91359C - Perri, Mark

4,*.'(°"'"\c_CAMA DREDGE & FILL No 91359 ABC D
= GENERAL PERMIT Previous permit
Date previous permit issued
n New I 'Modification Complete Reissue 1 1 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 01 11i1.�110.) d- 0 I '1/ . i....(J(., Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name / I G�/ h Y `e / Authorized Agent c� c I c
Address ' 0 i (c k/L''--y ( Project Location(County): -C✓C4
City • ;5c,y State ' VA ZIP Street Address/State Road/Lot#(s) )O 1 6, Cc 1i ,..,ac,I p✓; 'C'
Phone#( ,'✓3) 5!,(_, pr '05
Email ;tii i "✓ //
, (R f f U,i i •-' /<, Subdivision
City 4 A c✓< 5 ZIP 2 8_5 1
Affected ❑CW I I EW n PTA ❑ES PTS Adj.Wtr.Body i // - - • (nat/flji/unk)
AEC(s): ❑OEA I I IHA ❑UW ❑SPIMA PWS Closest Maj.Wtr.Body v J
ORW:yes/no PNA:yes/no
Type of Project/Activity tr., ,'.1 6 ' X;c a' F , 5 '-.9" k ",,a ' /(,-.4. •j pc c Ic)
- I. -i 4 ) o d A/c,-- Oki i i I-)ahJ (Scale:^/TS)
Shoreline Length 80'
Access Length —All ( .....__.. )......:._. s i� l 26 L...
Pier(dock)length I —
I pri
Fixed Platform(s) G I II
Floating Platform(s) f , : _._t.__
Finger pier(s) 11
t. /I
Total Platform area 9\ ? ._F
Groin length/#
,Bulkhead/Riprap length , J' __ __. 19 I c 5 '" NINON . ;
i IV 'r
Avg distance offshore � --i-- - - - +B IBM"
reakwater/Sill ::.-t.l — ' ' II x l�.' 1mlll:,
�� ft�.I �1l •5�
Max distance/length — IMNII � 111111111116111.5111111111111119111011111111111111111111111
i�
Basin,channel E + I� 1111 ��
Cubic yards —
Boat ramp z /
Boathouse/Boatli 17A f' pt r/ ,!f,„ `5 ,
Beach Bulldozing L F �' i � � II
1Other ( 5 1•/' r�6n�hc�, ZCi i �/ ` '....... . ..........__
SAV observed: yes arl orl ' ! W` (eV
Moratorium: n/a yes e5d i j D 1G' , i �1
Site Photos: yes i l ' ' ( f r I b c t
Riparian Waiver Attached: 0 no _ I C j
A building permit/zoning permit may be required by: To w n o 1F Po')is k G I/ 4 1- O✓cc
.
Permit Conditions )' • x , cc',i. a ' L a 4.-w,i 1 ,..{ 2 f, ,,, 12.•../K44, TAR/PAM/NEUSElBUFFER(circle one)
i, ,, i, ,i e - -.', /I ‘ -.Z c.1 3%),.,,1 i,I,..I- „n ,,,( 3"•'• 1' �qt— See note on back regarding River Basin rules
/ n 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) •
eyAgent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance.The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax:[phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates,Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

30*0` 44- ECAMA I I DREDGE & FILL N9 91359 ABCD
1 GENERAL PERMIT Previous permit
Date previous permit issued —
I I 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 5A NCAC r I ❑Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent _ i-
Address Project Location(County): -t
City State ,, ZIP Street Address/State Road/Lot#(s) •
Phone#( )
Email Subdivision
City ZIP
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 lc
(Scale:, /TS )
Shoreline Length
i
Access Length - '� - - 3.
- . _ 1....: ,. j ..— ---+. . .. _ _ .. . .11r ai I E .)....._...._..__
Pier(dock)lengthIMMO ����� ����I I
Fixed Platform(s)
11111111111
, p
, ,
..
Floating Platform(s) ` 'e• I11111
Finger pier(s) 11H11111111111111H111111
Total Platform area //+
Groin length/# -
Bulkhead/Riprap length
Avg distance offshore
1 Iii .....
1,, J,
Breakwater/Sill ' Piningi
Max distance/length NEM IN
Basin,channel III
Cubic yards 3
E !z1L1t
r rIIIIIi!11II
r
I 1
Other . G
II
i, IN
Itt
1/
c ,i. 1 1II11IIl1lP11lI1I
-
SAV observed: yes 6? MIN - ( IIIIIIIMIOMIIIIIIIIIIIIIIIIIIIIIIMIIIIIIININIIIKIIIIMINIIIIIII
Moratorium: n/a yes 616,
■ . . ■ ���■ l��
Site Photos: yes no I _, •III IUI �� IIII
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
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) i`"'..
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance.The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

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EXISTING BOAT LIFT
RELOCATED HERE
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PROPOSED 5'-8'X20' R h
PROPOSED 3'X12' FLOATING DOCK sY
t 15' • ALUMINUM GANGWAY 5 I1. v t'
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PROPOSED 6'X20' DOCK PROPOSED SEA WALL or PROPERTY LINE
CARLSON I PROPERTY LINE PERRI NEESE
108 BEECHWOOD DRIVE f 106 BEECHWOOD DRIVE I 104 BEECHWOOD DRIVE
PINE KNOLL SHORES, NC PINE KNOLL SHORES, NC PINE KNOLL SHORES, NC
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PROPOSED CONDITIONS
NTS I
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PLC.DIVISION OF COASTAL MANAGEMENT FORM
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICKTIONITNAIVER
CERTIFIED MAIL• RETURN RC-C8FT FtECIUMMEDMIZIEUMNEEM
(Top portion to be completed by owner or their agent)
Name of Property Omer /L1ARK 'i
eK
Address of Property: /%' 4§04-0 u! 'Dimd OA* I G4rx.L SNo/1c$ / 4X
URainp Address ofOwner /04/0/ Gofffytr ',tr /S1g°NiaC SAS, 1/i4 Z0/1/
Owner's mat gyp«.,"re-f4proch-co"owners Phone& 10? S$6 - 8 3a S
Agent's Name: 4Npie 44-4 3 Phoney: Zs2 -66s- V3 78
Agent's Ernst l�e-66,94 c e 4i!- 6drb,
ADJACENT RIPARIAN PROPERTY OAS CERTIFICATION
Q3Mu oorliora to bs oarapi.lad by t s
I
hereby certify that I own property adjacent to the above referenced property.The irrcvid al applying brthls
perm has desabed to me,as drown an the attached drawing.the development they are proposing. 0
description or drawlnu,will dimensions.most be omideed with this lederr.
I DO NOT have objections to this proposal 1 DO have objechais to this propoeat
if you ham allJactions to meat is being PrPu4 you most th t molly e N.C. Division of Qo ssis,
(Dail hi) D attar if(bp Of *rt cif rib 87s notke. Cerra:wawdtwce shored be
—sosidl o 41811 Comm- Asa,roaseead Ciy,NC>!l667 DCrisprossobibros taw also be oaalrc'sd
at am imam No napalm Is o nsklbsedNwsame as oo objection you hem bsan mortal by
O.rtMsdr i[
WANER SECTION
l understand that any proposed pier,dock,nroorkrg pips,boat rang tr®akwatter,boathouse,IR,or
groin must be set back a niri =&stenos of 15't em my area of dilation amass artless waived by me
(this does not apply to buldaads a dprap revetments).(It you wish to waive the sebeck,you anallign
the appropriate blank below.)
I DO wish to waive someiai of the 15'setback
Srigrndrre dA4■crxt friimi n Rowdy Omar
I do not wish to waive the 15'setback rs4uiretnerrt(halts the blank)s
Signature of 4oert Riparian Property Owner
TypadiPrdated noes cif ARP& X.oNAC D CARE Sac
wing Address airARPO: yegt CeiltleSeld46 Z,') a&sr./oA'5 'tic 7/56 27o!Z
ARPOrs emit ARMY*PAoastk r36 - 76 - L ZSo
Del 'waiver is valid for tip to one yew bras ARPO's Sipg■4itr
Revised Noy 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DEUVERY
(Top portionn to be completed by owner or their agent)
Name of Property Owner. /i1A g-K -76-ex I
Address of Property: /D% /J�EK-(.../40oa -9i(1 L4 77/N4- /cNO . St�/l��
Mailing Address of Owner /0Vo/ 6ow6-1ZY (--0‘)✓12f Ao',,oS5,5/ V4 Za///
Owner's email:illpt'rr, ,o 11744foa/t Owner's Phone# -7D? -5£5)6 - 83a5
Agent's Name: 4Ni7i W`/m Agent Plmne#: ZS2 -665- y378
Agent's Email: G�e6bd c- @ ✓t, 44'1' 64)✓1-1
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
description drawing,with dimensions,must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this 1.
ProP�
/f you have objections to what is being p+npose you must notify the MC. Division of Coastal
Management(DCM)in writing within 10 days of receipt of this notice should be
mailed to 400 Commence Ave_,A1lorehead City,NC 28557_DCM representatives can also be contacted
at(252)808-2808_No response is considered the same as no objection if you have been notified by
Certified? IL
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 Sian
the appropriate blank below)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank) <2-
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: 'OS"t' NOSE
Mailing Address of ARPO: /°'/ EF F1Aieo.) -PR11 7 k-A-o L SN°,Q�J NC
ARPO's email: ARPO's Phone#: ZSZ-.?yl- 7 ./Zy
Date: "waiver is valid for up to one year from ARPO's Signature`
Revised May 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPUCATION
Name of Property Owner Requesting Permit: MAIei' 1C-itt l
Mailing Address: /04/0/ 10640 Y 6"irr
440/A5509,5 / (/�4
Phone Number: - 586 - gbs
Email Address: rope/(, p Ti'14ani0D/s • 4o"1
I certify that I have authorized ,4NV Z Weedl
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development 114-k 17°U4 12t i6N
6�ZD' F�XW j'o 'u/Z' per S!a`i Z iTi 1✓Pe4r6 ' re Ia.-404,7E ./
re
gyp'
at my property located at JD/ g �Wb6P 17•2/1r �Ni� kiioa 5kiz -5, /vC
in 602-rtfi2er County.
I furthermore certify that I 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.
Property Own Int n:
ature
divk Perc,
Print or Type Name
Title
� 1 /6 I2023
Date
This certification is valid through 1 _I