89681A - Eure

❑DREDGE & FILL
GENERAL PERMIT
®New ❑Modification [-]Complete Reissue ❑Partial Reissue
N° 89681 0L_
Previous permit
Date previous permit issued
OA B C D
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 / Ili ' llUG ❑ Rules attached. ® General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name llli' CtlU ELA_Tf. �Authorized Agent
Address Rot, lO��/xl :A-��It��IQ.. K14� 1(7Wt• Project Location (County): y
City 9e'r �i 70' State NC zIP -ICl Street Address/State Road/Lot#(s)
Phone # (Z52) 333 - "y I (nT, q W ht )p Jxki
Email Gk.<-e. 10 emv� )on.L Ma,usm Subdivision Ie-4
City HQ rPt0tu ZIP of, 1_1 7l
Affected ❑ CW MEW © PTA ❑ ES ❑ PTS Adj. Wtr. Body Perg WYhQ.r S ?\vr r— a[ an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body AlhP.ANtL V. k Sof^A
ORW: yesAO PNA: yesAo
Type of Project/ Activity
Shoreline Length — 5'7-)'
Access Length '
Pier (dock) length 9 b X4
Fixed Platform(s) ((o it' Ll
Floating Platform($)
Finger pier(s) '—
Total Platform area S91SElE
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill �-
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
kyr
k f 4f °1 t` e,t,ei�rcry, Ij X
Boathouse/ Boatlift
Beach Bulldozing
Other
h�7 it
aJ As,
►01
rn l
SAV observed: yes
i
Moratorium: n2o, yes no
Site Photos: y6y no -
Riparian Waiver Attached: y s no
A building permit/zoning permit may be required by: n.S CnIw YV,�
Permit Conditions
Agent or Applicant PRINTED Name
ED Name
ow'd (Scale: f,,' qd )
y'x12' Qk0.iktrn
N
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature *"Please read compliance statement on back of permit•' Signature PY
Saorj. c2 10 (a 5_43/23 9/2318
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

N9 89681
❑CAMA ElDREDGE & FILL /' A a C D
a GENERAL PERMIT Previous permit
� Date previous permit issued
9 d
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:
15A NCAC ❑ Rules attached. E] General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑f' 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
(Scale: )
Ch—Iinn I—n h
OEM
ME
No
MEN
0
Total Platform area
�::a::::::�
•
MINE
■■■■■.
■:
.
Groin length/#
Bulkhead/ Riprap length
distance offshore
:..:..
Other
:::
■■■
■O■��i1fE■E■■�■■�■■::■ENEM
::::�::■■:::NS
IAvg
::■■
I
��■■
■■■■■
■
■
MEN
MEMO
MEN
M
M
ONES
SAV observed: yes no 1
Moratorium:
Photos:Site Riparian:= o
.■■
■■
■
�I:EI
EOEO■E
III
■■■B■■�
■■�■■■■
MEN
■■MEMOS
ails:
::"
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E
MMOMM:::
A building permit/zoning permit may be required by:
Permit Conditions
❑ 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,
i
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check M/Money Order Issuing Date
Expiration Date

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) CCU` G,'e-
j ) J �%
Name of Property Owner: ?- _��14 22
Address of Property: e # J Ire le % /"off
Mailing Address of Owner.
Owners email: NB I "11>'U)e 4 n S2 wner(sAh)orie#:
Agent's Name: LC r ✓� -S �J Agent /P/hone#:� l -2. , 2
Agent's Email: Op 7 (� Vim. ty) r ril-5 & [)mal
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
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 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 oniv 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' setback "' ��✓ -/% �
Adjacent Riparian Property Owner
sla
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
-r
Mailing Address of ARPO:
ARPO's email:
°)fl *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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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) E. P_
Name of Property Owner: Jae } ! S , </i�c �c Soy , �� �I l ` -A T()
Address of Property: Aic- -2 9 71 yy
Mailing Address of Owner:
Owner's email:
Owner's Phone#: � S;- - 3 3 3 - i 5_0?
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I herebycertify 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
P %,b ✓ 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' setback
Sign�at re of AYjacent Ripar an Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: 44 �"S�+^^� Vi -
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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e N.C. DIVISION OF COASTAL MANAGEMENT
T RIPARIAN PROPERTY OWNER NOTIFICATIONMAWER FORM
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property:
Mailing Address of Owner: SH-t" i
Owner's email: %�f % !�✓ G N i�K C`iOvmer's Phone#:
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
9 vy
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' setback
Signature of Adjacent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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