88193_Nancy Brinkley_20230321

CAMA I-I DREDGE & FILL �5 No 88193 A
.::.B C D
GENERAL PERMIT I 14 -1 239 5 Previous permit
Date previous permit issued •
j New n Modification n Complete Reissue n 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:
I5A NCAC I I Rules attached. n 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 n EW PTA 111 ES n PTS Adj.Wtr.Body ._(nat/man/unk)
AEC(s): OEA n IHA UW SPIMA n PWS Closest Maj.Wtr.Body •
ORW:yes/no PNA:yes/no
Type of Project/Activity j ''- !. c.
(Scale: (' 'C)
Shoreline Length _
Access Length i ;
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) S l_
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 TAR/PAM/NEUSE/BUFFER(circle one)
FiSee note on back regarding River Basin rules
nSee 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 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 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 Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

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N.C. DIVISION OF COASTAL.MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL,. RETURN RECEIPT.REtEs -or. DELI D
/ � 3
Date
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Name of Adjacent Riparian Property Owner
5:5-(720 Go/, Dot-( I& /J/2
Address —
City,State Zip
To Whom It May Concern:
This correspondence is to notify.you as a riparian property owner that I am applying for a CAMA Minor permit to
Mil IL //'4P, c7v� 1ic/ts A/i p /4L 7`EZr4 tf 2N$ �o t� .��CK
on my property at �s �N d 1/6 . DAL, �/��✓&�'i /vC
in G rei41/c County,which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed foryour review.
If you have no objections to the proposed activity,please mark the appropriate statement below and/return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice,it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments,please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER,NAME OF LOCAL GOVERNMENT,MAILING ADDRESS CITY,STATE,ZIP CODE)
If you have any questions about the project,please do not hesitate to contact me at my address/number listed below, or
contact(LOCAL PERMIT OFFICER)at(PHONE NUMBER),or by email at:(LPO EMAIL).
Sincerely,
Property Owner's Name Telephone Number
Pizefrit AddressS75/5 G-�o� du ��,E' r)2/vECity/V;=4/26-1i2,t/State Zip v{4l...- 0
v I have no objection to the project described in this correspondence.
I have objection(s)to the project described in this correspondence.
Adjacent 0, �/� t20
Ronan g•ignatune Date
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Print or type Name Telephone Number
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Address
City State Zip
Revised Ally 2021

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Name of Property Owner Requesting Permit. t'J
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Mailing Address' �.- A-W � � t t _;,�-(..��;:
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Pry Pik'.., /�. L
hone Number;
Email Address; , ,..._ _‘ i-,? „ „ , L,_ ..,. , , „ ,
I certify that I have authorized r ')
Contractor
to act on may behalf, for the purpose of applying andobtaaai for n all CAMA permits
.-.-��
necessary for the following propoSe° deve,opment
at my property located at
• i
In L i i County.
l furthermore certify that I am authorised to grant, and do rn 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 terinformation: ,-- ....._>y------
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Print or Type Name
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