89659A - R. Smith

"° GCAMA ❑ DREDGE & FILL
:-r ENERAL PERMIT
a C D
Previous permit
Date revio i
ff= New P us perm t Issued
❑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 envronmental concern pursuant t�
1SA NCAC_ i'I'1• IZUO r
❑Rules attached. General Permit Rules available at the folloWing link: M!nMdeonc /CAMAr
Ari —
Cit7' Ls"A At— Rate (al C ZIP
Phone 9 (1 ) 21!j-1412
Finail V�efnti.�'h.Co� ino •ft yAk a lli ✓VI
Affetted ❑Col MEW XPTA ❑ES ❑PTS
AEC(.): ❑OEA ❑IISA ❑uW ❑SP)MA ❑PWS
ORW: yesig PNA: Veto
Authorized Agent L2 sr r
Project Location (County): _
Street Address/State Roa l/Lot pi
yi.nG •ln�lk
Suhdivbg'n`
City L1Y}Li kc
WIN
Type of Project/Activity ['o vL4w is & 12 x l5' h f %I--
horeline L ► (Stale: HTj )
Access Length % Y •
Fbwd Pl.tfwmis)
Floating
Groin length/N
Bulkhead/ Riprap length
AvgdistanceoBshote
Breakwater/SiN
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathou llift jTL
Beach Bulidoring, Aft
Other
ems..
Iit
1X16}fvtG�
rTP rtt�itwl
SAV observed: yes 420 C;"WArL
Moratorium: n/a yes no
Site Photos: U Q2sV w
Riparian Waller Attached: yes CM
A building Permit/inning permit may be required by: 104snn �R' H•�i-1 �t—_ (f� }(,_
Prima
(
r
1
s
r
1
i
t
1
f
E . •
t
A
(
TARIPAM/NEUSE/BUFFER(clrck one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
mad compkanen statement tin bulk 0l prnnit" ti emutwv
Chenk o/Money O Hm Issuing Oah Expiration Date
rnx Brant .. COa an

CAMA ❑ DREDGE & FILL NY Z39692 n /1, e C D
GENERAL PERMIT Previous permit tUt"
Date previous permit issued
New ❑ Modification ❑ Complete Reissue []Partial Reissue
As authorized bytheState of
North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC Rules attached. General Permit Rules available at the following link: www.deq nc.gov/CAMArules
Applicant Name tY,-yy'%aA.4V% ,JMYN"rV\+ ' .p
Address 46 "fb PC ~A, QYtyz��. .�Qu��
City GK" 4 State NC, ZIP 21 q
Phone # ( f ))� 2�V5�—JJ-Q 12 (' , 1 � _ _ 1 �♦
Email ✓ayr•wlty :� VV'QJdt6yAArwll.1IN .CD✓V1
Authorized Agent iJ T-
Project Location (County):
Street Address/State Road/Lot
Subdivision
City _F
Affected ❑ CW MEW X PTA ❑ ES ❑ PTS Adj. Wtr. Body l 124. Y iU 1-0 `70WA-\LA1 (nat(Dnk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body WyKamj ,d
ORW: ye no PNA: ye no
Type of Project/Activity COK }VLIC:� CL HY X /5' V0641U�'Y
rxld�- (Scale:
Access Length
Pier (dock)length
Fixed Platform(s)
>
Floating Platform(s)
Finger piers)
J4.
f
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
^'
Boathous Boatlift
1
Beach Bulldozing
Other
ra,
ex
;i
exio m
Ptpl"Ywi
SAV observed: yes ® �T
Moratorium: n/a es no j�
Site Photos: es no �.
Riparian Waiver Attached: yes (+
A building permit/zoning permit may be required by: �1A/Vl_ Lli' F'1'r rt�Y �a.Li.*�--
Pcrmit rnnditinnc
1.
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent Applicant PRINTED Name Permit Office r'srp PRINTED Na�
Signature **Please read compliance statement on back of permit** SignatureQ_ rM+ �TI
.6Z06.00 #233� �l13 tu2� 4l � jza2�a
Application Fee(s) Check #/Money Order Issui'nfLDlt4 Exp ration Date
�ad5o of,# Q9(pq I *_ 81joq3

❑CAMA ❑ DREDGE & FILL NY 89692 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
t] 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 f" ❑ Rules attached. ❑ General Permit Rules available at the following link: v w vdeo nc gov/CAMArules
Applicant Name V-101Y"' <: A �, Authorized Agent S.,f q i� f�xA'kJt�'� alL 'i �7
Address 4C, f"i 0 Vi;h Etom.lJw�
Y' � GL.C.1. P V % Project Location (County): A 1 C^r..N°Q _
City 'r'(IA,1.4,J-- State ZIP J:+qq.s'-'i Street Address/State Road/Lot #(s) (JL46 i'1VIP k'l1,,P1.3
Phone#(Itif „) ��Zc7T � R (Z. r J !_ : �.r4rj 4 " "toy.i-/L!'L't ?:I u
Email V1 5 VV%Wxi(,y., `�, ( n ' ,t
'i Vl✓(1�i �i/,:h �� Subdivisionttl p"fy'
City ZIP Y d"!3o y Q
Affected ❑ CW MEW sM% PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/Imk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body-
ORW: yes/no PNA: yes/no,1
Type of Project/ Activity ) -i "' y)tr •] ,j {„{ j—
(Scale: A T" )
chnrnline i onvr6 !'
Access Length
Pier (dock) length
CRUM
Floating Platform(s)
Total Platform area
H
No
EWE
Groin length/#_
i
�'�i�■iii,'ill■■■■
■M
Avg distance offshore. I
Boat ramp
Boathouse[ Roatlift�■■■■�
Bulldozing
1�
��
���t#c��Qi®�■■��
R
�■i
■®■■
!■
'��ri■'a1■■ri
■■■i�i(iillifliiA■■
i�
l�
lI■■
■■■■■IMMBeach
i
0
0
SEE
SAV observed: yes no
Site Photos: yes no
Riparian Waiver Attached: yes no!�■■■
ONES
0
,i■■■■■■■■
A building permit/zoning permit may be required by: 1 o W tA, M P"�(� . ,,d.,t,x' -
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 Expiration Date

D=USQn EnVOIOPS 1EX 1923D53E-CB9F-4070-9149F%2ACCM74
AGENT AUTMRWATION FOR CMA PERMff-AMJQ&MK
Name of Property Owner Requesting Permit Ra-wd *U�
Mailing Address: L4D4() Ointw§Or
Phone Number: 417
Email Address: Y Lkicl 'nOqabw-m - CAV"
I certify that I have authorized 11U,
ApM / C*nbacW
to " on my behalf, for the purpose of applying for and obtaining all CAMA permits
mmwafY JIN the (0110winll Proposed devMWffwW k'D V-- bj)vAL \%C+
31 my Prop" located at Loi-Arj Pi "V wll Ov,
in —0-0—A---L—County.
/ furdxvnxm cGWY that I am authorized to gmM and do in fact grant parrnission to
Dhftm of C*BBW MtelOgery"N'staff, the LOOBI Perm* Offow MW O)ew agwn to enter
an the afOrlanwidoned br)* In conrwdon YXM evasting kftnxftn nabW to this
per""Plokation.
Sgneaoe
Ronald smith
Me
3/8/2023
--J----i
Date -
Thils W"Mion is vaNd through
MAR 2 o M23

DocuSign Envelope lD: 713AOBF6-633E-091E-825B-85EE81AC58FB
D=Sign Envelope U. 560232EO-354D4C6C-8207-FDEC647ECOCD
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICKnONANAIVER FORM
CERTlFlEO MAIL RETURN RECE:ipr Rr=ntIFSTF�XHAh r rvFav
(Top p010011 to be Completed try owner or their agent)
Name of I'roptlny Ovmek 11_QrC.Ya.w - sYYtit_tj—', ..
Address of Ptapany: .`.1U--1Q..QiKill- 4iQr_v,
hlalhgry Andmss of gsnxv "'
Owner s email: C Owner 5 PlronnB.
LI12. 225 7gi2
Agenrs Nmiu, C44v\
t?YtiltiG:Ofn� Z`tT^tt}'dGCj-. Agrnt r'hrnreR `7 D_t� - � � Qy �_�t,pt0"'j
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(bottom oottion to be cometeted by the Ad kept PlOtiertV Owner)
i herwr certify that I rnvn property adaconl m the above. refa imced propony. I he indmi+tuat applying Tat tiim
p r described to me. as shown on the attachesl drawing. the development they are proposing- n
A star drawintl. vdth dimensinns,_musl bg provided _viith U_ns feller
i DO NOT have objections to this proposal I DO have objection to this proposal
Jr you have obJccdans to what is being p>'oposed, you moat nofi/y the N.C. Olvision o/ Coastal
Meneyernent (DCdq In wrtdng witbin 10 days of receipt of this noike. Coneapondence should be
mailed 10 401 S. GrifPm St., Site, 300, Elizabeth CNy, NC, 27M, Dt' W representef ves can also he
contectedet (252) 2"3901. N0 response Is constderod The some as no objection it you have been
notified by Certified Mart
WAIVER SECTION
i +:rtdeistand that arry proposed pier, dock mooring pilings, beat ramp. blooloralel, boathouse. fill or.
groin must he setback a minimum distance of 15' from my area of dpafian access unless valved by rite
(this does not apply to bulkheads or riprap (evetments). (If you wish to valve the selback, you jimst Wo
the appropriate blank beluvi.)
I DO wish l0 naive sornetalf of the 18' setback
Signalkxe OfAd]eceot RiperianP periy Otrner
-OR-
�l`
I do not vrish to waive the ib'seiback raqutrerraent (initial the blank) - `—'
tiignature of A6jacem Riparian Propany Orrnr:r.
Typediprinted name of ARPO: Terrence Gretchell
Malting Address of ARPO;
ARPO's email: 7 .-;0 n' C r.�t„ r ARPO's Phorq
Date''walvof 15 valid for up to one y
{
MAY 1 6 2023
Revised July 2021

r
p
4k '
M
a
T
C
ro
.c
Mill
W:Ua 18'8'-
vi 000000
ti
Ln
m -/
UmLn
0 O
Ea
�C3
Q
O
r-q
0
ti
i"'
<M1
r
Lu
0�y
Q

ip Aemouid 1ptb0t
C
N
w 0
�U
ca Z
c �
cn
Y N En
--------------------------- ....--
ip Asmouid 9E0V
PeaH
0.
0)
0
------------------- ----
J
a
u_gj
I�
0