93041C - Worley, James

�.0,(. � f1CAMA DREDGE & FILL N° 93041 A B g)D
..„.„°
.0,
GENERAL PERMIT Previous permit •-----
Date previous permit issued
Ni New I 1 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:
I5A NCAC U-t H •1100 3 C+4.1 '12 CO ❑Rules attached. Fl General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ZertIrV)e S V`\0 V ICy Authorized Agent t` ,Y)1"i-t1 1—6 YCC'k
Address l2:J I tAl.>Vl1 SV Y 1 tin • Project Location(County): o1Y- ..IC C A-
City ,'e'1'(1LetUYl State N C.. ZIP 2 i S-(cc( Street Address/State Road/Lot#(s) l S oc -I (Avid e C
Phone#(( lg1 )p12 —CIiB3
Email J V'liQ I-3"S 1 a C YV11 11• !;o✓ 1 Subdivision -----
J City HQ✓k-cvS -IcSICIv1C1 ZIP -Lsn
S
Affected ❑CW NI EW ®PTA [ ES ❑PTS Adj.Wtr.Body \C . JCI,%Y}C\ (n man/unk)
AEC(s): ❑OEA IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body C C`Ye CY eel
ORW:yes/no PNA:yes/no
Type of Project/Activity vYO1Qc'St CI Y 1 Y CA clin(A ?t CY , UN-cm-cc( 1 c11 n vI . c v1d \,00tf li f+((
(Scale: K T S)
Shoreline Length 11
Access Length / � - I
7
Pier(dock)length :, X 1 b 0
Fixed Platform(s) I?,,' X 20, P {
AN� ' + `1J I a r 6'1 / 6-
Floating Platform(s) / # } f '
( `
Finger pier(s) --- I 1 I
Total Platform area 2(a0 Sri f+ uat i , . _.� WrbpO..ed 1 .
, E
Groin length/# l I • ,... I 1 . I- J ,'t . 1 -
Bulkheadf Riprap length 7.-C)I Vti- .. _____ _ _._._____ __..... ,
Avg distance offshore - +
Breakwater/Sill _ j t
Max distance/length - • "'T \, ;
Basin,channel f_ ( ---- -
t
Cubic yards ' \l
_-. -
Boat ramp I. ¢ �� ._
z. ,
Boathouse/Boatlift 13 13 9L X
i '
Beach Bulld
ozing / L ' �`} g„ ........... j .....
Other C 1111 ( Sig i i. . «,.. i I
Ol t,ti'h c r d 1 t _ a OM.
SAVobserved: yes no V�IAI �'0�R11"r+if °��a.' .' C $
ii 1
Moratorium: n/a yes n (7 `._ rp 5e f?,✓
Site Photos: o ye _ ( r_ ,
Riparian Waiver Attached: yes , no V r�4�� I V'V S 1e V 4pYq , , V.,A u 1 1
A building permit/zoning permit may be required by: l.o\r*eY e-r `o�1✓��
�' . _. n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions t. it, I to i .�i i��y 1C(t I,'1)rCT =2-4, c,rl. fi nk,if.(- (03Z SCI 7'4
c',i1 i,J�r(\ l/\ t0 V' AD St r\Gle C bwi V Dv1 f.v1+ 7 U 00 Sri - --,0�,pc'� SI -()f' ❑ See note on back regarding River Basin rules
�hctll be no11a+1-c.r •�tiar ?' h0r,}-err}r,I P-c-v Cv e _fv,,+ ve.HI'r-I c'
( ❑ See additional notes/conditions on back
i,G � ef)f Y "t kc1Vl I I1. Y1Ov,lwr{nl i;c v 0,, --F-01 y1<-Vitt et(
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
'e11-t-I }5t'UUI:.S j`AYCi 11"hvlf.
Agent or Applicant PRt♦VTED Name Permit Officer's PRINTED Name
�/
- /`1 R !/1 l-C�f<�T 07.-e.
Signature**Please read compliance statement on back of permit** Signature
tyo0 �9) 3 olIOSI23 c I.
Application Fee(s) Check a/Money Order Issuing date Expiration Date

s`°o“"sr^,�❑CAMA DREDGE & FILL No 93041 A B •C D
em ---'
a i GENERAL PERMIT Previous permit
Date previous permit issued ---
i New Modification ['Complete Reissue n 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 (- I H . I i(..L ' i. f H'1 u ( ❑Rules attached. [Ti General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ..i',. If S .\s\r`f\ey Authorized Agent ' ; •)l1<, 1 t'is. i ! V
Address i-— i i_11\6 1 (-WA t i th k A • l Project Location(County): ^.(1 VAC r C A ,n
City \\1(C*Ut"1 State IQ C., ZIP Lit L' el Street Address/State Road/Lot#(s) 1 ( C IS 1 et t 1(1 12.(i
Phone#( . _)n2.11 -(HE:,6
Email ',N) 1 9471 e ryvvi i (• (((I'1 Subdivision
i .) City itCIIACC 4 -1`.1<rr tC•1 ZIP 1=Wi (
Affected n cw 9 EW 9 PTA FIB n PTS Adj.Wtr.Body ' C'?,..... `.D('1,\Of‘ , (nat/man/unk)
AEC(s): IDEA ❑IHA n UW ❑SPIMA n PWS Closest Maj.Wtr.Body 1 \,'C CY C ek.
ORW:yes/no PNA:yes/no
Type of Project/Activity 1' + t, i f‘-k i*i v r i. n.lc'l 1ij[?ri f II 4 } I
(Scale:tJ T S)
Shoreline Length
Access Length j 7 j .,`'j .( Sr et I
Pier(dock)length C'Y( (,k j SF ci . ' ,.;
Fixed Platform(s) •
, V c+P CI I:,,)
. .;. '-' \- ‘P 1 Ilf -/ V)0(:1/2": 4.?‘ '‘ .
Floating Platform(s) s
Finger pier(s) 1 l. 1....... i
1.4
111
1
Total Platform area .. ^� �tr� �"� (�Y � ` �fCi
Groin length/# , S'1' 1 i 1 .
Bulkhead/Riprap length `L< _ 4._
Avg distance offshore i l I I 1
Breakwater/Sill i t . I
Max distance/length - l'IC‘ \ C tnNti
Basin,channel } • ` I
Cubic yards
Boat ramp
> i i ' i
Boathouse/Boatlift 1 k1 4 l `'..Y. 1 < x
Beach Bulldozing /
Other 1,1 ) > --_.� .
SAV observed: yes no - - ii - r
Moratorium: n/a yes novs, I • b
Site Photos: yes no �'��' `5 + �* jTr,
Riparian Waiver Attached: yes no d Polev i Vv {f`I Tx(
. y'IV c‘ip EV�r 4 C
A building permit/zoning permit may be required by: r.0\Y�"C Y P- CO 0 041,.. l
Permit Conditions I I C -L•(,C. .-Iij t () tom, L -i 2. ',;1 ,4 n TAR/PAM/NEUSE/BUFFER(circle one)
11r•\ i1C ' ,,, tit r i , +k CG.V •\k U 7 C 1, (.1. f O+, f2,,,) G1p 'w1 C n See note on back regarding River Basin rules
1.,,C (1<< HT y." i. ) ' I.I. , ,t, +i t ,,t w---4 ./' ,'h h. ,,? r'
( n See additional notes/conditions on back
.CE,CY ,\<{. 1 I ;. 1
. , , 'kLt ('c.1 d' 1'li1
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 Fee(s) Check#/Money Order Issuing Date . Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 4/'4Q`j
Mailing Address: 2-2—3 Lab r 5-
ni/4 j` c/, .?t l\/'cr?/Ptl;XL,
Phone Number: 9(q—2-2—( — (,5;
Email Address: :TR V 7$ / �-6-I11//71_ Cc in
I certify that I have authorized /v IE
gent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at /4j (Q(i 1'q', / j(��'�? � is ,Zz
in /2k-Re`? County. f
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 Owner information:
92-rrtG2/ y
Signatu
Print or Type Name'
Title
I /2 I .,262 :).3
Date
RECEIVED
This certification is valid through I I AUG 2 5 2023
DCM-MHD CITY

tuna[t i An Amount Now Dor.ovt iNyrl motest Sn.(Xyrl •too C 10SP [0 1
soh_anal lie
IF s ow2J.ge is w-
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aVJACAMI.A+I'ACOAN rittoraRLI- t"I"L AtT'.11di'-f;t s
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s1 (f,!e_I;-` .« ^• '' s-Ro aA.ol4P+'��rwrl—
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L 1 hove no OWfoetton tO H"S[irTIPolOt
I Novo objection,b 010A OrTIO'o'e'ai
f) F PROPOSED DEVELOPMENT
FSCRfPT10N ANDADR DRAWING OF below or attach a site drawing)(Intl/ /thre/propew/nq Awvw/opmsnl must mi In description
R4.//2/ /60 f,. X 1 i l'. /I 09 5/w 7*"eke k
f3u;// >e A-A x /3 FIL. ho, S Is+ dec k
Z'.•••stn// ewe' #o,aoo lb A..a-><- lift
Pool' 4/' cover-ea/ en,/ o{doe
I.✓5>'.v//qf'0/✓ ,Fso fr.'., rock odtrtl/
WAIVER sEc 1Ot4
boat ramp. breakwater, boathouse,lift or groin
I understand that a pier, dock, mooring pilings, accessn
must be set back a minimum distance of m*from my the aop P�e blan sunless waived OY
me. (If you wish to waive The setback,you
I do wish to waive The 15'setback requirement.
r C I do not wish to waive the 15'setback requirement..
(Property Owner Information) (w5J t P�G� Owpec In ormation\
L\„G
l !:7-1/ Signatures Ja1k 13 ra*' .er' Y' e k 4.e-SUS.'
Sr lure +� � �Q� �' �'
VA-one f b . . flab A c ,
Pant or Type Name Print or Type Name
a231k� 5.>), ,PI Ott o�,ttk C. erry S-r,
wow Ad, �� Aridness J
"- ncf-14 1�Cr,>47S�o,� +rn�rstl�, Le 1�IG 37� �t
''E/1_"""""7' fJ t f$tuL Vic f.I r ,�eQ � `O M
,.iaphone Number/email address
•} Telephone Ntrmher/ email address
12 a ,
'VI*kir One Caientiet year after gram- re. ~ 14,
imm... .. ._ , ., _
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DCM-MHD CITY

AT&T LTE 8:19 PM .9 58Y
Done ADJACENT RIP...
hwaby cwnfT rut I owrr p+op•Uy arfy.o,MtSri r ��
pvpwryrkataNlpm (NamI.MProp grOwrwj
(Addrwa,La.1,Nook,flood,ot4.i
M — fie!t tCs' !L � _ .k1 _f/ ,..4C.,�.Z31g. N l..
(wen..body1 tcltyrrowa VW/or Counsrj
T ra�PpMaanf ha>r d•acrbec 10 ma,se shnkrr Wog hg(ovet.Dmerr ProPolosci►t the atm.
1 helve no 3t3Teetion to this Arcoos 1.
I have nti ehotio p 110a p'sp*.e
tiCSeRIPTIott ANQrOR o AW1NO OF PROPoSED DEYROPMEN'
Jfidliv**uar PmAatei/1t dalMeAo,.rt most NI*i dsssdptlan Wow or• a ci a•t.drawir,e)
Fr. f4, Sr.-t cep:A.
•
Ate/ar apt/3 ha, 7/w! des.
1 el 144.4 ewe /o.Piss /6. hl41 i 1',
Roe" F.c reveres/ ma` o<4.xrC.
2^5/4f/414.4 0'74. 0"0- tv..+ rock
WAIVER SECTION
I undarstand!hat a pier. Cock mooring ptgngs, boa' ramp,bra;kwate,, bmettouaa.N .or croirt
mast 20 jet beck a rntnharurrr of 15 hunr my area of npar*an exaas urte6.!waived by
me Oyer,wish Eo WWI*the ne t ar-.k,yrx mart'nlHay the rppropnet.btelk Callow)
do wish to waive the 15 5ebar1 requaen ent
1 da not wan to waive the 1S'antku+rk tegr.Irememt
(Property Owner Ittforroalbn) (Ad rC n,� y Owner Information)
Iti.4,4. f�aak�r
Pang Or Type Newslathier Pen.or Type Nome
AWAT MOWS
A - ZiSAL
OrWinaidierp
9/1- 11100a
rINplICIII MAW/WOO r pflarw,vur r sOlts4
J f 1�?Zfl��"s1, itij f 13
n•,r •-,* a a D•w•
RECEIVED
3' 25 2023
DCM-MHD CITY
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7
(Se ic9"1, 4 5,44- �(ocA
(—IS—I (`(° �n-f'v K
/6w_E X i;gf 13X to �S
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kew Rom. ' sew 1ai RECEIVED
50 .
De
' AUG 2 5 2023
6 uji VV. a �y o A DCM—MHD CITY