89678A - Graham

#NNew
XICAMA ❑ DREDGE & FILL NQ 89678 GENERAL PERMIT Previous permit
Date previous permFt issued
❑ Modification ❑ Complete Reissue I - I Partial Reissue
As authorized by the Sum of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC -in - a c)o ❑ Rules attached. ® General Permit Rules available at the following link w ..deonc.goylCAMAnAns
Applicant Nala
m/ e n 1 V \ O r`%_ `5 1 SCC��Cl ft.% Authorized Agent
Address a?) ?6t11Tc_ Vt-.1Q Lr' 6 Project Location(Coumy): Q4gaclg\rx-y��
City F1�2Q1ne4h C;N State N%ZIP Tl'7 104 Streett A'd�dlrew/StaUB Road//Loot#(s)
Phone#(tw) ;L;. 2 - 35(0'31 413 inihcY Vi6�' 'br
Email OAt� U'%NCs1LC\-Y\ 2q O-Vn1i'\f\O coy -in Subdivision YS 'k c&Kzer i76�N�
city (� tsz,tt l CAJK Ci !v zip 27 R o9
Affected ❑ CW ❑ EW ® PTA ❑ ES ❑ PTS Acq- Ww.. Body S4 VOILA r11'�''-Q k)
AEC(s): ❑OFA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Rod),
ORW: yes PNA: yes/0
Type of Project/Activity kPll0.CQ. i•5ai Xrj l Oer I'm dc�p
t �
Shoreline Length ti3sr (Seale: 1"=50 )
Access Length
-I 1
Pier (clock) length 1b'blX$/ I _-_ ✓-9' ,. I /1 �_w `.. I -_.. c'\:P-i �- ,,{��i-pp I
Fixed PlatForm(s) - _J' _ -�1�- } -
�I
Floating Platform(s)Finger pler(s)
^•-,— __�--T.__-r__—'-�+--.TT—._.tip _ __.__ :._ -
lox \1
tp
Total Platform area "` OS' _.
Groin length/# ^-2V'2+'F� 1 i.__. -_. • {`t�`�=�-.I -i.
Bulkhead/Riprap length
Avg distance offshore -- i -- ( - b9 _
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yardsBoat ramp I I I I I I I f +
Boa[hou$e/BoaUltt •` I� I i I r I I f I I I _- I 1' �
Beach Bulldozing
' Other i II i i i 1 f
SAV observed: �qs yes ® I�I i , �T iF�I " �Q.m �' - i 'con, -+
Moratorium: `W1 1'� no
©-_..�.I _a�rn ',1 �lG`_
Site Photos: no {y':` f \-
Riparian Waiver Attached: o (po*
A building permit/mning permit may be required bv: ?6.]Q izo ' V-
Permit Conditions ❑ TAR/PA"NEUSFJBUF}ER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
14(siars -a AL-H�,„-,
Agent or Applicant PRINTED Name
rQ r4
tn
Signature "Please read compliance statement on back of permit"
oa �
Application Feels) Check II/Money Order
(Please Initial)
Permit Omce.N-EnnD Name
N
Signatur
i,S/z3 a//S-/2 ---
Issuing Date Expiration Date

iNg1CAMA ❑ DREDGE & FILL iNY �fj, (E5 B C D
GENERAL 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:
15A NCAC % H - 000 ❑ Rules attached. ® General Permit Rules available at the following link: vnvw.deq.nc.gov/CAMArules
Applicant Name
City El\ZCt C4,u State' zip ;V% 909
Phone#('i�i) �.ia2 rJ ►03
Email @l4otii\ O. COM
Authorized Agent
Project Location (County): Q$ !I l.cd,'0.Y�C
Street Address/State Road/Lot #(s)
Subdivision
City 1Z 11
d'7 9 09
Affected ❑ cW ❑ EW M PTA ❑ ES ❑ PTs Adi. Wtr. Body np(tjr AS ZA of a an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body Ltihle
ORW: yes/0 PNA: yes/0
Type of Project/ Activity
Shoreline LengthJ
Access Length .---
Pier (dock)length 1`J"UyXt7/
Fixed Platform(s)
Floating Platform(s) —
Finger pier(s)
IX"r
U
1
Total Platform area
Tf`Q
Groin length/q
Bulkhead/ Riprap length '^
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards 1
I,n7
Boat ramp "'�
I ✓v
Boathouse/ Boatlift
Beach Bulldozing
Other ^
SAV observed: yes ( /\ _\_4C i C``�O.)1'� .y(').
Moratorium: W(i es no t�
Site Photos: Q no rA(ytQ`'
Riparian Waiver Attached: es ©o �? 1�uy II
A building permit/zoning permit may be required by: ?QJIt Q b�V\Lt cc'k 6ki
Permit Conditions
OF
Agent or Applicant PRINTED Name
V I1�'I
Name
(Scale:l" =9'i )
1�1a
Cwa�v�ri
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
V 4 9
Signa[u;21ease read compliance statement on back of permit" Signatu
Application Feels) Check ff/Money Order Issuing Date Expiration Date

t,0 QW41I&OCAWA ❑ DREDGE & FILL NY 896Y8 ; , `A'' B C D
Previous permit
s 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.dec.nc.gov/CAMAndes
Applicant Name _
Address
City
Phone # ( )
Email
State
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW0 PTA ❑ ES ❑ pT5 Adj. Wtr. Body I(naf/Jnan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/rrd)
Type of Project/ Activity
(Scale:! ''' )
Access Length
Pier (dock) length
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MI
all
ME
■.aH�:
no
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l:
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Finger pier(s)
:
0
::M::min
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Total Platform area Groin length/#
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A building permit/zoning permit may be required
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. (Pleaselnitial)
Agent or Applicant PRINTED Name
Signature'"Please read compliance statement on back of permit"
Application Feels) Check H/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date

RECEM-1
APR 2 4 2023
DCM-EC
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion tobecompleted by owner or their agent)
Name of Property Owner: S J �' /]� 6_�/ (Z h a al n /
Address of Property: 2/z 3 Po ; �! //P V; S 7y&` J / �� l Z P� J C' / l /
Mailing Address of Owner. yZ �n! litL `/ / s / ^ D,1 ve i Z n b
Owner's email: cR 1A1;r1(,a kvu12`�ia �/ioi be wners Phone#: 1-16 T.ZZ 3 S 3
Agent's Name:�xjLel I A�� -n ( Agent Phone#:LSD" 33/ �3(3
Agents Email: 14-ty y)t)Vt i^c''
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. niwsion or coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Grim 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
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.) J
I DO wish to waive some/all of the 15' setbacJr
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 ofARPO: fS�r-�CG7E r t�� ,J 6h+t�l//�
Mailing Address of ARPO: 4-IG � ��)!v Z�i t))sf3q ✓P
ARPO's email:
ARPO's Phone#: 7 177% S2D 2D 37
Date: `waiver is valid for up to one year from ARPO's Signature

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QVIED,v.
\ I APR 2 4 2023
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