91417C - Baba, John

o��F`°M LIJCAMA DREDGE & FILL No 91417 ABC D
5
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:
I5A NCAC Li A I 1(,)(2, Cr+H I Z o0 [1 Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Spy^ 'BOOk1 Authorized Agent J�,C vV f-iv_.
Address - I� '��C GZG� Project Location(County): , �
City C�.�,t. l.P-^-+ '11' State NC-, ZIP 7-9 s1' Street Address/State Road/Lot#(s) J 7( Dee( CYO (C
Phone#(clli) 2SS -O-4-1#
Email l— Subdivision /�
City CCU ZIP Z BSb y
Affected N1 CWEW FT PTA ES n PTS Adj.Wtr.Bodyr (� na nan/unk)
AEC(s): ❑OEA ❑IHA IDUW ❑SPIMA ❑ Q PWS Closest Maj.Wtr.Body J 01 - ca.r/c.
ORW:yes/no PNA:yes/no
Type of Project/Activity p'opt--e'( /iO . .owe (ef1(r -c.,,',.vi l nl n /
(Scale:, )
Shoreline Length s
Access Length Xi Fbovf.- NNw 1 _ . it I . t _ 7 I _lt ..._..0
Pier(dock)length 10 X hP Iry N __. , ,, 1"opo 1 o-d 1(/, 1. �_
Fixed Platform(s) /() X/Ic _ L/ Alo.( nn j
Floating Platform(s) / `
3 N��t I
Finger pier(s) ,,Ca {4 `4/ 4
�' _ ,�� w -t,--, rf+ 1a�ds �,•-
Total Platform area
Groin length/# y 1-'�
Bulkhead/Riprap length //O ' - . .. / P .- -- I- K S �.
j).eS
Avg distance offshore _..._ .-. ..- - ..._
Breakwater/Sill -..„" _ ' '
Max distance/length ---*"" i I I . .. i .
.,.. ,
Basin,channel /^
Cubic yards �� x.� i���� - 4 4 jjiat,4_,,
_.-
Boat ramp -�� �_._ - � � �..._._._,__ _
Boathouse/Boatlift /- , rro. cl .1" 6 4 l Nr!+ ww vt c)
Beach Bulldozing -- 1 1
Other ,kA6tX Z Si pS ,`'!�-
t k u
4 i { .e4� QA'1 i \
i
SAV observed: yes no f ( - -- - - .
Moratorium: n/a yes noF.
j �r�oG 1 U
( 11 3 ' �:. brl a�
Site Photos: - -no_ ; I
Riparian Waiver Attached: 40 no j . ' 1 , +p. : [ ' ., 1 , . ,[
A building permit/zoning permit may be required by: aft a \ - n
Permit Conditions'lrt,'','" ' t c.•kr (oaol- I,,�e-�irnlJ S j2 .- eitVa�JPc1 a4- irbo+ 3L'140.-, I I TAR/PAM/NEUSE/BUFFER(circle one)
+.c tt c„_ 4i, b,01„. ct„t,k,5. 2),.I k‘,,,,A S4w1a `�c tw+d�L tic( at (o..�IP.[ wey;lc..ck, no .I l f(t rwv&. ❑ See note on back regarding River Basin rules
c.� (oo.oil..f weli�'ldc aH...1h Dozael, .,/ .,°^::�ItA .,--,I.,,fr z IIDOt+2' a.+ of.MCJ- $OO4+L w1�1A fro 1",v„C
'iv,.f.vki,.+ >400.42 Li 1.."-i ./ n(, ,, ', ( }�, Z p pn � IIc � ❑ See additional notes/conditionsonback
S 5 1�a l�'.�+r+oc o� 1',�M t,�
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) _
1
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

;o.�°"Asui\flCAMA I—I DREDGE & FILL No 91417 A BCD
GENERAL PERMIT
2 Previous permit
Date previous permit issued
I ,New n Modification n 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 n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name r�'�=�,.. Authorized Agent
Address _ Project Location(County):
City State t '' ZIP Street Address/State Road/Lot#(s)
Phone#( )
Email Subdivision
City ZIP
Affected n CW n EW n PTA 0 ES n PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n IDEA n IHA n uw n SPIMA n PWS Closest Maj.Wtr.Body ,0,,...-.'i
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
i --II
Access Length V� t' I 7-41 Ci r
w r .._ I .. I ......-I- t �Pier(dock)length t '
Fixed Platform(s) j ! e %, l y
,.
j 1 '
Floating Platform(s) -^ ._,....,. ._.._.. A , l fo`
, !-
-,.- ....—_o. ln�`. rct •-a -
' 'Finger pier(s) ti e � I
I ./
Total Platform area 1 'Ci
I l +�` }
Groin length/# / i • ��o � I w
Bulkhead/Riprap length i 0S '
Avg distance offshore }..-_..__ . ... __._ �.. ..__.._-
Breakwater/Sill -' t ( t t T
I i 3 I t i II
Max distance/lengthal (
Basin,channel t
I
i '
Cubic yards �./ ` ,__j.�� � _.__ Y{_. \w,
Boat ram A 3
Boathouse/Boatlift ---'' . , m ( , . _A-r i ' in _ I
Beach Bulldozing -- '" ' +
- `
Other ! ......_. ........,,,, ? ._.A'..__.y.IN! .' hit„t,y -u._.
i i
SAV observed: yes no I
Moratorium: n/a yes no ; 1111
M IIII M IE 4, �,,,o rite it k , E I. I
�
Site Photos: yes noit , � t
Riparian Waiver Attached: yes no . , 1 j i
A building permit/zoning permit may be required by: V
111 TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions 1 _
/ 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
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: To ?::
Mailing Address: 5:2 G
eT- Nam'
Phone Number: � 5-01 l7
Email Address: r �
I certify that I have authorized i
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: SC ( LL 4—
at my property located at 5.2 I 7 GPk
in CAN"ZiS-. 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:
4e4, ftoziveo
144/
Signature IWO ?023
Print or Type Name O ei
Title
Date
This certification is valid through I I

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Jo_ 's
I hereby certify that I own property adjacent to (Name of Property Owner)
property located at_ 5 1 tC1f - � 'RP
(Address, Lot, Block, Road, etc. j N.C.
on - r � � K , in C'�i- [; .
(Waterbody) (City/Town an or County)
The applicant described to me, as shown below, the development proposed at the above
loc ---
I have no objection to this proposal.
`i y I have_o_b_j cti_ons_to ttlis_proposal —_- ------- -
DESCRIPTION ANDIOR DRAWING OF PROPOSED or ata DEVELOPMENT a site drawing)
(Individual proposing development must fill in description
belowc--6F" WA.L.)1N‘ cy-k 14'rc-V----
WAIVER SECTI.ON •
--- - :• P ...
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin mu t t
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.) 6 6 %fyi3
wish to waive the 15' setback requirement.
IAtlriu CITYI do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner In ation)
(mat e 4ure(414 �� C.,��� Print or T Name
Prins,Type Name 5-.2 G(
Mailing Access Mailing Address
C-Artity
/Statip City/State/Zip
te/Lip
epho Number r Telephone Number
/ - Date
Date
(Revised 6/18/2012)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�] if- 's
I hereby certify that I own property adjacent to �(.)4N 1 e of Property Owner)
property located at 52) !/c�•�� G '
• (Address, Lot, Block, Road, etc.) ?
on Dgy''. , in �� C faL .
(Waterbody) - (CitylTown andlor C unty)
The applicant has described to me, as shown below, the development proposed at the above
to
I have no objection to this proposal.
_ _ I have_o_tije_oti_ons_to this_proposal _
DESCRIPTION ANDIOR DRAWING OF PROPOSED D�E oEOattach MEa T
site drawing)
(Individual proposing development must fill in description below
•
•
5- ---c-, iz /ix Vt4- -ma c.
MAY I,6 7,,;
WAIVER SECTION t be set
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, o rr
back a minimum distance of 15' from my area of riparian access unless waived by me.'Of ybu
wish to waive the setback, you must initial the appropriate blank below.)
fy-T I�ish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requires en
- - �,�•I�"��,rmation
(Property Ow r nformation) . . - e P - ► • )
1A *W4
.t .htfleY1 Fwgiril A wa,rd iet- •
' iona - NO
1 I
Print or Type Name Print orT eyj� Name�. I/F
5' 1 Gl� M in Addr
r �(`�lC,
Mailing Address Q ZS5Si
City/ tafe�Lip�
74 (21S/Zio
SS—vim 1�7 a9 Z
Telephone Number Telephon Number
kt <_23 • l7. 2
Date
Date
(Revised 6/18/2-012)

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