86875A-Hawk

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'now_ b(CAMA �REDQE 6 FILL � N4 86875 � n(�8 C D
Prealous permit ___..__
�GENERAL PERMIT Date pre sMonit Iswed
pAWew ❑Modllicallon ❑Cornplete Relsstpe ❑Partial Relssue
__. .-.. _ KauJvrtaE--q. th�a/yareN Nmh Ca�aYro. Dnpaiainent of EnNrvenwnW Wa9q a.d aM Coasvl geawrcer Ccn+naaton �n an area of c.rv�.wanendl concam puraum fo:
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Cubkyuds _
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SAY arbservad: Yes no
5ntenPthulos ola -p
Riparian YVaWerADacM1ed: Vm no JOE-
AbWIdlnip rWtarangpermnma/beregWredby: 01d.T4_-
Perrrdt Conditions J ---
if
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❑ TAWPAtNNEUSEIBUFFER (circle one)
11 See note on back regarding RK" Basin Mies
See additional nob s/comRtlons on back
I AM AWARE OF STATUM,OFIC RULES AND CONDITIONS THAT AMY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please lnlHalEi7�
1- La+wrc..d1 IMM�-t.�t� v o e
Agent w Appkapt PRINTED Nam
:a/Money Order Istuing Vase Erpnatlon Date

DREDGE & FILL N° 86875 A�B C D
GENERAL PERMIT Previous permit
Date previous permit issued
few ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized bny the ate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC c �� D 1' ❑ Rules attached. %_ General Permit Rules available at the following link: www.deq.nc.eov/CAMAruIes
Applicant Name Q�'ry f'F'-o.. M''// l� ��Authorized Agent `z)-y
Address Y" ¢A 6 eSOK t/et- �\� � ��} Project Location (County): �Q j`�
City .'I�tate NL ZIP 1-7_L(95 Street Addressss/State Road/Lot#(ss) %YA /3� � Le T!.
Phone # S� X -L / $rt' /�S 15 Q4�'{-e lr� W r� 1/`
Email 'kkd.1..3Ks-e-Tr"i6At r r. COILS Subdivision AL-X�nS1, a f- t_-SJef7/ SC* c y
City M.4 ZIP
Affected ❑CW [1qEW PTA [PqES [KPTS Adj. Won Body b nat/ an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mai. Wtr. Body
ORW: ye no PNA: ye no
Type
//of Project/Activity Df 4aAh_� and f`e.�t.t d — 9 o i ky� `tom. �iL ' rLv )
TAei40u,CJeS ¢S,nJ, 5 ,p tA o,Ion 9 Wwi (Scale:fn'%0)
Shoreline Length %S D R� �tA,.0 �- Z-7 Zx 22,n� t�
Access Length 2u
Pier (dock) length 1 `t
Fixed Platform(s) — 0 r i 2 �-
S�Rep1ac¢rnen.1r---
Floating Platform(s)
Finger pier(s)
Total Platform area
G ngth/11
ulkhea Riprap length 9 e � 11QI
Avg distance offshore
a
Breakwater/Sill
Max distance/length
Basin, channel s
Cubic yards -t'rb Z�J, +`
Boat ramp _ EjL1Si/A/C- $Uct-,(ff"s>
Boathouse/Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a es no
Site Photos: n +�\ i
Riparian Waiver Attached: no PL "�
L
A building permit/zoning permit may be required by: t'
Permit Conditions ❑ TAWPAM/NEUSE/BUFFER (circle one)
❑ 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 lnitial)Vl
Agent or Applicant PRINTED Name
f
=!!
Signature **Please read compliance statement on back of permit**
`7
App ication Fee(s) Check q/Money Order
Permit Officer's PRINTED Name
Si ature
2—/ / (0 /23
Issuing Plate Expiration Date

NC Division of Coastal Management 2 7 21'� \., C D
Cashier's Official Receipt 2"�
Received From: � S /2 / v� �
(( /
Permit No.: (� 69 h Le V -S
Applicant's Name:
Project Address:✓e-
Date: 20 �
a u,
-� 1>
Check No.:
County: G)
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: IS Date:
Signature of Field Representative: _ Date:
61
No work can be initiated until after we receive the signed copy. If you have any questions regarding
this correspondence, please don't hesitate to contact me.
Thank you.
VMtUW
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
yvonne.carverCa.ncdenr.gov
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
M E QO
De4amnent ut Envirnpnvntal IkualAv
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.

OCAMA ❑DREDGE &FILL N9 86875 A ,s c D
�o�fINGENERAL PERMIT Previous permit
Date previous permit issued
(❑ New ❑ Modification []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. �., General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address �'
City State ZIP
Phone # (_)
Email, 1, ca
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑. pT5 Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORIN: yes/no PNA: yes/no
Type of Project/ Activity
.r/ ,
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) —'
Floating Platform(s)
Finger pier(s)
Total Platform area _
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore lcl
Breakwater/Sill `—
Maxdistance/length
Basin, channel Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: _yes- no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: Dc1-f,'c<'.
Permit Conditions
(Scale: )
❑ 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, 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 Feels) Check #/Money Order Issuing Date
i�./ 1
Expiration Date

Do Sign Enaj y jft 73MOODD463147D2.993A e83302125554
AOEfti AUTHORVAT/ON FOR CAMA POUrr APP rr'AT N -
E
N
Name of Property owner Requesting Permit:'%cx_r
Meiling Address: 3C),p b} $rctk OY
N;yh poiY�- NL 2.'1`tto�a e
Phone Number: 3-S%V.4-10- A0%I .. .
Email Address: +4'OANV` @ ad' YY. C CliY1
I cartify that 1 have authorized 0�-b QNAWJAtaoAs I.VJf— ,
Agem / CDOtraaor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary tot the foibwing proposed development: i-kgjt,- -S,(*— bW
Yt/Pai! . vi9hF cidt b1AlIC�•--�—'"e.�• �,�� t't1Mil
at my Property located at . I { 5 %wAM Ov Wlavko Nt_ 2"K
_ _ - County.
lwthemlore panifl' Ural r am 8U#Wzed to grant, and do in fact grant porrrrfssipn to
DCvfsicw a/(.oestat-!fanapeementstafl, the Local POMW Ot►Aeer and thotr ageMs to Wr
On ft afarsrnanfiorwd lanais in Wnnecdon with avehraftng hrfomutrton related to this penT* apANcation.
Progeny Owner fnfamatbon:
�oawtr.ex
�1.Yr y E}au+lcs
Sig b"
Terry Hawks
Pft or Type/Jame
This
1/21/2023
Data
/.
7'hie cartiiicaliort is valid through / l

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
QL1;'11l (1 MAIL,:_RETUkN R CL"6 t' IRL,CQUE;S FED or HAND U LV Ry
(i op portion to bn completed by ovitier or their agent)
Name of Propeily Ocmta f'X
- - .... --...
l+tidwss of IItOpel ty: %1S 9CiWAv\[y����✓U-_
i +.tf't;il Addmss of CAm^r3 V�Q _. �JQ Ey1� ...drttgv, Q�r1i NL
AN'law kvns:r'sI'i1n1r.#�O pQ • U01
t\ttt:nrs Nantr. �Q�OpY�p p!G�-tJ�+t.{ i A{fs:nl I'holulti;" � D 4-• �-1i4• V �P�l%
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion {o Le completed by thg Adjacent Propofty Owner)
1 ilrnehy crn lily than 1 erm propofty adjacent to the above roten:ncart ptopotry. 1 r1t: indivrdoal apply+n5;1+++ t1+it;
pet wit has rloscriberl to me. as shovm nn the attached dtawin.q. the rlovelopment they are pmposit ll.
(Iran at dfay101Ct l"littlStinit n51re_15i1111in ho plovldori with thin fettol.
1 130 NO f have objections to this proposal.. 1 DO have objections to Ibis Iliopose:
_.. _ion-_.ai ..
It you Nava objections to what fs not being proposed, you must %y the N.tJ. Uiv(5Caastat
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
au+lled to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also he
contacted at [phone]. No response is considered the some as no objection Il you have been
notified by Certified Mail,
WAIVER SECTION
i umlonstawt that any pulposcd pie(. dock. mooring pilings, boat rainp, bteakwat n boathou:;t". lift ov
ii' oin must be set back a mjninum distance: of 1 from my area of riparian access unless waivod try n1c
(this does not apply to bulkheads or tiprap fevetments). (if you wish to waive the setback. you MMELLIfliji
if to approp0ato lilank lidem.)
( DO \ash to waive sonic/oll of lilt: 15 %othark
Signature of Ad/acent Rtparinn l''rnperty Orlrrer
-013 -
I do not urtsh to vraive lilt: 15' setback 1ealuiemt:nt ltibal the biankj
:iiynalt;uc rf !\ojar:alt I:iltarian Pro�ptn`iy,Owner. -. ._ L . - __. .
TypedlPtinted name of ------
Mailing Address of ARPO:
ARPO's email:._ ,.� _c ! . nea: A
Data: waiver is valid for cep to one year from ARPO's Signature`
111 1 Revised July 2021 i

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`° �'�' A L U �' E AO TJ1L SERVKE.
� ^""FBp $4.15 0448 KILL DEVIL HILLS
43 302 S CROATAN HWY
KILL DEVIL HILLS, NC 27948 9998
a pommvk [phone]
-., o Qavewwen«ca.a ai _ i 11:52 AM
a e+ r a Ha a 01/23/2023
------ --------
o �"'°efle0bb°Oe° a Product Oty Unit Price -'
$0.63 ------- -Price---------
0 01/23/2023
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a ..._..__Ky1 ia1\�j Brooklyn, NY 11215
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't� s• Q, Estimated Delivery Date
- - Thu 01/26/2023
Z'� Certified Mall® $4.15
4- - Tracking #:
-'"- 70220410000105647999
$ r. w d Return Receipt $3.35
Tracking #:
■ ' ,R it = Il.xy�l'y 9590 9402 7489 2055 6111�70
Total $8.13
- ,M1 First -Class Mei10 1 $0.63
Bret F 12f6 Letter
An�mro. ors Lancaster, MA 01523
-g�Ln 4.15
0443 $
.,•p s Weight: 0 1b 0,80 oz
rdrxmc.wnw 03 - Estimated Delivery Date
Thu 01/26/2023
Pocbw Certified Mail® $4.15
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$n nn HTracking #: .:.--o.d.sam..wa..e " ..
70220410000105648002
Return Receipt $3.35
$(1.63 Tracking
9402 7489 2055 6111 63 +a 4�ne 01/23/2023 �-
--- .13 O., Total $8.13
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