86788A_Cowell, Richard_20221214

,*` U?.V ❑CAMA, ❑ DREDGE & FILL �N9 86788 A B C D
ANPA&
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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.Qov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email
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 o
(Scale: C
Shoreline Length C r
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
❑ 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"
Application Fee(s)
Signature
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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❑ C*Med Mail Restricted Delivery
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lostage
10/31/2022
$7.85

oerttnea mau SerVIGe provnaes the Youiowing oenents;
A receipt (this portion of the Certified Mail label).
for an electronic return receipt, see a retail
A unique identifier for your mailpiece.
associate for assistance. To receive a duplicate
Electronic verification of delivery or attempted
return receipt for no additional fee, present this
delivery.
USPS®-postmarked Certified Mail receipt to the
,e d --;-
A record of delivery (including the recipient's
signature) that is retained by the Postal Service —
for a specified period.
'mportant Reminders. -
You may purchase Certified Mail service with
First -Class Mail®, First -Class Package Service°,
or Priority Mail° service.
Certified Mail service is not available for
international mail.
Insurance coverage is notavailable for purchase
with Certified Mail service. However, the purchase
of Certified Mail service does not change the
insurance coverage automatically included with
certain Priority Mail items.
For an additional fee, and with a proper
endorsement on the mailpiece, you may request
the following services:
- Return receipt service, which provides a record
of delivery (including the recipient's signature).
You can request a hardcopy return receipt or an
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt; attach PS Form 3811 to your mailpiece;
Restricted delivery service, which provides
delivery to the addressee specified by name, or
to the addressee's authorized agent.
Adult signature service, which requires the
signee to be at least 21 years of age (not
available at retail).
Adult signature restricted delivery service, whict
requires the signee to be at least 21 years of ag
and provides delivery to the addressee specifiec
by name, or to the addressee's authorized agenl
(not available at retail).
■ To ensure that your Certified Mail receipt is
accepted as legal proof of mailing, it should bear:
USPS postmark. If you would like a postmark on
this Certified Mail receipt, please present your
Certified Mail item at a Post Office" for
postmarking. If you don't need a postmark on this
Certified Mail receipt, detach the barcoded portion
of this label, affix it to the mailpiece, apply
appropriate postage, and deposit the mailpiece.
IMPORTANT: Save this receipt for your records.

CERTIFIED MAIL - RETURN RECEIPT REQUESTED RECEIVED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: k )(
Address of Property:
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0 E C 0 6 2022
DCM-EC
eve referenced property. The individual
i the attached drawing the development
ions, must be provided with this letter.
1. have objections to this proposal.
,e Division of Coastal Management (DCM) in
`►ould be mailed to 127 Cardinal Drive Ext,
ntacted at [phone]. No response is
ertified Mail:
"m`Zordin�gpilings,AIVER SECTION
'� a
I undt--apier, dock, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below,)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Qwner formation)
Signature
Print or yp ame
Mailing Address
Ci4,/Stat&0p
Telephone Number
/ J �."/1 --2-
.Date
(Adjacent Property Owner Information)
Signature
PA-)
Print or Type Name
Mailing Address
E: []..a 0, b
City/state/Zip
Telephone Number
Date
�c 60Ule'
( venue-
/ AIC
7
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Revised 611812012

N.C. OF COASTAL
ENT
ISION
ADJACENT RIPARIANVPROPERTY OWNER NOTIFICATIION/WAIVER FORM RECEIVE
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:
Richard and Janet Cowell
588 Muddy Creek Rd., Hertford, NC 27944
Same as above
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Matthew Hassell
Agent's Email: matthewhassel1638@gmailcom
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
DEC 0 6 202Z
DCM-EC
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 drawino. with dimensions. must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
it 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' setb jr I,( 4yw
Signature of Adjacent Ripari Propeerty Owner
-O R-
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:
Robin White
628 Muddy Creek Rd., Hertford, NC 27944
ARPO's email: muddypuppiessoap.com
Date:
ARPO's Phone#: [phone]
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ACN46 -�. / .fie' 4111z'--lL
Mailing Address: s/ ?� M o 64y �,� ei X hh
1� i-R.T15o& /V G 122 9YV
Phone Number: 7 3'� - 777 - a (i
Email Address: ACIA C 15- GMAic •Coin
I certify that I have authorized ,
Agent i 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
in County.
l furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, 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
Print or Type Name
o wd&.9.
Title
Date
This certification is valid through I I

Locality
Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
„�_.._, r....a ....
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name Richard Cowell
Address 588 Muddy Creek Rd.
City _Hertford State NC Zip 27944 Phone [phone]
Email richc357(irgmail.com
AUTHORIZED AGENT
Name Matthew Hassell - H&S Landscaping and Grading
Address 103 Faith Drive
City Hertford State NC Zip 77944 Phone [phone]
Email matthewhassell63gaRmail corn
LOCATION OF PROJECT. (Address, street name and/or directions to site; name of the adjacent waterbody.)
588 Muddv Creek Rd., Hertford, NC 279444; Perquimans River
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
_X__an owner or record title, Title is vested in name of Richard and Janet Cowell
see Deed Book 257 page 206 in the Pergnimam County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of
; probate was in
County.
_if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name)
(Address)
(1) Ahrr. Rpdd4ng 5Rn Mn ldy C-1- Rd Hrrtfnrrt KC 77944
(2)
(3) Robin White 628 Muddy Creek Rd., Hertford NC 27944
(4)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Install pier. To be approximately, ACKNOWLEDGEMENTS:
140 feet long. Includes crossing 20 ft.+/- of wetlands, 100ft over water, plus a 10 ft. x 10 ft. deck on the water I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
end Deckjng to he 4ft wide and minim um of 3 ft over wetland surface Die nnce from adioini gproperties to may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
be greater than 15ft each side. All construction to be in accordance with CAMA permitting regulations. lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
SIZE OF LOT/PARCEL: square feet acres tion and floodproofing techniques.
PROPOSED USE: Residential [ (Single-family ® Multi -family ❑) Commercial/Industrial ❑ Other ❑ I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Oj*er if you are not sure which AEC applies related to this permit application.
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: _ square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO-X_
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
This the day of 120
Richard Cowell
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This applicadon includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued Deviation from these details will constitute a violation of
any permit. Anv person developing in an AEC without permit is subject to civil, criminal and administrative action.

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REMAINDER LOT 4
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NOW OR FORMERLY
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SAPHENUS PROPERTIES
f
D.B..213, PG. 198
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NO BOUNDARY SURVEY
Q 1
PERFORMED ON THIS PARCEL
ADO j3�.J >L
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183.11'
5o 25 0 50
1 ioch = 50 (l.
GRAPHIC SCALE
NO.
BEARING
DISTANCE
L1
580'56'10"W
33.42'
L2
N44'30'14"W
21.22'
L3
N30'33'59'W
15.57'
L4
N47'01'18"E
44.54'
L5
N46'37'56"W
15.16'
L6
NOl'47'11'W
16.37'
L7
N09'33'27"W
19.98'
LS
N06'09'43'E
26.53'
L9
N04'03'01"E
17,97'
L10
N13'46'48"E
21.41'
L11
N60'47'30'E
29.15'
L12
N45'08'30'E
21.97'
L13
N09'47'34'W
16.03'
L14
N4220'11"W
12.98'
L15
N61'56'57'W
16.89'
L16
N21'55'12"W
13.36'
L17
NDO'33'45'E
38.84'
L18
N25'31'54"E
23.71'
L19
N0623-34"E
22.53'
NO. BE
L20 N27
L21 S59
L22 N04
L23 NI
L24 N34
L25 N41
L26 N51
L27 S76
L28 N77
L29 N33a
L30 N49
E C E I V E D
DEC D 6 M
PERQUIMANS
RIVER
DCM-EC
AREA
OF WETLANDS =
1.274
SO. FT.
WOODEH 9&X EAD
AREA OF WETLANDS =
BOAT
775 S0. FT. M
i
'NS 143.7
N33'36'0TW ro Xn•Sa'4TwN36'17'20'W 2e.ez'
84.84 zf34.30
L241 7.2
Wtf4
GARAGE
�.42' ,µy��Wtrs
m X50'OIYS'M
N35'31'09"W N4s•Ye'Se w
e
1e.e5' 13.BD'
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troBar
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to
PARCEL
46
262.44
MUDDY CREEK ROAD
60' R/W
WETLANDS AS DELINEATED BY ARMY CORPS OF ENGINEERS
TOTAL AREA OF WETLANDS = 20,222 SQ. FT. (0.46 AC.)
S
). DATE REVISION INITIAL ��....CA.
M�a GLORIA J. ROGERS, P.L.S.=�p
o:� FEss
7 CAMDEN, NEC• 27921 i 44, S E A
"% _d [phone] PHONE L-35:
[phone] CELL o` 4l?
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588 Muddy Creek Rd
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