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a + KCAMA ❑ DREDGE & FILL N° 89985 G R C D
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GENERAL PERMIT PrDaze rpr ptaevious usp
permit issued
4§1[NNew ❑Modification ❑ Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Doper tmere, ofEmrironrneneai Qaalkyand the Coastal .. _..rcea C,mmkakxt in an area oremrironnmeneal coursrn pu,,c tto:
I SA NCAC 7H- I4/00 ❑
•� Rules attached. IX General Permit Rules available at the folioavbmg gnk ,pl;.ptydCAMAnd�
Appliaa Name Y n U insmi ay- Authorized! Aga rt _
AddAddress(o t RC1,,
Project Location .► -op
City W,hA sor seat, N C. LP 21,129 SensorAddresa/StYa RoadA rzt*(a)
Phgneflga a0l -m% a rsa", LAA,_r. ;h5 L„
Ema11JDdmzi tr7S @ ;.5&km. Cwv% subdivision Is
cey m -11 _jP 27 9 St"�
Affected ❑cw ®EW ®PTA NU MPTS Adj. Wiz Body U,A 6wQ,1,�,,-_9:tyeor aan/nnk)
AEC(s): ❑OtA ❑INA ❑UW ❑SPIMA ❑PWS Closest Mai. win Roily At 1li %At�/r1
ORW: yes/(Mk PNA: yeaAo
Type ofProject/ Actift 6wl J2 C � ' C r
(Scaler i itiD )
Shoreline length I O _ .
Access Length �• I ' _J_. I ...I I �I _j_
Pier (dock) length �• �—;�
Fixed Platfomnis)i_�
Floating Platfbrin(s) ^ r '_ I I i I ._...(_. r. I-�I •_�� 1 ri_• _•i _�-1
Flnger piers) .� I '1"^• —*—I�1
{yJ
� Total Platform area 1
Ominlength/a
Bulkhead/ Riprap length
Avg distance offshore ! , r_
r I - 1 i r_J,I�1--I
Breakwater/Sill I � �.�.
Max distance/length
Basin, channel — I _j'. !. '_�Wf_. —kT-' iii i •J-_i. �
CLblc nfdrdsBoat ramp
Boathouse/ sordiR �;_ ! 1 —. 1 ' ' i—.— 1 ' ' i - 'f r•}--.—y.. t—J— "
Beach Bulldozing
Other
I i 1
SAv observed: Yes
Moratorlum: \gli+ ves
She Photos: n0 r� 1—t- a— { r .1 _
Riparian WalverAttached: no ! - I -I -;f_ l . _...i i aa�� t L �tL� I i,.i....l._ __..! ' ' Imo.«
A building penrit/wning permit may be required by: 6r � l.A:a.A.7TA _...-.,,.
❑ TAIyPAM)NEUSEiBl1FFER (circle
Permit Conditions one)
❑ See note can back regarding River Basin rules
❑ See additional notes/mndidons on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROTECT AND REVIEWER COMPITANCE STATEMENT. (Please Initial)
Name .
SignatLre••Please lead compifahce sEatemem on back of permit•• SIPaNre
:S got, r0 Wb0 )12-7 1Z111?3
Application Feels) check B{Money Order Issuing Date Expiration Date

QCAMA ❑ DREDGE & FILL Nl? 89985 �G B C D
3� Previous permit
GENERAL PERMIT Date previous permit issued
New ❑Modification El 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 7 }i - 1 y0O ❑ Rules attached. Ix General Permit Rules available at the following link: vvww.deq.nc gov/CAMArules
Applicant Name 1 P, rYt0 Y\ —0 0 —i e•Y Authorized Agent 'Q
Address I ;L 3 (D t t. ( I w1-k I I "r �1 p V Project Location (County): p ft-
City (XYE� SOpf State N C. ZIP 211 f p 3 Street Address/State Road/Lot #(s) 1
Phone#(�g ) a1O` 'Iw 30o /�.4 Y"-s "rAy,,b Ln
Email bdoz+er 73 @ u V\W•rQi-,N Subdivisiioon� o (��z
City f r\ /11• ' I I zip W1 10 ,l
Affected ❑CW ❑X EW ®PTA ❑KES �PTS Adj. Wtr. Body 1.�1'�0(�W1GL,Y,� l`tVQJr' q�jnan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ' 7 1 be rA0lh,(4P--
ORW: yes/® PNA: yes/0
Type of Project/ Activity
(Scale:lf= )
Shoreline Length �/� ( o%
Access Length
Pier (dock) length n
Fixed Platform(s) 1t�
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/ri.(O / .L
Bulkhead/Riprap length '+
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
II�
SAV observed: yes (0 �ti,�D��.�J•
Moratorium: CD yes no -Ir "S
Site Photos: e 9 no
Riparian Waiver Attached: s no
A building permit/zoning permit may be required by:�YT
Permit Conditions
Agent or Applicant PRINTED Name
Signature **Please a(% r W read compliance statement on back of permit**
H(00
Application Feels) Check #/Money Order
Permit OfVgr's ytINTED Name
Sow�o(
V
W
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Signature
$/I IZ3 1 z/l /2 3
Issuing Date Expiration Date

aoadcour4 ,y CAMA ❑ DREDGE & FILL N9 89985 ll(S : (;A� B C D,
GPrevious permit
4. GENERAL PERMIT +tj
Date previous permit issued
M 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: wwwdeq nc Pov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # O
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. War. Body (nat/man/unk)
AECs: OEA IHA SPIMA PWS r
() ❑ ❑ ❑ UW ❑ ❑ Closest Maj. Wtr. Body
ORW: yes/no: PNA: yes/no
Type of Project/ Activity
(Scale:I fir)
Shoreline Leneth
Access Length
-
—
Pier(dock)lengthjtl-----__I_
Fixed Platform(s)
!
I
I
_�
Floating Plafform(s)_-
..
-
Finger pier(s) -.
1_—
-_
-
j
Gc,.r
-
Total Platform area+
Groin length/71
Bulkhead/ Ri ra
P P len h gt
--_.
-
Avg distance offshore
r
-
--
--
—�
_{--
Breakwater/Sill
Max distance/g len [h
Basin, channelo
Cubic
yards
Boat ramp
Boathouse/ Boatlift
FIF
j
Beach Bulldozing
( r
j-"
_
I
i1
II
14
Other-
I'
.i
-
-
--
-
-
I
-
-
SAV observed: yes no
` -
—
i
—r
Z
---
-
-
-
}
Moratorium:' p/a yes no
Site Photos: yes no
1._
i_.
Riparian Waiver Attached: yes no
i�_I<�
�._
....:.._.
.._l._J7
._
....j_
s
A building permit/zoning permit may be required by: i r' .� o'.w l..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 PRINTEDName Permit Of(iter's PRINTED Name j
Signature "'Please read compliance statement on back of permit**
Application Fee(s) Check #/Money Order
:./ .d
Signature
�r
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:ytnnoa I c7� �3)per 7,,-A� P Dezlex
Address of Property: ;K bear., s L61^f11i9 "n , mefry Ck 11C X1175r7
Mailing Address of Owner: la3(o 1R)w1\ 1-1;U jLj W"YJ5ar }.IG lq —A3
Owner's email:
Agent's Name:
Agent's Email:
Owner's Phone#:ape( - 183 j
Agent
J U L 2 1 2023
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION DCM--EC
(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..
J /—V— 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
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 dprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback -
Signature of Adjacent Ripa revropedy Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO'semai: 1(lsc/ c/ra�S�iPs ARPO'sPhone#: �S���lov� J625-/
Dais: � 2_/?' *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:yQ Y h n ytLL4 Dx i e.f�,j%oL e r-
Address of Property:
Mailing Address of Ownei
Owner's email:
Agent's Name:
Agent's Email:
Owner's Phone#:
Agent Phone#:
JUL 2 1 2023
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION DCr1A—LEE
(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.
VI 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
Pdanagement (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
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 slon
the appropriate blank below.)
I DO ish to waive some/all of the 15' setba k
Signature of Adjacent Riparian Property Owner
-0 R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: &s , in—_ e
Typed/Printed name of ARPO: e5z Lei *W5 4,ie
Mailing Address ofARPO: Ill- liccAQ ,Y'rr ''" C,^.6fA.tn tJG
ARPO's email: Y'050vwti,"50yA�oo.eol+ARPO's Phone#:
Date: 7Ilo 1 aoa3 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021