86867A-Ronaghan

idgibi M— CAMA ❑ DREDGE & FILL IN9 86867 C}A a C D
GENERAL PERMIT Previous permit 742L
a Date previous permit issued 2 Zo
❑New UModification gComplete 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:
ISA NCAC _. Q'. jj-t_1.2—a.U.. _... _..__._.__—__. EJ Rules attached. rA General Permit Rules available at the following link: svwwdegnc g9W_C6 AruIes
Applicant Name G<LI�ICNY1 11i' f"Li'tAuthorized Agent _...�—•
Address "1 1:�1� .j N a n t �j N a: RO 0.J Project Location (County):
City rr.. i7 State VA._,_._„ ZIP �„�j �}7._ Street Address/State Road/Lot N(s)
Phone M (t1iTjII b `62 __�_...q
Email C }:o11II! fl Ctif� lt=� f`f,5 fJ . (�fil")_ ___"___"_ ..,,__ Subdivision (.Gs VG'Jrl d7z,y4�
3 City
Affected nCW NEW r4PTA r]ES PTS Adj. Wir. Body ('.etyttnto IGhi, 03151. �c,.,1a�ma unk)
AEC(s): EIOEA []IHA UW [:]SPIMA PINS Closest Maj. Wtr. Body T -f' nnc
ORW:,ye no PNA!yelo 1:Vtc} L,+j `l�vtl yaGf`t.�
t Type of Project/Activity Lott ;�"(U i✓tn � NeW (n X r 1 ?� I-) G 6ltiytee-A-C,(, t-o
1tCLJ G' X• "a- 6 n a 1 cJ �'
Shoreline Length_; O b r f+.
Access Length
Pier (dock) length I S P
Fixed Platforms) iG9G �Y'
Floating Platform(s)
Finger pler(s)
Total Platform area 17 o 1 f L
Groin length/If
Bulkhead/ Riprap length_
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _.
Beach Bulldozing _
-4--
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos:
Riparian Waiver Attached: 7W no
1Q K%'zejIPA j� n S; 1
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CANAL TO KOf-05
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A building permit/zoning permit may be required by: _ a e'( \'TyC: k�..Q.) t1_t_
Permit Conditions i s'.-C_r-izd-."
_ A -(,,V o fgr o o c, o k.% n
Agent or Applicant PRINTED e `
1 —
Signature "Please read comfili5ncestatement an back of permit'
Application Fee(s) t 11
Check II/Money Order
4�vikh��,
�s
H Zs, A
PRINTED Name
TARIPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
Issuing Date Expuim Date

api�LOW", ❑CAMA El DREDGE & FILL N9 86867 A B C D
l GENERAL PERMIT Previous permit
Date previous permit issued .
❑New []Modification f,9'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:
I SA NCAC / ' ❑ Rules attached. M General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name ! i:R Y) Authorized Agent
Address Project Location (County): C t) Y P' i� t U C� L _t
City + State ZIP / Street Address/State Road/Lot #(s) '._] Yi T� Y «. bt.
Phone#O
Email Subdivision C, (I Vo `1 Cl.
City 0 0 r o I ('a zip -Z s
Ad" Wtr. Body C tx at a I 'to ko, r,-�'-'13 . i'.>I . E'za� ..t nat/man/unk
Affected ❑ CW Q EW � PTA ❑ ES ❑ PTS 4 Y ( )
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body
ORW: yes6ol PNA: yer)
r
Type of Project/ Activity _ o v% iY U CA, Ic�to d 4 C �,J r 1 P 1 r i' C o c: :'. C� f ,
11<"u1 t; ct, Ov" Ww (Scale:�"t..,7 )
Access Length
ff
Pier (dock) length j r) t �
Fixed Platforms) lb O {' t. c.
—'
____
'-
h#-
—
y
—
-
j
01
�
r111
k
I
I
Floating Platform(s)
f I.
i
�
�
x^•
� �
,
Finger pler(s)
1.�
?cl
r
r`?''-
�
r
Total Platform area
Groin length/M
Bulkhead/Riprap length
Avgdistanceoffshore
Breakwater/Sill—
Max distance/length
r
_,
-
i
—
Basin, channel"
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
l _ _
_
---
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—x-
-
�"--
--
� C,
(
/
e
e—
T
t
SAV observed: yes no
Moratorium: n/a yes no
SitePhotos: yes no
Riparian Waiver Attached: yes no
-
--
-
—
---�
A building permit/zoning permit may be required by: (,'.'U t'1( \+ )G K:.
.-:7), (; TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions 0
!, h] ; l H ) See note on back regarding River Basin rules
-- See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. - (Please Initial)
Iv, II
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit" Signature
Application Feels) 4 Check tt/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
c11
Mailing Address:
MAR 0 2 2023
DCN&� (,
I certifythat I have authorized (agent) Se /�
(g ) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 4�— ()
Coral[C ,
This certification is valid thru (date) dot I3 / /d
Property Owner Signature
Date

4
-------------------------------
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RECENED
MAR 0 2 2023
DC-E C

Cathleen Ronaghan
508 Brant Rd
Carova Beach, NC 27927
508-472-4082
[e-mail]
1/13/2023
Jerry and Joan Krzeminski
484 Alexander Rd
Brick, NJ 08724
Hey there Jerry and Joan,
We are reaching out to you regarding our dock at 508 Brant Rd. As you know, we are building our house
and we didn't realize that when we got the permit for the dock it had an expiration date on it for that part
of the project. So, unfortunately, we have to reapply for the dock permit.
As required,) have enclosed a copy of the house plans that show the dock we are looking to build, as well
as the ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM to be signed off by you.
I have enclosed a postage paid envelope and hope its not too much of an inconvenience to ask you to sign
off on this project once again. You can mail it in, email a signed copy to me at [e-mail], or
disregard this letter altogether. No response will be considered the same as no objection.
Many thanks and wishing you a wonderful new year!
Cat Ronaghan and John Mackay
C : a/ r: ',
MAR 0 2 2023
L1 � eM—

N.C. DIVISION OF COASTAL MANAGEMENT
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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY FEB 2 0 2023
(Top portion to be completed by owner or their agent)
Name of Property Owner: 1 ,/I
Address of Property: 5O53 i3r45;nf >U MC �L7`7,d%
Mailing Address of Owner: 1793 N&AA FU (Clee_k �P VA- Aeme-4 ty,,A a• 3 `f 5 7
Owner's email:11407Owner's Phone#: 5?Jfi'- tJ7Z- 4/6 2-
Agent's Name: Agent Phone#: 1--�
Agent's Email: l—
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
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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 (Choose only one
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
(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' setbackk�
natu a -OR-
j of A ent Riparian Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property OwneF:
Typed/Printed name of ARPO: � /r// �(
Mailing Address of ARPO: ttys�z 1
ARPO's email: r�@rC �id G00V LARPO's Phone#: 731—ZO6-r�pL
Date: 2 <Z waiver is valid for up to one year from ARPO's Signature`
It I Revised August 2022

Cathleen Ronaghan
508 Brant Rd
Carova Beach, NC 27927
508-472-4082
[e-mail]
1/13/2023
Trey and Leigh Kelleter
513 Trent Ave
Chesapeake, VA 23323
Hey there Trey and Leigh,
We are reaching out to you regarding our dock at 508 Brant Rd. As you know, we are building our house
and we didn't realize that when we got the permit for the dock it had an expiration date on it for that part
of the project. So, unfortunately, we have to reapply for the dock permit.
As required, I have enclosed a copy of the house plans that show the dock we are looking to build, as well
as the ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM to be signed off by you.
I have enclosed a postage paid envelope and hope its not too much of an inconvenience to ask you to sign
off on this project once again. You can mail it in, email a signed copy to me at [e-mail], or
disregard this letter altogether. No response will be considered the same as no objection.
Manythanks and wishing you a wonderful new year)
Cat Ronaghan and John Mackay
MAR 0 2 2023
®MEC