Brisson, David 88763C

SLICAMA I DREDGE & FILL NI? 88763 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolinaa-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 a[ the following link: www.dm.m.gov/CAMArul s
Applicant Name i
Address
City State LP
Phone # I—)
Email
Project Location (County): / r
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ 0EA ❑ 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)
Finger pier(s)
Total Platform area
Groin length/# "
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Silt—
Max distance/ length
Basin, channel
Cubic yards
Boat ramp_--- r
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes no
Moratorium: n/a
yes no
Site Photos:
yes no
Riparian Waiver Attached:
yes no
A building permit/zon`ng permit may be required by:
Permit Conditions
(Scale:
❑ 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) I-✓
Agent or plicant PRINTED Name /� Permit Officer's PRINTED Name
Signatdm 'Please read compliance statement on back of permit" Signature
Application Fee(s) Check#/Money Order Issuirae 'ExpiraltionD e

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
1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

SnNew
❑CAMA ElDREDGE & FILL N° 88763 A B C D
GENERALPERMIT Previous permit iDate previous permit ssued
❑ Modification ❑ 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 _
Address
City
Phone # (_
ZIP
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closes[ Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
Sh.,PllnP I Pr&h
Access Length
Pier .•ck) length
_
q■■■■
JIM=
■
■■�■■■■■■■■q■■Fixed
■�■■
■
■■
■■MM■■■■�E■Floating
ME
Platform(s)_
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■■MM■■■■
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■■�
Finger pier(s)
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■
■E■
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■■■
Total Platform area
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■1a■■)■■■
Bulkhead/ Riprap length
Breakwater/Sill _ minim
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
itm%i11it1.�■■■qH■■■■.■q■■■■■■N■■�■
USE
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SOME
MEN
SAV observed: yes no
Moratorium: n/a yes no
site Photos: yes no
Riparian Waiver Attached: yes no
MEMO
A building permit/zoning permit may be required by:
Permit Conditions
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)
i
r �
Agent or Applicant PRINTED Name - - Permit Officer's PRINTED Name
Signature -'Please read compliance statement on back of permit-* Signature
Application Feels) Check ri/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 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://Portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

J
Name of Property Owner Requesting Permit: 1 / 4 ✓/ mil-
Mailing Address: �J 9 ©i L Ln mA
[ Fcc� fJm A) C 2/ g�
Phone Number:
Email Address: Ari99e)nei
1 certify that I have authorized C3 Scoff, Inc
Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CA/MA permits
necessary for the following proposed development:
at my property located at S� 5 ¢ DU ✓�
in L) s ✓ I P� 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:
Signature
Print ype ne
rve j 0 "'j /0 Z- /?
Dale
This certification is valid through 03 1 O / I
RECEIVED
OCT 13 2022
nrM_MHD CITY

iitiai
]ere on
-ne of
iese
nes
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
am ocvrnwf ejyt7
I hereby certify that I a adjacent to ,2A1//, D )'sJe
property located at
on
(C
Awl
and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc do .
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)
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
nitial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
sere on I do wish to waive the 15' setback requirement.
me of `/
hese I do not wish to waive the 15' setback requirement.
Ines
ect Owner In ' n) (Adjacent roperty Owner Information)
Sibm �atul1 t �) Sinare
X"L�i
Print or Type Namq f Print or Type Name
Z-6f LZVII,;Z'Y7 9-00c S'6'woul`elj Ave �1
Madir, r JC, zgs%
Telephone Numbea email address
oa��� �7 D z
*Valid for one calendar year after signature*
—Co 7 �oG
per address
i'5F 7'b2�
rr&�TT .
(Revised Aug. �PB141 g LU
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _=11 dr � �r �yo v1 's
q Lf l ) /(Name of Property O ner)
property located at 3 I / /� /N L4i /Xpc 1✓r -� a t 7-'3 )
( dress, Lot, Bloc , Rom, etc.)
oncn�1�� ��c�cou , in < �,��z°✓r�'f �� , N.C.
(lWaterbody) (City/Town and/or County)
iitial The applicant has described to me, as shown below, the development proposed at the above
sere on location.
one of I have no objection to this proposal.
iese
I have objections to this proposal.
nes
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Je e /� ffe vi
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
nitial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
sere on I do wish to waive the 15' setback requirement.
me of
hese_ 1 do not wish to waive the 15' setback requirement.
Ines
Owner Information)
SiAzz ure -�
F-nnt or Type Nam
'55 Tec
- . 1 N / _
Telephone Number/email address
Dare V� Cad Z�
(Adjacent Property Owner Information)
Telephone Number/e ll address
Dare ( ` � Z�RECEIVED
`Valid for one calendar year after signature'
(Revised Aug. MMI 3 2011
DCM-MHD CITY