86699A_Florence, Gregory_20220816

CAMA ❑ DREDGE & FILL f��/ N° 86699 013 C D
�LI ` Previous permit
GENERAL PERMIT
Date previous permit issued
Q 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 I �'� ❑ Rules attached. ❑ General Permit Rules available at the following link: www.degnc.Qov/CAMArules
Applicant Name
� 'C"V � �r� ✓e r Authorized Agent
Address t 4 V 21 LLAt A/ V I e LN N . V-,C Project Location (County):
�y
City F-1 � t J;i i IlnW State NC ZIP "Z y Street Address/State Road/Lot #(s) 19 L t ( ` v k ,v
Phone # (2 4 ✓ — 2 2) b "N N t V'e" 16 3 r— I1:: `= 1 �.. '
a
Email pieA/ . " �" V r. Vt � l;' GVV\ ('L1 L , C b ;(4'i Subdivision t G ✓1. +'f ` { "
La �t
City �L t..t 4'1.w `� ' 1+••. ' ZIP 4� "1 � L,
Affected ❑ CW ❑.EW Z PTA ❑ ES ❑ PTS Adj. Wtr. Body rti*, n.,L to (nat/#an/pnk)
AEC(s): ❑ OEA ❑ IHA UW ❑ SPIMA PWS Closest Mal. Wtr. Body n /' lnn,fi�✓ LL . Gam, �(_�`
ORW: yes/no PNA: yes/ho', /
Type of Project/ Activity 1 11 X�t + i Ord: i Inj (( Y b'Vt.
s ,�( (>1 r.�. (Scale: NI
t�Shoreline Length; ° J
Access Length
i
Pier (dock) length
Fixed Platform(s) / 4►
+�Floaeng Platfor•m(�,
� ( `
Finger pier(s)
f
f
J'
Total Platform area 9
f {
Groin length/#
,
Bulkhead/ Riprap length
Avg distance offshore
`5
Breakwater/Sill
Max distance/ length
Basin, channel
'r
.w
Cubic yards�
ti
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
heri/o'w�
Y
V Vt1% d
SAV observed:
yes �)
Moratorium::" n/a
yes no p
Site Photos:
yes no
Riparian Waiver Attached:
yes no !
' f1
A building permit/zoning permit may be required by:
Permit Conditions
..r o�
P }(
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
ElSee 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 �4
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

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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: _ vet e—
Owner's email: LJ '1—I Owner's Phone#:
Agent's Name:
Agent's Email:
12 s a- 61Fy-12 3 S-
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
2 7 rrr
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' setba -OR-
�y
�ulgna Adja ent ipa Pr rty Owner E C IV D E
A U 6 1 6 2022
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
DCM—EC
Typed/Printed name of ARPO: C—
/
Mailing Address of ARPO: /U l i Z [/� T h G� K� /� e v) (fit f'(� n c
ARPO's email: ARPO's Phone#: 70 3
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 agent)
Name of Property Owner: 67 r/U�-,lc-e—
Address of Property: 1 C/a 2 f' �l�G�- �' U �� �J c` 1� r �%' �)Pt/� l l �) l! s' ✓ / C
Mailing Address of Owner:
Owner's email: 4zJ e Owner's Phone#: �,�• - L%/` - /Z��
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
1 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.
1!tiI DO NOT have objections to this proposal, I DO have objections to this proposal.
ff 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 rlprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
1 DO wish to waive some/all of the 15' setback : ,
E C E :�o
-OR-
re o Signat f Adjacent Rip ian Property Owner
AU6 t 6 2022
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
DC -EC
Typed/Printed name of ARPO, L Q Zvi 1 n� � -C r-
Mailing Address of ARPO: �`�� �/ ail G4 r U� �D`' k b ! / / C
ARPO's email: ARPO's Phone#: 5 CCU ^ F,70 - /3�2-
Date: F-0 Z Z *waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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NOTES
7, AREA BY COORDMATE COMPUTATION• 10.005.q II
2 F I.R B/ ZONE SUBJECT TO CHANGE BY F E W A.
1 It IS THE SOLE RESPOMMUTY OF THE PERMITTING
MLW CIPALRY To VERIFY SITE COMPLIANCE WTH ALL
ORDINANCES. ZONM B SETBACKS REQUIREMENTS
PRIOR TO THE ISSUANCE OF PERMRS SURYEYOR
MAKES NO CERTFICATION AS TO COAmANCES
EIT14ER SHONN OR IMPLED
4. TMS SURVEY IS SUOJL'CT TO ANY FACTS THAT MAYO£
CfSCLOSED BY A FULL AND ACCURATE TITLE SEARCH
Q COVERAGE AREA
OMELUNG AREA+I,S}COO.R,
DECIVSTEP AREA.M" B
GONC. DRIVE AREA+021$9. R.
OTHER CONC AREA■34"A
TOTAL COVER46EAREA-2001 R W—
m
"AEC COVERAGEAREA (101tq kV A
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„ 12040 Gregory W. Florence
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Lot 17, Section P
Colington Harbour
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A7LAATCT0117VSN/P DARECOWaY AWMCAROUNA
EASTERN
GEOMA TICS, PLLC
"PROFESSIONAL SURVEYING SERVICES'
P.O. BOX 1026
(305 Soundview Drive) FIRM LIC#. P-0733
KILL DEVIL HILLS, N.0 27948 PHONE /FAX [phone]
A U 6 1 6 2022
DCM-EC

This map is prepared
from data used for the
inventory of the real
property for tax
purposes. Primary
information sources such
as recorded deeds, plats,
wills, and other primary
public records should be
consulted for verification
of the information
contained in this map.
g,.
F
/ w ' 1
1402 Harbour View DR Owners: Florence, Gregory W -Primary
Colington NC, 27948 Owner
Parcel: 020100000
Pin: 986308888902 Building Value: $337,100
Land Value: $119,400
Misc Value: $21,600
Total Value: $478,100
Tax District: Colington
Subdivision: Colington Harbour Sec P
Lot BLK-Sec: Lot: 17 Blk: Sec: P
Property Use: Residential
Building Type: Traditional
Year Built: 2018