91204C - Barnes, Tim

40t0M1 V AMA [ _I DREDGE & FILL11 10 91204 A B 0 D
3
GENERAL PERMIT Previous permit --
Date previous permit issued `
/New Modification [-J Complete Reissue U 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 Ot/ z/f��/Q I J Rules attached. ,eneral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ///77 Authorized Agent / / I/(X
Address r Project Location(County):
City State ZIP Street Address/State Road/Lot#(s) ---- -
Phone#( ) ' d/
Email Subdivision
City ZIP
Affected I ES U /�T PTS Adj.Wtr.Body l/Vt ` 'Iii. lF�IP �, 1onk)
AEC(s): pi DEA IHA UW L SPIMA n PWS Closest Maj.Wtr.Body ,i WV
ORW:yes/no PNA:yes/no Q
Type of Project/Activity Ls--3
Pr/ , avar6d p)a—JIii /Zv/Zl 5v Z .a //)
3 3- 0-pio./rS �- roe_ tha ,4i__- (Scale: A'�j'�)
�
Shoreline Length t / "/ J
Access Length
Pier(dock)length 2c '
. iii
Fixed Platform(s) I2. 42.. oJprc/l1 �•o 8x
Btu-
Floating Platform(s) t . <--.. {r 1 Z``
MI '•.• Ct�le fQCI
Finger pier(s) 3x15-1 3xZ3 _
3Y 1 S
Total Platform area 35 f' 1
I
Groin length/it
Bulkhead/Riprap length 1
Avg distance offshore —
Breakwater/Sill ( I
Max distance/length j
Basin,channel j
Cubic yards —Boat ramp J
BoathouscTRfi> 10 E2-_
,Beach Bulldozing "—
t
•
Other
I
SAV observed: yes ) _ )
Moratorium: n/a yes ® ���ta IQ .� SQ�
Site Photos: es JIC `�k
Riparian Waiver Attached: t no Al / �•1
���'������LLLLLL 7f7 s/OW
A building permit/zoning permit may be required by:
Permit Conditions �
n i 4„ ' 07 ertZ_ _/ 4)e9 I I 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, RC RULES AND CON,, IONS TH•T APPLY TO THIS PROJECT AND REVIEWED COMPL ANCES A�EMENT. (Please Initial) 7. b
Age#Applicant PRINT �� Permi fficer's PRIN�E�.taao,`e z
Si;,.ture**Please read•. ,,10'nce statement on back of permit** Signat r
Application Fee(s) Check /Money Order Issui g Dat Expirati n Date

A,4�`°M 1? AMA I I DREDGE & FILL N9 91204 A B QD
. GENERAL PERMIT Previous permit
J. Date previous permit issued
/New I I Modification Complete Reissue I I Partial Reissue
As authorized by the/Stateta of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC V !th f!1/2 n 2O n Rules attached. eral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ///' / Authorized Agent
Address r Project Location(County):
City I L State ZIP Street Address/State Road/Lot#(s) �—
Phone#( ) D ,4/ 47.
Email Subdivision
/ City Attie
A ,' jay"
AffectedR 1,�P�{C ES I PTS Adj.Wtr.Body ���/( t `47 c,/ nk)
AEC(s): n DEA IHA I I UW I I SPIMA I I PWS Closest Maj.Wtr.Body (A I /
ORWno PNAO /no
Type of Project/Activity ) T/ • aVere01 fp)a-rivi /ZV/2_ Ls( 44 mi
i/s 3 g14,23 '7-7 711- to a (scale: A�
Shoreline Length (co/ '-I J
Access Length
Pier(dock)length ace)/
Fixed Platform(s) ►2► 47_coJpreA1 r"Thu b ex i
Floating attorm(s) a
-" {2lL►2
- 2 M 0 a CWCf-eci
Finger piers) 3x.i5 r 3' 2 tJ-
Total Platform area 35g13t T'r"
Groin length/# I
Bulkhead/Riprap length
Avg distance offshore —
—Breakwater/Sill (
Max distance/length x
Basin,channel
4
Cubic yards —Boat ramp .
Boathousq,PBMI?f 10 FZ..
Beach Bulldozing —
Other 1 I
SAV observed: yes T ►
Moratorium: n/a yes ® it __
i
ea'^ 4
Site Photos: t
1. `�j
�•1
Riparian Waiver Attached: no AIL
A building permit/zoning permit may be required by: (JnS/O
Permit Conditions J atcfher/void .c/,/ ❑ TAR/PAM/NEUSE/BUFFER(circle one)
111 See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARTOTES,c�RULES D CO pJrTIONS TpPLY TO THIS PROJECT AND REVIEWED COMPLIANCE S ATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permi fficer's PRINTT L `ee i
Sign ture**Please read compliance statement on back of permit** Signat rg �O�/J_ [/pnigzeiL3
Application Fee(s) /Money Order Issui g Dat Expirati n 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

'o,4oF�o�r.,,� ICAMA I I DREDGE & FILL No. 91204 A B Ci D
z GENERAL PERMIT Previous permit
Date previous permit issued
I I New I I 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:
I 5A NCAC (.i /H° /.-=4--`6 ❑Rules attached. [ 1 General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
ry1 �j / /'• / 9/� 1 -)
Applicant Name /�// / � .�/-•t j�ti4/ Authorized Agent �/�1A<" 7 /`��(,/�/1 f f
Address �_ /•-i a./kr. Project Location(County): •-.�c�-/
City •1J / State ` ZIP 04446 Street Address/State Road/Lot#(s)
Phone#( `//)/ WO - /)1-
Email Subdivision
City ZIP ___
Affected CW nEW n PTA n ES I PTS Adj.Wtr.Body li // L-
� ei ' C(_f r/'tIri/unk)
AEC(s): n OEA n IHA n UW n SPIMA I I PWS Closest Maj.Wtr.Body f`�/0_ 1/ // T.
ORW:yes/no PNA:yes/no / / [
Type of Project/Activity )c2i ✓?f r p�a'7h1 �2V/Z SvciZ MJoi/
j;//s 3 3Y�3 - � Pi" l.ar5 --1- 1 )k a =7`"- (Scale: C )
Shoreline Length . `�
f
I i l
Access Length —---- - _� i_ ( I
I l + '
Pier(dock)length 2.CX I j i
Fixed Platform(s) e i111123111
� d_
I I k /
Floating Platform(s) Mf
F
I 2 '
„MEN: 'i < i i-
I
Finger pier(s) 3 X ' ° e MI MI li 111 IIII r 3X Z3 i
i
3�Total Platform area f -,-
Groin length/#
Bulkhead/Riprap length
Avg distance offshore — .._._}_. i. ._..._...... +.._..._ __..
Breakwater/Sill NiI
Max distance/length il
Basin,channel
Cubicryards _� ��� �. ■� I _
Boat
Boathouse/Boa1Ttf -, IC)
Beach Bulldozing - { j
Other I
SAV observed: yes rt� ' I
Moratorium: n/a yes nod • r liii ,
Site Photos: yes no VIA - I�lG I
Riparian Waiver Attached: yeS no 1 , j
A building permit/zoning permit may be required by: ( 2,,S//OIA/
i�— 7.76 j-/7 p-/ s1/ n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions //
0 See 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 Permitpfficer's'PRINT N e
. �a a' . _
Signature**Please read compliance statement on back of permit** Signat re
Application Fee(s) CChhec#/Money Order Issui g Date Expirati n 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

! „--
eem .. CAMA► I I DREDGE & FILL N9 91204 A B C . D
GENERAL PERMIT111
❑ Previous permit ""
Date previous permit issued
New Modification I 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:
I5A NCAC I I Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name i Authorized Agent • ,
, •
Address
Project Location(County):
City ' , • State ZIP Street Address/State Road/Lot#(s) __
Phone#( ),
Email Subdivision
City ZIP
Affected CW ❑EW I-1 PTA I I ES n PTS Adj.Wtr.Body ! l l,: tr 7' (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body f /(,t I/
ORW:yes/no PNA:yes/no
Type of Project/Activity /2. 4,
. ,Y,II..J --, 74"
(Scale: 477.9
Shoreline Length
Access Length IIIIOMMEIIIMIIIMOIMININNIMP —It
Zt,X Pier(dock)length - J` MINNIIIIIIIII ,
111
Fixed Platform(s) 1 2-4 4 Z(°Jc't Peer ! MI pp ,' IMIMMAIMIN
Floating Platform(s) Essum ismonamommisi
--am a PAN mum
Finger pier(s) 5 X 1 i } thY 2
iiri
/� allii=11111101
Total Platform area -35 4-• . . 1
Groin length/# ��— ����
Bulkhead/Riprap length
Il
III 1
Avg distance offshore -- . _ -. -1- . Er"
_
Breakwater/Sill
Max distance/length ■��� ■■���■
Basin,channel •� '1"�11•�' •
Cubic yards — `� —
Boat ramp
Boathouse/Boatlift -- . :NINI :
Beach Bulldozing w
Other
t
SAV observed: yes no • ; N ; IN111111111111111MIINI( INIMMIN
Moratorium: n/a yes o'n
Site Photos: yes tT� / ��11 �
Riparian Waiver Attached: ye5 no • \ • ' / y'
A building permit/zoning permit may be required by: C'r7 /OLV
TAR/PAM/NEUSE/BUFFER(circle one)
Conditions .1 r/( r--f1 /�'t"/7.1/ 54. _)
❑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
/, /�f% f�
Signature**Please read compliance statement on back of permit** Signature
, , ,'i i ii,--C)*();t3 ,, ,
Application Fee(s) Check#/Money Order Issuing Dat 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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Cam)'

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELI
Y
(Top portion to be completed by owner or their agent)
Name of Property Owner: 1 i �� �� �� f C.
P �Y �
Address of Property:
� � l._-' pr f r t5 c N t - i C Pxc:h NC
Mailing Address of Owner:
21) e.
Owner's Phone#: ` ) I q "(i 4 T /-
Owner's email: _ /�
Agent's Name: 4. . fl 7ldt WCnl) C. 661)•*_ 1 Agent Phone#: 1 I t 911-605
Agent's Email: e i111 C ry r1 f C (.a4T u C jjmcut , cc 111
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
�1t permit has described to me, as shown on the attached drawing, the development they are proposing. A
Dc\t.., description or drawing, with dimensions, must be provided with this letter.
krill<5 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 400 Commerce Ave., Morehead City, NC 28557. 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
Lsp _ A\ (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 some/all of the 15' setback
Signature of Adj ent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: , '6i (14 .
Ae.
It- (), Typed/Printed name of ARPO: y e 5'-/1 E=
.1 Mailing Address of ARPO: `� t 1' j) ; 4. j l3
A,11 - ARPO's email; ARPO's Phone#: �' �_�.- '
2
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: C. 6 'r C & Dri V.
N lii\ ) ] Ae4c Ai We . -C
Phone Number: 1 ( f- (� - 4A 1 ,‘
Email Address:
I certify that I have authorized .5 ;l ��) /f l (� r ')�T �C�i�"r l(I)
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: J X . L C -t f 1)cc. k;
1 _ � .k • i9xi '),' %rccf ctivi Irkbc(,i- L►1+
at my property located at n'1 ( 'iprf ` Ile` �s �, ; kt e; (-}-i
in 1__ n�' ; LL County.
I 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 Owner Information:
Signature
1/ cis r�
Print or Type Name
I . ,._
Title
( Z 3
Date
This certification is valid through _I I

c. DMSI1d Of COASTAL MANAGEMENT
ADS RIP/MAN PRO•Peorry awNER NOTWICATIONANANER FORM
(Top pcexn to to completed t cwr4r or nor agent)
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ADJACENT OtIPAPUAN PROPE,RTy q•$ CtlitTIFICAT![irlc
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is t. Rib fi� * considered a+s r.++3 s'Yap+. 'e boo* d by
4 .1 VrfikrVER SECTION
! leiNlifigiond tat ivy propoisc Por, dock. mooring per- t ,ar. b1311L01C4,144. Mk
3: r groin rug Off 111W Dick 41 rm r i tom+ 'TN Jimin gil Ammo access „edisin wigwag
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