91345C - Graham, Dean

��`°"rk P LAMA I I DREDGE & FILL No. 91345 A B :C' D
a GENERAL PERMIT Previous permit
Date previous permit issued —__
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:
15A NCAC 07h, 1- -d n Rules attached. n General Permit Rules available at the/ following link:www.dea.nc.gov/CAMArules
Applicant Name 0 P a;;H 6 • - ,- Authorized Agent �r D✓l dq r„=
Address ',<_ , If J i; E '' . 1-'1 /y fr".J Project Location(County): 1'-- >'G'/
City ,�i' o 1- State 4/L. ZIP 5 70 Street Address/State Road/Lot#(s) i f, 4'1-1
Phone#(.5 ) '7-- '' G
Email Pc`,1/ v ./ 0-) 5, /, C c•m Subdivision
City • ZIP OZ,-3-,7U
Affected CW n EW n PTA n ES n PTS Adj.Wtr.Body (»a man/unk)
AEC(s): OEA I I IHA n uw n SPIMA n PWS Closest Maj.Wtr.Body /.
ORW:yes/no PNA:yes/no
Type of Project/Activity F ii c, - / 71-1e. "�)1
(Scale:iV ,'r
( )
Shoreline Length ,(j
Access Length NISI ._._. !-� �� u,Y .._ ^'.- -41-^. .G-t.__6,4 `... ......._ [
Pier(dock)length ,L .,p/}i,. , t! '° d
Fixed Platform(s) #' ;+ 0 I i
Ili' ' c
r ,�i
Floating Platform(s) ( _ / 41 ,_ _ _/. ` •-4 I III
Finger pier(s) ' 1 ; 1 }
to 'P,, i i
Total Platform area I, c I i I ,„--" f.r� I
\
Groin length/# ,I ,
Bulkhead/Riprap length -I1
Avg distance offshore t... } j
Breakwater/Sill - - ----. 1
Max distance/length I l� i 1 I • 1 1
Basin,channel
Cubic yards lr
1
Boat ramp ` +-_ ,F .
Boathouse/ oatli j I
Beach Bulldozing — { 1111111 S { I
Other ,
rC r 11111
r K
SAV observed: yes o `
t � 1
Moratorium: n/a yes no`
Site Photos: yes no- h ri,'v' I
Riparian Waiver Attached: yes' no 1111111M1111111111011111111M111111111111111111111111
A building permit/zoning permit may be required by: ✓-,.C�4- (-,,.. t ri N
Permit Conditions =,-1) ,c j 1-'4 s / (/f s t.^ 1 16 TAR/PAM/NEUSE/BUFFER(circle one)
_, , /- ,,l r I,- p, •— n 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) %u
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
./(..____ ,�ti
Signature**Please read compliance statement on back of permit** Signature
,,24.7 --- 2q) 03 \ (-)1,Q.4, 1 ',2:;-;
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

30��`°"'� P CAMA [I DREDGE & FILL No 91345 A B CD
GENERAL PERMIT Previous permit
t Date previous permit issued
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:
I 5A NCAC n Rules attached. n General Permit Rules available at the following link:www.deq.nc.g_ov/CAMArules
Applicant Name Authorized Agent , .
Address Project Location(County):
City State fyf C. ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email ,. Subdivision -'-
City ZIP
Affected n CW n EW n PTA ES n PTS Adj.Wtr.Body (nati/man/unk)
AEC(s): n OEA C IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body -
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scaler 75-)
Shoreline Length �J _
Access Length i�/ - !_..._ ._ �__.. )
. _ _.............
Pier(dock)length -rK j,,. I , f I,if�i
.
Fixed Platform(s) \ i /i
L d! ,
Floating Platform(s) - ✓ I
r_ Tom,_..-..__
Finger pier(s) -- I
.
F -
Total Platform area
Groin length/# V I ) it � ‘ ►
{
Bulkhead/Riprap length -i- -- -
Avg distance offshore .. ....._......{ s _ — -- —
Breakwater/Sill 1
Max distance/length - i � f tM 'rl i .% U/'
•
Basin,channel
Cubic yards _ �.._.. __....._...._�_.... _4_ __. _ _.__ ._._
Boat ramp -.— - ---- - --1--- -- ( k•,
Boathouse/Boatlift fi ;I r-
Beach Bulldozing C f—'�'4� + ,
Other ,i - i i :, . .
Fvll4 4
`:r l I SAV observed: yes no /' tt
Moratorium: n/a yes no 1 ,�, ) ✓ {{7�' ��1' I ( n l
Site Photos: yes no , _ . - L -
Riparian Waiver Attached: yes no '
A building permit/zoning permit may be required by: -
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee 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)
L
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
. v l ;;,2L I
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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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: 2c,I f-14 e4,( (7e,e1 e ci 12,4
Mec.,313011- K, C• ..s•-;7(-)
Phone Number: 7 2 - 1 0103
Email Address: ee, al 'Ali 1,40 avict I
1_ , J 1/)
I I certify that I have authorized 12 )
_ c
AOnt/Contra or 7'
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 2 31 t-k(rie--ckt ( elite, y . A Jeu.)ptif
in 6'6okefey 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 tyner Into 'on:
\--I
Signature
Vezn
Print or Type Name
()LA:)13ef
Title
a' I 12 I t7202 3
Date
This certification is valid through

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I ecn 6 Sic M c,�1rmi i'\„f, s
t (Name of roperty Owner)
',
property located at I t--1 rct „�
(Ad ress, Lot, Bloc Road, etc.)
on 1 r�c..c3 porti�c j er , in i•le-wlxrr ` _ , N.C.
(Waterbody) (City/Town and/or County)
The
1 applicant has described to me, as shown below, the development proposed at the above location.
QL(.' 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)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
A.Cc I do not wish to waive the 15' setback requirement.
(' ope y Owner In ,, . ion) (Ad'acent Property Owner Information)
iji
Signature // Signature /"} (�"'�
DE-6.11 (--2tic� 149ic CIA ela , Y recite
Print or Type Name r Print or Type am U
2i;I t :rdeS/7' G!�M e tart% gd
Mailing Addresq Mailing Address
kb,wpc.r f Az- 2 S- 7e) Jim r-i-) _ C 28 '`)
City/State/Zip Cit/State/Zi
2S7 - 72s` 104,3 2 ,52u 3(-1- '-24-4t
Telephone Number Telephone Number
Z - /b -a3 -10 - 23
Date Date —
(Revised 6/18/2012)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
.
Name of Property Owner: 1.)c'et1 7-<,:rroviu b e<.,
Address of Property: 2 ;*1 Fiat-d re!eLete 1cdNictL)ilx-1- Ceot siJ
(Lot or Street#, Street or Road, City&County)
Agents Name#: Mailing Address:
Agent's phone#:
•
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 lettei%
have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)In
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no objection If you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
0 c.\
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15 setback requirement.
(P ope Owner I f rmati• ) (Adjacent Property Owner information)
Signature Signature
41,--rJeNC,_0-1 §-\*Y\\.\(- le- • OA%
Print or Type Name Print or Type Name
2S-'1 tklai r'S e_ekvie /Cr)/ i?.1
4cL-4 - C=e-ole-A-e-rit' d.
Mailing Address Mailing Address
t396_14/Li/ .61 _ 2c S 2c tiE .)0c)r- L 7
City/State/Zip City/State/Zip
05 Z 725' -/063
7L2
Telephone Number Telephone Number
6- ic)--z-3 Lo - ID - •:)cG 3
Date Date
Revised 6118/2012