88178_Sally Midyette_20230314

sk" %❑CAMA Fl DREDGE & FILL S No 88178 A
. .,B C D
GENERAL PERMIT 0 ' -721-t�g Previous permit
ii
Date previous permit issued
t
n New I I Modification n Complete Reissue In 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 5A 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 p cw n EW PTA ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): In OEA n IHA n UW SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:I )
Shoreline Length
Access Length - ; __
•
Pier(dock)length / t " { • i i '
Fixed Platform(s) , `- i
Floating Platform(s) i--+ ' I , . ' ,
li
I
r
Finger pier(s) 1
Total Platform area
Groin length/# { ' 1
Bulkhead/Riprap length I ..... —_ .. 1
t�_ ----- -; -- ar'II f e�C^"�
Avg distance offshore ..... --,� '�
•
I '
Breakwater/Sill ( i 1 1 i --- -.-
Max distance/length I i© i
I . L, I
Basin,channel s.,�r t•,I ,_- -"^---.� '
Cubic ards i 1
y - _
Boat ramp i --._ I �- `-
Boathouse/Boatlift — f- 1 I ( _ I �`�
Beach Bulldozing
Other ; i G , I
f I I- __I Cr\ ..rfJ , _ i. _r -. -
SAV observed: yes no.,i +-. 1 " , •
I I
Moratorium: n/a yes no ' I 1 • \ 11' `)� X
I~ptp
Site Photos: yes no ( I 1 I I tt�_ _ 's *Riparian Waiver Attached: yes no I `• 7 T.
"7
A building permit/zoning permit may be required by:
Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one)
ElSee 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

_ —
•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S l I y Ni id c U 2 's
property located at j I C (�euS f�f; v (Name of Property Owner)
(Address, Lot,Block, Road, etc.)
on I,vh ;h. kei CYeek , in pfien *a ) I , N.C.
(Watbrbody) (City/Tov(rn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
' 05pN.eV %es
a • see a.-Lchrnerit-
1.
WAIVER SECTION
I understand that a 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. (If you ish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. /
(Property Owner Information) (Adjace Pr ' Ovfnerr forma ion)
k2 t .1/. —�, ,1
SigCCt:a�rt�Ir /�� -1HI Sign tore I . 11
�X-i11 S. rll�� 'p 11 � iolnn.. ' • gaT0-1"
Print or Type ,Name Print or Type Nam
iA10 NeaSe j(1 be 20 tl Name
1 -1710ca
Mailing Addre s Mailin Address 1
ortertialI Nc ap)51l b;e,.,�/ va .c 2857i
City/State/Zip City/State/Zip

4
Proposed
4 • I
Previous
Location
•
,

p —
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S B! t u rn i dyae
d 's
property located at 1 a 1 C (\J2use- t)ri ve(Name f Property Owner)
(Address, Lot, Block, Road, etc.)
on IAih i \c.e r Creek_ , in O r i e rda I , N.C.
(Watorbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
✓ I have no objection to this proposal.
I have objections to this proposal.
•
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
gits
I ICIS (rSefe °e3:71:4:Ltnevit)
•
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
,�vnd—rYlaba—
Sigt�atterfi `I Sig urine*
Ja.1 S . 1Y1 ich-sejl e_ Trmz Fa- -ant- n'ltv46aker
Print or Type game Print or Type Name
la ID reuse 1v; vt iacno N2use Dri ue_
Mailino Addres Mailing Addr ss
nett/NI , NC- , (65-1 1 Drienta-I . Ne— aOS1I
City/State/Zip City/State/Zip

•.., a as a. 1. -
t _ L r
., •_'iv"....H. '.t • :. *.....:--, ...,...„: .
,it' . 4t. (.!tl ..*.r.- -t'''' . . -
•
4 _M�,y k 'fit 4. ,. �t Yid
�► ,i c t', • '' •'
, . ..*R-F.,..11,44 41 % ',. i„
410y.-N.:, ..,s......% 'A. :lee •
: k' • . \-' ..\ '4" *t '
•
µ•
% /l a
�. 4
a
O • ,
y
p jai.:. Q. .
* .
•
ti •
• ?%1. ;,I> . '
•
a. •