87835B - Margret Doyle

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aCAMA ❑ DREDGE & FILL RCS 'sTO
87835 ABCD
GENERAL PERMIT 44 1 30) Previous permit
Date previous permit issued
I—]New I Modification Li 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:
I SA NCAC Rules attached. 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#( ) L
Email Subdivision
City ZIP
Affected CW I I EW PTA ES I I PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): fl OEA IHA UW SPIMA fl PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity '/iG�`
(Scale: )
Shoreline Length
Access Length r, 4t �� �..�— -�-
Pier(dock)length t.iv' 1
Fixed Platform(s) ' ' •
I
Floating Platform(s) i I
I.
/ l
Finger pier(s) / ;
Total Platform area i
IGroin length/# ! ,
Bulkhead/Riprap length I —_. _...—
i
I
-- - --
Avg distance offshore t - t �_- - 1-14 r-_..._._
Breakwater/Sill ( ` , tk)LL-4�- _ __ . ._ .
Max distance/length O}i.
Basin,channel rt i 1 Iit -A_ / L. - r
CubiBoat cds • T — —
ramp �'
Boathouse/Boatlift 1 I t--, . =l
Beach Bulldozing
Other
SAV observed: yes no ; }
Moratorium: n/a yes no r i ' •
Site Photos: yes no I I I
Riparian Waiver Attached: yes no i I , j
A building permit/zoning permit may be required by:
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
II See note on back regarding River Basin rules
II 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)
`C), \\-, V'• =
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

a�',consrk I ICAMA — DREDGE & FILL l-1- N° 87835 ABCD
GENERAL PERMIT 1 13C>1 lPrevious permit
Date previous permit issued
i
I New [ 'Modification Complete Reissue 7Partial 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 I I 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 I I EW PTA 7 ES PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): OEA I I IHA UW I I SPIMA I I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length j I ti.3 --'�--
Pier(dock)length I
Fixed Platform(s) }
Floating Platform(s)
Finger pier(s)
r I _ 't
Total Platform area i
Groin length/# _ ! ' I
Bulkhead/Riprap length I j . i
Avg distance offshore -----,--- ----- — I % • `
Breakwater/Sill Y
Max distance/length e` 1 i `--
Basin,channel I ' j � —
Cubic yards
t
Boat ramp •
{ I {
Boathouse/Boatlift 1 — I
Beach Bulldozing
Other I
I — I t
SAV observed: yes no
Moratorium: n/a yes no I ,
Site Photos: yes no �—
Riparian Waiver Attached: yes no ! I
A building permit/zoning permit may be required by:
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
II 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#/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

AMA AGENT FORM.pdf
•
AGENT AUTHORIZATION FOR CAMA PERMIT APPliCCATION
Name of Properly Owner Requesting Permit: Max t 1c r d-f )laic( 1e
1VlailingAddress: Id I Oa aar IA al y' ice.
Veto I7crn
- -PhorreNurnben4.5"el) SI - 2,7 q '7
Emil Address: 1 e .j19.d G sadden Iugk,*&--f
Icertifythatlhavoauthorized t1PLr1c1 1narn '� CdiM1C fticlron
Agent IConniacter
to act on my behalf.for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 11'r f 149 e- b t4L K ii ea-ct
at my property located at ie I Oa C A,F !no ) Dr ya_id ® errn
in (1.. ? County_
i furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff,the Local Permit Officer and their agents to enter . .
on the aforementioned lands in connection with evaluating information related to this
permit application:
Property Owner information:
•
M et.r5 c+t�l-t I D Je .-
�^ mint or Type Name
I
Title - •
.17 t as 23
Date -
This certification is valid through /

•
;AMA Neighbor Form Washington-Kent.pdf
N.C.DIVISION OF COASTAL MANAGEMENT
ADJMONWAIVER FORM
CCEARTIF�IED MAIL!RIPARIAN
RECEIPT REQUESTED PROPERTY OWNER Aor HAND DELIVERY
(Top portion to be completed by caner or their agent)
•
Name of PropertyOwnet f'Irtr Ltr-e-.t ; EWIl r� (a n /�
AddresotProDerty: itI d C arT4, n1 a( Y r Wad BAr /u%f__n 3 3'4)
Mailing Address of Ormer: 5€une .- )f9,774
7 ,/ -
Owners emoite,fi i9 5!Ati n . I n i:primers s Phone t: CD-���. c1-1 - `�"'( �'T
J9: . •
Agonf$N2rte:R)ver`R4/7� r^dr;ilt O n6'�fu,4oL1 nn:423'h? 1411.'443. 1{
• A sErna! pA en \rt! 11V-erl &ChM of Jae I�nR s'fi r t&Ci)o+ . e s✓L
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIRCATION
If3ottom portionto tncompleted by the Adlacenl Property Owner)
Iherebycertifythatt arm prcpenyadjacent to the above referenced propttiy.The Individual aDplyingfo:Uiis
permit has descnled to me.as sham on the attachhed drawing.the devetk/Dment they are proposl:l.A
descendent nidrarvino,wit lidnrmnsimm.must bawevided tint this letter. • .
(/ 1 DO NOT have cbjeti:3rA to this pmp05N: I DO have otjectioasto this proposal.•
V you navo ob/eetons to what is being Proposed.you must nonly the Ma oMsfon of4Xnt
Management(OCMj in writing within 10 days of receipt of this notice. Correspondence .
mailed to 943 Washington Square Man,Washington,NC 27889.DCM repJosenraffves can also be
eontactedat(252)9454581.No response Is considered the same as no objection ii you have been
notiiiedby Certified Man
WAIVER SECTION
I understand that any proposed p1er.dock,mooring Pfmgs,beat ramp,breakwater,boathouse,lib,or
g ammustbe set bast a minhmcm CEtante of 15Item my area of motion access unless waived by mustskin
(thisme
not does applyboatloads ex ripraprevehnems).(It you wish to wayeaive the setback.y
the appeopria
I DO Wish to waive somelag of the IS setback
- Signatory Of Macon,Repel a ripen)Owner
-OR-
I do not wish towaive the 1Ssetback requirement(initial the bfant°
Signature of Adjacent RimMan Property Ormer..
TypedlPrinted name of ARPO: lA/r%1)acal W '0J r hR`'"
Mains Address of ARPO:J,l Llri,,r'aNn IS -0 r• '
ARPO's email:s+rleA.1,-caclicio al ARPO's Phone9: a.17 7 ?9-r38Sr)
Date: 1/-2c2/-34— 'waiver Is valid tor up to one year bore ARPO's Signature'
Revised May 2021

;AMA Neighbor Form Washington-Kent.pdf
N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT A PROPERTY
FORM
IEDMAIL.RENRECMPT REQUESTED DELIVERY • - . - - . .
(Top portion to be completed by owner or their agent)
Noma of Propany Ownet 1I1� rtrq r C,f J a 7 l la
Address of Property. V1 OO' car'`dr r)kI .Dr Ile_rJ 3.Q.rid JArr 4). . . . -
Mahe Address ofamen S4p< " i- !' - .. .
Ormersemaii:AC5g a dQ s n/ydhn LI r•OWner's Phenee: C-•7 1 S 13 - ^a-'7'� `
II �. l_
Li I
Agont's Name:fgIVP r�e-I Srnnt .... arnmiaho otp,�2tid2) .7,1 ^43a.q . .
Agent's Erna:: pt A \w R t V.f.'Y ?Cell ore me, ?n ris- - r Eta 1 1 O 1 . 4'On'I. _
.
ADJACENTRIPARIAN PROPERTY OWNER'S CERTff{CATIDN
Mohan portion to bo completed by tho Adiaeent PropertyOwnar)
I hereby cenutJ that Joys property adjacent 10 the above referenced pmpodY-TheinarnduaI applying for this.
pent has descnlwd to me.as sham on the attached drawing.the devetopmenl they am proposire A
Cased➢lvn ar dearrinn,writ a-Simians,must be'ormlded wkri this taller. . - -
.. tD0 NOThmeobjections to this proposal. WO have obledtions WildspropesaL
!t you have oblecUons ro what is being proposed )Dy must notify Ma N.C.Division of nectar
Aranagemen;(DCAV in maths within 10 doysofreceipt of this notice Correspondence should be , .
mailed to 943 Washington Square Mai/,Washington,NC 27889.DCM representatives can also be
contacted at(252)94644M.No response is considered the senvves,noobfectton if you have been
notiliedtyCerOred Mai.
WAIVER SECTION
I understand that any proposed pier dock,mooring pings,boat ramp,breakwater boathouse.liie.or
greatmrrst be set back a minimum distance of 15 from my area of riparian access tram waived by me
chidoesnetappropriate blank to b w.)�re Tiptop revetments)-of you wish to waive the setback.you must sign
I DOrsysh to waive som&all of the 15'setback
• Signature of Adjacent Riparian Properly Caner
-OR- eee
I do not wish to waive the 15'setback requeement Waal the blank) r✓sj
Signature of Adjacent Riparian Property Owner .�/[ %�r• (�/-iLavtte'fey :
TypediPrmted name of ARPO: R/n Np i...b S i/Jv`)d/I) k-LI)
fibbing of ARP& oA D GAw.j.vij4 b 6.
c,
ARPos eman:S%/'P,A.I Reivo�1 ARPO's Phou : -25. 6. Y-3/ ,-,
•
as T/asy 'walls Is rand for unto one year from ARPO's Shgnatum°
'I } Revised May 2021
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