Roach, Charles & Mary Sue 88778C

��COASIq� EICAMA Ll DREDGE & FILL No 88778 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued — N42, ew ❑ Modification []Complete Reissue []Partial Reissue
As authorized Iry the State of North Carolina, Department of Environmental Quality and they �Coastal Resources Commission in an area of environmental concern punsuant to:
15A NCAC Rules attached. I x I General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
City y''
Phone #
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Email Subdivision
City L ZIP
�
Affected �y-� LAJ CW NEW ElPTA ❑ ES PTS Adj. Wtr. Body._. (nat/man/unk)
AEC(s): ❑OEA IHA ❑UW SPIMA PWS Closest Maj. Wur Body
ORW: yes/no PNA: yes/no -
Type of Project/ Activity
(Scale:1)
Shoreline Length
Access Length
I
it t-
Pier (dock) length ':
Fixed Platform(s)
6.
ii
Floating Platform(s)
I
Lrt
7
;
4
Finger pier(s)
�
1
Total Platform area
Groin length/# '..
Bulkhead/Riprap length
I
Jit,
h
Avg distance offshore -.-.
__._...F_
....
.
Breakwater/Sill -..
Max distance/ length
"
Basin, channel
-
Cubicyards
Boat ramp
Boathouse/,Boallift
Beach Bulld�zmg
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
e L iiAi__ __-_:. L__:__ __-_:. __.. �_
--
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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-- Signatli e hO h);
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:
ElTar - 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 Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(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

4EN`4f ❑CAMA J DREDGE & FILL N� 8877S A B C D
aPrevious permit
. GENERAL PERMIT Date previous permit issued
AI❑ 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.nceov/CAMArules
Applicant Name
City
Phone#O_
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected IJ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW:.jes/no PNA: yes/no
Type of Project/ Activity
(Scale; �)
-
■
■■
1.1t
n1_.
MINIMUM
■Floating
�J�
■■
Platform(s)
Ap
oil
'
111111
mom
IN
III
Finger pier(s)
®■■■�■■■■■Y
■■I■■■■■■■■■■■■■H@■@■■■■■i■
®■N■■1�■■■ORRIIMEMNEMMEM■■UMN
Total Platform area
ON
■■■■■11■■■■
f
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
yards
Izatramp
Teach Bulldozing
Ither
®i■■l■JJII`
ME
ll
MEN
�■N■■■■■■■
■NCubic
I
�����%■■I■INWlli=ME■■I!
■■■�l�i�i�i■i■�iiii1._■■i��■■■��
;AV observed:
Moratorium n/a
-ite Photos:
Waiver Attached:
yes no
yes no yes no
yes no
■■■■Ili���ioiiiiiiiiisiii�w►a
ii��/�rTl:�
■■■■■■■■■
■■■■■11■■■16■■■i■■rillloll
■■I■■■■■
L1■■■■■■■■■■■
■
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Z■■�
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A building permit/zoning permit may be required by:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 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••6b,J1�t/� Signature 4O /Q3
it
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:
1-1 Tar - Pamlico River Basin Buffer Rules 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)
1� t o , 1 C p,p c
Name of Property Owner. Y r' PwY -Sy L Q ✓ C� `� S �7
Address of Property: 3?b T 4 �-�- L /' 1 l I�F_t-oiopT
Mailing Address of Owner: ro`J*� �1_Q
Owner's email: QUn -FoCtQ/`I�jj DWwner's Phone#: ty
1 �
Agent's Name: _ —% .L.J- Agent Phone#: N A -
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
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 someiall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) Ale
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: Avrbeir EiSh0QI,�,�
Mailing Address of ARPO: Zl� 22 W1�nY�� CJ /U
ARPO's email: a�21q$ @QMNll- - OPO's Phone#:l91CO2- OQ ­69210
Date: I Z I -1 I ZZ 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
RFCEIVV_D
Cyr 2�nzz
1

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Tap portion to be completed by owner ortheiragent)
�
Name of Property Owner:
Address of Property:
L- L A N E
we 2gs7a
Mailing Address of Owner: 5Prw r-
Owners email: roQ6A TIC W _/I Wwner's Phone#: ?] 9 9 8-1
Agent's Name: �� .LI Agent Phone#: N
Agent's Email:
r
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
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 /f you have been notified by
Certified Mail.
WAIVER SECTION
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 6f Adjacent Riparian Property Owner
-OR- _ RECEIVED
I do not wish to waive the 15' setback requirement (initial the blank)
NOV 3 0 Z922
Signature of Adjacent Riparian Property Owner: J t Jr t.0 IF w"\" pCM-MHD CITY
��� 1 1 t� �1
Typed/Printed name of ARPO: •--1 o 6-6 1 � � ( L--(—J Q�
Mailing Address of ARped(r
PO: 3 11 , � `-�'1 r /
ARPO's email: t4r.UN"�M,C -ARPO's Phone#: `� Z �` I- J 1 C1 J-
Date: t 2AZZ. -waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Styron, Heather M.
From: bill roach <[e-mail]>
Sent: Monday, November 28, 2022 10:52 AM
To: Styron, Heather M.
Subject: Re: FW: [External] revised dock plan
Attachments: miller Itr rev.pdf, bishop Itr rev.pdf; CAMA adjacent neighbor form.pdf,
cert rev.pdf, USPS.comO - USPS Tracking Results.pdf
CAUTION: External email'. Do not click links or open attachments unless you verify. Send all suspicious email as an
11
attachment to, Report Spam."
Good Morning Heather
Please find attached copies of:
1. Revised letters to adjacent neighbors
2. CAMA form you provided (was included with letters)
3. USPS certified letter documentation
4. USPS Certified letter tracking history
Please let me know if you require more information to issue the permit
thanks
Bill Roach
On Mon, Nov 28, 2022 at 9:08 AM Styron, Heather M. <[e-mail]> wrote:
I wanted to make you received the email I sent to you on 11/18/22 (see below) and also wanted to
mention that once you have the new forms signed please return tome so I can draft the permit.
Heather Styron
District Manager
Division of Coastal Management 400 Commerce Avenue Morehead City, 28557
252.515.5417 (0) 252.725.3903 (M)

[e-mail]
www.deg.nc.goy.
Find a Field Rep (arcgis.com)
GD E
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be • • to third parties.
From: Styron, Heather M.
Sent: Friday, November 18, 2022 10:18 AM
To: bill roach <[e-mail]>
Subject: RE: [External] revised dock plan
Because you have changed your drawing you, will be required to re -notify both adjacent neighbors. I
have attached the required forms.
Heather Styron
ra

District Manager
Division of Coastal Management 400 Commerce Avenue Morehead City, 28557
252.515.5417 (0) 252.725.3903 (M)
[e-mail]
www.deg.nc.gov
Find a Field Rep (arcgis.com)
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: bill roach <[e-mail]>
Sent: Thursday, November 17, 2022 12:36 PM
To: Styron, Heather M. <[e-mail]>
Subject: [External] revised dock plan
3

CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Heather
Please find attached a revised plan for our proposed dock.
Please let me know if other documentation is required for the permit to be issued
thanks
Bill Roach

Bill And Francis
Enclosed is a revised sketch of the dock we hope to install soon and the CAMA
neighbor notification form. I believe it meets all NC CAMA regulations. Let me
know if you have any questions or concerns.
You could also contact the CAMA agent, Heather Styron (252-515-5417).
Thanks
AR

D '--Ul roAr-!l

11/28/22, 11:19 AM
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NEWPORT, NC 28570
November 26, 2022, 9:04 am
Departed USPS Regional Facility
FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX
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HILLSBOROUGH, NC 27278
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UNIT D TES
POS M VICE.
SWAN3B0RO
664 W CORBETT AVE
SWANS80RO, NC 28584-8572
11/23/2022 [phone]
------------ 10:09 AM
---------- -
Product Oty Unit Price
' 09
-------------------
-- —
First -Class Mall$ 1 $0.60
Letter
Hillsborough, NC 27278
Weight: 0 lb 0.70 oz
Estimated Delivery Date
Sat 11/26/2022
Certified Mail$ $4.00
Tracking A:
70200640000027264947
Total $4.60
First -Class Mail$ 1 $0.60
Letter
Newport, NC 28570
Weight: 0 lb 0.70 oz
Estimated Delivery Date
Sat 11/26/2022
Certified Mall$ $4.00
Total - ----- $4.60
----------------
Grand Total: $y 20
--------------------------------------
Credit Card Remit $9.20
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Account M: XXXXXXXXXXXX1628
Approval k: 023876
Transaction M: 021
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moron, Heather M.
From: bill roach <[e-mail]>
Sent: Friday, November 11, 2022 11:28 AM
To: Styron, Heather M.
Subject: [External] certified letter documentation
Attachments: certified Itr doc.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Not sure if you also want this. I can also send USPS tracking documentation
bill
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