89771A - Florence(MOD)

°°0q" cA1VlA ❑ DREDGIE & FILL N9 89771 Q) B C o
GENERAL PERMIT Previous permit —
` Pate previous permit issued
®New j9Modi ication []Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Enwronritental Quality and the Coastal Resources Commission in an area of environmental concern pumuArar. a:
I SA NCAC �_L.17_�. i Ri"�,{ rules anachod, ® General Permit Rides available at the rap" link
city,,,_ kdrAlft state syw__. ZIP._ Q 2 0 "N
Phone M (M) 259 - a 308
Emall %rey"(e 32. 0 YyaSY\_�9W1 _
ARectW 0cm MEW mm ❑gis PTS
AEC(s): ❑OEA OtHA FIUW nSPIMA PWS
ORW: yes,(aDo PN/l yas/e>
rypffeeEProJect/Activity %3nai��rr}u}(4- Ck G,/x
r
Shoreline Length
Across LenP,th __ ..;. _.' � � �- i r . 1......i..
Pier (dock) length _ / X _. __. � 1, �'dV:i"""^_ ;K;-
floating %attotm(s)
Finger pier(s)
Total PlaVorm area �l%i `-\ __i_
Groin length/#__,�'q
Bulkhaid/Riprap Ion
gthi-
Avgdkstanreceo#shore I
Max dkwnee/length __+'
Basin, channel "�' ,•_
Cubic yards
Beach Bulldozing
Other
SAVobserved: yes
Moratorium: 14V yes no tLy�J
Site Photos: 40 no i. t LLt(
Riparian Waiver Attached: yes (5!..,,�.,.,!
A bullding permitlzoning permit may be required by:
Permf Cwditlons ___
Authorized Agent __.L tFQ Y'� yA� J0.li) 6.'�'r•
&oaxt Lot".(Courny):
Street Address/Stata Road/Lot #(a) its t 2�
145� PSkiC Circlx
SubdIvIslon
City T T \PXTn
Ad). Wm Body �'i (b. 3du,�t++Cd.—_/ na maNunk)
Closest Mal. War. Body (b�C-'tYtPt��2 VCWKY
w
r 1(fGy hlu
(Scale: I aac$o)
H
TAWRAM/NEUSFIBUFFER (drde arts)
See am on back regarding River Basin rules
11 See additional notes/ccndidom on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY To THIS PR-WECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
.:�/X ry Lam. s�..a �aa✓ .:11..... 1
a r ea an compoence sue-menron oats of permn" Signature
��OC1,� 15(i_pj_,—_ 6i`t5123 101t3/Z,z
APPIICatron Fee(s) ., Check#/Money Order Issuing Date - Expiration Date

iew
AMA ❑ DREDGE& FILL N° 89771 ® B C D
Previous permitENERAL PERMIT Date previous permit issued ❑ 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:
�1 H r
I SA NCAG 1 i wq[]Rules attached. R] General Permit Rules available at the following link: www deg nc gov/CAMArules
Applicant N1 / 1 t ' V\Q 0 r 1 dreg Authorized Agent -1 y-oLY\ N. G PiY' 7Nr.
Address V jjy p l
o�b CJ-n+1jroject Location (County): OeY Ili
1 � Plc r. () 14 # ,2
City, (i�i.�t,�^p�l State
t� ZIP ��tl r'1 Street �Alddress/StyatyetR_oad/Lot#s
Phone #( yet) d5 l e a 300 1 l� I r a S ic C' G T
Email Vla ret1CQ 3I Q nmsr\ Cow\ SubdivisIoo�nn Tnn 6'rr100W K 17ha.se -L
City O['F rr NC4 ZIP 9^,7 fp 5 1
Affected ❑ CW [NEW ® PTA ❑ ES ❑ PITS Adj. Wtr. Body ' 5di-tLd
/ na man/unk)
AEC(s): ❑OEA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Maj. Wtr. Body i1b 12 Se'
ORW: yes/Cio'� PNA: yes/©o I.
ff0A1W wtt,(I.i C9xY
of Project/ Activity COWA6 4_ Ok ` 1 x
Shoreline Length `/— IaLU' (�
Access Length
r 1
Pier (dock) length
Fixed Plattorm(s) X
Ile r x 12t UJ1
Floating Platform(s)
V`
Finger piers) ^
Total Platform area
Groin length/#
Bulkhead/ Riprap length -�
Avg distance offshore ^
A
Breakwater/Sill {
Max distance/ length
N fie.
Basin, channel co
Cubic yards
Boat ramp
Boathouse/ oa[i '�
Beach Bulldozing `t/t�feS L►
Other ^
SAV observed: yes
Moratorium: r a� es no .As` � kt'-hQ
Site Photos: es no i'
Riparian Waiver Attached: yes Tio , _1
A building permit/zoning permit may be required by: &X- r\'. CC , IA,�-,
Permit Conditions
(Scale:
4 0,14-
W'w IOrI
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIA
iP
Agent or Applicant PRINTED Name Permit Offi y'S P INTII
Signature **Please read compliance statement on back of permit** Signature
,Y 1UU °0 151101 6//S/Z3
Application Feels) Check#/Money Order Issuing Date
e0
V
¢f'50
W3
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Iv/3/2
Expiration Date

CAMA ❑ DREDGE & FILL N9 89771 iA) B C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑X 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Project Location (County):
Street Address/state Road/Lot #(s)
1
Subdivision
City
Affected ❑ CW n EW E 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/rio , I `' I
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers) _
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boat)iR
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a: yes no kl R4.
Site Photos: yes no
Riparian Waiver Attached: yes no ._
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ 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 PRINTED Name
Signature `*Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Feels)
Check#/Money Order Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Michael Florence
Mailing Address: 145 Majestic Circle, Merry Hill, NC 27957
Phone Number:
Email Address:
571-259-2308
[e-mail]
I certify that I have authorized Ivan N. Sawyer, Jr.
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock at Occano
at my property located at 145 Majestic Circle, Merry Hill, NC 27957
,
in Bertie 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:
Signature
Michael Florence
Owner
Print or Type Name
Title
02 120 /2023
Date
This certification is valid through
REC 9VE
APR 19 2023
®CM ECF

RECEIVE
N.C. DIVISION OR COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM APR f 9 2023
9MIEUML F.L 4Lfiha_CI�LARt? Y
t1'op portion to he Completed by owner or their agent) DCM—EC
Noma of Properly Owner:
Address of Property: 1lih5 Meth LbA-A t-- U i frd6,,kkl-- rt4 Rk 7 5/7
Matting Andress of Owner:
Owner's cmatl: C� q p
7 FC ._.._._ Owners Phoneit 50 _`as 1 -,23
Agent's Name: _ 3-✓o'/\ SQ VJ� cy, Agent PhonoM:, J 5%z 7_10
Agent's Email: (_t�Q/�- ( COR/A
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Hottom oortien to tte comptotad b t o Ad acanl Pro 0 or)
I hereby codify that I own proporiy adjacont 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
sch _llror or puf lm wi h dim ,nsinn rr u t Q r vi ad wi h ft,I tar.
_ i DO NOT have objections to this proposal. __ I DO have objoctions to this proposal.
rr you navy objections to what is being proposed, you must notify the N.C. Division or Coastal
Managoment (OCM) in writing within 10 days of rocolpt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also he
contacted at (252) 946.648T No response is considered the same as no objection if you have boon
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 lg bulkheads or riptap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive sornelail of the 15' setback
Stgnatrouo Addjoconl Riparian Property Owner
-O(2-
I do not wish to waive the 15' setback requirement (initial the blank) --Ok
Signature of Adjacent Riparian Properly Owner
Typed/Printed name of ARPO: W 111r all (6 t
Mailing Address of ARPO: lift ur- f-IW4 4S W meox hi(t< � 20 5'7
ARPO's email, ._fie tut, ARPO's Phenol/: 33Co At 51 451a3
Date: 1r1(g-43, ,_,_____'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY APR 19 2023
(Top portion to be completed by owner gr their agent
Name of Property Owner:
Address of Property: r 7/
-, %
Mailing Address of Owner: V f 1 L /'
Owner's email 4 is Phone..:
Agent's Name: ®_ Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to Igo completed by the Adjacent Propertyy wner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
H you have objections to what is being proposed, you must notify the M.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 949 Washington Square Mail, Washington, NC 27889. DCM representatives can also be
contacted at (252) 946,6481. 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
-OR-
I do not wish to waive the 15' setback
Signature of Adjacent Riparian
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO`s emailoA+P !�� 44-t06112O's Phone#: b -41)9 -17 - ,11
Date: �2 `waiver is valid for up to one year from ARPO's Signature'
?GO:-�
Revised July 2021

LEFT Side Dock 5,25 x 80' (42osgft) Right Side
Platform 12,25' x 12.2S' (150sgft)With metal Roof (200sgft)
Stepdown 8'.25 x 12,25' (100sgft)
RECFI V ED
APR 1 9 2023
DCM-EC

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Tracking Number:
9589071052700556930032
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Your item was delivered to the front desk, reception area, or mail room at 1:09 pm on May 16, 2023 in
DURHAM, NC 27701.
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DURHAM, NC 27701
May 16, 2023, 1:09 pm
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May 15, 2023
Notice Left (No Authorized Recipient Available)
DURHAM, NC 27701
May 10, 2023, 1:19 pm
In Transit to Next Facility
May 9, 2023
Departed Post Office
BATH, NC 27808
May 8, 2023, 4:17 pm
USPS in possession of item
I of 2 6/5/2023, 2:02 PM

52 0QE6 9550 0L25 OTLO 6956 r
S
P 2'
ql
2E ODE6 9950 OL29 OTLO 6956
I �
_.r0r,un
6h OOE6 9550 0L25 OTLO 6956
RECEIVED
DCMh C
Uti�i1 11 IDS_
RTA-E . V/CE.
BATH
415 CARTERET ST
BATH, NC 27808-9998
05/08/2023 (800 275-8777
02:24 PM
Product Oty Unit Price
Price
---------------
First -Class Mail® 1 $1.50
Large Envelope
Durham, NC 27701
Weight: 0 lb 1.20 oz
Estimated Delivery Date
Wed 05/10/2023
Certified Mail@ $4.15
Tracking #:
.Total 9589 0710 5270 0556 9300 25
$5.65
First -Class Maile 1 $1.50
Large Envelope
Durham, NC 27701
Weight: 0 lb 1.20 oz
Estimated Delivery Date
Wed 05/10/2023
Certified Mail@ $q 15
Tracking #:
9589 0710 5270 0556 9300 32
Total $5.65
First -Class Mail@ 1 $1.50
Large Envelope
Durham, NC 27701
Weight: 0 lb 1,20 oz
Estimated Delivery Date
Wed 05/10/2023
Certified Mail@ $4 15
Tracking #: _

LEFT Side Dock 6'W x 801 (480sgft) Right Side
Platform 16'W x 16L' (256sgft)
Stepdown 16'W x 12'L (192sgft)
400sgft Metal Roof over platform
Total Pier Length 108ft
* Pilings 10" Round
* Joist 4" x 6" on 15" centers
* Girders 4" x 10"
* Facer Boards 4" x 8"
* Decking Grey Thur-Flow
*Bolts Y44"
!Florence
Majestic Circle
,y Hill, NC 27957
RECEIVED
APR 2 7 2023
DCM-EC

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LEFT Side Dock 6'W x 120'L (480sgft) Right Side
Platform 16'W x 16L' (256sgft)
Stepdown 16'W x 12'L (192sgft)
400sgft Metal Roof over platform
Total Pier Length 148ft
* Pilings 10" Round
* Joist 4" x 6" on 15" centers
* Girders 4"x10" •
* Facer Boards 4" x 8"
* Decking Grey Thur-Flow
*Bolts W
a Florence
Majestic Circle
ry Hill, NC 27957
RECEIVED
SEP 0 7 2023
L. cM-EC