent P operty Owner Information)
'SO°. ( f
ignature Signature*
JH Miller Scott Caldwel
Print or Type Name Print or Type Name
PO Box 1053 Po Box 75
Mailing Address Mailing Address
Ocracoke, NC 27960 Hatteras,NC 27943
City/State/Zip City/State/Zip
2S7- 252-2 t 6-5733
Telephone
n N Number
Telepho e Number/email address
Telephone Number/email address - ��
Date
Dal
(Revised Aug. 2014)
'valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jarvis&Angela Miller 's
(Name of Property Owner)
property located at Lot 41 Oyster Creek Banks
(Address, Lot, Block, Road, etc.)
on Canal adjacent to the Pamlico Sound , in Ocracoke, Hyde County , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
4dr I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill In description below or attach a site drawing)
The proposed development includes replacing installation of a boat lift.
The boat lift dimensions are 12' x 15' and will be installed adjacent to
the lot 40 property line. Attached is a sketch that shows the approximate
location.
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
(Prope Owner Information) (Adjacent Property Owner Information)
ature gnature*
JH Miller Karen Burgs
Print or Type me Print or Type Name
PO Box 1053 PC) Box 1465
Mailing Address Mailing Address
Ocracoke, NC 27960 Ocracoke,NC 27960
City/State/Zip City/State/Zip
252-33M-M cri2 [e-mail]
Telephone Number/email address Telephone Number/email address
Date Date:�/Aa .3,a\
( (Revised Aug. 2014)
'Valid for one calendar year after signature*