Pridgen, James 88796C

ei OCAMA K[DREDGE & FILL
'M 11 GENERAL PERMIT
eNew ❑Modification ❑Complete Reissue ❑Partial Reissue
NY 88796
Previous permit
Date previous permit issued
A B ©D
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:
A I SA NCAC :2 TI 970 ❑ Rules attached. LSTGeneral Permit Rules available at the following link: w .deo,nc,gyv/CAMArules
Applicant Name
Address
City 5-/VIS Stare�r_ZIP
Phone #) f 37
Email
Affected CW NEW �PrA F-JEs 7PTS
AEC(s): F-1 OEA E] IHA ��aJUW � SPIMA � PWS
ORW: ycs/jl(d-i PNA: yes/&
Type of Project/ Activity
Authorized Agent _"
Project Location (County):
Street Address/State Road/
SubdMisionG II
p
City 1 S ➢P
Adj. Wtc Body
Closest Maj. Wtr. Body
(Scaled r�/O/)
Shoreline Length .7�
Access Length (�
Fier xed Plakorni(s�
Fined Platformis)
Floating Platforms)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatllit
Beach Bulldozing
Other
I 11
"4� w \V
l v ooserveo: yes no
Moratorium: n/a yes
Site Photos:
Riparian Waiver Attached: (* no D
A building permit/zoning permit may be required by: ,we Kn s S
Permit Conditions AIIA
THAT APPLY TO
AND REVIEWED
Permit Officer's
❑ TAR/PAFVNEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
SI ture •• a read compliance statement on back of permit•-
��i1
Ap ication Feels) Check #/Money Order
Date

40Mw M'CAMA DREDGE & FILL )QDG
N9 88796 A B ® D
GENERAL PERMIT Previous permit
Date previous permit issued
eNew ❑ 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 n_--tf 0 ❑Rules attached. General Permh Rules available at the following link: wwwdea nc.eov/CAMArvles
Applicant Name
City S" /✓I CJ 2' State Nr, _ ZIP
Phone #'714a
Email �
Affected ❑ Ipf
CW NEW 54 PTA ❑ Es ❑ PTS
AEC(s): ❑OEA ❑IHA ❑jUUW ❑$PIMA ❑PWS
ORW: yes/ PNA: yes/her
Type of Project/ Activity P� 05i 0 C K
Authorized Agent nC-::i- I 0)
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision M
G - l
City ZIP 7 ��
Adj. Wtr. Body
Closest Maj. Wtr. Body
Shoreline Length
Length
Pier (dock) length
Fixed
Fixed Platform(s)
Floating Platform($)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater �?—
Max distance/ length
Basin, channel _
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
�1Y
SAv observed: yes no
Moratorium: n/a yes
Site Photos:
Riparian Waiver Attached: e7
no (y�
A building permit/zoning permit may be required by: Pine, Knoll S DEs
Permit Conditions
Permit Officer's
-rw
\ '/
❑ TAR/PAMMEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signature "`}sere read compliance statement on back of permit--
r L
Ap iwtion Fee(s) Check #/Money Order
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:
1-1 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
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 Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

fA #tAttt'❑CAMA ® DREDGE & FILL
4 GENERAL PERMIT
j New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
No 88796
Previous permit
Date previous permit issued
A B ..0 D
As authorized by the Sate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC r' - ' 2nn ❑ Rules attached. EJ General Permit Rules available at the following link: wwwdea.nc.eov/CAMFwIes
Applicant Name
i1 VVI G f 4 . 1 -
Address
City
State �J �, zip �-
Phone#f4, 77 �_ rI
Email
Affected ❑ cw
©EW Z PFA ❑ Es ❑ PTs
AEC(s): ❑OEA
❑INA ❑UW SPIMA ❑PWS
ORW: yes/no
PNA: yes/(io'
Type of Project/ Activity
Shoreline [math
Authorized Agent -}- j'. i- ^\. +� • �.n_ w Cl
Project Location (County): (7a-( -16, t I
r
Street Address/State Road/Lot #(s) If 110 /'✓1 r G ; n /7 S 1 : F , VF
Subdivision C r
City c
Adj. Wtr. Body
Closest Maj. Wtr. Body
srT Ur
(Scale:/ s ��
Access Length
Fixed Platform(s)
Floating Platform(s)
Finger pieris)
Total Platform area
�•
'
,�
■
Groin length/#"
MOMS
Bulkhead/ Riprap length
Avg distance offshore
Breakwate rtsil-
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
ii
�!laI1RlSJ�!��■■�N�°
AWNBeach
�11��
Boathouse/ Boatlift
Bulldozing
Other
qAv
Moratorium: n/a yes no
Site Photos: ye no
Riparian Waiver Attached: ,ve� no
A building permit/zoning permit may be required by:
Permit Conditions A / /A
or
Permit Officer's
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Si gfiature "P, ase read compliance statement on back of permit" Signatyre
i
Application Feels) Check II/Money Order Issuing Date k�xt
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)
http://portal.ncdenr.org/web/cm/dcm-home
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 Pender Counties)
Revised 6/01/2021

Ote"r'NEICAMA ❑ DREDGE & FILL N9 88796 A B C D
a = GENERAL PERMIT Previous permit
+ Date previous permit issued
[—]New []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: wwwdegncgov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
ZIP
Authorized Agent
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 Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
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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
1 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-.
Application Feels) Check #/Money Order
Signature
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:
ElTar - 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

110 McGinnis Dr
James S Pridgen
PO Box 63, Sims, NC 27880
T14
DCM-MHD CE
Approx. 50' of offshore sill proposed
Landward edge of sill located 5' from existing marsh
At least 5' wide open gap for water access under and on each side of shared
dock
NA�IE
SHORELINES
A Div of Restoration Systems, LLC
1101 S Haynes St, Suite 211
Raleigh, NC 27504
919.755.9490
www.NativeShorelines.com

.a■�•�
AGENT AUTHORIZI±NIp' PERMIT APPLICATION
ATION FOR G
�
Name of PropePermit-
James
rty owner Requesting
S Prid en
nn Rnx 63 _
Mailing Address: 27880
Sims NC ,3 7
phone Number: t a
Email Address: Restoration SystemsM ratio Shorelines
& the NC Coastal I=edAge-�I Contractor
f certify that I have authorized errnjiS
to act on my behalf, for the purpose of applying for and obtaining all CAMA p
necessary for the following proposed development:
living shoreline
110 McGinnis Dr, Pine Knoll Shores
at my property located at
in Carteret County.
/ furthermore certify that l am authorized to grant, and do in fact grant perm":
Division of Coastal Management staff, the Local Permit Officer and their agents
on the aforementioned lands in connection with evaluating information relate
permit application.
Property Owner Information:
Signature
Print or Type Name
Title
Date
Ot
This certification is valid through 06 1 30 1 3

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: James S Pridgen
Address of Property: 110 McGinnis Dr, Pine Knoll Shores, NC 28512
Mailing Address of Owner: PO Box 63, Sims, NC 27880
Owner's email: [e-mail] Owner's Phone#: [phone]
Restoration Sysrems/Nabve Shorelines Morgan Rudd: 804 385-4981
Agent's Name: NC Coastal reaeratlon Agent Phone#: g ( }
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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. A
description or drawing with dimensions must be provided with this letter.
Check Here I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
Sign Here I DO wish to waive some/all of the 15' setback iV
Signature of Adjacent Riparian Property Owner
-OR- -OR-
Initial Here I do not wish to waive the 15' setback requirement (initial the blank)
Sign Here Signature of Adjacent Riparian Prop
e
rt
/y Owner, �C,///z-}jC�t�j%Cr//{/� 1- ` `� ���-ti-� 1
and ` l-r;/ • Q / ,. J' /
compere Typed/Printed name of ARPO: %
Mailing Address of ARPO: �% S '- / I Mar
� c i 2
C4
ARPO's email:�4j1q 1J_fd4, ;l' c7-' ARPO's Phone#:
Date: l /� (�z�ZZ -waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
-CEIVED
OCT 14 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: James S Pridgen
Address of Property: 110 McGinnis Dr, Pine Knoll Shores, NC 28512
Mailing Address of Owner: PO Box 63, Sims, NC 27880
Owner's email: [e-mail] Owner's Phone#: [phone]
Restoration SystemslNative Shorelines Morgan Rudd: (804)-385-4981
Agent's Name: INC Coastal Federation Agent Phone#:
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed bV the Adjacent Property Owner)
I 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. A
description or drawing, with dimensions, must be provided with this letter.
Check Here !,s I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.) /
Sign Here I DO wish to waive some/all of the 15' setback / I/,, J
-OR- Signature of Adjacent Rip rian Property Owner
-OR-
Initial Here I do not wish to waive the 15' setback requirement (initial the blank)
Sign Here Signature of Adjacent Riparian Property Owner:
and
Complete Typed/Printed name of ARPO: (r: n ¢ P i c I Ja reel
Mailing Address ofARPO: 13
Frcohcs]]
1dv)J
i'ci , 1 (LbCr
(`(bi d\�C 2`;Zlu3
ARPO's email: ! + v tCt�(OL" c(d
91 G' C
ARPO's Phone#:
cJ I G - [ C 1 -
(r(s t-if
Date: I (D ' SS Z- 0 h rL *waiver is valid for up to on¢ year from ARPO's Signature*
_t
Revised July 2021
r1 C;