92404C - Edgehill Enterprises LLC

'"("'"*- I ICAMA I I DREDGE & FILL
ti No 92404 ABCD
4 Previous permit
= GENERAL PERMIT
Date previous permit issued
n New ❑Modification ❑Complete Reissue I I 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 C)-1-I• l la) Rules attached. ❑ General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
Applicant Name aky..h i 1‘ (wAA--_4)I I(YCSS 1 Lk, Authorized Agent t:r4,,.A.
Address 130 coiA. 5-V ULL 3)r n Project Location(County): ..,,{-�..-4'
City 1' )t koc., C,-� State Aj L. ZIP L S'i Street Address/State Road/Lot#(s) &/2 Z J v<...4-1^ 51,t41LI
Phone#( ':-Z) -4 7(f - O'?i I .�
Email ,.;;,k V1 "--t ) 3- Q L'•r.IAnc„I . Cot—. Subdivision /44 c r
City t v l!/k k..A ZIP --'`` f_r".4-
Affected n CW ❑EW n PTA jnES ❑PTS Adj.Wtr.Body '5 cj (nat/man/unk)
AEC(s): ❑OEA n IHA UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ., 4.... -
r
ORW:yes/no PNA:yes/no
Type of Project/Activity
k
(Scale: - /o )
Shoreline Length
Access Length _ j- .- . . _._ --._' I..... <. i 11111
Pier(dock)length - * "111 WO ..,,,,„...........................,....,
1
Fixed Platform(s) O
Floating Platform(s) / t 1
i
Finger pier(s)
Total Platform area
/Groin length/# IlK' IIIBulkhead/Riprap length 1 b AvgII ---
distance offshore / 1
�.�.
Breakwater/Sill /
111,11111111111111111111111111111111
Max distance/length 111111111111111111110111111 INNS I IIIIIIIIII
Basin,channel ( • �, ��
Cubic yards ,,,..„...---"-------
Boat __61._.._ .,. —_
ramp iIiflIINIiiiII!uiili!i
Boathouse/
Beach Bulldozing —�^
Other ril ie
i . 1
mi
SAV observed: yes no\ NV, c+) ; j �, II )
Moratorium: n/a yes no ) :
Site Photos: yes no P4 1 4t{l
Riparian Waiver Attached: yes no , ! ._ r
A building permit/zoning permit may be required by: t F(flL-,r_at- el
/ ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions '►No fL, 1 I/e)4(irvi,; _ /i t^C. i LA-P.4 fvi.ol S (,�.(,..�116I✓te.•4
,I 6 ,Slav 5ti4 cc_ 1 (c( to 70 IC„.-(I,0r- ( -I, N'_p )<(,( J.- /kj,.,ol ❑ See note on back regarding River Basin rules
'k,-.., , ' -14(G e b.e -e ,r:.te ( A-I <. NHb,I z nine.( l�
' , 1i4A rr ' `vr-v..Gr.l-✓t-i
0 See additional notes/conditions on back
1. �I
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
Lim i/orL^/
Signature**Please read compliance statement on back of permit** Signature
ItQ21 Clii5 202 , 1 5 ! 202- 73
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

0`°"rk� CAMA Li DREDGE & FILL No 92404 ABCD
1
�o� 3
GENERAL PERMITa
Previous permit s
Date previous permit issued
I New n Modification n 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 n Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name L Authorized Agent is
Address -1 Project Location(County): - \-,.4--/
City c. t' State M C ZIP r',"c.<,"l Street Address/State Road/Lot#(s) 1 / 7 4 ,
Phone#( ) '1 7 c (`%?;j
Email ' -.--i + 11 1 , ) <r , Subdivision '?.,§. .' .;L-.- , .4",te,
City ,�'! r"._ ,or ZIP ,- f4
Affected ❑CW l I EW fl PTA n ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): I I IDEA n!HA ❑UW ❑SPIMA I I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length } .__ ....1 i....._ i F A.
I
Pier(dock)length r"
Fixed Platform(s) yl MY Nriummosammo
lie
Floating Platform(s)
Eal __;.,_ 11111111111M
al il I
Finger pier(s) 11
IIITotal Platform area /� iilliii_ 1 c I
Groin length/# Ili!
Bulkhead/Riprap length -7 D I _ -f _.
Avg distance offshore /' j...... ,. . . _. l._. .J.
I
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards l„,,,..."-------- 1111111.11 -1-11
Boat ramp 1111MINSIngilial1111111111111.111.11Mirein
..r......�..
Boathouse/Boatlift "/' 1111
Beach Bulldozing i'/(
Other i
SAV observed: III i II yes o,
N9 1
Moratorium: n/a yes no {
III
Site Photos: yes no \1 111 i `
Riparian Waiver Attached: yes no ( n 1111111111111111111161116111 MN j [ I I
A building permit/zoning permit may be required by: t t ,74,vq
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
r 4 ,-i1' . (.ELr
lit L ,:i n See note on back regarding River Basin rules
nSee 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 Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature.
44 11)51 ., orh _
Application Fee(s) Check#/Money Order Issuing Da a 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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MARINE
CONSTRUCTION
COO Fl 6?-1A r)14-11 v i 1 ______
NC MARINE CONTRACTOR 0 62746
430 0 S I SH 0 eE---- bk DOCK S•BIJI.:<PEAOS•PILE DRIVI41;•,;-'..Y.1 .., IS 1
Ashley Brooks ,-1F!-ILT. / FA> 1
14 C.- t\k, 1•zr6--.4-5 7 590 Pearson Circle
Newport,NC 28570 1 Fl II M
252-S46-3212 jai..
abrooks1Pecrr.com WV
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N.C. DIVlSI ON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTlFICATION.M'AI'JER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
c T op portion to be completed by owner or their agent)
Name of Property Owner: E.- 14!L'L" F. 7rE---PT I cE5 I-L c-
•
,9` .✓ate ✓'-
Address of Propery:
Mailing Adorss o`Owner:
30 4 S'u 11 - 51�>F izIv� til� Ss7
ho�'µe-fq 1 -77 e hd' SI 2fi 033 I
Owners email: •cane' r s P �one� �252- 7
Agents Name: _ — 1 I if Acent F-ones:L f-'
Agant.7
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to bn completed by the Adjacent Property Owner;
I hereby certify that I own property adjacent to the above referenced property.The individua:applying for this
permit has described to me. as shown on the attached drawing. the development they are proposng.
description or drawino. with dimension:. must be aro\ided with this letter.
•"t= kihq 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 (DC1.1.4) in writing within 10 days of receipt of this notice. Correspondence shouic be
mailed to 400 Commerce.,Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at(252) 808-2808, No response is coiisiderec the same as no objection if you have been notified by
Certifier;jai!.
WAIVER SECTION
I understand that any proposed pier. dock. mooring pilings, boat ramp. breakwater. aoethouse lift. or
groin must be sat back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apc•y to bulkheads or nprap 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 cjAc.7aciant Riparian Pro:_ _ ref
•
I do not wish to weive the 15 setback requirement the dank':
Signature of Adjacent Riparian Propert. Owner. __
Typed/Printed name of ARPO: _-- — --
Mailing Address of ARPO: — ----- —
ARPO's email: _ Art?O's Phone#:
Da•c�.
aive is valid for up to one year from ARPO's Sigr� moire'
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: E G'r 1'1L" g./-17-542Plzises L L.
Address of Property: 4 30 1 So 4 S I eE D21✓a ,A i f ZKSSS 7
Mailing Address of Owner: 4.30 4 .sou T/4- st}r)eE plc ✓E_ M WC fArs'S 7
Owner's email: h 0` ke-kR i ?7 eV_h0tmenkne9's Phone#: ZCJZ 7Z 4 0 33
Agent's Name: 111-5I4W Qeuok$ Agent Phone#: 2 Z 4 32 z-
Agent's Email: S./I OI.e Jl►kt l4 a(t-e q l a, 1 ' CO/r 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
descr. 'on or drawing, with dimensions, must be provided with this letter.
1 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 400 Commerce Ave., Morehead 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 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Propert Owner
OR
/'---4Szt, I do not wish to waive the 15' setback requirement(initial th blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *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: ;b GE ) LL 2i5ES r�
Address of Property: c© 4 7 / 5 0I DO Vial C f.. 55
Mailing Address of Owner: 43a 4 SOu 11 -I- si-#02E Drziva (14-L sS7
Owners email: Li OTMe+ 4 I 77 e h hinters Pflone#i: 252- 72.4 033 I
!ate s c% / �
Agents Name: >�� � Agent P�one#:�� `� ,
Agents Email: 'SIN f Jb..�fr grim 1- r G! ( . Coivi
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 or drawing. with dimensions. must be provided with this letter.
tilj� 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 400 Commerce Ave., Morehead 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 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 sign
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)
Signature of Adjacent Riparian Property Owner T w4., ti'�----1�
c�� >
Typed/Printed name of ARPO: I IZ' �Z-�
Mailing Address of ARPO: fr 3` / s 5iWg 0/2/ y/0/4"V C ri L'
ARPO's email:/`y /7-/ove /46 (� ,/.(7ARPO's Phone#: (1 qi 2Z`i Z-/ -'
Date: 9- 1 " *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: e b G"r r '1 _ �� � 1 S LC-
Address of Property'
So(,rf-i- WSS7
Mailing Address of Owner: 430 4 sou ii4 Sik eE plc ✓E M W c tess 7
Owners email: ,l D 1 i e1 177 e 'ai- n r s Phone#: 2.57- 7Z 4 O?3 I
Agents Name: r1 J/4 ee1;04s Agent Phone#: 252- 32j2—
Agents Email: lihe M a(i t-e 744ail , C0/4
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 or drawing. with dimensions. must be provided with this letter.
le r I DO NOT have objections tc 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 400 Commerce Ave., Morehead 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 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
1.----116), I do not wish to waive the 15' setback -equirement(initial the blank)
,_.....� Signature of Adjacent Riparian Property Owner. -�—�t,C`�
ni
Typed/Printed name of ARPO: Z�Li+AiZI]
Mailing Address of ARPO: 43°1 S - DR-' t`— /41uK ier-A3 (4, A/c--
ARPO's email: %- !1 /' e /11-6® ',tvit(/i41ARPO's Phone#: 9/ 47 - 67/-/2-
Date: 9' -7 - 2`' 2-3 waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ED 4-E2PetSE5 LLC.
Mailing Address: 1304 Sow 1 S,h2E OR1
`t4 0 ee / C I l 'r 7
Phone Number: 2-5Z 72 (f .033 1
Email Address: 1/10 ht1-C e / 77 e 1fl tA14( / CO{
I certify that I have authorized I oOk.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: W) gqZ S/ f r:;frt)i)
at my property located at di-2-2 7 SO I Shv azL-- DIZ't /
in C , 12-TE2 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 Ow r Information:
�.� ? -Xt-c:Q� ,-tip ,
Signature
Print or Type Name
Title
1 1
Date
This certification is valid through I Z 131 17o Z3

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 'A6E 14II'S— G J7"f'PJZ,SEs / G
Mailing Address: 4304 sour* sr /?a Dor ✓s_
MoizeFi ci*f P557
Phone Number: ZS2 72-Ce 0 3 3 /
Email Address: Pio 1ht.e4rt / 77 jIbh-tat 1 1 . C°/l
I certify that I have authorized ,/4Ly v 20)45
Agent/ Contractor
to act on my behalf. for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: N� OM 4<1` 'b
f}7ID C°otic PGF -/E L ' GK 12 LPG -1�/ fl
at my property located at 130 I SO C 1 f# eE Der v"E
in CA- FT--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 Owner Information:
"42, --,_k_6__0&.
Signature
()€ OA 171 C'/( lc:
Print or Type Name
Al
{/4 0-?/i'v(; OVI Al( A--
Title
I I
Date
This certification is valid through /y / 3 I / 267 i,3

ou'Asrk AMA 'DREDGE & FILL No 90064 A B V D
Previous permit
aI
GENERAL PERMIT Date previous permit issued �"
i
>ew ['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 NCACIe-+'H• I I C D, Q.t. 1 20-6 n Rules attached. eneral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name2 Av A . C T 11-eii Authorized Agent �5In/ BrtTl���'S
Address L0(� V S 5. Z C' C- �t� Project Location(County): Cava...1 _ A
City/'1 o t,?j Cttt t State M C..- ZIP 2is-S-- S c" Street Address/State Road/Lot#(s) �3o f - ✓ki-r1.-4-__ f"`Q,
Phone#(ZSZ) 14/ ' D d tte2.
Email \ �11 JVl c-lc___)' z.. G q q"� ' Ccv Subdivision ,_���
J �J Cityt r�-- p ZIP 2?1, 7
Affected CW gC EW tOPTA 2 ES K PTS Adj.Wtr.Body SO1:.4-� S wvo� n(a man/unk)
AEC(s): n OEA ❑IHA ❑UW ❑SPIMA PWS Closest Maj.Wtr.Body ,J 13 Cc1J te•-t Si l.A,v-
ORW:yes nd PNA:yes/�to
Type of Project/Activity {o j ee-C11 ?oT' bI Vl •f .7.0c)` 9 icr /A'`-L
(ScaleMIS )
Shoreline Length " Ci
Access Length LL� M 'B `cs_ _9 • ` p A f
Pier(dock)lengtth`1Zak) "j' Uo�+w\ `1j t3 ,ltCK ►O ritrf 0 ,_
Fixed Platform(s) /0 .A 4►0• . %skit L P� ores
Floating Platform(s)
Finger pier(s) 7 X 1Z' II, �S_T ��Total Platform area S2ss Z �yetp-y Q i
(
n length/# I/"-
` 1
Bulkhead Riprap length ?05 S� (
Avg distance offshore / t k ,
Breakwater/Sill 0 t� I
Max distance/length \0
Basin,channel / 0
Cubic yards l Ca ( �`i�� bti11c L®►\
Boat ramp .[ t , D NM
Boathous Boatli 11 , /3 , l3 1/3
Beach Bulldozing ✓pJ� k�v1'ilX1 • �i �� 1b0 b
Other 2- S•1gn1/ b�A C .yl tray o i / .-
s. Stnoe- 0r 4t ;b'hkrNG1 - - cvuLk ik
tA.Now rJk y4/ W a'. Crw>` wc.i yeti)
SAV observed: '• %a
Moratorium: n/a k S -7 -0Site Photos: \" i14_' ?
Riparian Waiver Attached: 40 no m �) �}
A building permit/zoning permit may be required by:IM 0 ,6"- g{ (1 'A
` Z a n a TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions 6Ztis t-� S + +d_ G weaF ram.+ 4 Vv� Z w'�
yic S.vu4 [vrm > 0C4-4
(Z. Z)�� t j, Q(,�bc ,1,y,,,,{ -it, ZZ t pr ❑ See note on back regarding River Basin rules
��oq -� �j Q^ AK1`�_ yw1'-"`R 3) art 4e e�`�s��\\ i Q Q�V t See additional notes/conditions on back
c)Anik- 1�6t enc_lb L4GV1 tvk ISt (��c.rI'vn C r 1cL (5' )1`'J .—.
I AM AWARE S ES R ULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMVLIANCE STATEMENT. (Please In 'al)
41
Agent pli nv RINTED ame Permit Officer's PRINTER Qlame
.E-4
Signature 'Please Sad co pliance statement on back of permit" Signature
��f)c . a 3h9/23 -1/1 /23
application Fee(s) Check#/Money Order Issuing Date Expiration Date

o�s''''"40CAMA 'DREDGE & FILL N9 90063 _ A B G D
GENERAL PERMIT Previouevious s t
z Date previous permit issued
----
, 'Kew _Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Departmit of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC �" uP-1 Il n Rules attached. General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
Applicant Name Avl C V i4 tn.1 l 2iv/ Authorized Agent 4 SH(tn� rjoo k�
Address il 3QJ Srt,a . 0rt� Project Location(County): ,�JC,Adl�+fi
n/.Lr,, )- 0 mil'/ p ( ) q ZZ7-
City '{Mate ! "v ZIP 20 Street Address/State Road/Lot#s > J.t' 1��.
Phone#(ZSL) ' 13 -gf(� Z
Email 1 1 LA-1•i✓h C',1/4- L u�M 1-O A.t 1 CW`.� l-
Subdivision '
City f.,1 Cr,c-t l:,,r'.t � ZIP 2 sS
Affected ❑cw n EW I I PTA YES il'PTS Adj.Wtr.Body eRa? i^-� A� -- na an/unk)
AEC(s): ❑OEA 7 IHA ❑UW ElSPIMA ElPWS Closest Maj.Wtr.Body iJ cB1*rt.! Sv
ORW:yeso/ PNA:yes,)
Type of Project/Activity RI?,>a G ia_1.- \
rl (Scale:1';10)
Shoreline Length I b7
Access Length .-----
Pier(dock)length — i\/
p ti�
Fixed Platform(s) l "^" J:t{(,.ate w'. ,,
Floating Platform(s) ...------
Finger pier(s) -------
Total Platform area /--
G length/# I—
Bulkhea 5Riprap length ?a'
Avg distance offshore i I \
Breakwater/Sill ---- I ^+7
Max distance/length +-^ 5„M.4,1t k._
Basin,channel J I �j
Cubic yards - S. S it
Boat ramp �/ /VFi W
&10 r.ac.:v..t/1
Boathouse/Boatlift / ----
Beach Bulldozing f 4 9ci log b�ky% Lck Pt-
Other / A./•A W'
191
SAV observed: t
no L. .y _ _ (--f��t'Q� _ _ _.
Moratorium: n/a yes Site Photos:
Riparian Waiver Attached: oi no �/ �.,,�����������((��
A building permit/zoning permit may be required by: M. LCtnure��
Permit Conditions 1) No 4 ((/ecCctvoilLo '� aD Ec
aO .� Lv[ • r TAR/PAM/NEUSE/BUFFER(circle one)
z)gtNw its `Otf pyl Ci2 jt vvlaca 4 fy 2' Avvit- ti ,..g (Ix F64 ❑ See note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AW. E• E4 ATUT . CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial
Agent caret PRINTED Nam00� Permit Office s PR FA Nam
Signature""Pleas read c pliance statement on back of permit" Si nature
y00.J I Z4173 1f M I72
Application Fee(s) Check#/Money Order Issuing Date Expiration Date