86791A - Nelson, Wallace & Freda

�]CAMA ❑ DREDGE & FILL n y N9 86791 tA;, B C D�
1� GENERAL PERMIT �L Previous permit
4. Date previous permit issued
0 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
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
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
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
(Scale: 40' )
❑ 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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
(Please Initial)
Application Feels) Check #/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.
Address of Property: _
Mailing Address of Owner:
Owner's email:
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
descriptiioon' 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
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)
RECEIVE
Signature of Adjacent Riparian Property Owner: JAN 0 4 7023
Typed/Printed name of ARPO: Ldh6l) JFCZ7111
_ C
Mailing Address of ARPO: 11 LSs'I
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 NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL _RETURN Pr_(,r_10T 0r—­.-.,___
(TAP portion to be Completed y owner or their agent)
Name of ProPerty Owner, �
Address of Property; 0
Mailing Address of Owner: _,)(D4
Owner's email:
Ow f er's Phone#: ti7,
Agent's Narne:
Agent Phone#:
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be com feted hy the Ad scent Pro ert 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.
42�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 you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setba��-�
-OR-
Signature of Adjacent Riparian Property Owner r- C E I V E D
I do not wish to waive the 15' setback requirement (initial the blank)
JAN 0 4 2023
Signature of Adjacent Riparian Property Owner: DCM-EC
TypedlPrinted name of ARPO: � t cl is r( ie Yr
Mailing Address of ARPO:
ARPO's email: i�kG� 31 E �t ttlGl t �, Cdr'ARPO's Phone#: `� 1 % S`�S t:>
Date: /'" L% — Z `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 fly owner or their agent)
Name of Property Owner.
Address of Property: _
Mailing Address of Owner:
Owner's email: Lt 11 C , )
Agent's Name:
Agent's Email:
C' 8'n1
is Phone#: (25Q 3 39 - tK(o
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
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
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 Own pr� K ECE I`
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
JAN ' � ',173
Signature of Adjacent Riparian Property Owner: Ljlum-EC
Typed/Printed name of ARPO: Z c. a-cd Yr
Mailing Address of ARPO:
ARPO's email: r kb 3Ic1@ hC4fn(,� I I . UTYARPO's Phone#:
Date:
'`waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

n ���. ,�,..� �a,..

61 q
Per uimans GIS ��y A��� �y Rd,
1/4/2023, 8:58:03 AM
Centerlines Imagery 2020
M Red: Band., 1
Green: Band-2
® Blue: Band 3
1.128
wolk�ce A 'Fred �e,�� 1:
� 0 0.01 0.01 0.03 ml
`�► .p /� 0 0.01 0.02 0.04 km
State of North Carolina OOT, State of North Carolina DOT. Esrl, HERE, Garin.
GeoTechnolo ies. Inc, USGS. EPA
Perqumans GIs
For tax purposes only, Nod a loyal acxument or survey Perquanans nor State of NC: assume any 161(mMy resulting Ran use of thm map