Wilkerson, Troy 88454C

°`°"r° IJCAMA El DREDGE & FILL 'l�} '` B
NERAL PERMIT Previous permit
¢M? Date previous permit issued
New [:]Modification []Complete Reissue at tial Reissue
As authorizedbythe S to of No/U
r�thDepartmentolina, Department of Environmental Quality and the Coa Resources Commission in an area of environmental concern pursuant to:
I SA NCAC Vim( t I i V,_„__ _ ❑ Rules attached. General Permit Rules available at the following link: www dcc nc.gov/CAMArules
Applicant Name YLs V A Authorized Agent vim_ t t
Address _� _ 1 1( I _ __ Project Location (County):
City ,T x�i t.- it State 1 vim ZIP l i,t>1..�'. Street Address/State Road/Lot
Phone # (—
Affected FCW DfW
©fTA
AEC(s): []OEA F-101A
11uW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length /'
Pier( Pocky length
Fixed Platforms)
floating Platfortitt
r
Finger pier(s)
�/�
Total Platform area
Avg distance offshore
Breakwater/Sill
Max distance/ length --
Basin, channel ./
Cubk yards
Boat ramp ,
Boathouse/ Boatlift /
Beach Bulldozing._ I"
Other
I
4
SAV observed: imt'm�
Moratorium: r aSite Photos:Rlparlan Waiver Attached:A building permit/zoning peybe required by:,__�/
r"
statenrent on back of permit"
Closest Maj. Won Body
Officer's
(Scale�zj j
TAWPAMINEUSEIBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Feels) iCheck #yMoney Order Issuing Date Exdirabob Date

❑DREDGE & FILL N9 88454 g B 05
3 3 NERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification ❑Complete Reissue RartialReissue
As authorized by the S to of Noah ❑ arolina, Department of Environmental Quality and the Coa Resources Commission in an area of environmental concern pursuant to:
15A NCAC _� 1 ail I I v6 Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name IV I i Authorized Agent C /
Address' 1 1 _ // Project Location (County): J �n1
City �r State V ZIP Street Address/State Road/Lot #(s) C
Phone # ( )
Subdivisi Qversla
t City ZIP
Affected ❑CW W TA ES ❑PTS Adj. Wtr. Body A) Y401,na an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length ////
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
7
Finger piers)
Total Platform area
Gr ength/ft�/
Bulkhea / Riprap length �.�'
Avg distance offshore
Breakwater/Sill
Max distance/ len;h
Basin, channel /
Cubic yards
Boat ramp /
Boathouse/ Boatlift /
Beach Bulldozing
Other /
�`\\IVCA roe
� l
I
SAV observed: yes
i #Cha
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: es R
A building permit/zoning permit may be required by:�Wt/
Permit Conditions
CRC RULES AND CONDITIONS THAT
Agent or Applicant FrRINTED Name y/
>kl
Si nature**Plea se read compliance statement on back of permit'* ,r.,, _G
Application Feels) Check k Money Order
Officer's
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Date

r vul.,3
Name of •
Address:MaMng
Phone, . i
Email Address:■ e fir, I I i I /I
to act on my behati, for the purpose of applying for and obtaining all LAMA permits
ne0essary for the following proposed development: w
at my property located ate
in ��eCounty.
t lYrMermore certify that t am authorized to grant, and do in fact grant permission to
U*ision of Coastal Management staff, the Local Pennit Officer and their agents to enter
oni the aforementioned lands in connection with evaluating irdbrmetion related to this
permit application.
Property Ownr i"Wmation:
Signal ra
ro,
nt or Type Name
wntpo,r
Title
Date
This certification is vaiid through

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.
Address of Property: _
Mailing Address of Owner:
Owner's email:
Agent's Name: lu�(±
Agent's Email: Cn
@Owner's Phone#:
h, YJ Agent Phonett: .�I 1 D - L1- 0 5
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom oortlon to he oomo by the Adjacent Proosrly Owner)
,11C
A94W
1 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. 6
DO NOT have objections to this proposal. 100 have objections to this proposal,
" ,�- ••aro umiuU-crans ry wner rs Ping proposed, you must noW the N.C. Dlv/s/on of Coaatat
Management (DCM) in writing within 10 days o►►eceipt of this notice. Correspondence should be
matted to 400 Commerce Ave., Morehead City, NC 28667. DCM representatives can also be contacted
at (262) W8-2808. No response to considered the some as no objection N you have been notttiled by
CertMed Mail.
WAIVER SECTION
`(S\I understand that any proposed pier, dock, mooring pilings, Twat 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
►l (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you My.1L% do
the appropriate blank below.) Al,/�� ��I
J 100 wish to waive some/all of the 15' setback
r 1wtv,
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TYPedD'dnted name of ARPO: -- vV �� I rkM \ n 4_10 v
khp�
� Nailing Address of ARPO:
5e ARPO'aemall: 6MA1 ,Con1
41 doQd le h,116� 114� ARP s Prone#: g t o 7 41- n 9 n 4
Date: 2�� a "waiver is valid for up to one year from ARPO's Signature`
A NO�Gd �c.wAip, tJ aoal- cTu/y/ (�!h Revised Julv 2021
lj- ,101E
V-

Ylb
I hereby cartHy that I awn property adjacent to the above n
oermH has desctbed to me, as shown an tho.ote' bed
mac,
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAMER FORM
gkRD IL MAIL, _RETURN RECEIPT RE IN EO djAND OELNERY
(Top portion to be completed by owner or their agent) !
Noma of Property Dwner. o
____r�iLkersan
L8 f 5 j; 1 D r Sntcrds 9r C �+La
Addrosa of Pmpeny.
Melling Address of Owner. ���11 I•, ���rryy.�-(��`
owner'semaU:'.l'hU oill,hSl"'41r1gil�Uwneta Phones: - \.
—T1I— ntPhonab:�l(0-9�� '475
Agent's Nemo:ED(�tTf_Ul/,1Y1l1�i.Jl).'i�J.IG�f,'IABa-------'�""--` R
Agent's Emait;=nn�'flYlf 111 nSiT'U( !1Ew II1Yl.-----
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
on to 1* •a ft Adl•MI ProoeAv Owner]
Tire Wavldusi ap*" fOr 0v3
apment they are Prelim,". 9
RT-100—NOT have ObJOCW s to Uss larOl ossl. I DO have odactlan to thin Proposal,
ou must no the N. . Nis n o m
If you ,O ObfeCfrone t0 what to behrg Propoasd� Y
Mamgemant (CCM) in w MOU wtthrn f0 days of "oerof of this noflce. olives on also
ae should be
0d
maHad to 400 COmmom, Ave., Moralread Chy, NC28881. 0CMr6lolog natives con a/ao W ComactOd
at (2$2) 80882808. No W.06& is Considered the same as no Obj"don if you have been no~ by
coAMed Mail.
WAIVER SECTION
'I dnden liand that any proposed V{er, OOOK, mooing pilings, boat tamp bre8M8aler, bbe "th HR, Or
�ta1Ci� by me
(hisdo�es not appNt be set �bulkheads Oriqimurn 'HP IP rrevetmenle). (M youavlsh W waive Uw semack, of ripartan abbess unless you �Lnus1_ton
.the appropriate Wank below.)
i DO with to waive somelatl Of the lb'setba / � �
Signature 'Imo, P any O ar
d)R.
I do not wtah to wO M the 16 sainack requirement (iniUal the blank)
S'r„no!urs of AdjatOnt Ripirian Propetty
TypodtPrinted name of ARPO;
_�Idf Urd
I , R Malting Address of ARPO:�_„jL
a€tro'a Ammil;
�..cyG'! bL4, 3 ARP6'a Phonetl:
tiara: is valid for uP to ��ar tr0m,ARPO'e SlgnetUro•
)06W y /3�w� j.L}'> Revised Jury 2021
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"`°t ° LjCAMA ❑ DREDC3E 8L FILL N° 84573 n e o
Git
ENERAL PERMIT Previous previouspermitissued
[lew ❑ModiTication ❑Complete Reissue ❑Partial Reissu
As authorized - Tl by-tthe
� State of North Carolina, Department of Environmental Quality and the al Rerces souslon in an area of environmental concern pursuant to:
I SA NCAC l t Ill IIIQC)Rolm attached. ZGeneral Permit Rules available u the following link: vewyyc1eq.r�c gov/CAMArules
�a�IJ
IL • �w
%,W. n
Affected 0CW NEW
AEC(s): OEA ❑ IHA
ORW:ye na PNA:
Type of Project/ Activity
ko)q, ','S F1 M Project Location (County): t/t
LP al st) Street Addmss/Stam Road/Lot#(s)
tC�lUn a maul• Comclty zip ox tlov
PTA Es F-1L--�PTS Adi.Wtr.Body- V , A% K n unk)
uW ❑ SPIMA LI PINS Clasasc Mal. Wtr. Body
(Scale: l.) [ )
Shoreline Length —70
_
a
?- ' ---;�
Access Length
Pier (dock) length - + J ___
I , i
Fixed Platform(s)
Floating Platform(s)
Finger pler(s) C �. ) . _ (. I__ �. _ _Y . -
t r
Total Platform areaT�
Groin lengthJU / '__Tl.ifit6'j1Aq �. i ____�_tir.A.. �. 4,�,.}��1 Ll
Avgg-dginte offshore V
Breakwater/Sill
Max distance/length
Basin, channel -�
Cubic yards
Boat rem I` >:[• j
P
Boathouse/ Boatl(R \ Ir 1 + f I 11-
Beach Bulldozing'.`_ -I_ t {I�
Other �i LL�-'
SAV observed: yes no
Moratorium: n/a Yes not_
Site Photos: eys no
Riparian Waiver Attached: [Q2S) no l.l__ - -__,_
A bullding permit/zoning permit maybe mquiredpy:
Permit Conditions l_ L)M\�S J Ot n �IfV1l��� TU .fit �W1U V.i ❑TAR/PAWNEUSE/BUFFER(circle one) -
I r
•OY]�Op$2A �lhlA ti%il[p;OI See note on back regarding Rhrer Basin rules
----- See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECr AND REVIEWEDCOMPU/tNCE STATEMENT. (Please lnitial) E� '`
Signature --Please mad (lance statement on back of permit•
�€fY). oo i� L-V615l L%
Applkation Fee(s) Check #/Money Order