Smith, Thomas & Learoyd, Robert 88848C

&LICAMA ❑ DREDGE & FILL
NY 88848 A B C I D
GENERAL PERMIT
Previous permit
Date previous permit issued
i
EkNew ❑ 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:
I SA NCAC D) -1 H I I () l i 04 }"i _ Ta:i r) ❑ Rules attached.
❑,/General Permit Rules available at the following link: www.deonc.gov/CAMArules
< 7
Applicant Name f I' O✓V C1] �/ � � "H i V � �D�'x'/�- W. I_Ra my
_) Authorized Agent
Address N fC."Oyo Ave.
Project Location (County):
City - 10(,i I-, t_ . Rec . c in. State /J ZIP
Street Address/State Road/Lot #(s)
Phone #
Email
Subdivision
City ;4 -0t 4, tP� ZIP.' -
Affected ❑CW ❑EW IS PTA ❑ES ❑PTS
Adj. Wtr. Body Al. ):,nObn vt'J (nat/m#unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
Closest Maj, Won Body hncat.e
ORW: yes/ho. PNA: yes/no
Type of Project/Activity
,ka,r,,...t.�"-- D,,,(,oc<r.i 211
Caj, n'(,I�„r�,, 4
(Scaler =2��
Shoreline Length "!in
Access Length`i
---
Pier (dock) length X 1
Fixed Platform(s)
J-
r
F
J
Floating Platform(s)-
L1
-
Fingerpier(s)
Total Platform area 3 52,�
Groin length/#
Bulkhe d/ Riprap length
T
-
-
-
_
ILLLts�'�-
Avg distance offshore -
-O
0
xa
-
-
Breakwater/Sill-
Maxdistance/length
I
-Basin,
channel_Cubicyards „'
Boat ramp �-
Boathouse/ Boatlift
Beach Bulldozing
b
a
-,,,
O
-
T
_
_
)-
I
r.
-
,^T
r'I
1�
.. '.
I
t _
..
Other.:'
- P
i
.1...
Xur.
__
.�
J_
v�
—
-i-1
-
1
_
r
.....
1
SAV observed: yes no � I(
Moratorium: n/a es no t"
Site Photos: yes no'-
Riparian Waiver Attached: (yes no
A building permit/zoning permit may be required by - 1h PgL�
Permit Conditions l)d,`I r S,t,il I', .,'. l iA -6%Sil An X,-1�" �
❑ 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.
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check#/Money Order
(Please Initial)
Permit Officer's PRINTED Name
1 ;\
Signature/
I;x (i l �l l l0l
Issuing Date Expiration Date

�°"°"" ❑CAMA ❑ DREDGE & FILL N9 88848 A B 'Cf D
I Previous permit
GENERAL PERMIT Date previous permit issued
lew ❑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 ). Z)> c) ❑ Rules attached. [g/General Permit Rules available at the following link: wwvv.deg.nc.gov/CAMArules -
Applicant Name ' .�,, •`i�f. -�. �j.)Authorized Agent
Address e Project Location (County):
City . State /v / ZIP Street Address/State Road/Lot #(s)
Phone#(_)
Email ( ":ors Subdivision '
city 'P�;,,.(, � ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body N. l (nat/ man/unk)
AEC(s); ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/hol PNA: yes/no
Type of Project/ Activity
(Scale: _ o)
Chnraiinu I eno h Ii.
Access Length �'
I—
—
--�
Pier (dock) length 27 + -1 -• v
Fixed Platform(s)
-1
_
1
Floating Platform(s)
--I
1
I
I
Finger pier(s) I
I
211
'
Total Platform area
x i7•-
Groin length/# .i'
�.,
` 3.
--L
F
_
^
rx
IN
Bulkheaaaj Ri ra length
-
Avgdistance offshore
ry
(
i
-
Breakwater/Sill-
Max distance/ length
--------
r
i
y
Basin, channel
-
-
I
_
-
—
-✓-
_
`
— -
Cubic yards
__.
Boat ramp
Boathouse/Boatlift
.i1
Beach Bulldozing
Other
SAV observed: yes (d5o
rI
(
J„a
,�
:T}
--
(v-
D\
c
'
Moratorium: n/a yes o
Site Photos: no
� Ir
�--
yes
f�
Riparian Waiver Attached: � s no
J
r''..
i
'..
'
A building permit/zoning permit may be required by:
Permit Conditions I i.. I ! I I. ; I I. _ _ .. i
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Feels) Check #/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 Offiter's PRINTED Name
Slgnatjyre 1"
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �o. as 1�z �,- ,, L
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized -k Devva 3o /sTer
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: Ex&({ docK ReP046eme//r
al)d SCO(IOW wa/kwc v (LelJikcCiMen('
at my property located at aDa N h1?51&or7 At2 /4r/44G 6Cac6 /M
in CaiTre- r County.
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.
Property Owner Information:
Signature
Print or Type Name
�r �w^^� (J�he.✓
Title
Date
This certification is valid through I I

Mail body:
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
G,�.Name of Property Owner Requesting Permit: 6e/4 t e�'1 /'r� �IQ%lmit: �b
Mailing Address: lei c(.Ie.4Oleal-? 6c/1 W
Phone Number: l /0/ —3�
Email Address: e ieGrv/� 5140,
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: F.ra t%k Re p4,-& M,
anc� 5eatwall walkway l�P�t'AGG MLA
at my property located at 2 60 N k%nS%o AW f %Ptl c h«a IVC
in ca"rc«t County.
1 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:
Signature
Print or Type Name
Title
LZ / Z pzz
Date
REr_.F1Vc D
This certification is valid through I I
DEC J 2 2ov
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RECF:IVFD
DEC ® 2 2022
D(;Ni-"ViHD C;"i Y

Mad body.
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIINAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner Rob Pit I__._ Wt_L. emr'Ol _--------- ---------
Address of Property 0I,00 N _km3TOn_-k✓�_-,4ilan%ie beach
Mailing Address of Owner 7100 LQgrc/ rheNnT/an /i�__R9l ergh_r_/i�L-a,76(3
Owner's emai.WC5tCkLoX40Crhn,1. c om nwrier'sPhone# Tl__q/31_'_627}___
Agent's Name Qe.von_ No/S Yef— Agent Phone#..dSoti Tod 3_3�9�.-__
Agent's Email 1)et/0-7
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.
V 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
It you have objections to what Is being proposed, you must noury me rcu. urvrsion or coasrar
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 noted 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.) /
1 DO wish to waive some/all of the 15' setback
�a
I do not wish to waive the 15' setback requirement (initial the t
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: 40 G, IC rv-
Mailing Address ofARPO: ISOyS-J +ft`�-ao....lp,.,` ``.G., %CZ
ARPO's email: Li iii o p IC,ccn4l-d — ARPO's Phone#: '71 Cl 36
I_ --
Date: ��i 'waiver Is valid for up to one year from ARPO's Signature'
j Revised July 2021
RECri! IED
Dc C 02 2022
DC?11,L iqD C;'I,Y

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: /'y/,i) o W, ✓`�ni��l
Address of Property: A6� /I/. 1�1n57a? IV-L berth Nc 24s/a
Mailing Address of Owner: Aod2 /V fhj104 five- 4-j/4#i%' 6e/7 NL A.367d
Owner's email:TwglyllYB/7®Grra%r6M Owner's Phone#:R/4-a7r1-37gb
Agent's Name: Cer/Di7 �d/3rcC Agent Phone#: A<A 7A3 36'1 r
Agent's Email:v/e liOq.Dolir�(47G/wai1,Comer
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 hasescribed to me, as shown on the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal. I DO have objections to this proposal.
it 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 siq
the appropriate blank below.) n /
I DO wish to waive some/all of the 15' setback
Signature ofAdjbcdnt Riparian Property
-OR-
I do not wish to waive the 15' setback requirement (initial the,�lank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO: rU 00A I -}I I Il%nZ>—r 11l r4 . a{i511-D U J
ARPO'sem it: rkOply�tysrr/h1�ARPO's��ne#: A!5;L- D-5( OS
Date: I a I I O 'waiver is valid for up to one year from ARPO's Signature'
RevPV"1y,r 1
DEC u J ?0??
JCs'M—WHD C''s`fY