86832A - Spelman, Robin & April

[QCAMA k DREDGE & FILL Na 86832 B C D
GENERAL PERMIT Previous permit
Date previous permit issued
[A 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 N • I 100 -4 N • 1 a Vy El Rules attached. 0 General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name lza bt n
Address 1 3- 1 N A.J s. 1 Lr,,
City CVrr.-V.J CIL State IU L ZIP ;I 9 aS
Phone # (aSX ) 1'3).- 9019
Email ro b 1 n C5pa 1 A— t G r►1Li ,1, u,-�
Authorized Agent La,,-, i3✓rc h �Cc n5
Project Location (County): C LJ r
Street Address/StateRoad/Lot#(s) 13Q Nc,4 V, c, I La /K
L.0 Jr 1* 1 g
Subdivision L'rr. C k 1.-G rJ ,
City Cyr r , V..J C. K ZIP i 9
Affected ❑ CW IX EW N71nUW
PTA � ES PTS Adi.Wtr. pBody CX'y C ►^{-t_k CCU 1, (na an nk)
AEC(s): ❑ IDEA ❑ IHA SPIMA PWS Closest Maj. Wtr. Body 0�1 t- 50 �L
ORW: yes PNA: yese9
Type of Project/ Activity } 1 7� S ' d
Dry 1_a r C �"- h-' XUs (30c.
Shoreline Lengths
Access Length
Pier oc length / ( X is
Fixed Platform(s)
W
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
-
Bulkhea / Riprap length :t \�S
X
Avg distance offshore
, �N
Breakwater/Sill 31
Max distance/ length II
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Bearb Bulldozing
Oth %�� Flo �fCwC,11�
N.N,
30'
9/—A
lv� iwo i�.,,..s IbLxb�
Y
t(ncLn
(Scale: Jv J, S )
r v
Ilawl
�' .,,- ,,, � !av-F1.a.•,a.L,2 13..�1Y1..Lc 1 n\.5r„n.�r,Z �___, .f
I
(r Up
1(.--1 1cn� Sl�3rtliA-4— (?fCL `9> J,"
�{� thor; �..L1 IJoo1C
�IbXV duce bvs1't `,' `�
(b X(O' over lord
I;SAC� L.rt}I�,;.cIS i�
jpQln-,,,rN
v
SAV observed: yes no
Moratorium: C5) yes no
Site Photos: a no
Riparian Waiver Attached: I
A building permit/zoning permit may be required by: `l: r'-3 J • K- E ✓ �� Y
Permit Conditions A 0CbY= �i a p` • rTvv—�F1ar� 1Trr r��u t r� bt
-�)°,6-yr,o r - �,
)J USQ,G_i= Vrc'r � d ry rra� QvThd/, Z�tCI -}K3 �Itc\ or cl�s Jlbtcj
V �7 CwCc+ \r'6
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
1 1` 1 W r�r'1L1 C I
A entff Applicant PRINTED ame Permit O Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

o1+40AS74, ❑ CAMA ❑ DREDGE & FILL N° 86832 B C D
3
GPrevious permit
GENERAL PERMIT
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 ❑ Rules attached. 0 General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # (_ )
Email
Authorized Agent
Project Location (County): r
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/riian/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:;,
Shoreline Length "' t
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length 1ti S
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
A building permit/zoning permit may be required by:
Permit Conditions.. --a: -------�I„
12i
❑ 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
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date ���o��o� 3
Name of Property Owner Applying for Permit:
/4PR. t L F (�o 3,, j S P aLMA--t\j
Mailing Address:
I certify that I have authorized (agent) Lauren Berry Burch
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) '8 v t-1<l4 L"14-�6 �,q7vy Dock
at (my property Iocated at) /� % 7 � Z� i r�cK ,VC�7���
This certification is valid thru (date) d ���o/Za ;)-�j
J/a Igoa3
Propert ner Signature Date

N.C. DIV SJON OF COASTAL MANAGEMENT E C E I V E D
ADJACENT RIPARIAN PROPERTY 0YY1dER NOTIFICATIONIWA"R FOR
"T�,�aTi N Rt. 1� Q o E Y
JAN Z 5 2023
(Top portion to be completed by Owner Or their agent)
Name of " kok)in i ApKit, .. 6P i~MAt,J DCM--EC
Ma;ling AMresa of Ow►*#r ,l �� tti. VT'1 � t'< l t �# 1 � {i� C � `t . �.._ 79` ;i
Owner's O tt: f'0 t~r e it ry Owner's Phone# + ,
Agent's Name _ ++ � Ad#421 Ai6 Agent Phone# fr•? 12
Agent's Emil: it},, r�trzlC. ets'i
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 drawingwith dimensions must be rovi ed 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 somelall of the 15' setback % I
Signature or Adjacent Riparian Property Owner
OR -
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owne . t
TypediPrinted name of ARPO: U12 J, t ne
Mailing Address of ARPO: A n It--•
ARPO's email: R wioAe rvtr- 1 A6PO's Phone#: (o %
Date: 1 _2—_ U- "waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

(Top portion to be completed by owner or their agent)
Name of Property Owner, t�c�w►r1 PR 1LQl-�iAhl
Address of Property hl� vTi C A l t sLI�W- t C 3.771.;il
Mailing Address of Owner: �� 1%At\uT I CAL- 1-_" _(:-vP-114T - C-14— � w�G- aci
Owner's email: cob, n c 0e. ntv�v Owner's Phone#: (a
Agents Name: ,4-,05 MR42E Al _ Agent Phone#:�3 $'
Agents Email: eel P,5 ir"-t r )n�,e,,nbck
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
tBottom 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 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
rim
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Prope(rrtyy Owner. ,14
Typed/Printed name of ARPO: C
Mailing Address of ARPO: i1 t Ct { L& ARPO's ernail- rWoA�-
i T�
(� �iiiyAe wa a tPfl's Phone#:
Date: 0-2- 2-- —.waiver is valid for up to one year from ARPO's Signature*
Revised Duty 2021

that I
.. property adjacent •-. property. _
DO NOT have ob"�,cbons to this proposal, I DO have objections to this proposal,
If yvaJ tieve objections to what is being proposed, you must notify the N.C. &WSJOOtai C€r�st
Management MCA#) in writing within 10 days of receipt of this notice. Convspawed esr be
ma0ed to 401 S. Griffin 5L, Ste, 300, Elizabeth City, NC, 27909. DCM repmaentathw cam afar be
contacted at [phone]. No response is considered the same as no objection dRYou hates barer
notified by Certified Mail,
WAIVER SECTION
ancerstand that any proposed pier, dock, mooring pilings, boat ramp, breakwater. boathouse, lift, or
groin mast be set bark a minimum distance of 15` from my area of riparian access unless wavetf by rt
(this does not apply to bulkheads or nprap revetments). (if you wish to waive the setback, you am"
the aWopnate hank below.)
I DO wish to w3rve sometail of the 15' betbac:k/*
§Jgnstcrta of Adjacent Riparibn Property owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typ*WPrintaed name of ARPO: Dc au(�
Mailing Address of ARPO: 1' 1, rJ Av-c i t 4kL c-- s1J C . r 6 i ilk' , tkt
ARPO's email: 6<_ a g-ol A A,6)A Mn' t t a rryn� ARPO's Phone#: ( 157)�
Data: i� � � � �' i�� *waiver is valid for up to one year from ARPO's Signature*

COPELAND DOUGL S E
tl
COP4AND AMBER
LYNN
141 NAUTICAL LN
Billing City CURRITUCK
195' bulkhead 2' from the natural landline. This including 8' returns on both property lines, as well as a
12' X 16' Platform
1,►v� C, a�-cr wG�r
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