89905A - Mullin

®CAMA ❑DREDGE & FILL N9 89905 B C D
{
=GENERAL PERMIT Previous permit
Date previous permit issued
®New ❑Modification []Complete Reissue ❑ Partial Reissue
As authored by the Spoero/f North Grolina, Department of Errvironmantal Quality and the Could Re ounoal Commission In an area of emironmarud concern pursuant to:
I SA NCAC I I z� R-10 attad 0d. © Gmreral Pysnic pules avall" a the fdbaing link vwvdeo.nQawLCAMArules
Appfi ntName_nriatn d 11.�:bnra Mta.Ltjn MntariaedAgent Ur—
E
ss`` - L 1 Qy , Pmlw Location (County): _
^RT/tStreet Address/Stare RoadfLot
#(�) ci aZQ—��LL{Q _IN J�,�i rti,n L•r,
Erroll JDV�W`k . 7Yw-L\jn@ M1 11]lA C&n Subdivision RO Ij dw�v'
city
Affected CW NEW ®PTA 0Es PTS Adj. Win Body Albect,,�,,aYt2 S"
�C(5). �u IrwltiurJc)
❑OEA �1HA �UW �SPIMA �PWs Clowt Mal. Wtr. Body AI be*\ar-k- Sit
ORIN: yes/Q' PNA: yes/ro
Type of Project/Activity Orx5t OI
lot X 1 V 69a-i i (Scale Itr 4d /
Shoreline Length {/- 20 '
r 9 _
Amen Len ' ' ' 1 1 'i I.1 -r 4 1 r —
ti� -rl 11 'i (e.
�(h I I _
Pier (dock) length
Axed Platform(s)
Floating Platform(s) -_ r a
I �
I-1
i•:�' ��Y,_r-.{��J
Finger pier(s) '
r.. r I I i 1.._r_'_r,
� L... �— I i...
i
Total Platform area�a[��\pp •-- ' - � -�'
Grain length/4 ^ i_;_;_i _.J..-,_.1 ii
• 1 1 - \I 1
Bulkhead/ Riprap length
Avg distance offshore
I i 1
Breakwater/Sill
Max distance/length
1 ,
Basin, channel ...1 1 ''_'/_'-'-"_y'_'_a- _'1 '� - r - •-- - 1 '
(�.
" i i l-
Cubic yards61
-
tt7
Boat ramp i i r I�I I 1 ��... t/, .. •. �.
Boathouse Boatli 1-r X1 Zr i I _ 1
Beach Bulldmmg
ry
Other 1
J_ i
SAV observed: ,e?'� es �'i I p-1 y--;—� �.�•� i 1 1 '1 1 r(Y�i' '_'
Moratorium: C yes not'tl�l- - } ,__.'Y � _ '; •..i
Site Photos: no
Riparian Waiver Attached: yes no
A building permit/zoning permit maybe required by.
Permit Conditions EJ TARIPAVIINEUSE/BUFFER (circle one)
v
See note an 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)
n I _
Agent or
Name
gnature ease a compliance statement on back of permit.. Slgnat re
�Y((t 1ZSa4 ��J(P to%bn�
Application Fees) Check N/Money Order Issuing Date Expiration Date

a*°®CAMA ❑ DREDGE & FILL
a GENERAL PERMIT
N9 89905 0- d B C D
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 NCAG 7H ' 1 Z<X) ❑ Rules attached. M General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name �Yi0.VS li tie
b^1�P`cw t•'•Cklt IH Authorized Agent Ll� • M I Ili OC .hS 'Q
Address`` 1(ny 404•tq�1T r, /1 C I� Project Location (County): 'q/6(.t.� Yh1O1/AsN
City MV�t'�'`T)r� Sta(tey M a zip 0.' J"l Street Address/State Road/Lot #(s) '1\D p s 14 -1 ( �• �r j M q0
Phone # ((r1� ) 't R Y ^ Ig 4 1111 k0DA ji.�T
bLl'(' UP.
Email Y\C-7� . fY�tAI^@ Iink5114 , CcJtw Subdivision HZ(I "(_S(o�d
City 149N �'artel zip
❑ a 4 09
Affected cW NEW PTA ❑ ❑ ES PTS Adj. Win ry
_ 1�r .Ag- So,,d (Qa man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body A(C'eyKh If- suD -J
ORW: yesAaa PNA: yes/re
Type of Project/ Activity 0ykS'1'MC1 C L (UI x51C�1 X a yr OL&d
f of X I V 6CVAi- (Scaie:(J'=yd
Shoreline Length
Access Length
-
Pier (dock) length S / X/ [/'C�rA
Fixed Platform(s),/—
Floating Platforms) ^ �r
Finger pier(s)
rM
Total Platform area ^ 2�1 1A1
04
Groin length/M
Bulkhead/ Riprap length n
Avg distance offshore L�~~
Breakwater/Sill r
Max distance/length
Basin, channel ^+ tAc �,L.,��-�•Qv D,� �{�
Cubic yards
Boat ramp �f L IL
Boathouse Boatkq- �t)'Y17'
Beach Bulldozing 11
Other
SAV observed: /�� t yes p� Jam( �`V
Moratorium: Su(a/ yes no 1
Site Photos: e no
Riparian Waiver Attached: yes no ( 1
A building permit/zoning permit may be required by: O U`'t f�AV`� co\,,.Asi
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 O(Rc 's R TED Name
Signature'*Pleta`YJ read compliance statement on back of permit" Signature
��cbl — jasoio b�/� r23 f 0/16 /Z 3
Application Feels) Check q/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _ 'E�Ni an 01.,
Mailing Address: _ l��i 900a liah-1 Dr;✓ _
Hef+4rd N L 214144
Phone Number: U0q-`mig- ILLfl
Email Address: 6YiiAA,MuIIiA Q MkS[if+- CQ4A
certify that I have authorized _c� (� (`nil U'aaA le'Yen /Ac idr C�MYL-Ac4o/5 Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:Wi dt K )Of+ Iona (Alaikway)
IDS X 24 Gd- kA Rice Q=110 Loma ],'A -
at my property located at _I14 Moon I r5h4 P/iVGi Me(+-vv-4 1J(- �Zlq+j
in%mWiAwA- __County.
f UU
furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Properly Owner Information:
B n 11 n' 1; 20D N:03 EDT)
Signature R E �s EI S l�s F
Brian mullin
Print or Type Name MAY 3 1 2023
Title DC -EC
Apr 12, 2023
I I
Date
This certification is valid through / I

REC EIVED
MAY 3 1 20�3

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT_ REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner BY101/t Ali a M,411,6 re 1
Address of Property: 90911 � 1hi- gN,eY'rtUM Ix -rigLit}
Mailing Address of Owner: tl'i (y1Do�ht-SA �iGY')-4:lyd QC 2- Liq
Owner's email: i9twn.rytullin�Mh5l�t . ner'sPhone#: LP09-RW—IL4
Agent's Name: JK Milk,Q4Y JQteAk6t!j Agent Phone#; 2-52--312- 4-7YJ
On
Agent's Email: —agarifl,je (,OrifV cte)r5 4P C6&1nlJ C pM
ADJACENT• •CERTIFICATION
1:
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.
N you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DC" in writing within 10 days of receipt or this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 2"3901. 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 revet ents). (if you wi to waive the setback, you must sign
?
the appropriate blank below.) r
I DO wish to waive some/all of the 15' setback•
IBa/t1.E_ 4.�J, ►„A `... V &. t
-OR- MAY 3 1 2023
I do not wish to waive the 15'setback requirement (initial the blank)
®CM"E-C
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: 6-do a WA!,900 MPSsi /lgef
Mailing Address ofARPO: 521 Lord AIt�nloreA Y,fgllli0. vtclCh \% �41p�
ARPO's etilail: L y1 /n)(aLtL�lACYL(?t -.I RPO's Phone#: k -51O 21,49
Date: �waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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)^ N.C. DIVISION OF COASTAL MANAGEMENT _
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
"a }
CERTIFI D MAiL RETURN RECEIPT REQUESTED or HAND DE,JVERY
(Tap portion to be completed by avrner or their agent) ;~
sr ."
Name of Property Owner _..,,RECl...I Wa_',D
a
Address of Property'. U4,,,MO�Alt NL 21ALXJ,�,____.___,..........
1
Mating Address nrowner MAY 3 1 2023
Owner's omalt f'RA ,)'Yjy1,inA�.M 4j;Owner'a PhonOM:-_.Q.1 i''(�
Rgent`s Name y gip jQt�. Agent Phones.2A
_,_
DCM-E
Agent's Emal.�nntvL.y roA�'Yl+j��(���1,y�et.nN{
a
_
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION "
' (Bottom portion to be completed by the Adlacent Property owned
I hereby cemry that I Own progeny adjacent to the above mferenced property. The individual applying for this 6l
Permit has described to me, as shown on the abached drawing, the development they are proposing a
Q€140�9Pn or 4rewlno with dirno+sfans g+cal oo i royjded wlh ths ie'ier.
100 NOT have objections to this PmoosaL _._ I DO have objections to this proposal
d you have obpcbons to who1 it pelnp proposed, you muss nmify the N.C, 011ililmn of Coastal
Management
(DCM) In writing within 10 days of roceipt of this notice, Correspondence should be
mailed to 401 S. Griffin St., S60. 300, Elbraboth City. NC, 21909, DCM representatives can also be
contacted at (252) 251.390C No response to considerod the same as no objection if you have boon
total by Confined Mall.
-
WAIVER SECTION
-;
I understand that any proposed Piar, dock, mooring pilings, boat ramp. breakwater, boathouse. 7itk Or
groin musl be set back a mnimum distance of 15' from any area of oparan access unless wo;ved try me
phis does not apply fo bulkheads or npmp revotments)- pf you wish 10 the
+
waive setback, you must scan
the appropriate Wank below.)
-
.*
100 Wash to wane so"/all of me l5setbaok °-
-OR- Signature of A¢"ecen(Riperlen roporty Owner -"�"'
I do not wish to waive the 15'sotback roquiremgnl (initial Ina
Signature of Adjacent Riparian Property Owner
Typed/Printednameof ARPO: TOrlfikf Npg �aaCSn q _,
• Complete items 1, 2, and 3. 1 A
■ Print your name and address on the reverse X
so that we can return the card to you.
■ Attach this card. to the back of the mailplece, B•
I. MICIe Addressed to: p,
-'(Qtf e'+— Cra.�✓i 5e f115
51�2 �m✓kkl�cc. A
JtIUAica t icir) Vif3 is
23t1.{—L
9590 9402 6086 0125 9521 61
22 1670 0002 4562 4192
❑ Agent
lees different from Item 11 Ode;
delivery address below: ❑ No
service Type
❑ Priority Mail Express®
41ult Signature
❑Registered MaiP-
+dultSignature Restricted Delivery
❑ Registered Mail Restricted
;eRiI Mail®
Delvery
:enified Mall Rodaloted Dellvery
❑ Return Receipt for
;ollect on Delivery
Merchwdlse
:oliect on Delivery Restdood Delivery ❑ Signature Confirmationm
rsurad Mail
O Signature Confirmation
15Wed Mall Restricted Delivery
Restricted Delivery
July 2016 PSN 7530.02.000.9o53
Mips: mail. googlecom/mai Val tltsearehlbrian.muilin%40mhsliReom?pmjcclor-1
Domestic Return Receipt
Ig

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTER or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: t LyfeVeh
��
Address of Property: V dfd
Mailing AddressofOwner: �� V OCi1W�t
Owner's email: t.ibivid imUn ii
Agent's Name: t7 0 t k.
Agent's Email:
1(
_fir r Kr 2714
252 - d�0-07K
Agent Phone#: 262 "337-50(/
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent 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
AL 100 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]. Me response is considered the some as no objection if you have been
notified by Certified Mail. a
EIVED
WAIVER SECTION (Choose only one) MAY 3 1 2023
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 mu i ��+
the appropriate blank below.) —EC
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank) G'
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: _ Ua-le-�- M i n
Mailing Address ofARPO: (n I Z�t�t 2i l'C2_ C� �U`I� 1/ Z%�31•
ARPO'semall:_15�!h1C qJ=�- .lC�OJ{dt�RPO'sPhone#:
Date: . 12 "waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

N.C. DIVISION Or COASTAL MANAGEMENT
• • UL
ADJACENT RIPARIAN PROPERTY I?�R pNtE37EG TION'WIrFONE3Y
(Top portion to be completed by owner or their agent) 1
Nam of property Owner: � p � �Y { ,(
Address of PMP60y: ?
Malting Address of Owner: ! a L) m • i G, �•� , (0'77 (�
�l naPhonart. �'--y--
Owners wall; G 2-33-7-500
Agent's Name: t Agent Phonep; 5---
Agents Email:
ADJACENT RIPARUN PROPERTY OWNER.' CERTIfI ed
(en;gm non on
- -' r d liyII dta[ert P ,ws.
I hereby caroty ihei I own ptopeny adjacent to the e0pve roteronea0 property. The Individual appVrvJ for this
permit has desuibed to m& es shown on the attsahed draWirp, the development they are proposing. 9
descgott2D,{L drawino tiWlh 4Nnan_s mull be tu0vlded wNh this letter.
✓ I DO NOT have Onjachona to this propoaal. , I Do have objections to this pfaPesal.
anent (DCM) In wrRing within 10 days of raselpt o/ this notice. Correspondence ahouto 6a
to 401 S. GrAfin at, Ste. 300,. Elizabeth City, NC, 27009, DOM representatives can also be
led at (252) 204.390f. No response is considered the same as no objection if you have been
rby Certified Mail.
WAIVER SECTION IChogsa only onel
I understand that any proposed plat, dock, mooring pilings, boat ramp. breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of npadan access unless "wad by me
as n• tit you wish to waive the setback, you must11i
Ne aDPrdpdatB lank below.
100 Wish to Waiveaomalail of the 15'salback
-0R Signature ofAdjacent l4tsdan Property Owner
100 NOT wish to waive the 15' setback requbemem (Intel the blank)
Signature of Adjacent Riparian Property
TypedlPrInted name of ARPO:--nP"cr
Mailing Address of ARPOf 1d&1bCK9RY WIM, gT70 t I ,r.J,-}cjt j
ARPO'a Aiii Phorlal 9Il-zW 54
Date: — `3 'i' —,walvtthk valid (of up to onayprfrom ARPO's Signature,
Revised August 2022
RECE VED
MAY 3 1 2023
®-IVA` EC

. ., ^ T6
RECEIVED
..S_d
1 U N 0 5 2023
L.sC M `- C

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