Marion, Kailey - 88955C

tj4001ty XCAMA ❑ DREDGE & FILL N9 88955 A B 0)D
Previ{ GENERAL PERMIT Date Bipopreviouus permit
_
Date issued �
P4New [IModifcation ❑Complete Reissue ❑partial Reissue
As authorized by the 11S1ttate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to,
I SA NCAC -_ �!._I_I. Z . _.-. _....._ ____ __ __ [JRules attached General Permit Rules available at the Follovnng lurk: sYmY,dNM.Zov/CJJ1Arules
Applicant Nanac„ olil-ey .MYJ.LI_Qi'1
Address _M otg N %ot1h St.
cirytV.q 00H VAiri n a. state _. I4C.a - - - zlP --23-57,I
Phone a (33(0) ab-n -Ml---
Emad.�Ilt�bl I1hnGirlo✓) ® 9mvkjl.com
Authorized Agent
Project location
Street Address/State Road/Lot N(s)
Subdivision - /__
City Fj LCA Ptlr� S61e zlP_2$5;9y
Affected RCW DdEW PdPTA I IES [-_]PTS Adj. Wtr. Body _11 nat/Ippt'�5�0A -trunk)
AEC(s): UOEA LiIHA LI UW I ISPIMA nPWS Closest Maj. Wir. Body.]�VC•tllle_ SOANd _,___
01119111 Pno tiJJNA: yc
Type of Project/ Activity
Shoreline length __3It_
Access length.�,,� tI
Pier (dock) leng—
th . 0-4 _
Fixed Platforms) 15 r x I Imo•$ t
Floaling Plalform(s) _
Finger pietit)
Total Platform area,&
Groinlenjilb/it
Bulkhead/ Riptap length.
Ave distance offshore
Breakwater/Sill_ l'
Max distance/ anglh 9t orv_t p�talVrsa.was
Basin, channel
Cubic Yards_/
Boat ramp /
Boathouse/BoalfiftJ rXC 1�'
Beach Bulldozing
Other_ I Ski p _
1
r
SAV observed: yes no
(OA,t VQG1,
Moratorium: n/a yes to
site Pholos. yes o
Riparian Waiver Altazhed: rresM no
[C%^'"�aLLG
' "1'
A building Permit/robing permit may be required by: G
Permit Conditions t
.,flawed• /
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1,11, mas
"I IOW VA�
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REV
a e- V Plar_ion -9a
Agent or p ' ant PR U Nam Per I
si �r a�tuM Please r ad compliance slalemenl on back of permits • Signa
a4p`=� 1 3rg
Application Faels) /Ched<Yf/Money Order Issuing
(Scale: NTS )
N�
NT
LJ TAMPAM(NEUSE/BUFFER (circle one)
See note on back regarding River Ilasin rules
See additional notes/conditions on back
CE STATEMENT. (Please initial) - 1 %1 1
7inrle
Excitation bate

+° AMA ❑ DREDGE & FILL
3 GENERAL PERMIT
®New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N° 88955 A
Previous permit
Date previous permit issued
B (�)D
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 0 R • 17-Rules attached. General Permit Rules available at the following link: www.deq.nc goy/CAMArules
Applicant Name
City IilOh{ VAYj h 0. State r� C. ZIP Z�SZ
Phone f# (53 [ ) I
Email I:AIICsJ"41%'r4Y'1V1 ,J 9mo I -e--al I
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision .ram
City Enei PXAIA ZSIe. ZIP ZB 21y
Affected RCW NEW XPTA ❑ ES ❑ PTS Adj. Wtr. Body & V C- S0VK01 « a>< nan/unk)
AEC s : OEA IHA UW SPIMA PWS U p.,�� �' O ❑ ❑ ❑ ❑ ❑ Closest Maj. Wtr. Body b09 ue 00ILAI {. 1
ORW yes o PNA: ye no /1,+
Type of Project/ Activity Pr6T �i%� 1 e 4, D� Vrvl I b0� i'
1 (Scale: I V I S)
Shoreline Length_
Access Length (9 X� I t 1 IS, XIIPSI
Pier (dock) length V'A I()Lf
Fixed Platform(s) ISM X((a.S'
Floating Platform(s) I n VUI�
Finger pier(s)
Total Platform area a
Groin length/# I „I 104
Bulkhead/ Riprap length I U/ •I eti
Avg distance offshore / P
Breakwater/Sille/54�
Max distance/ ength � o IONIV"mow
Basin, channel d o f CW
Cubic yards / \V-.(
Boat ramp_/ �J vl
Boathouse/ Boatlift IZ
Beach Bulldozing / J V'\' w 4 \1/ ( I Al
Other DY%kq I S`iip y. Ni1W
Gi0.0 v i2fLi �' V' Ip % I v
SAV observed: yes to
r ,", ,�t jam'
Moratorium: n/a yes `WAlVcvt �f iP�y� ,t
Site Photos: es sana7 L� 69fi �AJ b�1 S�je lue S��`If�S
Riparian Waiver Attached: yes no W^`Ka� I LLC (f 0coeick)
A building permit/zoning permit ,may be required by: I�YleXotl A 6(��,S1Q
( TtTt �t l LS' I Bv1nRaq = 29 U o A+ PT zq8,�❑ TAWPAM/NEUSE/BUFFER (circle one)
Permit Conditions ` � U
Gtj1OWCI , 5AYN 'DOv'N"Ioy-, DPI L,twS �1 WaHahtl Shall lot ❑ See note on back regarding River Basin rules
C`CVaieAOA 11!:I' A�17CA0OVP CW ,S��Il17Jt*—❑ 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)
ern C,0ibr)e
Agent or Applicant PRINTED Name Per i Officer's PR NTED Nam,
Si ature **Please read compliance statement on back of permit** Signn ���
L �5 04TILIJZ3
Application Feels) hec 'Money Order Issuing Date Expiration at�l e

�°"°"'�r❑'CAMA ❑ DREDGE & FILL
GENERAL PERMIT
New ❑ Modification [:]Complete Reissue ❑ Partial Reissue
N9 88955 A B C D
Previous permit
Date previous permit issued _
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 r_ ` • I (-` ❑ Rules attached. Q General Permit Rules available at the following link: www deg nc gov/CAMArules
Applicant Name K n lh-A
Address
City Stare ZIP I
Phone # (_ )
Email ' I C t'- \ \
Affected Q CW EJ EW EPTA ❑ ES ❑ PTs
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PINS
ORW: yes/no PNA: yes%no
Authorized Agent
Project Location (County): l .(1V +
Street Address/State Road/Lot #(s) Z f_ Vt r ✓ 0 I CI
City- , . r• .'"W S .12 ZIP
Adj. Won. Body `. � I( - \� C i (nat/man/unk)
Closest Maj. Wtr. Body
m
Type of Project/ Activity Ilk ' v 1�, i i'I I'-'r - -1 y ! `
(Scale:
"I•
sour mint w re, r
r—
_
Access Length
-
—
!
i
�
1
� E�
I
4l-•
. (,
�
__
Pier(dock)length
ii l
.t
r ,i r
T
_
Fixed Platform(s)
-
L•.
,
(
4P
�
Floating Platform(s) -
•.;,
L
Finger pier(s) _
__
Total Platform area _ ii ��'• 1 ti
�--
-
—
—
—
Groin length/ft
Bulkhead/Ri ra length
P P
--
I
Avg distance offshore
g
Breakwater/Sill
I-
I
Max distance/ length
Basin, channel_
-
j
j ''
,
=
1,
-
Cubicyards
--1
-
�_
i -
(
h I
Boat ramp
_
Boathouse/ Boatlik I
Beach Bulldozing
Other � �
.i� -
I
_
_
_
SAV observed: yes no
'-�-
—
__
-
Moratorium: n/a yes no
t
�,..t1
-
_
-
�.,'1�T1
t
11
f
-
1
Site Photos: yes no
I'
t
Sri
t
Rioarian Waiver Attached: ryes no
�.'
1
-:fir
_
_
_.I
___..
yr'
A building permit/zoning permit may be required by:
Permit Conditions:'
1-1
P TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
IAMAWARE OFSTATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
I 'f'11 (--I
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check 4/Money Order Issuing Date ' Expirationate

n
NC Division of Coastal Management
Cashier's Official Receipt
G 2, A B C D
Received From: _
Permit No.: —
Applicant's Name
Project Address:.
Date: 20 —
Check No.:
County:
Please retain receipt for your records as proof of payment for permit issued.
}i
Signature of Agent or Applicant: Date:
Signature of Field Representative: Date:

❑DREDGE & FILL N9 88880 A B ,�,
a GENERAL PERMIT Previous permit 1�-/
Date previous permit issuedr^
New ❑Modification ❑Complete Reissue El 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:
SA NCAC _ /4• �/ 0 l ❑ Rules attached. General Permit Rules available at the following link: d .nc-.gov Arules
Applicant Name
I
Address,
City
tate _
Phone # ( )
Email
Affected VOEA
EW
AEC(s): _
HA
ORW:®s no
PNA:
Type of Project/ Activity
,
Shoreline Length
t I
Access Length
Pier (dock) length
r
Fixed Platform(s) ��
r
Floating Platform(s)
Finger pier(s)Total Platform area
Groin length/it `—
Bulkhead/ Ripmp length--=
Avg distance offshore —�
Breakwater/Sill
Max distance/ length+---�
Basin, channel �—
Cubicyards —�
Boat ramp
Boathouse/Boatlift T—
Beach Bulldozing _
Other
5AV observed: yes o
Moratorium: n/a yes Co
Site Photos: y�e o
Riparian Waiver Attached: 6es1 no
). Authorized Agent
Project Location (County): �(
ZIP Street Address/State tate Road/Lo #(s)
rid.!\dAX'1X •_ _ — t—�
City
PTA ❑ ES ❑ PTS Adj. Wtr. Body _
Z
uW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
A building permit/zTing permit may be required by
J-�ILr,i
(Scale:
'Xgf-�'ec� o d" aqO
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
IAM AWARE OF STATUTES, CRC RULES AND CONORIONS THAT APPLY TO THIS PROIECTAND REVIEWE OMPUANCE STATEM NT (Pleaselnitial)
Agent or Applicant PRINTED Name
Permit
Fee(s) Check g/ eney Order Issum pate

Soo L
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exi3i� Sew �lq
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���e

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER 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:
Owner's email: r t
Agent's Name:
Agent's Email: �—
Agent Phone#:
,17S24
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
descriotionor drawing with dimensions must be Provided with this letter.
I DO NOT have objections to this proposal. _ I DO have objections to this proposal.
it yw nave uprecrums To wnar is Pemg 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 28657. 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' setbac
Si nature o ac f�Rlparlan Pi y Owner
-OR-
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:
ARPO's email:
ARPO's Phone#:
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:
Address of Property:
Mailing Address of Owner:
Owner's email:%1
Agent's Name:
Agent's Email:
Agent Phone#:
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
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 or Coastai
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.) r
I DO wish to waive some/all of the 15' setback
Signature of )ldjacent Riparian Property Owner
wo
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:
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021