91338C - Wilson, Jessica

� "m4te.it,❑CAMA DREDGE & FILL No 91338 A B C' D
3°
GENERALPERMIT Previous permit Date previous permit issued `
nl New n Modification 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 ri Rules attached. C General Permit Rules available at the following link:www.deq,nc.gpv/CAMArules
Applicant Name ,, Authorized Agent -
Address I-. /- 1 t / Project Location(County):
City i •f State /L"l ZIP 7 cb Street Address/State Road/Lot#(s) •
Phone#( ) .1
Email - ee r4 •CJy Subdivision
City I4.+✓:'l�,.-Fc ZIP v .,_4-S 3 %,
n n n n Ad Wtr.Body .4 ' a/
Affected CW EW PTA ES PTS 1• � man/unk)
AEC(s): I I OEA nI IHA n UW pi SPIMA n PWS Closest Maj.Wtr.Body -
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scaler/TS)
Shoreline Length U '
AccessLength -------�- -; _....._._ ....._._____ _ _.._ .._... __ ......_..._. � � �� "9�?_
i '-- ,. N,j I' Iy/s - • '
Pier(dock)length
, I #
Fixed Platform(s) ,:; ; )
Floating Platform(s) ^4
�{ i or q
p t r'"•, .. (,�,�6,C� i
Finger pier(s) _- !f l I t , A /U
Total Platform area 5(^ 5- I _ AN III '
Groin length/# } } i
Bulkhead/Riprap length — — -- N�
Avg distance offshore ;. .. , - �!. � �._'.�n w r .__..__._._._�Ii
Breakwater/Sill
I
Max distance/length i ili '�-�- ��.��w.�irii�i
Basin,channel * ,r .n < i
Cubic yards ✓N ._........ .. `...... — ............... ..
Boat ramp
Boathouse/Boatlift i 1
Beach Bulldozing ( , } • I
Other F„a,N6r I 1 ILCt"LCS
(' v )
i_ j
SAV observed: yes !no ' -
Moratorium: n/a yes no I {
Site Photos: yes no I ' .
Riparian Waiver Attached: yes, no , j ,
A building permit/zoning permit may be required by: ✓, " .. • -y --- ..
®TAR/PAM/NEUSE./BUFFER(circle one)
Permit Conditions 4o 'h o. f` '+
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) . ' - -
Agent or App ant 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

''k aI—I CAMA I I DREDGE & FILL No 91338 ABC D
.40
1
GENERAL PERMIT Previous permit
Date previous permit issued -----
New n Modification n 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 n Rules attached. 0 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 • e,- "/ ,( I`i Subdivision —
City ZIP
Affected n CW 17, EW n PTA n ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I I OEA n IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity .
(Scale:,4/ T c)
Shoreline Length
Access Length - - _. 1 _ ...... _ ._; .._..� 1. �� �
y •.-, J ) ' ,4., .1' k ter- I i
Pier(dock)length f /1v; j ' (
Fixed Platform(s) i ; j
i....... �_—
i
• .„ tI
Floating Platforms) I i i�'
,' ( I-
Finger pier(s) i •
r
Total Platform area i -- •
_
Groin length/# I - ; I
Bulkhead/Riprap length , ' r -- { _
Avg distance offshore ' A. - "'- L
Breakwater/Sill I
Max distance/length y.J ' - . . ____ - - - -. "'r+amor '
i
Basin,channel I j ! i
..__;.._ _ - __-____..._� .___....i___....._._---...,._— ...._..� —.
Cubic yards Pt I y k , w. --— -
Boat ramp �l 1 �.__ _ I P
Boathouse/Boatlift i I
Beach Bulldozing 1 •
Other ie 14 s —,--- _ —— —. — -- -- '1 `
!yf- _4`-�� i W, r; q Y 4 moo..>i„
SAV observed: yes no
Moratorium: n/a yes no • ' j • {
Site Photos: yes no i F , ' I f - ' - - 4
Riparian Waiver Attached: es no - 1 ( i 1 i p Y
A building permit/zoning permit may be required by: 4 y ,.---
Permit Conditions ri TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
nSee additional notes/conditions on back
1
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) L , p'
i; i fs
Agent or Ap4Efljcant PRINTED Naime 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

Drawing Prepared By: C3 Scott, Inc. Property Address
Date: 5/23/23 1370 River Drive
Scale: 1": 30' Havelock, NC 28532
Property Owner:
Jessica Wilson
Proposed Work:
-Construct a new 16'x16' sure step
platform using 5' gray sure step
panels, 8" piles, 2"x8" girders, 2"x8" •
band boards, 2"x6" joists, galvanized ♦,
timber bolts and stainless-steel • NORTH
ADAMS CREEK screws
-Provide and install a 4'x20' Tide
Tamer aluminum access gangway
with two handrails
-Provide and install an aluminum
retractable ladder
Ladder
;w •
16'x16'
Platform
• •
Rip Rap RIP Rap
4'x20'
Gangway
}
H
W -0 illL
J 0 ,pr 0
>- House C]
m
a
a.
W -+
0 r
� Z
a
4-- -�
1380 River 1300 River
Drive Drive

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: \`�� LSb
Mailing Address: 213 LA-C-7 _i
Phone Number: q 9 3
Email Address: \uae-S,e SS' ()A(aCk-tu.
I certify that I have authorized ) C3 Scott, Inc
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock_
Gk.
at my property located at 13 o'L,tui/ t-{P0 -oC.k7 I�SC � � ,
in i f_A) NJ 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
k
Print or Type Name
Title
l� I ) i I 67-1-3
Date RECEIVED
JUN 1 9 ,211/;
This certification is valid through I I
OCIVi''•ryND CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J cs' (CA tA,)/L.Sc/' 's
(Name of Property Owner)
property located at 13 90 IZ(Or:42 D2M
(Address, Lot, Block, Road,etc.)
on f}0(31145 ULM k- , in 1-1-AJLDC,k , N.C.
(Waterbody) (City/Town and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on location.
one of , citey, I have no objection to this proposal.
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
‘ ...ee OtAN40\N, (1 Acir‘,J(..\-4
N...., `
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.)
Initial ›.-
Here on Ot< I do wish to waive the 15' setback requirement. O ' l—
one of z,
la N U
these I do not wish to waive the 15'setback requirement. !> as 0lines —i
(Property Owner Information) (Adjacent Property Owner Information)
Cart rranc
Si Ir re Signature
Je5,5t W) 1.5D N (Al,' �.2`v►Ci.N
CI
Print or Type Name Print or Type Name
13 G17-7 ?4.c.Lt,t yWI CLifiryrj,wk DR.
Mailing Address Mailing Address
City/State/Zipheit- 1 n{$jCSSD 6ilumni.ems. City/State/Zip_ Li 1 ya t, Car` 4�c) a-sn-( A,
Telephone Np mbe /mail�ddress �lV Telephone Number/email address
(D/alp 3 G — 7 a3
Date Dale*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,teSSI GP W%t.S6s•1 's
(Name of Property Owner)
property located at '1,?'40 Q-Va52 DCZ-l.Jc
(Address, Lo Block, Road, etc.)
on Pkci; tVt.S C fr-- , in , N.C.
(Waterbody) (City/Town and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
on
Here on loc .
one of
r I have no objection to this proposal.
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Sep ALS
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.)
Initial
Here on I do wish to waive the 15'setback requirement.
one of
these I do not wish to waive the 15' setback requirement.
lines
(Property Owner Information) (Adjacent Pro rty Owner Information)
Sign ure Signature*
SSica WV -So1v - <°eL/)I�=.i✓/ C
Print or Type Name Print or Type Naives
l.��Z-t�-,� as l ' VI R OR.
Mailing Address
Mailin Address
1 -vzLz zA /3
City/State/Zip City 2g — ,j 4 t�rO c
PSN'}VGMLnp{) t- o€4,1094, a .6. 7© / A , G
elepho Number/email Jddress�
rJ L
Telephol►e Numbe /email address
Date Date
(Revised Aug. 2014)
'Valid for one calendar year after signature* RECEIVED
JUN 19 al/A
DCIVM-.MHD ,ITV