86714A - Oelrich, Nancy

,jt°"rk NCAMA ❑ DREDGE & FILL N° 86714 6V B
Previous permit
41 GENERAL 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 `+ 4 11 • J CG C3 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name NCwr\ U ne1 r l
Address 0 LyH1ti1- 17 c A Per, � h
City C_ ht.So State \i a ZIP QLJ 3, a 0
Phone # ( ) S 3 4 o Ok
Email Woe- lr;L4� oLl sder. .k.. ru.t
Authorized Agent TS IC nJ 1'tia r n OGtI.� S
Project Location (County): C. " C ✓ At .i t K
Street Address/State Road/Lot #(s) 1 --y. w lE ( LC /u , j l wR
Subdivision A 1104 }., r- K
City Pb'oi 14c.ihv.T ZIP a-49(yLt
Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body A I b< rr,w / Ic �wv"\ d cna an/unk)
AEC(s): ❑ OEA to -❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body A l 6c r,-,c,
ORW: yes6/ PNA: y2�5)
Type of Project/ Activity 2t P)A L.4— S,njt POIL hbc rl . f r L"r I 1 ti 420 1C & 04il�f
(Scale: (u.T. S )
Shoreline Length ADO (Tl,, Shoc<linl
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platform(s) N
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
f
Avg distance offshore
Breakwater/Sill
Max distance/ length
Eft B.Qro�
Basin, channel
nOc+
Cubic yards
Boat ramp
W LZtmrvn► Q.A. 1H
Boathouse oatl'
W V V_
Beach Bulldozing
Other
w
r
•
At
hoax /
Er. Pier-
�0g] U'
L,�,Clt/t..�C► f
OZ1r►c-1-�
M�
SAV observed: yes d /
Moratorium: yes no
Site Photos: a no
Riparian Waiver Attached: e
A building permit/zoning permit may be required by: f Cv r r IL
Permit Conditions
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❑ 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 RE WED COMPLIANCE STATEMENT. (Please Initial) k
Z51o.�a MGyir,-&- 60url,EF,. P/n ,'
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
dl a o 0.0 0 Jt 311(4
Application Feels) Check #/Money Order
La, b.1ao�'a 4�a/a�13
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: WVQ 0— 1 o t C
Mailing Address. d "a
Phone Number: 73--D
Email Address:
I certify that I have authorized _LS/1ii i1P �Q�S
Agent., Contractor
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to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development 3OCI 1 1 �r f+ V4 ���(?A e h
at my property located at 13� W 4 lea the PO'- n 41-10, N C _Z?y 6 f
in C Wrf�i IV, � County.
1 furthermore certify that I 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:
nature RECEIVED
1�1�n I� - Del ri
Print u Type Name r N p V 0 6 2022
Titic DCM—EC
_C;- Ia5 l�2;u
Dale
This certification is valid through 1 !

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: thf 1 U f , "
Address of Property: ':/ °"'i I ��,,. Lrl `1">t,, *v"T '.a�7 r �::n 5
Mailing Address of Owner: -I Gt 1� .41 �x aY� �^[- �i
Owner's email: W 04/1ij,i Llt�-i. t(-,, Owner's Phone# 1751 r S3.—> 40 q -)
Agent's Name:
Agent's Email: � �Ci"ZLA ry"
Agent Phone#: 1 S1% 414
41
rA, IM i , t CY%e
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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 401 S, Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 (Choose only one)
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
Signa ure of Adjacent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: C fi, le ✓Li r,, 61er
Mailing Address of ARPO: ; 7e7C Qi F•� ' ���✓ � 3L !�/i��ac Lar�P ��+r�" "��'°`_�
ARPO's email: _ _ __ ARPO's Phone#:
Date: J4: ,02-ZQ7_ 7 *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

l_ Complete items 1, 2, and 3.
® Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the malipieee,
or on the front if space permits.
1. Article Addressed to:
❑ Agent
D. is delivery address different from item 1? ❑ Yes
h YES, enter delivery address below: ❑ No
M Priority Nail ExpresSO
3. Service Type
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11'
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11111111
Jill
11II
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111
p Adult 3lgnature
❑ Adult signature Restricted Delivery
0 Registered MaiP
❑ Reg teered Mail Restricted
Re
!"
9590 9402 6322 0296 3077 38
ocColl�� ri Delivery
°n Signature coonnrrmmation
2 Wee on Delivery Restricted Delivery
,M.. ,..r
Restricted Delivery
2. Article Number Rra3n- from service tabet)
7016 0750 0000 9153
7391 *IctedDelivery
_
PS Form 3811, July 2D20 PSN 7530-02-000-9053
Domestic Return Receipt
e Complete items 1, 2, and 3.
® Print your name and address on the reverse
so that we can return the card to you.
El Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to
t
o�
~• ❑ Agent
x fAyed 0 Addre
B. Apwived by gnte fame) C, pate of�pei;
D. is del4y address different from item 17 ' Yes
if YES,, enter delivery address below: ❑ No
yn!
w 3. Service Type
II# I II Ilil{ll Il1l lil i11 !1 0 CerAd ed Signature
❑ Adun Signature Restricted Delivery
n ce,mied Ma;O
9590 9402 6322 0296 3077 21 o co onMoO "� Delivery
e.+, to t,tumt�ocffnvtsfer from service rabelJ ❑ Collect on Divery Restricted Delivery
7013 1710 0001 20a1 2303 M Restricted
0 Priority Mail Expresso
❑ Registered NCWf-
❑ R8�e;;W Mail Restricted
• Signature corrfimtationT°"
• Signature Confirmation
Restricted Delivery
Domestic Return Receipt i
PS Form 3811, July 2020 PSN 7530-00-9099 02,-0

Go gle Maps 132 Wilea Ln
Remove existing lift and replace with 4 pole 6,000 lb Boatlift
Imagery ©2022 U.S. Geological Survey, Map data ©2022 20 ft
�eCEj\/D
N 0 V 0 % 2022
()CM -EC
132 Wilea Ln
Building
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North
11 ft center
center
0
C
,4--
Cn
X
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MEASUREMENTS FOR 6,000 LB LIFT
12ft 2 inches
outside to outside

NOTE
1.
2.
3.
4.
5.
6.
EXISTING PIER
I I + CENTER TO CENTER
ba06 LB. CAPACITY BOATLIFT TO BE
INSTALLED IN ACCORDANCE WITH
MANUFACTURER'S
RECOMMENDATIONS AND
x SPECIFICATIONS
-ORDINARY HIGH WATER --
EXISTING MUDUNE
ALL TIMBER MATERIAL FOR USE IN THIS MARINE ENVIRONMENT SHALL BE
PRESERVATIVE TREATED IN ACCORDANCE WITH THE AWPA
ALL HARDWARE SHALL BE GALVANIZED IN ACCORDANCE WITH ASTM A-153.
DRAWINGS ARE FOR PERMIT PURPOSES ONLY, AND DO NOT CONSTITUTE FULL
DESIGN DRAWINGS.
NO HYDROGRAPHIC SURVEYS OR SOIL BORINGS HAVE BEEN TAKEN TO CONFIRM
SUBSURFACE SOIL CONDITIONS (FOR PILE LENGTH DETERMINATION),
ABNORMAL SITE CONDITIONS NOT READILY APPARENT HAVE NOT BEEN TAKEN
INTO ACCOUNT, AND MAY REQUIRE MODIFICATIONS TO THE MINIMUM PILE
LENGTHS SHOWN.
IT IS THE CONTRACTOR'S RESPONSIBILITY TO VERIFY DEPTH OF WATER AND
SUBSURFACE CONDITIONS AND TO SELECT PILE LENGTHS ADEQUATE FOR THE
STRUCTURE.
0 4 B
SCALE: 1" = 4'
8 ' DIAMETER WOOD PILING
MAXIMUM IZ?ON CENTER - LENGTH
TO BE MINIMUM 50% PENETRATION;
CONTRACTOR TO SELECT ACTUAL
LENGTH (SEE NOTE BELOW)
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1 ytj AA PA 41 o A1
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Locality
Ocean Hazard Estuarine Shoreline ORW Shoreline
(For official use only
UMMAL INFUKMATIUN
LAND OWNER - MAILING ADDRESS
Name:
Address: j 3 ;? U� (feu Lane,
Permit Number
Public Trust Shoreline Other
City: %!l n+ kCV-k)C)r-- State: _�� Zip: Phone:
AUTHORIZED AGENT
N 0 V 0 8 202Z
Name: _l._51anj I' ► N ty L I -l.
Address:
City: b )Q K 7-SLG'ld State: I�CL Zip: -D Ay Phone: 75� -(.0- T' ^ft( / V
Email
LOCATION OF PROJECT: (Address, str et name an or directions to site; name of the adjacent waterbody.)
119a u)ilea, I cunP_ Po-n4- AIL a?41cq
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) rk 011214P L�VY�en-i-
.,�4 �bt-e U4 Ul),." I o,flnn I Q PN P
SIZE OF LOT/PARCEL: &J 50 square feet • (�q acres
PROPOSED USE: Residentiavil'single-family ❑ Multi -family ❑) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies to your
property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet
(includes air conditioned living space, parking elevated above ground level, non -conditioned space elevated above
ground level but excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON
SURFACES: square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel:
square feet.
CAMA Minor Application
Page 6 of 9
Revised July 27, 2021

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor
development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste treatment
system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection,
and others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC
or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify
that the person listed as landowner on this application has a significant interest in the real property described therein.
This interest can be described as: (check one) ,
ysian owner or record title, Title is vested in name of IJOI,n&I % C , see Deed Book �a
page 14S in the C V +0 C'' County Registry of eeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
CEIVE
if other interest, such as written contract or lease, explain below or use a separate sheet & attach to S
application.
N O V 0 8 2022
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I F_� affirm A��r C
given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply forw t..
permit.
/�
(Name) ^ (Address) `�',�'
(1) CYI 1 Qi 4- ►4 CrI Lev- l 3Q U) 1 fay Lcare In+ �)VLa-7lwf
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area
which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to
me the particular hazard problems associated with this lot. This explanation was accompanied by recommendations
concerning stabilization and floodproofing techniques.
I furthermore certify that I 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.
This the day of (J V , 20 -PC>'
L
Landowner or son authorized to s his/ er agent for purpose of filing a CAMA permit application
This the �_ day of W 20
This application includes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the Ocean
Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The
details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will
constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action
CAMA Minor Application
Page 7 of 9
Revised July 27, 2021