86816A - Francis, Chris & Sumner Gay

'*Ew'r XICAMA ❑ DREDGE & FILL N9 86816 B C D
-tAGENERAL PERMIT Previous permit
Date previous
permit issued
in FK-1 New D Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Sate of North Carolina, bepartrrent of Environmental Quallty and the Coastal Resources Commission in an area of environmental concern purwuit to-
1SA NCAC �24J Rules attached. tZ General Psumtt Rules available at the following link wwvvdeo.ncpov/CAMAnlim
A*licantName Z_-_�raA Gaa aa S-Avner Authorized Agent }
Address • rev �. }etr•t fJ • _ Project Location (County): +Plt"� r-r�/
city vwwtfs State ZIP Street Address/State Roadn-ot #1 +4 F
Phone # lase, aog — 5� e� - ao �z s c
Emall e1 olw r. �n-a r` c,s d�m:r. 'kcV• tCOW&b"on Le i xkre-
sl�r�s
clty�.amc► _ ZIP �-7 IN I
Affected CW �f tW ► PTA ES ❑ PTS Adi. wtr Body ;r ✓ . h _ i�t Ir�,r (Qnaniunk)
AEC(.): OEA IHA ❑ UW ❑SPIMA ❑ PWS Closest Mal. Wtr. Body �TtOe�rc� fc t V C4-
ORW: yes/0 PNA: yes/ro
Type of Project/ Activity drkY%AQV
A - _ k.
Shoreline Length
Access Length
Pier (dock) length
i x I
t 4 i t t
Fixed Platform(s)
t -
ifr Xl7
a... �
Floating Platform(s)
Finger piers)
Total Platform area _
2
Groin length/#
Bulkhead/ Riprap length�-
r
r {
Avg distance offshore
-' -1 -t- t r
Breakwater/Sill
Max distance/ length4,+
Basin, channel
! f
Cubic yards
Boat ramp
Boathouse/ Boatlift; t }
Beach Bulldozing
Other-•-
SAV observed: yes 0
Moratorium: no r -
Site Photos:
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
Permit Conditions
X L I rril ear . "/ ill x i Z' I Zt,
(scale: V:x )
i
1-
-
--{ ...4-I- _Y
+ t
i 1 '
•_ J. daL t + 1 1
.._. 1 3
J
1
1
1
❑ TARMAKINEUSE/BUFFER (dude one)
❑ See note on back regarding River Basin rules
❑ See additional notes/wnditions on back
I AM AWARE OF STATUTESp CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
--
Agent or Applicant PRINTED Name Permit Of% F PRINTED Nam_
Signature "Please read compliance statement on back of permit" Signature v
4 { °Q -AB%S" iA o ta'� Ica r,2,3
Application Feels) Check #/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT I t
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY 5tP 21022
(Top portion to be completed by owner or their agent)
Name of Property Owner: `t" ' S 02; i .�, C � S f L,.:� f S � i--1 ti 't rL
Address of Property:
P
Mailing Address of Owner: �� G r 'Z_ t !tom rtctF 2 :'� C , Z Y S';l
� ,S"z - z. Qf 9 - S9 tc CC + Sj
Owner's email: �r'�" I.�r, �-��.••c • s@ Owner's Phone#:
-djo C.e&A
Agent's Name:
Agent's Email:
Agent Phone#:
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 (Choose only one
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 some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: l✓i «) &lb,7 j ci 11A-
Mailing Address of ARPO: I ZZ L+c/ S�/ae 5tHtzC 12-
ARPO's email: ��f Nrv/t%(c� C-+YJ I L. LAG /vl ARPO's Phone#: 75-7 ` 3-3,�-27�
Date:'12— _L_ *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

o —T
p r1 E.
O- -
5EP 0 8 2022
v
Z
"na $j ,a E y�
O
W
LOT 6
LEISURE SHORES
45' RIGHT OF WAY
— SEE PC 1 SLIDE 43 E
ecm S 70•41.00" E
f32.65'
LOT 7 - LEISURE SHORES
C 557 acre
30 7,
y
eta
N 12' 12' 0 0' E 6.0 0'
N 71"45,04.. W 132.39'
L t
a}f
:y. Side extended to se
New Bulk Head 2' '12' with 90' corner
max offset from
origina �� a
i%e•
MEHERPIN RIVER
LOT e
LEISURE SHORES
N
Ui
ep
- S 12*12' 00' W 6.00'
Dead tree and
stump removed
_°___.._

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM j
CERTIFIED MAIL -RETURN RECEIPT REQUESTED or HAND DELIVERY, ;
(Top portion to be completed by owner or their agent)
S c P J 8 20022
Name of Property Owner: e-,ff't-' S
Address of Property: -S"e
Mailing Address of Owner: /Z46 Lit S � s rl-O xx)' e-�~ ) to C. ot..:" 1 R
II -I �3PA_j
Owner's email:GNr�yi'�����'' `�' ma`s�wner'sPhone#: 2SZ- 3PIit-"-'S S
dOu+•:
Agent's Name: J / . Agent Phone#:
Agent's Email:
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
description or drawing, with dimensions, must be provided with this letter.
,:� 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 (Choose only one
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 some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: L
Mailing Address of ARPO: ��� ��`�x c� �s r /cam' C�rz;,6
ARPO's email:�% / ARPO's
Date: �! *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

0
d
0
J
w
ecm
L C T 6
LEISURE SHORES
ecM
N 12°12'00" E 6.00'
New Bulk Head 2'
max offset from
original
45' RIGHT OF WAY
SEE P[ 1 SLIDE 43 E
10°41'an-
137.65'
LOT 7 - LEISURE SHORES
552 acre
30 ;'
enclosure
s �
17 story
frame house
on piers
POrr_h
14'
N 71.45.04" W 137.34'
�_
bufhheed -�--._
Awt;—,
Side extendedto
12'with 90' corneies
11.a�
MEHER RIN R1VER
eP
LOT 8
LEISURE SHORES
ep
___.11 — S 12.12'00" W 6.00'

fF
t
a
k�j
1
e