87768D-BHU PROPERTIES

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��" ar _1�+HIVIN L uncv�ac a -1��. 1V . 87768 �+ A B C,-M
J ( �� Previous permit O (ei��f / v
GENERAL PERMIT C®(�^ 'J Date previous permit iss ed
VINew []Modification []Complete Reissue [] Partial Reissue /,n,-,/r"
l As authorized b the State f North Carolina, De artment of Environmental uali and the Coastal Resources Commission in a of efS ro ntal concern ursuant to:
Y P Q ryP
I SA NCAC ' f 20 D_ _ Rules attached. >d General Permit Rules available at the following link: www.deq.nc.g_ovlCAMArules
Applicant Name rti O Authorized Agent_
t I
Address �` ���- J Project Location (County):
City (1( U.46- State zL ZIP Street Address/State Road/Lot #(s) -7 �RtO
Phone #
Email Subdivision
City ZIP
Affected CW EW *I PTA ❑ ES 1-1PTS Adj. Wtr. Body C-J /' 'A r �_(ng1%!f Yunk)
AEC(s): IDEA � IHA L 1 UW LJ SPIMA PWS Closest Maj. Wtr. Body ��V ••'t1� ! dyy
ORW: yes& PNA: yeso
It F
Type of Project/ Activity (/H 5 O r
J (Scale:�u )
Shoreline Length T(
Access Length _____
i)length F
Fixedxed Plat
rm(s) ,
Floating Platfor s)
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp IF IF 1
Boathouse oaIli
Beach Bull ozing __
Other
t
n-(AA)
•
47,t
a
•
SAV observed: yes
Moratorium: n/a yes Pro
Site Photos: yeC/—
Riparian Waiver Attached: e o
A building permit/zoning permit maybe required by:
Permit Conditions
7
RULES AND CONDITIONS THAT APPLY TO THIS PROJECT
Name
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
_ —DS
COMPN NCE STATEMENT. (Please I al)
s PRINTED Name
Sig !VdtbtfletrPmd3compliance statement on back of permit" Sign
Application Feels) Chec P/Money Order Issuing Date Expiration Date

`°"Sr", ❑LAMA ❑ DREDGE & FILL No 87768 A B C D
4. GENERAL PERMIT Previous permit
J 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 � �., U
/ ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name % v) -(A
Address /.!�{ v ✓ /
City 1 r i_`5CP v'! C C.t State
Phone # (Z�o)
Email
r' C 177 k t, C.. Authorized Agent "
4' G Project Location (County): 'fib h k l
_ ZIP 1-5 1 � C.> Street Address/State Road/Lot #(s) i 0,
Subdivision
City
7 �0-11-1 F--..
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (n/unk)
Y
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no. PNA: yes/no'
Type of Project/ Activity [11A ` 4
(Scale: s
Shoreline Length
3 ( �
Access Length F -
i
Pier (dock) length
Fixed Platform(s) __J
Floating Platform(s) j
Finger pier(s)............. _.. _.
Total Platform area
Groin length/#
Bulkhead/ Riprap length ,. . ,_.... . ........ t........... __. __ _.._.. ___ _.... _..' _..... . ..__ ..__ __ .. .......... _ -- - --------
Avg distance offshore
Breakwater/Sill
Max distance/ length i
Basin, channel i
Cubic yards
Boat ramp
-4,---
Boathouse/ Boatlift 1
Beach Bulldozing•B
tt I f
Other
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 required by:
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
4{z/ 4�t�
Signature "Please read compliance stat ent on back of permit" Signature
Application Fee(s) 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 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

lope ID: D034A350-61134738-91D6-8ED40731964EocuignE� ��0�j A B CD
GENERAL PERMIT DatePrevius pour p
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial ReissueLF
Z
As authored by the StV&e orNorth Carolina. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
l5A NCAC O 7( QPQ ❑ Rules attached. UGeneral Permit Ruses available at the following rmk: www ft.nc gqy&A IArw s
Applicant Name
��%
T-�-
%
Audwrized Agent 1�
Address
:� _ 4 �
Caty ON !V Upstate il� ZIP
Project Location (County)- (LJ
Street Address/State
Phone #�0r
--77
_
t (s�
D G
Email
City ZIP
Affected ❑ CW
)QEW PTA
❑ ES ❑ PTs
``,, .I
Adj. Wk.. Body ���✓' A (n rrar nk)
AEC(s): ❑ OEA
❑.IHA ❑ uW
❑ SPIMA ❑ PWs
Closest Mai. Vft Body d/!�• /� �!� �J
ORW: yes (�Gb�
PNA:
Type of Project/ Activity 1 L1"A VY
(Scale:A/n )
Shoreline Length "
Access Length 7
Pier (dock) length J,, � • • ,
Fixed Plalorm(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin leng #
Bulkhead/Ri 3plength
Avg distance o hore
Breakwater/Sill cat
Max distance/ len 1�
Basin, channel
Cubic yards '� ��•
Boat ramp few" -
Boathouse/ Boatlift
Beach Bulldozing _
Other 4
SAV observed: yes env
Moratorium: n/a yes o
Site Photos: yes
Riparian Waiver Attached: yes o
A building-permit/zoning permit may be required by: 1'•
Permit Conditions i '
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑. See note on back regarding River Basin rules
❑ See additional notes/conditions on back
TM AWVE OF LT/h r ES, CR ES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT ��} (Please Initi � ._
PfyyTEDN
e ` M it cer's P INTED Name
UUs
"AMATi
pliance statement on back of p1.ermit• • , S" na a ,y 7 41, ,�z
Check57
#/Money Order Issuing Date G' Expiration Date (/

I hereby certify that I own property adjacent to
property located at �>(-) G 1> f-h.
on
Property
I
N.C. ()/L` )D&/
(Waterbody) (City/Town and/or'County)
teppl�ic. has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
RECEIVED
JUL 111 '2022
DCM WILMINGTON. NC
WAIVER SECTION
I understand that pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
nimum dist ce of 15' from my area of riparian access unless waived by me. (If you wish to waive
etbac , you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Ys
Date
Telephone N7be,r/
-/ -!' 2—
Date
In`Pprmation)
'�) 2 .to I
(Revised 611812012)

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /—,a-(, a A y"d� �Jt, tj 's
property located at
(Name of Property Owner)
_ � � � � . ,�. ��
on yt/ -/c� �� f , (Address, Lot, Bck; goad, etc.)
eke , in ue-' e-1 CIOid , N.C.
(Waterbody) (City/Town .and/or County)
The app ' ant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
SSG , L'�- �/ -, -,/ y3 / 7
RECEIVED
JUL 1•,1.2022
DCM WILMINGTON, NC
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback, ou must initial the appropriate blank below.)
1 do wish to waive the 15 setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop Owner Information) (Ad% nt Property O ne• Information)
Sqheture
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Pr#4 or p� Natt� S 1 Rn or Type Nam +
Ma�Jtg dd/�e�ssMing A �d¢---ILA
city1, t iziP cityp 1,911 / �/ - 3 3 S �
Te/epbOne �(utnb Telephone Nu�per
` �/ 7- 5(,-.2 2—
Date ' Date
(Revised 611812012)

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RECEIVED
J U L 11 2022
DCM WILMINGTON, NC

Check
Bank
#87626D
rct. 18104
/tLULUL[ vVCiiuun ai iioi _
�n�nm� Delta Dock &Boat Lift Barrington III __ First Citizens Bank 9373 $ 200 00 GP #87770D JD rct. , 1!