85810D - Nastasi, Kent

, J
XICAMA DREDGE & FILL 985810 A B c
GENE L PERMIT Previous permit
a�a3 Date prev us vr4l
ed
UNew F] Modification ❑ Complete Reiss Partial Reissue 7
As authorized b the S ate of North Carolina, Department of Environmental
Y p Quality and the Coastal Resources Commission itV�n a of econcern pursuant to:
I SA NCAC �� s 300 _ Rules attached. General Permit Rules available at the following link: www.deo.nc.goy/CAtLAw s
Applicant Nam' O_ ,y�4riT��T�j
Address
Cit State N` ZIP A-4*5
Phone # *3&) 8 ^ (1-__
Authorized Agent r— NN cTf AA IC ---
Project Location (County): Opist o J _
Street Address/State Road/Lot #(s)
�7P'c1�Ll rc _
Email _ — Subdivision
City _ ZIP
Affected [JCW EW PTA P5JES MPTS Adj. Wtr. Body Ckn� OJT SG. (na A�nk)
AEC(s): ❑ OEA MIMA uW SPIMA �J PWS Closest Maj. Wtr. Body _- u•uP 5gPOAJ10
ORW: yes ro PNA: ye&
Type of Project/ Activity 115ipA-1— ftQryl,tP
(Scale:10 & I
Shoreline Length
Access Length
Pier(doc length
Fixed Platfor �_• �• ,� � . ^ ��
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin le n th/N
ea prap length
Avg distance o hore _
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards J.
Boat ramp
Boathouse/ eoatlift
Beach Bulldozing
Other
-14 k�w
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: es no
A building permit/zoning permit may be required by:
Permit Conditions
Pwems
/off l !;-I- SE•
N ttw
to—
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
1 AVQARE OF STA
ff
C 96LES AND LONOITIONS THAT APPLY TO THIS PROJECT AND REV ED COMPL NCESTATEMENT.
(Please I ' I)
A r pplicant P NT
e_��
a
PRI TED ame
4ae
Si a e "Please read
nce statement on back of per "/n-
!/
2
g r !�
T —g _ Z.?7
App ication Fee(s)
Check k/Money Ordei
Issuing Date
Expiration Date

❑C,AMA ❑ DREDGE & FILL N9 85810 A B c
a
GENERAL PERMIT Previous 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:
I SA NCAC ( J '' I ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
? tJ < > 1
Address
City State �' ZIP
Phone # l,: `
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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. tlf - te-eF4�, r) -T ._ ;,/y
(Soled
Shoreline Length
Access Length ! r
Pier (dock) length
Fixed Platform(s) ti E
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 {7 C
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes noj��j:4
A buildingpermit/zoning zonin y q y: e f p / g permit may be required b ` -� Gil` �
Permit Conditions
❑ 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 PRINTS Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
(Please Initial)
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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Prop
erty Owner Requesting Permit:
Mailing Address:
Phone Number:�(p-�}-��-'71a�
Email Address: w
.GD
I certify that I have authorized Qr aL&A5'ti'UG�i0h
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 0 Sf
in _LLI W County.
l furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management start, 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 Information:
Signature
1 Na5la5l
Print or Type Name
Y
Title
k
Date
This certification is valid through I I

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:
0
C
Sa m e '
Mailing Address of Owner.
Owner's email: ki:n�, r�QS-{�sl ar q1'CSwner's Phone#:
Agent's Name: V 1 1) If �1-ltig LL( 6 ptj Agent Phone#:�Q
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(bottom Portion to be completed by the Adiacent P_ rooertv Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
`- Q` 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.
vv' 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 noft the N.C. Divlslon of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commence Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response /s 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
(N groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
�Qlt (this does not apply to bulkheads or riprep revetments). (if you wish to waive the setback, you must slan
the appropriate blank below,)
I DO wish to waive some/all of the 15' setback ,
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: hi. I
T
yped/Printed name of ARPO:nn n
Mailing Address of ARPO: V f' 1S ( r NC a �,q ys
ARPO'stemail: ARPO's PhoneP: 3
Date: _/ ' 2 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

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--, 00 NOT hew d odkm to Oft WWout i DO hWe d*CWM bo ttAN proposal.
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ta1'1�tII�Att
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prom awd be"bw* a n**mn of IS ftm my am of rlpw�rlen atom DrAm waMW by the
WJ IL{Brit dm teat appijr 10 b1*iMdds or riprop nrwt+fs), (K p'ou Wksh to weiwe tw yw
iApproprI I-t biattic bMaw )
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Check
Date R—t-d
.Date Deposited
Cheek From(Name)
Name of Permit Holler
Vendor
Cheek number
amount
Permit NumberlComments
Receipt or Refun&Reallocated
Column!
Column2
Column
Column4
Columns
ColumnB
Column?
ColumnB
Column9
1192023
J E.-H
Nast"
Coastal Bwkand Trust
5244
600.00
GPitB56 OD
JD W. 1995