89768A - Moore

diGIAIttr XCAMA ® DREDGE & FILL NY 99768 Qf` rE+7 a C D
501 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:
ISA NCAC '7 4. It ❑ Rules attached ❑X General Permit Rules available at the following link viwwde eta /CAMAr le
Applicant Name --Mt t'Ir ^-
rf-
Authorized Agent "`—
Address
City li-VA CC state
Project Location (County):
Street Address/State Road[Lot #(s) _ Id k '
PIR
ZIP 1,71 7J�(
Phone #(66(olc0 "lOIJ s�b
1147 04k,,-- WSha
Email
Subdivision t -e"--5 i-`cs L-
city tlet'TYO1-44 ZIP a�79tt�►
Affected ❑CW ®EW
®PTA
®ES ®PTS
yy
Adj. Wtr. Body �� >�...._1�-A.✓�!^ ,_ to non/unk)
AEC(s): ❑OEA ❑IHA
❑uW
❑SPIMA ❑PWS
p
Closest Maj. Wtr, Body At Le
ORW: yese PNA: ye$Atb
Type of Project/ Activity
.;Shoreline Length /- t343 _
Access Length '
I
Pier(dock) length�-
Fixed Platform(s) !'
I
Floating Platform(s)
rt •-
Finger piers)
I
I
1 '>
Total Platform area
Groin length/# i.
1
khea Ripraplength IOf
Avg ,stance offshore
Breakwater/Sill --- --
Maxdistance/length sr
Basin, channel •� �
Cubic yards ^�
Boat ramp
Boathouse/ Boatlih "' 1
Beach Bulldozing
Other '
- l
F.
_ e
1 I
I I 1
I I 1
I I I 1+ 1
(Scale: far' j
I I
+
1
I C
i + 1
I
1 1
1 1 1 I
•.
I
I � i I
1 1
SAVobserved: yes 6' � '
Moratorium: ® yes no t
site Photos: no -. ...
Riparian Waiver Attached: act{ G L ... _
A building permit/toning permit maybe required by:_
AA
r"+ 1
�' ❑ TAR/PAM/NEUSFJBUFFER (circle ono)
❑ 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)
e rr 177oogC j�
Agent or Applic nt PRINTED Permit OfR r/'}PRyIN7 OName
Signature Ple ead compliance statement on back of permit*' Sit ure —Z -
i$14CJt-i @0-614 �/!3%23 10/13/z3
Application Feels) Check#/Money Order Issuing Date Expiration Date

�,��cwt XCAMA ® DREDGE & FILL
GENERAL PERMIT
J(L' NO 89768
Previous permit
Date previous permit issued
® B C 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 ti �t'/r it `� l , ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name �Ke-rrU C^ t4 f-e- Authorized Agent
Address f J R-tIk"M �.A'��ey,Yyc� ed. Project Location (County): to -el? t„t tJh.0 A-1
City �,A { (lk State PA ZIP I`I'7J�I Street Address/State Road/Lot#(s) iidk "t l
Phone #(U rtl 4.(.0"b55I6 1147 64{QA- (>ar,,.
Email Kymoo reaw;,@_4echoo-Com Subdivision ��vpev-�'s
City ywrF�otb�1 zip alc141"I
Affected ❑ CW ® EW ® PTA ® ES ® PTS Adj. Wtr. Body L ITl ((�e- 1-I V*L at an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body 1I� Le- lye,_'J
ORW: yesAa PNA: yes
Type of Project/ Activity G N.esti C�c.dY-l�oae�
(Scale:
Shoreline Length 47- 13O
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area `
Groin length/q
khea Riprap length IOf
Avg distance offshore I /
Breakwater/Sill
Max distance/ length 51
Basin, channel
Cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes I
Moratorium: ® yes no `" ��4JJ1
lt�
�pW1�
�\
"r'4:p
t
Site Photos: OFs no
Riparian Waiver Attached: W (9 r
I
A building permit/zoning permit may be required by: ec- tl..\ty�L � `FYI.
❑ TAR/PAM/NEUSE/BUFFER I
Permit Conditions
Agent or Applicant PRINTED Name
Signature'*Please read compliance statement on back of permit*'
� �Gb t-% �oay
Application Fee(s) Check U/Money Order
(arc a one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit
Signs ure v
613 /23 10 // :3 /Z3
Issuing Date Expiration Date

OCAMA ❑ DREDGE & FILL (� 1�" NO 89768 A) 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 ❑ Rules attached. [!] General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) _
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (gat%man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no`• PNA: yes/nod,
Type of Project/ Activity
(Scale: I
Shoreline Length ,'i ' �•�i
Access Length
Pier (dock) length
Fixed Platform(s)
Floating
Finger piers)
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: t
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
Signature -'Please read compliance statement on back of permit" Signature
Application Feels) Check#/Money Order Issuing Date
Expiration Date

■ Completeitefris 1, 2; and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. f.rticle Addressed to:
Doks1a3 ; bedriw
°134 5jiil�e 6r�ve
1�Jr$I�ta 13earh, Vw a3gtsq
B. ReceI e`crby (Panted Name
D. Is delivery address different from item 1?
If YES, enter delivery address below:
RECEIVED
I 1 W3
®'Addressee
ate of Delivery
❑ Yes
❑ No
J. Jervlce type ���ppp Priority Mail Express®
I
IIIII
IIII
III
I II II
IIII
I
I II
I III
IIII
III
II
III
❑ Adult Signature NNp'''
❑ Adult Signa4,Eltl: rl gIp,liue
Registered MailTu
Registered Mail Restricted
❑ Certified Mail 1 �a'
Delivery
9590 9402 7889 2234 7974 93
D Certified Mail estricted Delivery
❑ Signature Confirmation*'^
❑ Collect on Delivery
❑ Signature Confirmation
9. Arflnlc Wnnhor rTianMer Hnm saniico Inbcll
❑ Collect an Delivery Restricted Delivery
Restricted Delivery
7018 1130 DODO 5399 4849
cured Mail
;ured Mail Restdaetl Delivery
or $500)
PS Form 3811, July 2020 P5N 7530-02-000-9053
Domestic Return Receipt I

RECEIVED
MAY 1 1 2023
N.C. DIVISION OF COASTAL MANAGEMENT ®V IV `-i-: `
ADJACENT RIPARIAN PROPERTY OWNER NOTR-7CATIOWWARIER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner "Y
Address of Property: � �_ � f
Mailing Address of Owner Sl4iYL L°
OwnWs email: h/,/f Owner's Phone#: 5'7n 7��� S�
Agents Name: 1 a m Giro �� n `lir G Agent Phorr�k S� ` �J &3!
Agent's Email: Ck r r dmp1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacert Property Owner)
1 hereby certify that I own property adjacentto the above referencet-9ropedy. The individual applying forthis
permit has described to me, as shown on the attached drawing. the development they are proposing- A
1 DO NOT have objections to this proposal. I DO have objections to this proposal.
h yovr have objections to what is being proposed, you mast notify the N.G onrrsrop or r:oasrar
Management (OM In Writing Within 10 days of receipt of this notice- Correspondence should be
mdfed to 401 S GrWn St., Ste. 30, EUzabeth City, NC, 27M- DCM representatiues can also be
contacted at rAW 2",9M. No response is considered the same as no objection Myou have been
notified by Certitred MaiL
WAIVER SECTION
( 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 riprep revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 19 setback C/
'9,&Acbcerrt Riparian Pwn roperly Oer
-0R-
I do not wish to waive the W setback requirement (millal the blank)
Signature of Adjacent Riparian Property Owner.
TypedlPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's
ARPO's Phone
Date: '-6�193 'waiver Is valid for up to one year from ARPO's Signature`

This document presented and filed:
K 051171 23 1 31 26 AM
a"Clacrty
JACQUELINE S. FRIERSON, ERQUIMANS County, NC
Fee: $26.00 Excise Tax: $220.00
LandTransfer: $1.100.00
��u�iu�i�ie"
Prepared by:
Rachel S. Gunther, P.C.
147 N Church Street
Hertford, NC 27944
S IN/ED
Map/Pareef identifier No,: 4-DO66-2054-TRE
MAY 2 5 Z0Z3
DCM-EC
UIMAN
LAND TRANSFER TAX
AMOUNT $ 0 001
PAID
NORTH CAROLINA GENE RAL WARRANTY DIX'0
fhis Deed made tnls ium aay or
Patrick O'Meara and wife
Janet L. O'Meara
279 Briarcliff Lane
Madison Heights, VA 24572
/UL3, uy anu umwee+1
GRANTEE
Kerry R. Moore, and wife
Catherine B. MacKenzie
73 Fishing Crealc Road
Mill Hall, PA 17751
The designation Grantor and Grantee as aced herein shall include said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WrTNESSETfI, that the Grantors, for and in consideration of the mutual agreements by the parties
herewith, and other good and valuable considerations, do hereby bargain, sell, grant and convey, with
GENERAL, WARRANTY unto the Grantee in fee simple the following described property situated in
New Hope Township, Perquimans County, North Carolina, and more particularly described as follows:

.``F r• tq. TARY'
PUBLIC
REG. P' 8232
MYCONVISSION
t 0 •• EXPIRE
..¢•y
Janet L. O 1V[eara
..... • •' ,,tQ`�,�
S,rATE. 01' C ,
CITY/COUNTY m� -� , to wit:
I, a Notary Public of the County and State aforesaid, certify that Janet L. O'Meara personally
appeared before me this day an cd ed the knowleexecution of the foregoing instrument. Witness my
hand and official stamp, this ay of 2023.
My Commission Expires: C2 �ci t� S
Y
MAY 2 5 ZOP3

rM
T
11E1,sE' w_...
e`
MAY 1 1 2023
Dl. M- C

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