Nagle, William 84238C

df0�` Cv]CAMA ❑DREDGE & FILL N9 84238 A B OD
GENERAL PERMIT Date Previouspermit�
� Date previous permit issued
I�' New ❑Modification []Complete Reissue ❑Partial Reissue
As authorized by tth-7e State of North Carolina, Department of Environmental Quality and the Coast esources Commission in an area of environmental concern pursuant to:
ISA NCAC 1 1 /�-��/ ❑ Rules attached. General Permit Rules available at the following link: www.den nc.gpv/CAMArules
Applicant
City �iY. 1pp11A t S
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(a)
City
Affected QCW PEW y�TA [�J'ES OPTS Adj. Wtr: Body_ Dmirif �% tXftMantunk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body // /W
OR4 y�y /no PN(:ye //nno �/�q�
Type of Project/Activity 1)1 ri JYa r;;i r 19W Aa 01/
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Shoreline Length L_ (/ ✓
Access Length �✓'
Pier(dock) length
Fixed Platforms)
Floating Platforms) r t0
Finger pler(s)
Total Platform area
Groin length/0
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin. channel /
Cubicyards /
Doat ramp
Boathous eoatlift
Beach Bulldozing
Other
SAV observed: yes Moratorium: n/a yes no
Site Photos: yes
Riparian Waiver Attached:. yes
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(Scale:
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 I AWARE FSTATUTES RC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STTEMENT. (Pleaselnitial)
Agent or Iicant PRI 7ED Nam ermi 'cer'S PRINTE
MlnNa
� gnature PI s rea complia es[at meet on back of permit-' Signature
e ��-i QJgl a 3 (01al
Application Feels) Check lymoney Order Issui g0 to ExIAratibnDate

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[ AMA [ADREDGE & FILL N9 84238 j BOD
GENERAL PERMIT Previous permit
Date previous permit issued
❑Modification El Complete Reissue ❑Partial Reissue
As authorized by tth'et Sta1tt-e-1o�f North�Car/oli�na�D\epartment of Environmental Quality and the Coast esources Commission in an area of environmental concern pursuant to:
SA NCAC O t 1 ' ❑ Rules attached. General Permit Rules available at the following link: www.dea.nc.gov/CAMArules
Applicant Name V L ) 1 Authorized Agent
Address I l -7yC� Project Location (County):
City /_ u;�7A Statue �� ZIP Street Address/State Road/Lot
Phone#` 0��11 J/�tn�p, �i /V/�/a
Email Q!A>✓�(NJ(1 I loll 1Snhdioidon
Affected IQCW QEW PTA a ES ❑ PTS Adj. Wtc Body vl k/ L;UW/GL na `an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
OkVig/no PN : ye no
Type of Project/ Activity
Shoreline Length 1_ %t?
Access Length 52r
Pier (dock) length
Fixed Platform(s) tic PO
Floating Platform(s) bNe 110
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length g/
Basin, channel /
Cubic yards
Boat ramp /
Boathous Boatlift
Beach Bulldozing
Other
SAV observed: yes a
Moratorium: n/a yes no
Site Photos: yes
Riparian Waiver Attached: yes <n
Agent or Applicant PRINTED Name
fr9�t 10 t�<<'1
tlp'yl(oIF
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as
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1 3713 IslandDri�
l (Scale: /1
.. L� lok Lft
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❑ TAWPAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
yygnature Signature --Please read compliance statement on back of permit-- `f9�t low/ atg1.z3
Application Feels) Check Money Order Issuing D to Expiratibn Date

°"" ❑CAMA ❑ DREDGE & FILL NO 84238 A B ' C } D
3 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 Coasta).Resources Commission in an area of environmental concern pursuant to:
i
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name
Address
City
Phone # I—)
Email
Authorized Agent
Project Location (County):
State ZIP Street Address/State Road/Lot #(s) +�
Affected ❑CW ❑EW ❑PTA
AEC(s): ❑OEA ❑)IHA ❑UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/N
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
Subdivision
City
❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
❑ SPIMA ❑ PWS Closest Mai. Wtr. Body
/ i (Scale: A I ).
❑ 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 Officers PRINTED Name
.Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check 4/Money Order Issuing Date Expiration Date

adcour''r ❑CAMA ❑ DREDGE & FILL N9 84238 A B C 'D
Previous permit
'fmff GENERAL PERMIT 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 Coast 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.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City ZIP
Affected QCW M,EW ❑v'PTA ❑DES ❑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 .f
i
Access Length
Pier (dock) length
Fixed Platform(s) ' y 1(
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/q
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,l Site Photos: Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ TARIPAM/NEUSE/BUFFER (circle one)
i
jI S, ❑ 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 Feels) Check #/Money Order
Signature
Issuing Date Expiration Date

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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: �717J �5)cn� kJri• A�r�li Jo�Sq)L
Mailing Address of Owner: fJ�.� �y i4 J al 31 VA, 4fi
Owner's email::4nnAPEC Vthoo QK Owner's Phone#: Crl,*
FKtIsNK"� 6.,c,9�i
Agent's Name: r •��Si �cAv� per) Agent Phone#:
Agent's Email:
rl c`_ , G.D"t
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
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 400 Commerce Ave., Morehead City, NC 28557. 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
-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
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
"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)
t
Name of Property Owner: k4. g * �� i om .4n 10
Address of Property: 371 xJ 16),n41-)R- _jJorali )amsµj�
Mailing Address of Owner: Ifi.� A ej��n� 3zC16r>
Owner's email: 411»Act©Winn, CtaW Owner's Phone#: CtP4"- ZZ-5 - b"r%
PYA,k) r G.An
Agent's Name: C„rasras _n li vZ T Agent Phone#: SOD- h2D - (oFj j/
Agent's Email: V r !lc.. n Q Gvo- 6�)14ks vl,'- , e o"t
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 properly. 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 400 Commerce Ave., Morehead City, NC 28557. 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
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) `�'6
Signature of Adjacent Riparian Property Owner:. I's-O'D-o- "'
Typed/Printed name of ARPO: (r� s� j :Z;lL 121r4 ark'[ 1/
Mailing Address ofARPO: 75 4/5`/%��' /�o•C" '� L /-//Li i �� (. �4 ,3D r j/
ARPO'semall:FD)U-I- -? . 15�'urc,O'yARPO'sPhone#: 4/70- 2<+fr_ i 70
Date: ,'" /8 - 20 dS *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

Aca:Ht Atli HO VA11ON.I;OIiSAMA.Pl:fiMITAI!J,I!fAIl91I
N.m o of I'mporty Owner Requesting Permit:
hialing Address:
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
i
necessary for the following proposed development:d �oc%
at my property located at �'�� �5��/liJ /�% % �=� A-24
in �i%sl� V/ County.
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 related to this
permit application.
Property Owner Information:
Print or Type Name
Title
Date
This certification is valid through /,;-,/ �'( l�0