Donabedian, Daniel 88901C

[XCAMA 14 DREDGE & FILL
GENERAL PERMIT
[KNew []Modification []Complete Reissue []Partial Reissue
N° 88901
Previous permit ��—
Date previous permit issued l'
A B (�>
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 �Q� _ ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.rtc.gov/CAMArules
Applicant Name 'D/wo' Authorized Agent— Wl �e "d,y+`"��N _
Address _y _ D�pc! 17 � N - Project Location (County): S-t-oki
City WALASOQ2a St''atte--.� ZIP Street Address/State Road/Lot #(s
l I/ r
Phone # ) _1l9 I 5qo
Email _1M D0tJ 16DI A-A-7 �.j1j.�d/Y(1 Subdivision
City li! Aldq,- R- �ZfI/}PL�"S_.__,_ —
Affected ❑cw EW �pTA )ES ❑PTS Adj.WinBody ln1MIj A'O&L ^1,qU�_.. I, &man/unk)
AEC(s): ❑ OEA ❑ iHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body V t/' ` Tff ([r I hx, V n-
ORW: yes P��NnnA: yes
Type of Project/ Activity er�/�a /9)i% ��-I',
jC/S%/N6 01t.4H(E/ 6
(Scale:
Shoreline Length �}'�
Access Length /
Pier(dock)length
Fixed Platform(s) ���,�A,_/�`)', Y'•O V �., J�,pl�
Floating platformis)
Finger pier(s)
Total Platform area C�
Groin length/q 1,'
u khead iprap length ` L � '{�lW�e f�� (,� trl/�
ante offshore iQn.9C�tt�J u
Breakwater/Sill
/ p,N��i y_iriV
Max distance/ length
Basin, channel �` �e►Sf1"�'I
Cubic yards _ 'i�1(�
Boat ramp i J WALL
Boathouse/ Boatlift
Beach Bulldozing
Other
V11
V
SAV observed: yes o� \��
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes (� J
A building per mit/z Ring permit maybe required by:
Permit Conditions�C(y/�uiziL_j�ir`b_..��[.l to a1(:�b ❑TARJPAM/NEUSE/BUFFER (circle one)
W 1 Tri
/ Akl
i
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTFS. CRC RMFS AND COKJn1T1OIJ5 THAT APPIV TO T1415 COMPLIANCE STATEMENT. (I'leaoc Initial)
Agent or Applicant PRINTED Nary1
k42Pk Cmw'-�
Signature *Please read con pliance statement on back of permit"
.gm49 f (3`Y5
Application Feels) Check #/Money Order
Per it O is PIj110Ty_ lame/
Signature l �L7 ✓�i�r�j�
Issuing Date Expiration Date

a'F COMT41 ACAMA Z DREDGE & FILL N° 88901 A B C�D
0
2 GENERAL PERMIT Previous permit
Date previous permit issued /
�f,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 O'M - ) [DO ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMA-ules
Applicant Name A 1V�L pYt-S
Address a,20 DgM15L4P6 AD.
City SWAJI)SA090 State ft%)C- ZIP
Phone # (a) 6�-s 36qQ
Authorized Agent ;Ial �A,ydkv—\-'
Project Location (County): A9$'C.Oki
Street Address/State Road/Lot #(s)
Email ry ���li4AJ@�C�✓t'l�L.�r��'l Subdivision
City SW� "�-(J1y�CJ ZII F
Affected ❑ CW IM EW [PTA ES ❑ PTS Adj. Wtr. Body [7� p�ll(-� I V LV� I ` za /man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body (/ t/� `�l� (/V n-
ORW:
PNA: yeso
Type of Project/ Activity gpj&E AA) �3USTti6 gUt Y-H(( ,%
Shoreline Length Ila
Access Length /
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
ulkhead iprap length
s ance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other / �✓
D0
(Scale: N-(s )
N
%Poo
PC, WALI/
�f tom`
SAV observed: yes o� U
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes A building permit/z(Q�(jing permit maybe required by: 6tiSLOW �,�y� ��y
Permit Conditions 60AIS fi'i'zw 66 Fa&)o 0& WAV4idt�
k' A!;5x1Ar oAJ Wlrrl lridE 060 BWe qt�rD rail(7A)1',e e7V1'
,aN
❑ 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)
Agent or Applicant PRINTED Name
is
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature/ I / r/ Z2 3l I -123
Issuing Datet Expiration Date

tbt:��1
Permit:
Name of Property Owner Requesting
Mailing Address:
C C!
Phone Number:rir�F�/L �o
Email Address:
� h
1 certify that t have authorized i Agent 1 Contractor
behalf, for the purpose of applying for and obtaining all CAMA permits
to act on m Y c�
ro osed development:
necessary for the following p p
Y
at my property located at
ar` �
in ;;k-,c;rtnt _County.
rant, and do in fact grant permrss�on to
l furthermore certify that I am authorized tog afro
Coastal Management staff, Local Permit Officer and their agents
Division of to enter
the
on the aforementioned lands in connection With eva u g information related to this
permit application.
information:
Signature
Print or Type Name
Ttle
____--- ga---- to
This certification is valid LIWOU9n _--- `-----

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 �-4^,z7EL 4�Al
nl�a2C) i,) C
Address of Property:
Mailing Address of Owner: C`f'`t"' �
+ 5) 91 Isw 13 V
2
Owner's email: 'g ' Owner's Phone*
6m9f - C�E'i-7
Agent Phone#:_ C
Agent's Name- g
Agent's Email_-
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom ortion to be cam feted b the Adjacent Pro a 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. H
description or drawing. with dimensions must be provided with this letter.
X 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, MC 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.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
15471M
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: bL"t c r ` i�—wl� ��.• y
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#: �t� fd ' 2 Q
Date: it 17 Z Z-- ` waiver is valid far up to one year from ARPO's Signature"
Revised July 2021

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: Z_ d�dnlA�3 ;i.�l
Address of Property:
Mailing Address of Owner: IJn
Owner s email: Owners Phone#:
Agent Phone#: 9/0 _389 /418y
Agent's Name: 'n. .ua
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
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.
X 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 90 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
Signature of Adjacent Riparian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
An
Signature of Adjacent Riparian Property Owner. 0 t
Typed/Printed name ofARPO: M14RK J—JACKS Off
Mailing Address of ARPO: A�d ,it
t SCrA �� �ArrfS1�� ��g
ARPO's email: (yyQ �Qms.I.c�ARP©'S Phone#: o%"763✓
Date: Il% I a2D�a. waiver is valid for up to one year from ARPO's Signature*
F2F?vic H .Irily 2021

220 Deer Island Road
November 10, 2022 1:500
0 0.004 0.008 0.016 mi
0.005 0.01 0,02 km

,�.�J Z'E
Name of Property Owner Requesting Permit: L
Mailing Address:
';'a0 ` =J,
d
boAf/-i 06 'b 12
PS-,.� I/
Phone Number:
Email Address:
� OY1S-t-Y 1 ,t'1(3Yl j i3�il y t`10'rr1�
I certify that I have authorized Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining
all CAMA permits
necessary for the following proposed development:
at my property located at
ic- R
in O , County.
authorized to grant, and do in fact grant permission to
I furthermore certify that 1 am Local Permit Officer and their agents to enter
Division of Coastal Management staff, the
on the aforementioned lands in connection with evaluating information related to this
permit application.
information:
Print or Type Name
Title
Date
This certification is valid ttirougn ���'

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: �/-� ^��L � �"1'� E 40 ""4" _
Q�iJ � C
Address of Propertymad t7Sr2 " A t%cL9� i
Mailing Address of Owner: _ Vb TT
Owner's email:�An/�+/A�d�'
Owners Phone#: !1 % d '3J
Agent's Name-- > (.0 ^-/�✓��J Agent Phone#: � 6 0
Agent's Email:
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 rne, as shown on the attached drawing, the development they are proposing. A
description or drawing. with dimensions must be provided with this letter.
_X 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/all of the 15' setback
Signature of Adjacent Riparian Property Owner
FW3
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
/Owner: T % �" -
-Typed/Printed name of ARPO:
Mailing Address of ARPO: ZZ� � l �SIAArW- �= T—;5ex, e.)'t
ARPO's email: ARPO's Phone#: 7/Q Id ' 2
Date: il% Z Y *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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: ^14 B �-,bv
Address of Property:
Mailing Address of Owner: _) \
�,/� owner's Phone#:66-7
R��
Owner's email: �.n, � �,av r � Owne
Agent's Name: -,UdzJe11r Agent Phone#: 7/U
Agent's Email:
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.
X 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/all of the 15' setback
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: ! I
Typed/Printed name of ARPO: M q.RK J_IQC 1S 0N_
Mailing Address of ARPO: oq 40 Ll�C!ER I SLA A-Z m--S E0 NG
ARPO's email: panl�rnQclCsn oJolO,Lc6ARPO's Phone#: 16,R-70-4?17
Date: *waiver is valid for up to one year from ARPO's Signature*
RevsP�'I July 2021

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