89710A - Benjaminson

NI? 89710
2KCAMA ❑DREDGE &FILL
GENERAL PERMIT Date previousom permit issued
Y New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the CoasW Resources Commission in an area of environmental concern pursuant to:
i SA NCAC - 0 ' 110� .- I —Rules attached. Genera! Permit Rules avaiL*L- at the following iir,k www.dec.nc.eovfCAMAruies
cant Name koon �[.L Ten �0. 4\ AQpI' $ 1 - � ��_�_� Q +"1 Authorized Agent
Address 7-3 li`J ��e►�C L 11 Project location (County): - - I z 1 }i(C M
City "gr 'w ,G;d Staze _ZIP '�-71 %q Street Address/State Road�Lot#(s} r
eai--es[ ► --
r"mall 6A-m_ Ania,--cbm SubdMsron�k3lin
Affected i❑l CW FN E W R PTA ❑ ES ❑ PTS Adj. Wtr. Body P9 .- a A:%YV Qy..5- �V�X " (ar nan/unkl
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ P'JV5 Closest Ma:, Wtr. Body `--- -� �b e jj�Q'�Q
ORVV: yes, r�r PNA: yes,n
Type of Project/ Activity U*AJV,a XkShY. a{ hs, u�s� G r`r1 S + >�.i' C" IS' x
-- _
G Ayc (Scale:1'�146t )
Shoreline Length 4�-
Access Length
Pier (dock) length
-�-'
Fixed Platform(s)
may_ _ �•-^�___._
Floating P atform(s) --
i•ingerpie*) -_ (✓.
ocai Platform area
Groin length/
Bulkhead/ Riprap length •. — — -��� --- -
?...
Avg distance offshore
Breakwater/Sill-
r_.
Max distance/ length
Basin, channel - -.. .., ,; -- -•------ -_ - - _ :_.. -- - - - ..
Cubic yards
Boat ramp
&each 8141102inB
SAV oyserred:� Yes-
h5cratorium: C:L� yes no
J
Site Pantos:
Riparian yJaiver Attached: yes --
A building perrnit/zoning Permit may be required by: -_ �a� L-Z ;Cha fN I lC`iAYI.A-
Permk Conditions
I ❑� TARIPAM/NEUSFi'BUFFER (drde one)
❑� See note on back regarding River Basin rules
`- `" - ❑� See additional notes/cor.dibons or, back
AM AWARE OFOF. STATUTE$, CRC RULES AND CCWDIT)ONS THAT APPLY TO THIS PROJECT AND REVIEMD CCiVIPLIANCE STATEMENT jPlease lnitia
L�i%tlV �NZY!�i i1 2)N R �� U�SL r� + ci r Y� -
0 or Appiica TED Name Permit Gfficers PRINTED Name
gn tore ease read corn-r statement on back of pzrmit°t Signature
Application Fee(s) Check $r/Money Order Issuing Dale EYpirati on D to

��6`°"'V ®CAMA ❑ DREDGE FILL
s = GENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
No 89710 �% (5 B C D
Previous permit
Date previous permit issued
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 � h , I xoo ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name f' k oyN d KwYk Ben .0- M in S O Y\ Authorized Agent
Address`, Z-) 15 leoAe5 I-h ' Project Location (County): PQ.r a Lt l yy�C J�
" City J GfCJ State t4 C zip a*%y4/47 Street Address/State Road/Lot #(s)) 10+ -44
Phone#(13) 14 1Z S411ol -Ifs E!Qj Ln es .
Email rurIr'i'���11M Q Gt'MGt�` , Caniuy Subdivision `7C-a4 :s
City PAV-�-�u' rC1 ZIP a2-1yy4/
Affected ❑ CW IN EW © PTA ❑ ES ❑ PTS Adj. Wtr. Body PPT O tJLiyksQ Ip,.S K-\,XJr (Qnan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body bp e,rr tr q- -- a""a
ORW: yes, ,9 PNA: yes
Type of Project/ Activity Z?A",.,e f KISh)L\G, 1m aj KG um C" CAS 4 n. -Jg .1S, X V �)Q J
6A*0,St w k a 1hge, aex t> r Ae, -4 r-00 (its (Scale: l" = 46 )
Shoreline Length 4/ 22�
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Fingerpri,er(s) 3'x39'
MQa IL'r't n'
Total Platform area �q 1 s%4
Groin length/#
Bulkhead/ Riprap length -�
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
oathous / Boatlift 25 x ((p
Beach Bulldozing
Other
SAV observed:
yes
®
v '"
Moratorium:
yes
no
Site Photos:
Riparian Waiver Attached:
40
yes
no
® �`s r
'�evi
A building permit/zoning permit may be required by: ?elroq
u .YhLx nS ('01Ay t-
Permit Conditions
I
lip
y`f �
O
L • +
❑ 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 Offi2'er,'s PRINTED Name
Signature "Please read compliance statement on back of permit" Signature"
U00- M 21(10L 1112
Application Fee(s) Check #/Money Order Issuing Date
?/2Z12 3
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:
17 Tar - Pamlico River Basin Buffer Rules F-1 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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

❑ CAMA ❑ DREDGE & FILL N9 89710 B C D
�.
Previous permit
GENERAL 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 deg nc gov/CAMArules
Applicant Name _
Address
City
Ph #
State ZIP _
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
one (_ )
Email Subdivision
City ZIP
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
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
Breakwater/Sill
Max distance/ 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:
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
Signature "Please read compliance statement on back of permit"
Application Feels)
Permit Officer's PRINTED Name
Signature
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:
1-1 Tar - Pamlico River Basin Buffer Rules 7 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 Mana¢ement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

k et ,el €sutra 0, �3 k�59£9-t`t'Cd- fit 6-$A77-54CSSUW58
N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Alan and Ruth Benjaminson
Address of Property: 315 Yeates Lane, Hertford, NC 27944
om » ixa.w
a..>...
Mailing Address of Owner:
Same
Owner's email: [e-mail] Owner's Phone*
Agent's Name:
757-472-3461 APR 0 4 2023
Agent Phone#: ®
(...�
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Prouertv 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
description or drawing with dimensions must be provided with this Ietter.
`�/ I DO NOT have objections to this proposal. _------ ___ 100 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 90 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_si n
the appropriate blank below.)
I DO wish to waive some/ail of the 15' setback
Signature of Adjacent Riparian Properfy Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
i yped/Printed name of ARPO: � � I t_ �" �` r �j
Mailing Address of ARPO: Z�31 WAKL off) -7
ARPO's email: �� 7 �-� �% � l CDOI ARPO's Phone#: -TS 7
Date: d ' 7 O ` � *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022
V/q- 4-1;6

Authentwgn tD: GB9D5189-E2C4-ED11-BA77-14C8852F4F5B
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Alan and Ruth Benjaminson
Address of Property:
315 Yeates Lane, Hertford, NC 27944 s , I L
Mailing Address of Owner Same
Owner's email: [e-mail]
Agent's Name:
Agent's Email:
Owner's Phone#: [phone]
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner}
APR p 4 2023
DMI-
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
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 letter.
% 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 Out 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)
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' setback
Signature of Adjacent Riparian Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Own<
Typed/Printed name of ARPO: -�{, L { 0
Mailing Address of ARPO: 10-01e s Lw� 14ty-4CC ya
ARPO's email:. C `' �`�` sI d t V " cP
r� ARPO' s Phone#: a
Date: � *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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