Evans, David 88803C

'CAMA DREDGE HLL
W8M3 A 6(L) O
PERMIT
�GENERAL
�fri..• iraa..� I...Cargr�e R.4.... pM1e�IRwaw
.wrYrf^.OM tiw��1.��aYrw1rly Yrrlrr�ww�wr...�a... w•w
p Y�I.r ArwMw•wwr��r
,s
L)
AMMIVMRII w�—_..('�f•_�� ':!C.91n�G �r!P_11f�iQd_-- _._
C."I
eW
q-p�pp ¢X4Va�"�Q�
;a-
-- gins
- -:I

DREDGE & FILL ��iG N° 88803 A B© D
`� GENERAL PERMIT Previous permit
Date previous permit issued
f New ❑Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the
/State of North
North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC V;// - /5bo ❑ Rules attached. � General Permit Rules available at the following link: www. .nc. v CAMArules
Email Subdivision
City - ZIP
Affected ❑Cw EW PTA
AEC(s): ❑ OEA IHA ❑ Uw
PNA:
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platform(s)
Fingerpier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore ,
pubic yards_
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing _
Other
❑ ES ❑ PTs
❑SPIMA ❑PWS
Adj. Wtr. Body f jRAt5,
Closest Maj. Wtr. Body
�JbN%
SAV observed: yes no SUU� ��
Moratorium: n/a yes UUUUUUUU""'' cv�
e Site Photos: yj'E�'��,�
.­,­ w.foor Gttazhedo Cveci n
or Aoulicanf PRINTED
Permit
(Scale:/�ii,Z )
Cep nA0 ^w
1� d
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Sig to ,Please read compliance statement on back of permit"
Xplication Feels) Checkftk /Mount yOrder
Signa re
Iss ng D to 6 iration ate

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 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/ 1-888-4RCOA5T 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

❑CAMA. ❑ DREDGE & FILL
GENERAL PERMIT
fNew ❑Modification ❑Complete Reissue ❑Partial Reissue
N9 88803
Previous permit
Date previous permit issued
A B _C/ 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:
rr �
I5A NCAC -� ❑ Rules attached. L'J( General Permit Rules available at the following link www.deq.nc.gov/CAMAruIes
Applicant Name Vr� S
Address
City I\/ State ZIP
Phone # O ��
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) /
Subdivision
City_
Affected ❑CW ,OEW ❑PTA ES PTS Adj. Won. Body r y;r Ci'-C is-'l;• �•i,� (nai; atr/unk)
t,
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mai. Wtr. Body�''t'l�/'c"''
ORIN: 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 _"I
Breakwater/Sill
Max distance/ length I
Basin, channel
Cubic yards
Boat ramp
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/zoning permit may be required by:
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT
PRINTED
[Scale6,Z j
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name
Sig t e ••Please read compliance statement on back of permit••
Application Feels) Check #/Money Order
Signature
Issuing Dine Eitpirationbate

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
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

7;1`ZN❑CAMA D DREDGE & FILL N9 88803 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 Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdea nc. oWCAMArules
Applicant Name
Address
City State ZIP
Phone # I—)
Email
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
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: )
Chnmlinu I> h
MMO
■■MOMMENEW
■
■
�is■■■.Ti■■!■=�■
�■
��d�M
MMO����Nq�H■■���I
.:..
C
G
IIIIIE���11111�
.■■■■■■!■■!!■■■!!■■■■■■■■■!■■■
�.■MEMEME
■a■■�:::3
�
�CMINI
■.E�arm■lIlIlIOM.
E
J®
■::■■:■■
■■
■■■iJ■■2*■
■■■■■■■■■■
■�
A building permit/zoning permit may be required
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/
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit' Signature
Application Feels)
Check q/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:
1-1 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 Manaeement 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 'y 1;,141,is
Mailing Address:
Phone Number:
Email Address:
2 (3 A.
I certify that I have authorized 6I4l �*-"
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6"eVH2
at my property located at �2
in CG 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 or Type Name
Title
/" l I23
Date
RECEIVED
OCT 11 2022
DCM-MHD CITY
This certification is valid through

N.C. DWIS10N OF COASTAL MANAGEMENT
^ ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM
IJiwid� 'itlS is p I n e oCrFIPT REOU�STFt7tN H�1pp D
F'r T Oy (Top portion to be completed by owner or their agent)
rm
Name of Property Owner ixf/ o- 4 , �/✓ �. �f. �/� f 1 /.(/� �8 f(
Address of Property 1_ `�'t L �� J %
33dJ f%t ®11)w 1� IL��P:r'1
Mailing Address of Owner
Owner's email
�1r11evr.A/e.y Owriels PAd+et. �i /,— c9
Agent's Name Ahr ewe► Ate.ini t'emp f. ant Phard' tang��
Agent's Email Q lo• Ciinri
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Prone Owner
(B
1 herebycertify that I own property adjacent to the above referenced property The mcfNidual apphnng for this
e P .as 1
permit has desrnbed to me. as shown on the attached drawing. the development they are proposing_ A
DOdescription o rawinp with dimensions must be provided with this letter
NOT have objections to this proposal _ I DO have objections to this PmPosal.
If you have objections to what is being proposed, you must nomy' me ^•�• """""' "" """'"'-'
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 representadves can also be contacted
at [phone]. No response is considered the same as no objection if you have been nodffed by
Certified Mail.
WAVER 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 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or npmp revetments) (If you wish to waive the setback, you must sign
the appropnate Wank below.)
I �1
I DO vrish to waive some/all of the 15setback . /y;
Iv, -Ai3 Sign v of Adjac & t Riparian Pmerty Owne
-OR-
O M4-
I do not wish to waive the 15' setback requirement (nihal the Wank)
\ Signature of Adjacent Riparian Property Owner
•^ / /% /
Typed/Printed name of ARPO:
Mailing Address of ARPO,
ARPO's email: w ARPO's
Date: k? 2 -waiver is valid for up to olte year 6of� E ' "nature•
Fi V Revised May 2021
OCT 17 2022
DCM-MH

ft�
DrV WN DP COASTAL MANAGEMENT
ADJACFM supARim PRaKRry ow t NOTvuymwKAMR FOW
Name d Pmp"oica[
pderAad/, swne.Cq=cab9
Aged-s
Ayaearsset 4��(.-Ile�J�4.•r!-a�Ap6gAdAt9r 9J_<a.,i,c k^'�`
pbmr dfd—svYe-u7;% /� ' Six
4 Rt� �I9M1 I%1�•,(MJ Ai Ili '/17T.{.(..-M
1 bbvby at* w I elm PmPa7fb tm abow Mbmmd r ftm IndV✓Ad
apprpgtrtA+P�bi348Tp�btbmemdmd+m to eQidted*U&g &VtbFME0
QeEare P�0 A dsa5dm ordasdia, dm daJaxMa amdba Om�4M+NL0�ab74.
but moborkm toftpapoal _Ibm tdt pmpoml
tpamme7ptllemtamom k b+pAaPnLPa�taodj'0�N®lsdoeam7{b'm9�
Xvm mbp soft Imp drK44 ddB aaft 69aWtd+vcvdan boor dLaau
mobbba mp..�ra eLlA erbr
No DOM*bfw&r ;aa= obkcmndrm"*am ma—kdaLCJrA�-Ak&
YPA{VER SECn=
r mlOm7aAtffia PdtOr�.MaQ P�A*.6oS®p.6�. boaIDd®.Jr It n1Jq
be back aoamamdmmdtSt®mra ccdpa a aA=wmvedbyma. jT
Imr5mb¢�e eios�ciCPm me appop9 btabbaj
1 do,dtAbaaWbe 14 re3aa a
1 do ad Ott b a¢Ae tie W-J9 0**Wrara.
4Jtpe0r O�m{►4Etea�ooq
Fedd7)Pomma
/abpfia0Ab.OI/EWAUW
am
� Ptap�gr OAwry�pm{moy
-
5
FS- 3 (o
reagJmeAI�Owf6 jdaa ,
/o
Da
Q6,bI0dAso mm
.� s J"A
ti c-A
.17