Rich, James 84220C

Applicant
Address
City
Phone `# i
Affected CW
AEC(s): ❑ OfA
ORW:��o
.2' -� x
L tW PTA
IHA J uW
PNI : yes no
_' A D
Previous permit
Date previous permit issued
►Sue Partial
Reissue
�htal Quality and the Coax 1 Resources Commission in an area of environmental concern pursuant to:
Rules attached General Permit Rules available at the following link:y deo n
t ���CAMArules
a
[ ES PTS
SPIMA PWs
Authorized AgentN.�
Project Location (County): ta'
Street Address/State Road/Lot {s)
Subdivision
City _ — ZIP
Adj, Wtr. Body _.
Closest Maj. Wtr, Body.._
TYPe f Project/ Activity]
I UU, /fit Mtn(` M r;
- _ 1 > ,
(Scale: ?�_ �l
Shoreline L'`e gth
Access Length •^""r
Pier(dock)length
Fixed Platforms} AL
)
Floating Platform(s) �t�^
Finger pier(s) fX
Total Platform area
Groin length/# ^-
Bulkhead/ Riprap length
Avg distance offshore l 1»
Breakwater/Sill ti `
Max distance/ length r f
Basin, channel: t 1''� i 7
Cubic yards p}
Boat ram
z P
oathous Boats
Beach Bulldozing
Other
VA
SAV observed: yes no
Moratorium: n/a yes no "
Site Photos: yes no
`-'Riparian Waiver Attache& yes no —_
A building permit/zoning permit may be required by;
TARjPAM/NEt3SElBUPFER (circle one)
Permit Condifions1 it '��r�--
��� See note on back regarding River Basin rules
See additional notes/conditions on back
14�s
., a,7

,o1*°``°"Sr',1c❑CAMA ❑ DREDGE & FILL N9 84220 A B C D
2 GENERAL PERMIT Previous permit
J 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.deg.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no
❑EW El PTA
❑ IHA ❑ UW
PNA: yes/no
Type of Project/ Activity
Shoreline Length
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
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
I
(Scale: )
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
ElSee additional notes/conditions on back
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) Check #/Money Order
Signature
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

,1°``°"ST,4,&❑CAMA ❑ DREDGE & FILL N° 84220 A B C D
y = 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 ❑ 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 ❑ 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
Shoreline Length
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
(Scale:_ )
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) Check #/Money Order
Signature
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

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT RE UESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ( L'
Address of Property: t!) OC
Le
� _L� L C e f'j'� c xYM,
Mailing Address of Owner: 01))L
Owner's email: JC t IC I �6figl� C nn' Owner's Phone#:
Agent's Name: c1 'yl()f `►�i]�. / fC?i Cif Agent Phone#:th -.
Agent's Email:
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
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.
l/ 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. 0CM 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 s
l the appropriate blank below,) isan
I DO wish to waive some/all of the 15' setbacl�r'� r
-OR-
Signatu of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: iN f)ti t'i'a
Typed/Printed name of ARPO:?
Q, Mailing Address of ARPO:
e
ARPO's email: ARPO's Phone#:
��yl -� 3
®ate: _ "waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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- - - - -- - - - - - - - - - - -
- - - - - - - - - - - - - - - - - j

Name of Property Owner Requesting Permit. -
Mailing Address:
Phone number:
Email Address: _16)))(f. CC1f"I nL
I certify that I have authorized
i"
Agent / Contractor
C
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /4, x 1I ' d,- 6 k - W) L � 1 6 0 jc_
�11_1
Bel I'CCf L.�� �� :�-/7ot'i�.
Fi5�fl ^r P;l�i7 5 fcr- i-e
at my property located at—iL
in t� $ �)-Z County.
I furthennore 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:
r
Signature
Print or Type Name
Title
l JcI
Date
This certification is valid through

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: � L11 r I U
Owner's email: i 1)' [1 i-IGI Phone#; 110 -
Agent's Name: i i"l l �' Ct}� i�C+(c i"1 Agent Phone#: ��
Agent's Email: f'l1/1[l )1L)rjl1P c nch-i►-; i� �r'n" G` �.::,.,=:1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom oortlon to be completed by the Adiacent Proae O_ wner)
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
11 �l descri )tion 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. Divislon 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
`� 11 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.)g
\,1\ I DO wish to waive some/all of the 15' setback
-OR-
Signature o djacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: ,...,�V1- Ili
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#: _ `3,o���G
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

GPS DATA:
ALL COORDINATES AND BEAR,!NGS ARE BASED ON THE NORTH
AMERICAN DATUM OF 1:983(201;)(eooch 2010.00).
ELEVATIONS ARE BASED ON NORTH AMERICAN VERTICAL DATUM OF
1988 (NAVD88).
ti
ESTABLISHED USING ^iC 'North Caroline GLASS -Real Tame Network
(RTN)°ON MARCH 2O21.
a^�
UNITS OF MEASUREMENT ARE US SURVEY FEET.
cizz
o
o
2 �
NOTES:
` THE ENTIRE TRACT IS LOCATED !N, FLOOD ZONE
.AE ELEVATION 12 PER FIRId 37204288COK DATED
6-1c-20.
LEGEND:
EIS = EXISTiNG IRON STAKE
EIP = EXISTING IRON PIPE
-CM = EXISTING CONCRETE MONUMENT
EPK = EXISTING P.K. NAIL
SIS = SET IRON STAKE
CP = COMPUTED POINT
SPK = SET P.K. NAIL
RCP = REINFORCED CONCRETE PIPE
WM = WATER METER
NV = WATER VALVE
MH = MANHOLE
MIN = MONITORING WELL
PC = POWER POLE
= SECURITY LIGHT
C/L = CENTERLINE
R/W = RIGHT-OF-WAY
N,/F = NOW OR FORMERLY
FIRE HYDRANT
INV = INVERT
GW = GUY WIRE
-F- = 6' WOOD PRIVACY FENCE
-E- = POWER LINE
M.B.L. = MINIMUM BUILDING LINE.
CB = CABLE BOX
'1/FTI AAN W r[
iyE
4 !LAG RI
Tar
Lt
N 27S5 48 W20.03
-2
'N 27'3415 V,
11.82
L3
S >'S'2008"
25.53
L4
3ET
S 59'42' VI
26.08
i-6
L5
L7
N 655056 IN W
IN 822245" W
1102.7
15.28'
LB
S 62'43'40" W
124}'
L9
S 15-50' w
10.85'
LIa
` 45,33_
LOT 20
TIMOTHY C. PATTER WAY
199 WATERWAY OR V2
SNEADS FERRY. NC 28460
MB.15 PG.75
08:1984 PG,844
1 I I I i BOAT
EXISTING I I I LIFT COVERED
DOCK DOCK
3 a
\ 3 WALK
PROPERTY AS
\ 148:15 PG,75
I I
I I (
I I I
I I
I I
I I �
i I I
AIEAN HIGH
66M1 r WATERLINE
CP (a, TOTAL 7T48'
LJ 11..3. �? ...
M L8 IJ L9
As9cz� 1.44 1.2 .26
N'4a4 WETLANDS &
COASTAL ry
1.693
4, WE``ANDS L4 1.92 4
1_�hASC
.OE -If
K
-�/�0' CAMA LINE
-
I I
0E'I N yy 8•
I � 'I SIDE
I/
Ai I
`I �5• AEC 1 '
2.45+
+ 2.40 +
z.
I �
I
LOT 21 I
16.274.82 S.F.
O y I AREA ABOVE MEAN
III HIGH WATERLINE I N
2.Y� + 2.98 q.74
I I
I I
I 2.96+
1.07
I 4 I
I J
2,94 +
I I
I I
I I
I I
- - - -- - - - - L -
DOC
N I 2.
K i
IED
Ka
i 5-C
I
BROKEN
BULKHEAD
Ij -0.75
R A
t BBB BLOMEAC
-0.91
I
EAN HIGH '
ATERLINE
1 301 1 20
IAB
3.32 d- �.9 P
EIS, 2.64 N 69'S518" E 69_A2S�_2."ce hP 2.42
N: 280,952.70 1.76 ----2.14.2.79
- e5
E: 2.482.716.68 2.59 - + 2.36
3.09
+
3.17 EOP ' _ _ _328-14 - - - EOP" 3,35
C/LI 3.17
WATERWAY DRIVE
60' R/W (PRIVATE)
EPENCE'
- 496 PG,341
98 15 aC.75