89656A - Leman, Hugh & Amy

❑DREDGE & FILL N9 89656 G3 B C D
Previouspermit Vo371 A
a GENERAL PERMIT Date previouspermitiss��l341A
❑New ❑Modification []Complete Reissue ® Partial Reissue
As authorized by the SOoe of North Carolina, Department of Environmental Quality and the Coaxal Resourcw CommlWw In an area of enviroomernal concern pursuant m:
I SA NCAC 114 - i 2cb E] Ruirs.M hod. ® Gwm-4 Nxmit Rules avaitablo at the folk,wkrg Uric vt_WwdeoncaovlCAJ�IAnJes
Project location (County):
sty N@ k6ca State NC TJP `a1.lggq Street AddrwshtateRoad/Lotks) —Isf -010
Plane # (�) W-1 I - 1 `I. a 3 k Ofl z . br_
Emall _ ietfrwn `c��COM Subdivision I
City._ 1.4 ZIP a�9
Affected ❑ON DEW ®PTA ES ®PTS Adi.Wtr.Body R)EI-ifyyL��r(� o�/EEb`iCrw s-rC/PI man/uNt)
AEC(-): FIOEA [IINA E]UW SPIMA �PWS Clpaot Maj. Wtr. Body fY'•L.I)iQn� JOG.e9
ORW: yes,10 PNA: yesAF*
Total Platform area
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ length
Basin, channel
SAV observed:
Moratorium: lD
Site Photos:
Riparian Waiver Attached:
TARMAMMELISEIBUFFER (drele one)
See note on back regarding River Basin rules
\-Ly'p— See additional notes/conditions on back
I AM AWARE o._ofSTA UrES. CRC RULES AND CONDITIONS THAT APPEY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT tPleaselnitlal) jigm
Name
Signature •- Plea read compliance statement on back of perm`•• J qii Signs 7., V 0/2.3
Application feels) Check #/Money Order Issuing Date Expiration Date

®CAMA ❑ DREDGE & FILL N° 89656 V 6 B C D
Previous permit 06(o5illi
: G E N E RAL PERMIT Date previous permit issued V-12
❑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 JjA - ( sick) ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMAruIes
Applicant Name
�� IAL, 1 \ 4 PrrY u Levvsn n Authorized Agent YC HAk iaart/oce rYt c Gwl"rJers
Address`gPer,, Dr. Project Location (County):
City 16
pord State zipa1Nyy StreetAddress/State Road/Lot #(Vs) +LLY1I0
Phone#(pu)-`I'Ktn3` � .$
,-
Email Ietma Y% ^0 r4 'lC04% Subdivision (
City zip 77
Affected ❑ CW ❑ EW K PTA ❑ Es Q PTS Adi. Wtr. Body Tf.�n"4 !N of /YC+JJ1 rK Ct Wk na man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body f'Y`�t fYYJ.vtC'__ soU.+'
ORW: yes/93 PNA: yest3
Type of Project/ Activity
k, l2!X171 1k
Shoreline Length Tl—xCJLS'
Access Length
y
Pier (dock) length '6 X 1 l
Fixed Platform(s) D'xXi2y';
►z' xlZ'I
Floating Platform(s)
Finger piers)
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 r2 AW
SAV observed:
Moratorium:
Site Photos:
Riparian Waiver Attached:
A building
9/x
R
M
I
err
yo tf
t \10,iv ts°Q tdti� Q\ati
(Scale: 1'=50' )
N
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
s Le'�
❑ See additional notes/conditions on back
Agent or Applicant PRINTED Name
Permit
Name
(Please Initial)
Signature'*Please read compliance statement on hack of Perm it•• Signa re
taco, `3 - �a`►9� '//c,6�3 S�o�z3
Application Feels) Check A/Money Order Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILL N9 89656 A B C D
a� Previous permit
._" 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:
I SA NCAC - ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.ncgov/CAMArules
Applicant Name ' ' Authorized Agent
Address -- Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # O "
Email Subdivision
City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/hp., PNA: yes/no
Type of Project/ Activity
Adj. Wtr. Body " 1(nayman/unk)
Closest Maj. Wtr. Body
(Scale:;
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A building permit/zoning permit may be required by:
Permit Conditions
❑ 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" Signature
Application Feels) Check q/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: H u AL► L_ema m _
Mailing Address: _"Z?�1 tC_� PN ►fit✓e
Her+(lrd 9L 21444
Phone Number: _ $L{rl- 3LI I— KS
Email Address: �{ fy►gn �1�dr • cord
I certify that I have authorized go AxenA _ Cop&*CIW5
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
�n)
necessary for the following proposed development: '.:bt buI Wtead0
'Y7s1 piers �orMr �x l i r 4in,•M 12'x 12' Iowu olailLLC- t
at my property located at 231 Oeec h +Dive. f- ";4;ord NC. 2igUy
in R fffiAAS County.
I furthermore certify that 1 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:
Signature
Print or Type Name
Title
Jl 6 l9.�-
Date
This certification Is valid through / I
s +�
DEC 1 4 2022
log., --En
cl

RECEIVED
DEC t 4 2022
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
®c _ CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property owner, �u_Gh edia
Address of Property: 231 tech P0iAt LhVe NC, 2'7344
Mailing Address of Owner.
Owner's emall:,[YYWN>,t911@ CatOwner's Phons#: 2�jfl—-N) -14U
Agent's Name: AR Milk i bn �Q/15� Agent Phoi
cvv Qdoy
Agent's Email: Q�gC r15Je-cov\4Y,2 S n
ADJACENT RIPARIAN PROPERTY OWNER'S
(&ttOm portion to be completed by the Adiace
I hereby certify that 1 own property adjacent to the above referenced p
permit has described to me, as shown on the attached drawing, th
description or drawing nth dimensions must be provided with this I
I DO NOT have objections to this proposal. I DO I
If you have objections to what is being proposed, you must
Management (DCM) in writing within 10 days of receipt of this r
railed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909.
contacted at [phone]. No response is considered the san
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat rem
groin must be set back a minimum distance of 15' from my area of di
(this does not apply to bulkheads or dprap revetments). (If you wish I
the appropriate blank below.)
1 DO wish to waive some/all of the IS' setback
Signature of AdjacentRipar
-OR-
I do not wish to waive the 15' setback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name ofARPO: (40+lry,l�nli etat'lliG'-Cueu '4 W
Ty1015 ctax c.F
Mailing Address of ARPO: 22S r/cui\ 'POirvf Di i t kPf hfnyA nK. 2"tyt-(<f
ARPO's email: _hW0A" igPG� ARPO's Phone#:
Date:
'waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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