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N9 i89779 OR C oENERAL PERMIT �� Dabsprewcm permit Issued
NeWMocNfication ❑Complete Reissue Oftrtial Reissue
As asthorrred byrhe Stareo£NorM CW-4na, ocPartywnt of EMAr Meow Q,.OW and dae Co W RbroWM ComMesion in an waadarvlrortrnanW cow pursuatto:
ISANCAC_ e141• j100 �RWea atbtlred. �CerwretParmkPadesavatatib aeMe ftaNewhgirk ww...r.,.-aBy^exe ,�
Clty f,4nQf
Phone # VIS23 W&I ^'
Affected ❑ter New PTA
AEC(,): EJOFA ❑IHA ❑UW
pmk yesl�O j
Type of Project/ Aetivfty
9w
EKFS 1[ PR Adl. Wtclgodyr �VldcLxaSQ.t.. I
❑SPIRSA ❑PM OeaeStMat. Wtt Rnay fr! ►0 5ctur
M�Xt`41131z3 CtL�ic
Shorelinetength ;�— 1*40t _ (kale. 1"tki)
_.......I.. 1..,r..y._ _
Amens Length " )�_�.�I._!_1 7-"('i"`C"'t"T--: .....m.'... - ,•.
Pler ldock), length
Fbmd Pladmm(s)
Floating Plathmgs)�,_
roWl Plattorrrr Brea I
BMiq channel
Cublcyards
Rtratramp
RoathauseJ RoatliR=
Reach Rued®h.o ..
�+
SAV observed:yes -'
Maatarlum: ( yes
511E Photos
Rlparm Watver Attached: vXs Ent ! 1�I
A bWkgng may be required by.,
Agentm
Sgnatu]]re��a��y'�Please readomnPpance sratemenron bade o4 PermtN}•.� �t
APPlkatton Feels) Check R/Motrey Ord,
Ixuing
Hem
El 7ARJPAMMRUSEJaUFPER(ckdaonq
See rwte m back reptdhrg Rha:r Rasmmk,
See adddtmwl noWcandPo'orevn bad
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A;r DREDGE & FILL
GENERAL PERMIT
New Modification ❑ Complete Reissue ❑ Partial Reissue
N9 89779
Previous permit
Date previous permit issued
013 C D
As authorized by the State ofNorthN11 orth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 1 ['1 � 11 M ❑ Rules attached. N General Permit Rules available at the following link: www.decinc n,.ov/CAMArules
Applicant Name ll 1 cA r�_IiAElf`Q.
Address ) ? % r_A�,(J pUec"
City I.e.., Vte)c State NC zip
r
Phone # (
Email YhC&CA ;C IlftiVp_ I01R QCl YhJDt 1 Cavvt
Authorized Agent
Project Location (County): UL7U oo-%
Street Address/State Road/Lot #(s)
Z6 2 `6 iGP.uu S eg6t)
Subdivision
City T,rm— zip 2'17?G
Affected ❑ CW ®EW PTA © ES � PTS Adj. WinBody C►`. UUX)L r\ zkyf,— moan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr.Body ITtInQ.Wa,bp lsrj(k�
ORW: yes/ PNA: yes/ o
Type of Project/ Activity
(Scale: j°=}or)
Shoreline Length }j^ ligOf
Access Length _a
Pier (dock) length C •rU &IWph
Fixed Platform(s)
Floating Platform(s) — ��—
Finger pier(s) •�
1
Total Platform area
Groin length/# —
Bulkhea Ripraplength
Avg istance offshore `
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp %w 4­
Boathouse/ R
Beach Bulldozing
l/J/ /
Other
�I
SAV observed: yes
Moratorium: yes noO
Site Photos: e no
Riparian Waiver Attached: y€s ( i
A building permit/zoning permit may be required by: C6Lkk rt Coutt+
Permit Conditions
Agent or Applicant PRINTED Name
Permit OffiLkr's PRINTED Name
i Iyj Ag7 } I'L 5 Caryl-
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature*'Please read compliance statement on back of permit** Signat revf
$ qW. °=' ioll r Iz2e23 IU/27/23
Application Fee(s) Check N/Money Order Issuing Date Expiration Date

��°"'"❑CAMA EDGE & FILL N . O 89779 A B C D
3 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:
I SA NCAC ' I i -4 ! ❑ Rules attached. ❑ General Permit Rules available at the following link: wvmadeq.nc.gov/CAMArules
Applicant Name E'
t
Address
City State ZIP
Phone # (_ )
Email
Authorized
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/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_
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: C 1, C tl•. i fs. I <.
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)
t
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name /
Signature "Please read compliance statement on back of permit" Signature i,
Application Fee(s) Check p/Money Order Issuing Date Expiration DateL

DMSION OF COASTAL MANAGEMENT
or
I hereby certify that I own property adjacent to _/via �- s
{Name of Property Owner)
property Iocated at— 3 -0at- OGed/„4 �..L �P
on _,s,. `�,r roject Sits: Address, Lot, Block, Road, etc.) In. 2' hfey ._ N.C.
(Waterbody) (CitylTown and/or county)
Agent's Name#: oirnny sf Mailing Address.-Zjo� CrwekR.1
Agent'sphone# ZS�--333-/�'2„ cr � ,t/G z7f5,Y
He/She has described to me as shown below the development he/she is proposing at that lottion,
and I have no objections to the proposal.
�- DESCRIPTION ANDIOR DRAINING OF PROPOSED DEVELOPMENT
(IndivfduataE® drawing)
RECEIVED
IUN22208
HYOU have obec[fonstowhat Isbeingproposed you m ono Mara -��
(OCM) in writing within 10 days of receiptorfhisnott". Convepondence should be mailed to t Sf
Griffin St, Ste 300, Elizabeth City, NC, 27900. DCM representat/ves can 6180 be contacted of (252)
204-2901. No response is conaiderad the some as no Mall. objection If YOU have been noUf(etl by Cert<fted
(PPaPOrty Owner Information)
Signature
PnrnorIype Name
MaiBng Address
%' a Atr�41Iu
c�tyrs�t�zp
Telephone Number/E'maiidddress
Property Owner information)
r7mr or type Name
A9ailingAddreBa
Wa k e,. oret aVi, Z,-" Y4- l
ctty/stetefzp
;t t-10Yif sa zyyr� del..,✓l '�ifiel.(,(,.vr
Telephone Number/Email Address
P hT�

DIVISION OF COASTAL MANAGEMENT
MAIL • RETURN
or HAND DELIVERED
I hereby certify that I own property adjacent to /`"/I�/_sal
s
(Name of Property Owner)
Property located at
D (Project Site; Address, Lot, Block, Road, etc.)
on (�ha�.n� l'rl�e in
s °' ° Y— N.C.
(Waterbody) (City/Town and/or county)
Agent's Name #:;s Mailing Address
Agent'sphone#: 2-57-2.-337-1oS'2o p/G 7-79b
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
(Individual
-------------------------------
ESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
If you have objections to what is being Proposed, you in
(DCM) in writing within 10 days of receipt of this notice.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM re;
264-3901. No response is considered the same as no of
Am-,
(Property Owner Information)
Signature
i7 k�l 2. 4W1
Pnnt or Type Name
Mailing Addres
_�ynertNC z�ggu
Gt StatelZrp
R>'Z - 3 3 3- 682 7
Telephone Number / Email Address
-L(- ? rsL3
�flTK
2 2023
DCM M ' l
Ponaence should be mailed to 401 S.
hives can also be contacted at (252)
If you have been notified by Celtifled
(Adjacent Property Owner Information)
Signatu *
lb s l
Print or T pe Name
03Z gP/(� EtatA R I
Mailing Address
uity&)tdtw,Z1p
Telephone Number/Email Address
6 -.2/-z® 2
o ATF

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