86886A - Oldham Rev Trust

o+0 courk^ ❑CAMA El DREDGE & FILL i-4y ZSw5m) (ttl— A B C D
a A. GENERAL PERMIT Previous permit
Date previous permit issued
FYl 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 I ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc gov/CAMAmIes
gg
Applicant Name i ' f C. earl('t,t S'P Authorized Agent
Address Project Location (County):
City State ZIP l),i i Street Address/State Road/Lot#(s)
Phone # ( )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body '(nat/rhan/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**
i"
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date

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:
1;1 ! r/(
5
v -, a-) /
U l d 41 Q i'11
Address of Property:
/ 5 3 let
h e
//' «,
/lL n t IC c/.. L lizc�e fll �i NC i7 �iOrj
Mailing Address of Owner: ) goo Co%,r, c: % Pw J, IX' %t%n o%//, A)—c -2'7S c/
Owner'semail: Ct50 /o/Ll6_"b'Q�.-�x;,'l Owner's Phone#: 4191
cc>,1r
Agent's Name:
Agent's Email:
Agent
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
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)
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 somelall 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: _ /Ll
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

O
•,
Ln
ra
.
F^'�'
Ct' E
m
,"p
Certifies Mail Fee
'o
$
M1
FEB 2 4 2023
Extra a cee&Feea(.heckear aM lee epprop�ale)
®Re mFaeiPtQ, M py) a
C3
❑flatumfl ipt lele nle) $ -
Postmark
❑Cerl,lgatl Mallfleeblctatl DelNery $_
Here
O
C3
QMua61gnetuMRwulrW $
❑ Mull, signature neweted Derry$
��M7 _G
k-,,
®C
Postage
p
1 Y
to
11
�
- — --
Total Postage and eea
5 4 .
ri Sent
ti t T��r Tohq . ._r.:.hsoh......."."".....
Postal
CERTIFIED o RECEiPT
M1
Domestic
M1
`p
Camfieo Mall Fee
Ir
$
M1
Extra ervlce.&Fees (check6Px, eaa tee as epj ropnate)
®Re6lm flecelpt (M1aNcoPY) $
y 1�r �
iAM
O
O
❑flelum flecelPt (aedmnlc) $
Postmark
0
❑Cealgetl MellflaeMctetl Delivery bT_
Here
0
❑Mattay.emrefley.lrea $
❑Mutt Sigmture ae.Vlctea Dalnrery$
p
Poatage
to
rr
O
-
Total Postage ane Feas
$
ra
ru
Se t o p� e l
r. !?4 r.F. Q
O
-..41Q .-5
treat eitdApt Naor - x
., b N .
...................•
t'fv, NC- a

Anita and Kirk Oldham
1800 Colonial Berry Dr.
Wendell, NC 27591
[e-mail]
February 23, 2022
Mr. Noel Meggs
157 Rebellion Point Rd
Elizabeth City, NC 27909
Dear Mr. Meggs,
I am applying for a CAMA permit to replace the pier, located at 153 Rebellion Point
Road in Weeksville, North Carolina. The specifics of the proposed work are in the
enclosed application form and picture. Our plan is to just replace the current pier but
keep it in the same location.
As the adjacent riparian property owner to the aforementioned project, I am required
to notify you of the development in order to give you the opportunity to comment on
the project. Please review the attached permit application and picture. Should you
have any objections to this proposal, please send your written comments to the
Division of Coastal Management District Office, 401 S. Griffin St., Ste. 300, Elizabeth
City, NC 27909 within 10 days of your receipt of this notice. Such comments will be
considered by the Department in reaching a final decision on the application. No
comment within 10 days of your receipt of this notice will be considered as no
objection. If you have any questions on this project, please call me at 919-906-4593,
or e-mail me at [e-mail].
I appreciate your review of and response to this project. I hope this letter finds you
well.
Sincerely,
Anita S. Oldham

t!x� " of i;.l
fl-

Mi
p L p
C.
L

7.
•
•
�
ff
a
3
�}' F
Y rt. �T�hj
l
L
rh
v�
a
c
t
p,
Q7
Cl)
tin
P.
• I,T1
k
a
t