88078_Ma de Lourdes Perez- Espinosa_20221026

�4`°"r4 CAMA I-I DREDGE & FILL
N9 88078 Ap: . .
ID+� 1 I 1 „0(� Previous permit
GENERAL PERMIT TC ll!
Date previous permit issued
n New n Modification n Complete Reissue ( I 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:
I5A NCAC n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s) •
Phone#(_)
Email Subdivision
City ZIP
Affected n CW n EW n PTA n ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA UW n SPIMA n 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
• i
Boathouse/,Boatlift
Beach Bulldozing
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:
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
nSee note on back regarding River Basin rules
FtSee 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** 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:
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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
(Serves: Bertie,Camden, Chowan,Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans,Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAWVER FORM
CERTIFIED MAIL=RETURN RECEIPT REOUESTED or HAND DELIVERY t."-
(Top portion to be completed by-owner or their agent)
Narre of Property Owner: ` • c n -r}r ✓r^`e S Ford r y
AMr scfProperty; L{ IJCrl W/Q yn7fCYlC '( } y�f
I.'ziing Address cfOwner. '• '0 .I1/0x �frh7`'I JnuCJ/c1Jvicey]0C 9 ( -►.6D
Owner's en-e'.f,10 0 G er ereildr)C6.fi •'pets Pr `'LS l,5 Ea8 0663
Agent's ttarrr-_:Skora k 7_In pie 3 Ardent phone ` €2- t9/{B —3 b
I
_ . .Agent's Emhart�'rane,.,SH a of e,5:n nctP.nr. (90J
t
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I"mrebinaitly that I aim property adjacent to the above referenced property:The',indr ndtt apptfing torthis
penict has described to me, as shown on the attached drawing, the development they are proposing.
desaictticn or drawing.with dimensions.must be provided with this leper.
V ' .I DO NOT havedbjections to this proposal I DO have objections to this proposal.
If you have objections,to wharfs being proposed, you must notify the.N.C, Division of Coastal
Management(CCM)in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 V/ashingtan Square Mall, Washington,.NC 27829._DCM representatives can also be
contacted at(252) 946-6481.110 response Is considered the same as no abjection if you have been
notified by Certified Alai!. ,
- WAIVER SECTION
I understand that any proposed pier,Cock,mooring pilings,boat ramp,breakwater,boathouse,fift,or
gran must be set back a minimum distance of 15'froth 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.) J1
11
I DO wish to waive somelaii of the 15'setback
1.
Signature of Adjacent Riparian Property Owner
-OR
, I db not wish to Waive the 15'setback requirement(initial the blank) WlmQ Y'L l
Signature of Adjacent Riparian Property&aner9ebei kea1t 16 J. mt-i-SALT' �^ ��
Typed/Printed name of ARPO:F.A.0() tin i` W1cEn � car \1rxA- '-Cis,t� -�r't_-
` Mailing Address of ARPO: )S(s J Si Y r nxYird+ Lit()al:Ontil tV r ` N902'
1 4 li ` (tis> 23Z'-4l i�l
ARPO's email:MC-Jh .& s 115Cf.J ARPO's,Phonef -
a q tnGA-Q •corn
Date'. 1''0 I t.1(2� waiver Is valid for up to one year from ARPO's Signature'
. 6 Revised,May 2021 .
, .

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: N 1 rl . �c1C�L0 old eSRC'YCZ SSPIn��(
Mailing Address: `�. O . h cX A,63'l JCrawicc tiC l it 60
Phone Number: � 5 2 s — 0 6 6 3
Email Address: To 10vv ar ett31v y0Y100 . corn
I certify that I have authorized 1 Stnst Avt.2.
Agent!Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ISoa& u-R
at my property located at 2 -1 )J O t1►lCJ n f on()
in T y 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 ation:
1I11 i§nature 11
NIG H �e Loc1roes?ereZcsf tA-0Sa
Print or Type Name
Title '
%O l 2.11 l 2022
Date
This certification is valid through I /