Farless, Tim 88749C

#KNew
[ACAMA ❑ DREDGE& FILL N4 88749A R ©D
PreviGENERAL PERMIT Date uevious t
Date previous permit issuad� ❑Modification ❑Complete Reissue []Partial Reissue
As authorized by theStateof N�,o�,rr,th.�� Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
I SA NCAC —6L� r 2zw ❑ Rules attached. M General Permit Rules available at the following link: wwwdeq nc gov1CAMArules
Applicant
Project Location (County): nAicl o
Street Address/State Road/Lot N(s) = n .
Affected CW �W OPTA ❑ES ❑PTS Ad), Wtr. Body �VV a an/unk)
AEC(s): REA ❑IHA ❑UW ❑$PIMA ❑PWS Closest Mal. Wtr,Body �'1Vk1
ORW: yes/W PNA: yes
type of Project/ Activlty fq Gl; "tVwIAKa Pie Li l IN f95' 9iA i% FaDmA)1 W) ni
I�X�Rll5)Or�S �i/�J3D/�Ii1o�S
r
Shoreline Length
Access Length
r
Pler(dock) length x(dgs
Fixed Platform(s) 13'& WxUl
Floating Platform(s)
Finger pler(s)
Total Platform area y
Groin length/H
Bulkhead/ Rlprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
nasln, channel
Boat ramp r
Boathouse/ ail t
1
Beach Bulldoz ng /
Other /
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
A building permlt/zoning
Permit Conclitionsi9flo
yes no I
yesyes ' N
yes o , i�wW
(Scale: Id
permit may be required by: //NSL CO/ Aw✓il�S�J�O
Mop of fi-if &OUVIZ5 tq4a, aktortu"1 'Iwo &Jf4E11 MGNsPP-5 EJ TAIVPAM/NEUSE/BUFFER(circle one)
ieva abxw6W11-4*5 gp 3yn [:]see note on back regarding River Basin rules
SU26i12ME toy60m, Spnom ROUA P.HPLACBA4W SMu
hheliid vv Me ,i r-1nn,rsf In.wd .,,. Ahi\Mn IIC .n QV/lnntrnaC❑See additional notes/conditionson back
(Please Initial)
h
>ignature •"PleasAread corkl(Ilance statement on back of permits•
2(�(�, ey 0011 :�5
1pplication Feels) Check 11/Money, Order
Date

C4CAMA ❑ DREDGE & FILL
3 = GENERAL PERMIT
ZNew ❑ Modification []Complete Reissue ❑ Partial Reissue
N9 88749 A B D
Previous permit - O
Date previous permit issued
As authorized by the State of N_orth� Carolina, Department of Environmental Quality and theCoastalResources Commission in an area of environmental concern pursuant to:
15A NCAC / 22 t Lam/ ❑ Rules attached. F I General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Affected CW nW ®PTA ❑ ES ❑ PTS Adj. Wtr. Body AM w a an/unk)
AEC(s): �OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body M"
ORW: yes/0 PNA: yes4p
rAo fig ,
Shoreline Length .i
Access LengthII iI i � 1
1 f �� pPier (dock) length 5,X(0q,
i00
.�
Floating Platform(s)
Finger pier(s)
Total Platform area Z
Groin length/# K
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ oatr 5 t16 I
Ur
Beach Bulldozing l
Other
SAV observed: yes no
Moratorium: n/a yes
Site Photos: yes o \\,,11
Riparian Waiver Attached: yes �/' k�`f"
A building permit/zoning permit may be required by:
I AM AWARE OF
Ilk
M",
(Scale:
d
27
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature "Please read compliance statement on back of permit*'
%�� �' o011 �5
Application Feels) 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
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
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

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Reqi
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Cor�t.-
v
Agent / Contractor
to act on my belhalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: . /41-WitfU/L/
at my property located at 163 k''
In'
in 4sNXIOU County.
I furthermore certify that 1 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:
rgnature
Print or Type Name
—� rItre
Io I I Z- / ZOZz
Date
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to bet completed by owner or their agent) ,
Name of Property Owner: \\JASt 11a('10CQ R$SUCiAR"I', SAC--
Address of Property: 100-:3fA-
c,63 L. 0 0 SW'IANsbo4o n)C
Mailing Address of Owner: -(o 80X SIb SU.)Ar�5bdR0 IVC- 2-85$U
Owner's email: �JO]wner's Phone#; rL j
Agent's Name: �/p}Ki CJ. __r //�� i7(j�. Agent Phone#: y�% 6✓�- 7 �.Z.SS L�
Agent's Email: pi!&- g116 1104C . 1?0 /
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
r
(Bottom portion to be completed by the Adlacem Property Owner
er by certify that l 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 at drawing, with dimensions, must be Provided with this letter.
61 1 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 (OCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Carpinal Drive EXI, Wilmington, NC 28405. DCM representatives can also be contacted at
(910) 798.72/5. o response Is considered the same as no objection it you have been notified by
Certified Mail.
WAIVER SECTION
� tl rstand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift or groin
must be set back a minimum distance of IV from my area of riparian access unless waived by me (this
does not apply to bulkheads or nprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) CC
' r' ytev
Signature of Adjacent Riparian Property Owners y/�
r
Typed/Printed name of ARPQ,i
Melling Address of fARP'r" (/ J/(o f .4-d
ARPO's emallafL(- .CcJIJ/LC�It•LL'.CGnt.ARPO' P tenon:
Date.10 a.,Z- "waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

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: I cit fir£ f I�_( I �P, t ,, II
Address of Property: 1 0-S J "tJd , AA Li SI JA NS �jaQo lV C a?59 �
Mailing Address of Owner: - 0 IJ OX 3 / I klE 'E�51'dr ((E lij if— Z7 Zg5
Owner's email: R Cc k-Ps Owner's Phone#: 336 ( 2-3 f [DO
�Mp�I, GM
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that 1 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.
✓ 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 127 Carflinai Drive EXT, Wilmington, NC 28405. 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 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.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner (ARPO)
I do not wish to waive the 15' setback requirement (initial the blank)_
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO'semaiOoct,?'428iS9q(6�Q ARPO'sPhone#: 3 3&'i7-3-
_JrAAi I. Cort1
Date: j a Z/ Z ° 22- *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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Weychert, Curtis R
From:
Eric Ward <[e-mail]>
Sent:
Tuesday, November 8, 2022 9:01 AM
To:
Weychert, Curtis R, Shelley Copp
Subject:
RE: [External] 103 Wind Dance Cama
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam,
Curt,
See below in red for answers.
Thanks,
Eric Ward
CP.F
CAROLINA
MARINE WORKS
121 Garnet Lane
Jacksonville, NC 28546
910-548-0711
From: Weychert, Curtis R <[e-mail]>
Sent: Tuesday, November 8, 2022 8:46 AM
To: Shelley Copp <[e-mail]>
Cc: Eric Ward <[e-mail]>
Subject: RE: [External] 103 Wind Dance Cama
Shelley,
There are a few things I wanted to cover with tis general permit:
Will both of the boat lifts be replaced with this permit request? Both existing lifts will remain. New pilings will be
installed for the western boatlift.
There is an existing rotating david lift for small vessels along the pier, will this structure be removed? The existing davit
lift will be removed and a new one installed.
I'm assuming that they are looking to stay in the same footprint, but it looks like the finger piers along the western
boatlift are being removed, am I reading that correctly? Yes, the new dock will be in the same footprint however, the
owner has elected to do away with the finger piers along the western boatlift.
Thank you,
Curt Weychert
Curtis Weychert
DCM Field Representative / Environmental Specialist II
North Carolina Division of Coastal Management
North Carolina Department of Environmental Quality
Find a Field Rep (arcgis.com)

252-240-9497
Curt. Wevchert(cDncdenr.gov
400 Commerce Avenue
Morehead City, NC 28557
https //link edgepilot com/s/8d3l2529/YrQVIKCkTOgdlWMYDQ8Ur)g?u=http://portal ncdenr org/web/cm/dcm home
E-mail correspondence to and from thus address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
From: Shelley Copp <[e-mail]>
Sent: Wednesday, November 2, 2022 9:28 AM
To: Weychert, Curtis R <[e-mail]>
Cc: Eric Ward <[e-mail]>
Subject: RE: [External] 103 Wind Dance Cama
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Good Morning!
I should have everything attached that you need (been a good bit since I've had
to submit these so I'm a little out of practice! LOL). I re -attached the signed
forms just so you would have everything in one email. Please let me know if
you need anything else.
Tha+-I, 1
Shelley Copp
JUA
CAROLINA
MARINE WORKS
121 Garnet Laney
Jacksovwal , NC 28546
910 -548 -0711
From: Weychert, Curtis R <[e-mail]>
Sent: Wednesday, November 2, 2022 8:43 AM
To: Shelley Copp <[e-mail]>
2

Cc: Eric Ward <[e-mail]>
Subject: RE: [External] 103 Wind Dance Cama
Shelley, I will need a drawing indicating the dimensions, distances, relative information like property lines, adjacent
property owners names, marsh, normal high water, etc. I have included a checklist that should have the requirements
needed for submission.
Curt
Curtis Weychert
DCM Field Representative / Environmental Specialist II
North Carolina Division of Coastal Management
North Carolina Department of Environmental Quality
Find a Field Rep (arcgis.com)
252-240-9497
Curt. Weychert(cDncdenr.gov
400 Commerce Avenue
Morehead City, NC 28557
httos://link.edgepilot.com/s/ef90853e/R5J LrK8U6i- Rg6xOCug?u=http://portal.ncdenr.org/web/cm/dcm-home
E-mail correspondence to and from thus address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
From: Shelley Copp <[e-mail]>
Sent: Tuesday, November 1, 2022 2:17 pM
To: Weychert, Curtis R <[e-mail]>
Cc: Eric Ward <[e-mail]>
Subject: [External] 103 Wind Dance Cama
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hey Curt!
Attached are the signed Adjacent Riparian permit forms as well as the owner
permit form. Please let me know if you need anything else from me to move
forward with issuing.
rh.aVL4!
Sheuey COPP

CFWA
CAROLINA
MARINE WORKS
121 Garnet Lavi&
Jacksonvales NC 28546
910-548 -0711