87630D - Smiles, Chris & Shannon

7"7'----""�)CAMA
(�DREDGE 8 FILL
GENERAL PERMIT �aa
rg New ❑ Modification ❑ Complete Reissue Partial Reissue
Nn 87630 A B CC_f
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department rennt of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC )4(` . ) �,(� , 0 7` ` • � we Rules attached. General Permit Rules available at the following link: www.deq.ncgov/CAMArules
Authorized Agent _
Project Location (County): //,,
Street Address/State Road/Lot #(s) �>&i- Co
Phone #
Email Subdivision
City ► Ll zip
Affected �CW ICEW JPTA ES �PTS Adj. Wtr, Body 1 V`�' ��j`, (nat/45;4f/unk)
AEC(s): OEA 11 IHA ❑ UW 11 SPIMA 11 PWS Closest Maj. Wtr. Body\, tlr�=K •'i�'7�
ORW: yesk—) PNA: yesk-1-
Type of Project/ Activity "vim
-bull Hk4t-"c
Shoreline Length `)
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) ifs 2` a--,
Fin er pier(s)
f3 r
Total Vh
rea
Groin
Bulkhap length' yjCJ�`
Avg dihore � �t►` ^ kftW&J L
Break
Max dlengt
Basin,
Cubic _
Boat ramp
Boathouse/ 62h-re, -'�t LN _
Beach Bulid g_
SAV observed: yes t� \ Z`" O
Moratorium: n/a yes ! C�
Site Photos: yes
Riparian Waiver Attached /Lateb n
A building permit/zoning permit ma 1_ requir d by: CJl/�1r- ;C-�
Permit Con itions . U i 4t ' (`t, TAR/PAM/NEUSE/BUFFER (circle one)
i ;
r See note on back regarding River Basin rules
t
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED CO PLIANCE STATE E T. (Please Initial) _�4e
x i Chris Smiles
pQep or Applicant PRINTED Name Permit O r-s PRff�T D e
.r , -
Sig turp "Please compliance statement on back of'permit•• SignatyrC/ � � �, /
�(� t) 1�,;ff (� Z-- ��jJ
Application Fee(s) Check #/Money Order Issuing Date ExpilIatiolli Date

`°"S'"1%C6gAMA qSLDREDGE & FILL N9 87630
Previous
GENERAL PERMIT p
Date previousiouspermit issued
rg New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
A B C(: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:
I SA NCAC n� % 17.02 , ©7ep)
, r'`''�nt❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.jzov/CAMArules
Applicant Name S Authorized Agent
.�-
Address �' � Project Location (County):
City State ZIP Zr7-1 Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City LC ZIP
Affected ❑ CW t!5W -PTA ES ❑ PTS Adj. Wtr. Body - (natfgf/unk)
AEC(s): ❑ ttOEA ❑ IHA ❑ UW ❑ SPIMA ElPWs Closest Maj. Wtr. Body C.\�475t
ORW: yes/aq.i PNA: yes)Q
Type of Project/ Activity ►� (emu ►:-
S (Scalel-y('5 )
Shoreline Length =�d
Access Length
Pier (dock) length �T
Fixed Platform(s)
Floating Platform(s) (0 2,
Fin er pier(s) r+
Total P tform area
Groin len h/#
Bulkhead/ rap length >
Avg distance o hore
Breakwater/Sill
Max distance/ lengt;
t r
Basin, channel �o; ., v j3
Cubic yards.
Boat ramp
\ `1`
Boathouse/ oatli fb �2�1,Z
Beach Bg s r
ulld ` \
Other J-rV 4'
SAV observed: y1\
Moratorium: n/a yes
Site Photos: yes \
Riparian Waiver Attache d5 J n
A building permit/zoning permit ma a required
by: g CJ1r9ti �' \
Per it Con 'lions (3 ►G(C� vAt
❑ TAR/PAM/NEUSE/BUFFER (circle one)
S ❑ See note on back regarding River Basin rules
l
❑ See additional notes/conditions on back
1 AM AWARE OF S ATUTES, CRIWILILYS PND CQNDITICINS THAT APPLY TO THIS PROJECT AND REVIEW
PLIANCE STAT E T. (Please Initial)
X tr
A�r Applicant PRINTED Nam Permit Or� D e
Sig turf "Please read compliance statement on back of permit" Signat
fvCl(� Z4�8n 1% zz 1 l Z
Application Fee(s) Check #/Money Order Issuing Date iA 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 ,. F�
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

`°""41. ❑CAMA D DREDGE & FILL N9 87630 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: www.dpg.nc.gov/CAMArules
Applicant Name c" Authorized Agent
Address c' Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email 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
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platforms).
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length.
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift'
Beach Bulldozing
Other PC
,c
SAV observed: yes no fa
Moratorium: n/a yes no
Site Photos: yes no , 77T
Riparian Waiver Attached: yes no E
-
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
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
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Signature
Check #/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:
0 Tar - Pamlico River Basin Buffer Rules 7 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

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: (,J4 Q! i Qi 6 U 161 Ad 0/d !�H I L46
Address of Property: Q0 ; /,,/009 gelyi eggU44-6£.4'i /V G Z$y28
Mailing Address of Owner: �j A"M' L
M p
Owner's email:U16f`! 1(43 &- G4 MA , Owner's Phone#: T/y0,� n 71-
Agent's Name:
Agent's Email:
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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. 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
In
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: !✓ �G"'f.X/1 -
Typed/Printed name of ARPO: Ol a Rat 7). J
Mailing Address ofARPO:4�00q efiAgWoag i2eyi/i 1(?AX0 jj Ja 43f�/icf4 NG 2%NZk
ARPO's emall:My 00(a161lU0 46MA/1,• AR O's Phone#:
Date: 1 i *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
JOp.portion •to. be completed by owner, or their agent}
Name of, Property Owner:. -1�L+' 1 L,�iC✓LiGt ��-
Address of .ProPerty:
Mailing Address of Owner: �O ISM p LZ 1 Git -ao l i Iw Gcw� y' ; t✓t G 2'� yP L�`7
Owner's email: Pwfte4ft4&I-larkr,P11C4_.- Owher's'Phone#: Ito 7.5O
Agent's Name: Agent Phone#: . .
Agent's •Email:.
ADJACPNT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion.to be completed by. the Adjacent Property Owner)'.. .
I hereby certify that i own propertyadjacent'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.
F.
A. description r drawing, With dimensions, must. be p►ovided with. this letter. .
DO NOT have objections to. this proposal: I DO bade objections to this proposal.
If you shave objections to what is being: proposed; you mast notify the. N.C..Division of Coastal .
Management (DCM) in writing within 0 days of receipt of this notice. Correspondence should be ,.
mailed to 127 Cardinal Drive EX ,: Wilmington; NC 28405. DCM representatives can also be contacted at :. .
(910) 7964215. No.response is considered the same as no objection if you have been notified by
Certified Mall.
l WAIVER SECTION
I. understand that any proposed pier, dock, mooring pilingsi :boat ramp, breakwater; boathouse, lift, or grain
must be setback 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:) '
l DO wish to waive sorrielall of the :15setba
Signature of djacent Riparian Property Owner
�OR
f do not wish to'waive the 15' setback requirement.(initial-the blank)
Sigriature,bf Adjacent Riparian Property Owner:77
_^
.. Typed/PrirAed' name of ARPO:. .
Mailing Address of ARPO:
:. ARPO's email: :. :. ARPO's'Phone#:
Date: 'waiver is. valid for up to .one-year from ARPO's Signature`
Revised May 2021

MARINE BILL OF SALE
1.VFUELNAME. KARGARETANNE 4- OFFIC1WN--HUl,L.tio.; 9Ja9o3
3. VWI L DF-sou 'f fON: 1931 FludO Darns
3 TANE(SIAND ADDRESS(ES)OFSELLER(S)_
Cl-em.II Stripy,.
Kiwk,rly R Strfplir.
822 AW*wd Road
Na. Share, T•Y 11706
3a. TOTAL 1%TEREST OWNED. 100%
+' *A.NE(X)AND ADDRE-sUMOFUVERMAM)NIANNEROFOHII:ftSHiP:
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>>>> NOTARY K)BLIC:
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MY COSf1(ISSIC, S. r� 33 µp p� �Y'.-
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ATE OF SET-J LF MENT

Date Rec.1-d
Dete De Iced
Check Fran Name
Name of Pamlt Holder
Vendor
Check number
Check
ount
Permit NumberlCanments
Recel t or Relund/Reallaceted
Columnl
Co/umn2
Cnlumn3
C.IUM G
Calumn5
Column6
Column?
Column8
Column9
&162022
E Dand Fraiklin
same
Suninal
9201
400.00
GP k876310
SH rc1. 17706
&162022
COdsl er Smiles
Slale Em ees CIl
2978
600.00
GP k87630D
BH rcl. '"DI
&I&2022
fdenard Coates
Bank olAmenn
8905
200.00
GPk8767 D
1. rcl 18125