87543D-CURRIN

�`°"�'� c❑CAMA ❑ DREDGE & FILL C J a Y-)) NC 87543 A g c GENERAL PERMIT OPALPrevious permit
Date previous rmi issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue Lin
/�As authorized b the State of North Carolina, De artment of Environmental Quali and the Coastal Resources Commissan are f envi nmental concern ursuant to:
Y P tYP
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgg.nc.gov/CAMArules
Applicant Name
Address
City State
Phone # ( )
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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
(Scale: )
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s),
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
,? f,
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be r
Permit Conditions
❑ 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
Siture **PI read compliance statement on back of permit**
Application Fee(s) Check #/Money Order
Signature
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 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/ 1-888-4RCOAST 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

f

AGENT AUTHORIZATION FOR C,GMA ('F?` IP'LIC'al IQN
Name of Property Owner Requesting Permit: \ CA �J Y 5 Mo s5
Mailing Address: - . 51 Oc� UUtx" ryy_ :s LAB.. / Po 60
Y(A,Yv�,a
Phone (Number: Ot1(5A' (p I a -1 �
Email Address: V 1 LP.> UA • C-VYt 4 r4 0) 6+W.3 gat= Z-drnos5 ft. J g ^� rr �11 I c b ►r
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:. 6.4�61
,at my property located at 5G ryx✓ l.c..`%► �4
in R?.+l County.
I furthermore .certify that I arm authorized togrant, 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
1GtiU�(UG�.� W.rl�a h � a . xm oss
Print' or Type ame
Title
Date
This certification is valid through / /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
a nof cent Ri ar�n Prope Owner
Udress T
City, State Zip"�V
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
in _ j��r{ County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or continents, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
An
Aa *--- -0- -;��-
Proper,,* Owner's Na e Telephone Number
Address ;10AW%A City,(,3 ({� G��. State Zip 6WK
_ I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Pc1 oa + & c* A(eor lG
Print or Type Name
C Y4 1 q OA,,�__
Date
ev'n qIQ337 (.Pl P3 Cri"cA 33Co 339.L-04-
Telephone Number
Address City State Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
w s11A#11_&-M,4
of Adjacent Riparian PropAly Owner
'elf
City, State Zip
To Whom It May Concern:
d—
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at u C�
in Pe—Var- County, which is adjacent to your property.'A copy of the applic tion and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property wner's Name
Il l --gTY7 416 40-.21 *
Telephone Number
Address .2l % APhWA,0 A_-V f City I%& 0_4 7/y State � G Zip 10
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
a
A jiacent Riparian Signature
.S
Print or Type Name
Address
City
Date
Telephone Number
State
WE
Revised July 2021

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