87693D-RICHARDSON

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�o�a, coAtrq� OCAMA ❑, DREDGE & FILL N9 87693 A B C "v
.GENERAL PERMIT J � p� Previous permit
Peissue
Q(j ate previous peruea0 New ❑ Modification ❑ Complete ❑ Partial Reissue o-J
As authorized by the State off North Carolina, Department of Environmental Quality and the Coastal Resources Commission �in an are of J?;;2a concern pursuant to:
I SA NCAC 7-7 � Rules attached. General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
Address - > 1 V� C u7 W
City ?Ji qp 1 V/ state t YC ZIP -
Phone#(
Email
Authorized Agent ty d
Project Location (County): Frw)✓w1�1rL
Street Address/State Road/Lot #(s)
5 4~
Subdivision
City ZIP
Affected 1-1CW A EW ZPTA ❑ ES ❑ PTS Adj. Wtr. Body A ! w w (nat/ma Vunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body M t w W
ORW: yes/,no' PNA: yes/6,1
Type of Project/ Activity 5
r
Shoreline Length `^
Access Length "' �d k 5 t
Pier (dock) length
Fixed Platform(s)9_�I!ttltAL
....... .._;.._
Floating Platform(s) Id)c16
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
SAV observed: yes
Moratorium: n/a yes o
Site Photos: y �i7q
Riparian Waiver Attac Attached- no
A building permit/zoning permit may be required by:
Permit Conditions_
(Scale:�`j )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
f ❑ 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)
f, it, ftI'(r)
Agent or App' erlt PRINTED a Permit�C3fjA�:er ' s PRINTED
Signature "Please read compliance statement on back of permit" Signature
Application Feels 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:
F-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/ 1-888-4RCOAST 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

CAMA ❑ DREDG+E & FILL
GENERAL PERMIT
Vew ❑Modification ❑Complete Reissue ❑ Partial Reissue
N0 87693 A B C 6
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Co al Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC � M. Id DAD _.__ [� Rules attached. General Permit Rules available at the following link: www.deq.nc.Qov/CAMArules
Applicant Name fJr, - -- _— Authorized Agent-L1-A---
Address 435
/N S w Project Location (County): _� 5
City �.1erl 1.1 State 'VC, ZIP _ Street Address/State Road/Lot #(s) _
f I
Phone # (�) . � _ 0335 .� �,j
Email Oi d 0 ASIDAC �t%cril�)/ !��(rJ Subdivision
City �— _ ZIP
Affected ❑ CW WEW PTA ❑ ES L] PTS Adj. Wtr. Body W _(nat/ ar 'unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body At W r1/
ORW: yes PNA: yes/0
Type of Project/ Activity
Mr
Shoreline Length %
Access Length *"Vp k � 5' V
Pier(dock)length
Fixed Platform(s)"4%trVNL
Floating Platform(s) td,)66
Finger pier(s)
Total Platform a
Groin length/# area
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
GKr.
ba►rkit�.-�j
4d
IIP,MtJi�
Z Ifni
SAV observed: yes
Moratorium: n/a yes o
Site Photos: �y 9a3
Riparian Waiver Attac e& 6e no,
A building permit/zoning permit may be required by:
Permit
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I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND
Will Richardson
Agent r A licant PRINTED Name
Signature "Please read compliance statement on back of permit"
A a 0 tala-
Application Feels) Check #/Money Order
Permit
Signature
Issuing Date
❑ TAR/PAM/NEUSE/BUFFER (circle one)
11 See note on back regarding River Basin rules
See additional notes/conditions on back
STATEMENT. (Please Initial)
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Will Richardson
Mailing Address: 3235 Seacrest Ave SW
Supply NC 28462
Phone Number: 910-367-0335/910-367-8557(Phyllis)
Email Address: [e-mail]
I certify that I have authorized Will Richardson
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Replacement of floating dock in same location
at my property located at 3235 Seacrest Ave SW Supply NC 28462 1
in Brunswick
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:
Gl�� �%^v�.ayterL
Signature
Will Richardson
Print or Type Name
Owner/Contractor
Title
10 / 19 / 2022
Date
This certification is valid through / /

BOA-
Will & Phyllis Richardson 015 1
3235 Seacrest Ave SW
Supply NC, 28462
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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: Will Richardson
Address of Property:
3235 Seacrest Ave SW Supply NC 28462
Mailing Address of Owner: 3235 SEacrest Ave SW Supply NC 28462
Owner's email: [e-mail]
Agent's Name: Will Richardson
Agent's Email: [e-mail]
Owner's Phone#: [phone]
Agent Phone#: [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. 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 PgXperty Owner (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
FO-71119 2�41et4��
Typed/Printed name of ARPO: FTICs C1',1e-- H, gIC° w­� ,
Mailing Address of ARPO: Aox 3 2-y 15k t oc C ' 2V'y-5-?
ARPO's email: 'J_FP# o' ur/m,,n---7L- ARPO's Phone#: `%Id' - yt) // 3
Date: _1t)2.e 7—C z L- *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: Will Richardson
Address of Property: 3235 Seacrest Ave SW Supply NC 28462
Mailing Address of Owner: 3235 SEacrest Ave SW Supply NC 28462
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Will Richardson
Agent's Email: [e-mail]
Agent Phone#: [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.
xI 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. 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 �A
Signature djacent Riparian Property ner (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Pr�erty Owner:
Typed/Printed name of ARPO: hVl'1r e- 1 )_11_ �J l
Mailing Address of ARPO: ` �� '�L � 1 Fl��t✓ � �-)SLtkA A U t Itj'
((� Z,
ARPO's email: � t ' ' ' ARPO's Phone#: "1 �� . I
Date: L' J r *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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