86932A_Scarborough, Jule & Layman, Martin_20230105

i V�dAMA U DREDGE & FILL
Im
GENERAL. PERMIT
[INew [Modification `,Complete Reissue []Partial Reissue
NO 86932'A 8 C D
Previous permit _! '�✓
Date previous permit issued Lt-,
As authorized by the State of North Carolina, Department of Environmental Quality and the Coasts! Resources Commission in an area of environmental concern pursuant to:
15A NCAC _ r ', Rules attached. 0-46eneral Permit Rules available at the following link: www_. die .nc.goWCAMArules
Applicant Name _ �' ..1^o_u h�i� 4Q,1 *tkit Authorized Agent _
7.. _ _ . _ __ .......
Address _'r's off. _ _..__ Project Location (County):.
City _.. _Si ^.. 2 ?...__ State _ !Y_. C ZIP _ 4-S Street AddreWState Road/Lot #(s) _..._._
Phone # (2.6) , St? - ` Z /
Email __ .., SCg h & c o ti hk. /- �yi �G S ►L __ Subdivision �ig' ^fi2+�1, t ^ T5/ t ✓a+1
U _ f t - ae Q ..... .... __. _._....---- ezfP _._Z/-T.
City W_Q_
Affected J CW +W MTA N�ES �4DTS Adj. Wrr. Body _. - ca art o kr- _ Je. �._._. _ ( )
AEC s ' OfA IHA �- UW SPIMA ( PWSBody,
i) ❑ t_ _1 -.� l� I Closest Mai. Wtr.
ORW: yes/oo PNA: yes
Type of Project/ Activity
horeline
Access Length ! (e r
Pier (dock) lenth __3.�..c._ !
B jr
fixed PladtoIto to X 24,
�-(
f;lwtievt}�iiWi i#tiej n t A _W _
Finger pier(s)
K24`
y069-�+- "b X (st W "lk-sc..; o
4 A
1 1�
Iota! Platform area tt 06
Groin length/g ._ ._ _ Y ►�___
Bulkhead/ Riprap length
Avg distance offshore K
Breakwater/Sill 4
Max distance/ length
Basin, channel
Cubic yards S ��
Boat ramp _
Boathouse/ Boatlih
Beach Bulldozing
'Ott her �.,.... �.�_�!.. t
� AVk
z /r
SAV observed: yes�� /
Moratorium: nJa yes no U
Site Photos: no
Riparian Waiver Attached: no
A building permit/toning permit maybe required by: '�f l� �4 C-AM " A
Permit Conditions Jf
I AM AWARE OF STATUTES. CRC RULES AND
�, i b #t' ,U __... ` �.►-.ems k- ,
Agent icant PRINTE ame
signat . "please read compliance statement on bacliVif permit" /
Application Feels) Check II/Money Order
© ta.l'-
(Scale: #1]^ )
.r-Aijk jn(,td,
Z
TAWRAM/NEUSE/BUFFER (circle one)
l�J See note on back regarding River ttasin rules
ElSee additional notes/conditions on back
tiD REVIEWED COMPLIANCE STATEMENT. (Please lnitial)5,.
Permit Officer's PRINTED Name
sfl-._....._
' atu
— / ! 5
Issuing Date Expiration Date

( _CCAMA [l DREDGE & FILL N9 86615 O B c
a permitPrevious GENERAL PERMIT Date previous permit issue 4-3 122-t
Xcomplete
❑New ❑Modification Reissue []Partial Reissue
As authoraed by the State of North Carolina. Deparunent of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC �LT Z a ❑ Rules attached. (J aw Permit Rules available at the folbwing Ynk: vow dgq.nc v_CAMArules
Applicant Name -s, , K "l-, •S C-ax-A
Ale,
r+ /1 _
Authorized Agent --
Address 11 C. e LO a-
_
Project Location (County): _ .L.�� �------------
City � e n h� State C_
ZIP _Z-Y=57
Street AddressJState Road/Lot #(s)
Phone # J;(y)--
Entail r<e SC �j �,a rb U r e_4-A�
SubdM'sionn 44
C67-
City AA 4-,e-� ZIP
Affected ❑ CW [MPTA
[94S
[MATS
Adi- Ic Body zti, 4 o A. _ O c t n,J- (na man/unk)
AEC(s): ❑ OEA tl IHA ❑ W
❑ SPIMA
❑ PWS
Closest Mai. Wtr. Body -X %%c_A pKS� _Sett 4 mi
ORW: no PNA: ye
Type of Project/ Activity
Shoreline Length 1 f S a V"
Access Length. �v_' .T� -� - _ /2 ex N
Pier (dock) length 1 3 �X: (er na ( N'([ QI
� m
Fixed Platform(s) Ap, X
Finger piers) i Z
Total Platform area to a I(
Groin length/8
Bulkhead/ Riprap length
(m
Avg distance offshore
Breakwater/Sill _
W,
Max distance/ length _
0
Basin, channel
Cubic yards
41
Boat ramp
Boathouse/ Boatlift -
Beach Bulldozing
other _��i -L _ A
>L 4
F
r !_
tar C
L
e,
SAVobserved: yes
Moratorium: n/a no b
Site Photos: s no
Riparian Waiver Attached: yes no
A building pwmit/zoning permit may be required by:
Permit Conditions __ L._a�nski w .ta .S_T-11 « -_ --tA�• >r-- _-
(Scale: AJU )
FC , iAV
❑ TAR/PAM/NELISE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
U See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND �REEVIEWED COMPLIANCE STATEMENT. (Please Initial) , , \ r
I tale �� o�C=G41�€sra Lle0AAG C',rV -r-
Agent phcant PRINT are Permit Officer's PRINTED Name
Signature • •Please read compliance statement on back of permit •• 6g6at
3 S/ l %2Z /l r! zZ
Application Feels) Check q/Money order Issuing Date Expiration Date

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)
Name of Property Owner: :yu 1L- .6L 4eatj pi ji � � �4✓z7�wu L�y'��
Address of Property: CPtA)D Q Lj L AQJ ?—
Mailing Address of Owner. _ 1 �UC7 �J �.� n- t IVIA- kdua Z z c15Lf -
Owner's email: u rbur - YJl'U c Owner's Phone#: �_-1 1 7-L 524 •— �Q J
Agent's Name: _
i7�� tJ
Agent's Email: 11YA
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 des ed 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
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 u wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' s back AI ) `)2�/�?oaZ
-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:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 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 /ajg�ennt) )
Name of Property Owner: _ L)tG ��}IL&Q(t L j J� N / "liT l� (Gl' &L- l M40
Address of Property: ` 02 l.f
Mailing Address of Owner: l Z Yl� ojc 1�/V� i ;�/� yl,E "� � 2Aq C-jt
-
Owner's email{�,c�^�r-p pS j ` y n )', i), Owner's Phone#:� �} ���j�i % (Q(p \J '�
Agent's Name:- 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
desrrin inn nr rirnwinn with rli... e.,�i...,.. ......_. �- .. ..
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
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
-OR-
Signature of Adjacent Riparian Prope6 Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner-
Typed/Printed name of ARPO: t' J 2 �, ,1,� r ?
Mailing Address ofARPO: 21G5 5 LO tJe-
ARPO's email: rd'rEs, ��rfp�C��ARPO's Phone#: ZS 2- % 7_�iL3S"
Date: )- -%j , *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

3 - a InxMA s[r nDs� /
4 - IX •/A Nul�`
PEDESTAL /
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N/F
/ JOHN PATRICK RILEY, III
D.B. 154, PG. 355
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�L THIS DOCUMENT ORIGINALLY ISSUED AND SEALED BY MAN.
RAY L-2592. ON IM15 MEDIA SHALL
CERTIFIED DOCUMENT
NOT BE CONSIDERED A CERTIFlED DOCUMENT.
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CONSTRUCTION
ENGINEERING
SERVICES, INC.
P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone]
li
JOB_ CdiMP,`1r' )C B t 6'4bdAini1. LR - 11e2 �:AgOF'`j ra 4:-
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SCALE
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GAi:vk,NIZED.
D PRODUCT 207

CONSTRUCTION
ENGINEERING
SERVICES, INC.
P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone]
N.W.L. '
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STAINLESS SCREWS
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12' MIN. EMBEDMENT
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0 PRODUCT207

CONSTRUCTION
ENGINEERING
SERVICES, INC.
9N P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone]
JoB SC Asaosn sr k /L ac-imn+a Fin - 1 Y L. r. goa'j '—A?4
SHEET NO. ,Z OF S
CALCULATED BY N . G . DATE ! - 1 (e - ( 9
CHECKED BY DATE
SCALE
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-- POLYETHYLENE TC PILE w 1 3" STAINLESS
P.T.n RAIL
Pit E CAPS SCREWS TO MAINTAIN
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SCALE: ` a„ _. „.0,"
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0 PRODUCT 207

CONSTRUCTION
ENGINEERING
SERVICES, INC.
P.O. Box 665, Manteo, NC 27954
[phone]
FAX [phone]
`� / L'ick - 11.2 CAR JOB �Hf�AoStnuC ���;tia*� y
SHEET NO. _ 4 OF S
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SCALE
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2"x 8" P.T. TOP RA,L
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2 k 4' P.T. HORIZ. RAIL -
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CONSTRUCTION
JOB cfi#40py
ENGINEERING
SERVICES, INC. SHEET NO. S OF 5
P.O. Box 665, Manteo, NC 27954 [phone] CALCULATED BYF G, DATE 9
FAX [phone] CHECKED BY DATE
SCALE
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