Durham, Allison 88815C

I ❑CAMA ❑ DREDGE & FILL
N9 88815 A B C D
G>lENERAL 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:
t� �'
ISA NCAC 0 a 11 A 1 1 0 Z ❑ Rules attached. ©General Permit Rules available at the following link: wwmdeq.nc.gov/CAMArules
Applicant Name & C_ 1 v �)` i� mwt
Address jozod (nlr>B! ILLC�
City ''"�'nt . � Ar+'� !41v-S State &IC zip 21f 5j'7—
Phone#(2Z Z) Z`11 — `/c7.5o
Email
Affected ❑ cW
AEC(s): ❑ OEA
ORW: yes/`hZ�
dEW ❑PTA
❑IHA ❑uW
Type of Project/ Activity
PNA: yes/no
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision .✓�
City }'Lf t.vlbfj C'rlc/'('f ZIP Z�5!'c'.
❑ ES ❑ FITS Adj. Wtr. Body PJC Sj C CV1 G+ ( ( (nat( trta�i /unk)
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body K)�¢ JJNF C jr
(Scaler r )Q
Shnralina lanvth lSl-
Access Length—
Pier(dock)length
Fixed Platform(s)
4
Floating Platforms)
Finger piers)
Total Platform area
_.
tI-
—
Groin length/q�-
Bulkhead/ Riprap length-
Avgdistanceoffshore �'�
Breakwater/Sill
Maxdistance/length
Basin; channel 1% t X 3 % -
---L--—!-
—
--
— L_
-
-
--
al,
—
-
P1
1
--
i
Cubic yards
Boat ramp!rV
Boathouse/Boatlift
Beach Bulldozing
Other
s—
—
--
;v
rn
SAV observed: yes rnat
Moratorium: n/a yes ' no
Site Photos: yg n
�
I
1
Riparian Waiver Attached: !°yes) no
A building permit/zoning permit maybe required by: b/v S
Permit Conditions
Agent crApplicant PRINTED Name
Permit Officer's PRINTED Name
❑ 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•* Signature
_.t13) I
I Application Feels) Ceck #/Money Order Issuingbate ate Expiration Date

❑DREDGE & FILL N9 88815 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 Coas4jI Resources Commission in an area of environmental concern pursuant to:
I SA NCAC �\' ! i-( I v�.%(! ❑ Rules attached. � General Permit Rules available at the following link: wwwc1eq.nc.2ov/CAMArules
Applicant Name
Address 10Z KIOCI IA.A�u/l ((
City Tinx Iirrojl <h, ru; State {Vt..
Phone #(2 2) 741
Email
zip 25sSi L
Authorized Agent Dent K_Sf li%jG,�✓sl (c.*Jr firarr/i.
Project Location (County): (..ir 4 f f. t
Street Address/State Road/Lot #(s) /G)K' �rC /.ve�,ic't
Subdivision /
City )I CFI,,'1 ZIP
Affected ❑CW VEW 'VPTA ❑ES ❑PTS Adj.Wtr. Body t'i<.°� (t'i::-'.i (nat/na unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mal. Wtr. Body �61 :,� .�7J✓V'G�
ORW: yes& PNA: yes tfio
Type of Project/ Activity
v (Scale:
r
Shoreline Length ISO
Access Length
Pier(dock)length o
�—
Fixed Platform(s)
ILI—
Floating Platform(s)TFingerpier(s)Total
Platform areaGro
./'
Ihead/ceoffs
len
Av
Bulkhead/Riprap lengthr-1Breakwater/Sill gt
distance/ len h
Cubic yards Cram
Boat
-�
—
—
+
-Max
\
P
tBasin;channel
Boathouse/ Boatlift
Beach Bulldozing
Other
`7
SAV observed:. yes no
Moratorium: n/a yes noSite Photos: yes noRiparian Waiver Waiver Attached: .`yes no i
'—
I
A building permit/zoning pr permit may be required by: it)(. ;'w
Permit Conditions NA
Agent or Applicant PRINTED Name
Signature --Please read compliahce statement on back of permit.•
Application Feels) ' Checkp/Money Order
❑ 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
l ,f
Signature
II /jln I zz. aflrr r�
Issuing ate Expiration date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
�\CGvA D(nptrrN
Mailing Address:
I U 8 ReA w0acA C i-
Pies fvc- agS► a,
I certify that I have authorized (agent) 0ud-e.r b-br, ! S fYbviJ 2 C�YDta`E�t o m
behalf, for the purpose of applying for, and obtaining all CAMA Permits necessary to
install or construct (activity) i)" 6-1 ,
at (my property located at) ►C) S ZeUW0056 C+
This certification is valid thru (date) �L — W— a3
Signature
Date
RECF; VFD
NO "I () ,- 7C22
DClvi-MHD CITY

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: W1 C.\O OLX(ho yn
Address of Property: 10�lj iVC ao
Mailing Address of Owner:
Owner's email:
Agent's Name:
Agent's Email:
Owner's Phone#: C)�-ayI'I;cl 30
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Propertv 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.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
tr you nave 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 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
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's email: Phone#: GOq-15-1 ,,incui,
�—o
Date: W ` 1 :A u *waiver is valid for up to one year from ARPO's Signature*
ReVig6 lda"'' 021
Ni)V :, 6 ...J
DCiv'i-MHO 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: NCky* QWhaW,
Address of Property: _I CD
Mailing Address of Owner: :S6A \e
Owner's email:
Agent's Name:
Agent's Email:
Owner's Phone#: D531-0q L893 0
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by 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.
✓ 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 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/ali of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) Qj .
Signature of Adjacent Riparian Property Owner: Odd 4u -) >Cri/�ry1/i! / %
T -T
Typed/Printed name of ARI
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#: 46'o? }O'($- /3, 9
'waiver is valid for up to one year from ARPO's Signature*
t�es, AL
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Revisedu ie1.C3
NOV i) tf '022
DCM-v1Hla CITY

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RECPIVF_D
NOV 0 8 ?G22
DCMi-MHD CITY

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