86890A - Rickert, Mark

4'dr4,e.GCAMA ❑DREDGE & FILL N9 86890 B C D
GENERAL PERMIT Previous permit
Date previous permit issued
I�New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolhn, Department of Environmental Quality and die Ccaaw Resources Commission In an area of environmental concem putsuant to:
15A NCAC 7� f;C Rules attached. ❑ ® General Ferndt Rulesavallabie at the following link:y degas awfCA`tArules
Applicant Name fTAaf- K K i c K-e,r'Ir Authored Agent
Address f0 CA a Project Location (County): _�S.t 1YySLial�
city 1AQrr3*n NC ate ZIP 01640 Street Address/State R02d/L0t#(s)_19T # EE 17
Phone#() ribxl-'.�'13'7 I�
Eman r c- ¢r 1 rn '1(c @ a mn'tl crm, subdivis,w-- 'Al g,r44 tct -lp_ 0Anrl0,lioY1y
V city Rer-Asrnd (Y zIP bZ79'l�/
Affected ❑ CW ❑ EW KM ❑ ES ❑ PFS Adj. Wtr. Body 'I eOA-I Mt..F�ee ► t�rwt/unk)
AEC(s): ❑oEA ❑IHA ❑11 ❑SPIMA ❑PWS Closest Mal. Wtr. Body L'tbeAN LA w�
ORW: yes/0 PNA: Yese
Type of Project/Activity1MktL0 _0, IQ' X 12 l 1.>nn44'a n . J rw n srt 0 �1A� Ina _v _
Shosrie Length
Access Length 7-1-1
Pier (dock) length —' �tl ' l I JAI
Fixed Platform(s)l �
•^ t i_1 1 , 1 , I
1� ice'•- �.—�
1 -1-
Floating Platform(s)
Fingerpier(s) i ( 1 b 1 .._i_. + I + i_. y..T_
Total Platform area ,a„_,r+ � , _L_J _ I I 1 I i _.___� �+.• I�.. ..1���
Groin length/#
Bulkhead/ Riprap lengthibocc(,I
Avg distance offshore
Breakwater/Sill _�rta
i
I (-- 7—r : 1 -'r---r--r-1—r--
�—ice. .�
Maxdistance/length
I
Basin, channel — 1
Cubicyards
Beat ramp .� .—r— .r. I. c.__^I `_�__�--1"-'x 1.-�-; r i .-_i--• i
�, 1 1 i
Boathousry
Beach Bulldozing
Other
SAV observed: ,�..qq Yes ® rf •i�. —j' + r,r + -'r
Moratorium: 4-P Yes no
Site Photos: ®' no
Riparian Walver Attached: yes (!!FyI,
A building permit/zoning permit may be required by: ((tt
PermItCondhlons l.i 9,3T pxkvN, Q9 600„ `L-,1 trcW '2N� :�
t1�e fir o ran -xkCc-en
❑ TAR(PAWNEUSFJBUFFER (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. 11 (Please lnidal)
Agent or Appligfnt Pm(dTE9. Vnyat — Permit
-P
lease a[ad compliance statement on back of permit-- Signatures $
ppCCff t�Nl�l `�/n�z3
Feels) Check #/Money Order Issuing Date Expiration Date

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AtWXI DSCAMA ❑DREDGE &FILL
I I GENERAL PERMIT
® New ❑ Modification [:]Complete Reissue ❑ Partial Reissue
N° 86890
Previous permit
Date previous permit issued
(D B C 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:
15A NCAC ,aQU ❑ Rules attached. ® General Permit Rules availablew at the following link: ww.deq.nc.gov/CAMAArules
Applicant Name M a(- IC Z ') Ck e-rM y Authorized Agent I sn 0 C Ebt NAO(e�Cy[. ITrl.C>
r� -11 - p � �
Address `b'1(o\ La IC�cay aAk U. Project Location (County): rY�kI i T�0.AJ
City RCA C ri MtCsy, ?C State N� zip 01 b�10 Street Address/State Road/Lot #(s) �01
Phone # [phone] Vi ru in i o' SCy�.
Email r C ker}m I1 Q @ a mf l r Corrm Subdivision I ot,- Pj cLN , '"
City �� �� ZIP a%gyy
Affected ❑ CW ❑ EW © PTA ❑ ES ❑ `' r� PTS Adj. Wtr. Body i ei�'VVN l t eefk— Qa Pan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PAS Closest Maj. Wtr. Body 130. J
ORW: yes/0 PNA: yes/'
Type ofProject/ Activity lmt a.N C' Ibr x1 1 bonF1't cxl� )emove 9A16V " (ow
r-Lt�ornn (Scale:I`I qdI)
Shoreline Length la%
,( <�
Access Length �t�
Pier (dock) length d Q
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/# IO',r f2J
Bulkhead/ Riprap lengthboq}II�-
Avgdistanceoffshore
Breakwater/Sill
Max distance/ length
Basin, channel (v
Cubic yards
y
Boat ramp
Boathousry oatIift l(I )c(Z V
Beach Bulldozing -' \ I (�.sty
Other '- C ../
SAV observed: yes
Moratorium: OP ,�yes. no I �\
Site Photos: lL;•� no �[
Riparian Waiver Attached: yes (n i^r�__ `
A building permit/zoning permit may be required by: I�"9 U.JV�i% co l y'.'t
((���� (1 \ ` ��1 ❑TAR/PAM/NEUSE/BUFFER (circle one)
Permit ,Conditions I� NJ' PofTgY� OF �t `t {� ("I`OI,N 'PJIVCYBWNI
1�: 10)`l'(.(\Q/� aCC2$S C7.iY�2.J. ❑ 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)
1 m Z n -e2
Agent or Applicant PRINTED Name Permit 0 s PRINTED Name
Signature *'Please read compliance statement on back of permit" Signature
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:
Tar - Pamlico River Basin Buffer Rules El 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

❑CAMA ❑ DREDGE & FILL N° 86890 ;) {'f, Aj B C D
a � GENERAL PERMIT Previous permit
t 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 i PNA: yes/no
Type of Project/ Activity
(Scale:'1 )
Shoreline Length
Access Length _
Pier (dock) lengtl
Fixed Platforms)
Floating Platform(s)
Finger
Total Platform area
Groin length/fl
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other
SAY 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
❑ TARIPAM/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 q/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:
Tar - Pamlico River Basin Buffer Rules El 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)
http://portal.ncdenr.org/web/cm/dcm-home
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 Fender Counties)
Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Mar- , R;iC \
Mailing Address: ICAC*
N2r44rd NcGyig9 t.i
Phone Number: 2-o l '7ta 7 .3 -7 33 7
Email Address: f-iGkea�-rM -1 to PgMu;I ,co✓t%
I certify that I have authorized JK 94k;gan ji'.�2AAe,ir}n iQOv1'4YaC*V4n
�— Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: av ''Ix21 t Qia+�'arrrl
�LCAr15�Yut�--l�x�!`�la}ip✓m iA5+Att H 12OVS 6:;-/ `t�00 lipjADC&Iiff7-
at my property located at I UCt V ra i n_ , t k, Ord N G 2 -19 4L1
in'PerA.u1AWf6 County.
1 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 Ownorinfonnation:
Signature
�(1arIc- t� �"-
Print or Type Name
Title
I_1.] 1
Bate
This certification is valid through 12 I _3 r 1 3
R E C E S\/Fr: [)
MAR 3 1 2023

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. Kp.( (L R iCke E
Mailing Address of Owner: f erV
Owner's email: iriCkA+,A7L P", q �wner's Phone#:
Agent's Name: JQ It{ I1 0/ ZQaA-&(Intrti *Rent Phone#: 95a- 3l'2-4-14L)
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 adjacentto the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing, e
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 sometalf of the 15'setback
-OR-
Signature of Adjacent Riparian Property Owner R E r E I V•.f
I do not wish to waive the 15'
Signature of Adjacent Varian Property
Typed/Printed name of ARPO: 1 6
Mailing AddressofARPO: U'--3 G
ARPO's email: CK'c_ r-nGU 11lr yr
Date:
(initial the blank)
,Cavil �7
Phone#: ham% ?L--`.
MAR 3 1 2023
DCM- C
'waiver is valid for up to one yearfrom ARPO's Signature•
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Mrvk- RiGKe4
Meiling Address of Owner. G
Owner's small: r1ck fA-7L ft•'GrNail. ca+Owner's Phone# I
AgeM's Name: 39 AM44A Phone#: 015f2- ;jl�^y'I�tL1
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent PfQQAdY Ownef)
1 hereby certify that I own property adjacent to the above referenced property. The Individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. 6
d%mviiiAiun f'd&w n h dirnensiwrs. must be oruvidW willr UoiuleiLyt-
'ZI DO NOT have objections to this proposal 100 have objections to this proposal.
If you have objections to what Is being proposed, you must notify the rv.c. orviston or coasnr
Management (DC" 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 N you have been
notMad 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 dprap revetments). Of you wish to waive the setback, you must slan
the appropriate blank below.)
I DO wish to wake sorrWall of the 1 T setback tom- R C 6 t,a(' E
S,VnaturecfActar:antR-'PWanPrcpertyoaner i
-OR-
I do not wish to waive the 16' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
MAR 3 1 2023
131C €`EG
Typed/Printed name of ARPO: rS uoi t�nrk �L3t1 Yh
Mailing Address of ARPO: L►D 11 �/ (�Uf I } jP/ 0+a 1�G ZZ�r ki
ARPO's small: «ZCi n.r/S�%�/ A RPO's Phone#: d o-, 2 60) I
Data. C / Jo 'waiver is valid for up to one year from ARPO's Signature'
Revised July =f

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