86958A - Innes, James & Amy

00MZQ ®CAMA ❑ DREDGE & FILL Nl? 86958 O B CD
f IN GENERAL PERMIT Previous permit sslv�.( Z,
Date previous permit issued '?. P11 % 1'2-
(RNew ❑Modification El 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:
ISANCAC 03R. 12,00 ❑ Rules attached. ® General Permit Rules available at the following link mW_wdeq ov/C-rrvsAr,le
Applicant
City M 134 in GK State W it, ZIP -L' 19 11; °d
Phone # (7-61) 7,02. — d'z %
Email IIR N"es lea er.I6 gywl.I ce)M
Affected ❑CW NEW [gPTA
ES ❑PTS
AEC(s): ❑BEA ❑IHA ❑UW
nSPIMA ❑PWS
ORW: yes49 PNA: ye4p
Type of Project/ Activity .i ill q+a (CJI)Yt
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Shoreline Length '.L % fy s
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Access Length f
Pier (dock) length
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Floadng Platform(s)
Finger pler(s)
Total Platformarea IF-Ys'' Ace CSSAce e5s
Groin length/A
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length /)
Cubic yards
Boat ramp
Boathouse/Boatlift tZxt X`b`)A
BeeeMBnlWeting. 2 = �7L• �'�
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: (ytR� no
Riparian WaiverAttached: s no
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A building permit/zoning permit maybe required by: CilrNikUGk
Permit Conditions 'en e a_ t 5_r AG (Y714. i •201
Name
plinature "Please read comp la a statVggf on hack of permit""
Application Feels) Check R/Money Order
Authorized Agent
Project Location (County): l_` {f Y (^ ('L' U C k
Street Address/State RoadfLot#(s) I0 ZD r.
Subdivision Mr9tMgt^ -LU�jC
City Si(,irco ZIP 219 1-7
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❑ TAR(PAM/NEUSEIBUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
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Permit Officees PRIMED
Namee
Signature t
?.1,3��zoz3 Al i/zoz3
Issuing Date Expiry on Date e

Aotomr" ®CAMA ❑ DREDGE & FILL N° 86958 Q B C D
GENERAL PERMIT Previous permit .�
� Date previous permit issued ' 21 J 22
® 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 O'l IA - i 2 © © ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
City M a 4 (, Ck State j, tom_ ZIP 1.19,1c; 19
Phone # Zia) 2.0 I-
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Email IAImC IQ•Li eu rTWlC11l.C6 VYt
Authorized Agent L
Project Location (County): G L) Y (^(T U Ck t�•11
Street Address/State Road/Lot #(s) 106
.V Y:
Subdivision t A.0 N1,4 MU 6 K
City 8CLeco zip
Affected ❑ CW 59EW [APTA ES ❑ PTS Adj. Won Body r.01 NL I [7 Gk ((Sew C � man/unk)
AEC(s): ❑OEA ❑IHA ❑UW �SPIMA ❑PWS Closest Maj. Wtr. Body t'(JC1.1TtI!��. S[]ls>n
ORW: yes0 PNA: yes)lp
Type of Project/ Activity
Shoreline Length 2 `s'ri l
Access Length
Pier (dock)length
Fixed Platforms)
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/ BoatliR (1¢I K $ r X
Other
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SAV observed: _ yes y/ \
Moratorium: n/a yes
Site Photos: &V no
Riparian Waiver Attached: C9 no N O'A e Cocx,5J(.A W 1,1"� -1 .
A building permit/zoning permit maybe required by: Sl ry. i) c G
Permit Conditions "ic&_ t5As t4cAG 67A . I'2�
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❑ 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)
MCLr- ;,'I M;
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
$zoo at' 5sc)5 31i1/2oZ3 -7 1Izoz3
Application Fee(s) Check R/Money Order Issuing Date I Expiration Date

LOW,, N[I]CAIMA ❑ DREDGE & FILL N° 86958 A B C D
a 4. 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 C w` {`(= I 2 ❑ Rules attached. ® General Permit Rules available at the following link: www.dee.nc goy/CAMArules
Applicant Name 34Yy t, Yn 41 \ ' T Y�1
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Address 4^�( i •.�'i V c) H U..) y.
City State ZIP rZ T-) of '3
Phone#(') 6-!•.2
Email +FiL1 , le'? R) ' 74'Vv'I k •i 'JYt
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTs
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yeS6PNA: yes/no -
Type of Project/ Activity
Shoreline Length
Access Length f
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
1
Finger pler(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlitt ( f, A �) X
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
Project Location (County):
Street Address/State Road/Lot #(s)
City
Adj. Wtr. Body _ i ". i : ! (nat/man/unk)
Closest Maj. Wtr. Body (' I i r F C"
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❑ 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"
iu� .c� .•' i rj
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

❑CAMA ❑ DREDGE & FILL N9 86958 A B C D
GPrevious permit
aaff�,J GENERAL 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 i❑ Rules attached. © General Permit Rules available at the following link: www.deg.nc.gov/CAMAnuIes
Applicant Name - -) Authorized Agent
Address - _ Project Location (County):
City + State ZIP .c C) a. Street Address/State Road/Lot #(s) i 4 . t J t If -. t,i Y
Phone # (T 11 ) I' '
Email Subdivision M:'1 N1 `i t ';: 1 r.._
City Ti''+' [ C_ C, ZIP +' j
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body r r 1 vs r ' IC- t'.: t ( a an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body C-
ORW: yes/no. PNA: yes/nog
Type of Project/ Activity ' ; .+ o :>_ r n��
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Access Length
Pier (dock) length Fixed Platform(s)
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Beach Bulldozing_'
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Moratorium: n/a yes no
Site Photos:
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A building permit/zoning permit may be required by:
Permit Conditions
F
❑ 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
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Feels) Check Jt/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT106AIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVEP.`'
(Top portion to be completed by owner or their agent)
Name of Property Owner: _ James & Amy Ines, Trusteea
Address of Property: 105 FyVJe Dr, Barco NC 27911
Mailing Address of Owner. 1371 Caratoke Hwy, Moyock NC 27958
ovvneesemail:—[e-mail] Owner's Phone#: [phone]
Agent's Name:
Agents Email. '
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
tBottom portion to he completed by the Adjacent Property Ownesl
RECEIVED
MAR 2 4 2023
DCM-EC
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 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 you have objecuons to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days ofrecelpt of this notice. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, Bizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response /s considered the some as no objection If you have been
notified by Certified Mail '
WAIVER SECTION (Choose only one
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lit, 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 revetmentsl. (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
Signature of Adjacent Riparian Property Owner
-OR_
I DO NOT wish to waive the 15'setback requirement (initial the biank)1z
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: Laura A. Palmer
Mailing Address of ARPO: S861 Caratoke Hwy, Barco NC 27917
ARPO's email: d.m.p. [e-mail] ARPO's Phone#:[phone]
'waiver is valid for up to one year from ARPO's Signature`
Revised August 2022

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)
Address of Property:
d . C�I V
Name of Property Owner: James & Amy Innes Trustees �D
MAR Z 4 2023
105 Fyvie Dr, Barco NC 27917
Mailing Address of Owner: 1371 Caratoke Hwy, Moyock NC 27958 DC
Owner's email: [e-mail] Owner's Phone#: [phone] �_�t
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
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 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 (Choose only one)
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 soma/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-0 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:
Brian P. Innes
Mailing Address of ARPO: 136 Pat's Way, Barco NC 27917
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022