89994A - Girard

,Aosure AMA ffDREDGE & FILL N� 89994
Previous permit
GENERAL PERMIT Date previous permit issued
V Ivew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
® B C D
As authorized by t e Ileof North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
�b
ISA NCAC �-/T- J r1 / ❑ Rules attached. K General Permit Rules available at the following link: www.deo nc gov/CAMArules
Applicant Name V �r'L �' Authorized Agent �Y'r'a r�ab�e �s �/S
Address -1 03 C ,�y vi (- 0. n.a.- Project Location (County): V � P
hy
City _ d� 1-( ks6S k State (�C_ ZIP a-) Street Address/State Road/Lot #(s) /_ c, T S
Phone # (2Z)It:,-5 - 144•L
Email s o G) 1`nt`�. G'Z rL M Irz <s..0 0. G Subdivision /<) �74
c... City K) 34-4- v 14-1--s k ZIP 7 9 4 9
Affected ❑CW 91EW ®PTA ©ES ®PTS Adl. Wtr. Body C Q r1GS--� // (na ma nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW D SPIMA ❑ PWS Closest Mal. Win Body r- f-)
ORW: yes no �� PNA: yes/�'
Type of Project/ Activity
•i- L !1 -
Shoreline Length T. 415
Access Length
Pier (dock) length '-
Fixed Platform(s) -'
Floating Platform(s)
Finger pler(s)
Total Prr
latfo�(rm area
G khea h/p
r`B'ulkh�ead/J(Ripraplengt---�� h f�r
Avg distance offshore Zy
Breakwater/5111
ax distance lengths Z
Basin,channel r'
Cubic yards
Boat ramp
Boathouse/ Boatlih
Beach Bulldozing `
Other
P /var a
Ain.:'{
A .lKti�.�d
All`y'+n" n EiL 4.1FfT
aAa DUtl
/Ce'-1 s"Cx
(:�-I rAP-9'
SAV observed: yes no \
Moratorium: /a s yes
ffT-
Site Photos: es no (J+L
Riparian Waiver Attached: es no '/
A building permit/zoning permit may be required by: �L .+1 ti Kl 44" 7 k t.JK
Permit Conditions
(ScaleWIT-S )
A-+k-rJ -L- J
9K I K"JI—
❑ TAWPAM/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) we
I>< William Eger
Agent or p f ant PRINTED Name
Signature --Please read G p. to statement on back of permit"
110 o 2:5
Application Feels) Check g/Money Order
Permit Officer's PRINTED Name
Si ature /
2//%/2- ��y9�2v
Issuing Date Expiration Date

9REDGE & FILL
GENERAL PERMIT
lew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
N9 89994
Previous permit
Date previous permit issued
GB C D
As authorized by the Stalte of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
o b
I SA NCAC � 14, ❑Rules attached. K General Permit R�7ule/s^a�vailable/at the following link: www.deg.nc.gov/CAMArules
Applicant Name V - k -ii.— Q/ Authorized Agent
Address '1 0 3 (e ..1�w -4 `/ '—t, ^� Project Location (County): V cz.-rS '1
City K3't,lj I� Av.�Y, State ZIP �.7 �% c% %� Street Address/State Road/Lot #(s) /— c,
Phone # 125- J >J 4 g 1Z 103(. L
Email a ,Q 4 ) r�c-�. Q- o.rn )0 2.0 oi r/ 04 / • C Cp M. Subdivii on K j Y 96 --A k, Lch^ 4) A C, S r c l
City K 1 -/-'f y �-I� 4� ZIP
Affected ❑CW FEW ©PTA ©ES ®PTS Adj. Wtr. Body C q.nCl- 11 (na ma nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Win Body �, w r r i Yw L k S a tA.. J
ORW: yes no � PNA: yes/C-D'
Type of Project/ Activity --r 4 is • f I ( r /o A L, I kkk,-- 4
t� i �. '�• - `$ Q e.+,r , "e It S j 2ry� A 1 y11�f 4 t iv a (Scale�5
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
G. h/k
Bulkhead/ Riprap length / t
Avg distance offshore
Breakwater/Sill
ax distance length
Basin, channel
Cubic yards
Boat ramp i--
Boathouse/ Boatlift
Beach Bulldozing
Other
tY
3
�V
L •
E}w���r
�-. ni�IKh•-ad
A 1 l� � /rv� e_ n �TL C t erl' � 114 ✓I i+a Ad`
Eyct Si,
6 I k�Q-�-�A
�' I Fr1�Z -9>
SAV observed: yes no
Moratorium: /a yes
Site Photos: es no L
Riparian Waiver Attached: es no
A building permit/zoning permit may be required by: T� ti Ki ,—y lC7Z Wry
Permit Conditions
ri
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
II AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
V- / V6 C6-rVYi
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Si ature `t0c Z5Ie1 2119/23 i�(7
Application Feels) Check #/Money Order Issuing Date Expiration Date

�&d(o NLICAMA ❑ DREDGE & FILL NO 89994 A B C D
Preous permit
GENERAL PERMIT D to previous permit issued
VINew ❑ 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 NCAC ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nc.goV/CAMAruIes
Applicant Name Authorized Agenti#T'F:-
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 Cl( ( (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body r .
Cl yes/no PNA: yes/no
t �
Type of Project/ Activity �;T- - - /' 's"' /"k
', tyM. (Scale; ,rl r; )
7 r '
Access Length-
_
1
T-
Pier(dock)length.
Fined Pla[form(s)
i
!
_
!
t
Floating Platform(s)!
Finger pler(s)
Total Platform area
Groin length/tt
i
+
t
Bulkhead/ Riprap lengt
,,
'�-I'
_i
-/,+�
-�*
-'((—
Avg distance offshore
-
�
1
--
�—
-
-
--�—
Breakwater/Sill
i•. -
-._
_„
�;I
�
Max distance/ length t
Basin, channel
i
I
/I
!
I
s�,
,
I
a
--(---—
Cubic yards
Boat ramp.€7
-.
Boathouse/Boatlift
Beach Bulldozing
!
j
}
Other
t
r
SAV observed: yes no
Moratorium: n/a yes no
it
Site Photos: yes no
Rioarian Waiver Attached: yes no
-T_
l!
A building permit/zoning permit may be required by: - / .�- A��/"'f '> rG' z•/�.
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
1-1 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)_
;! S
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
r
Signature "Please read compliance statement on back of permit*" Signature
Application Feels) Check q/Money Order Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Juhn and Ehzabe,�
!<itty I IaA?K, NC 2794, >
252-305-4402
I certify that I have authorized Affordable Bill's/William Eger
Agent i 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
,
in `r` County.
I furthermore certify that t 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:
s% / !' f
Signature
John or Ff r I r,,
Owner
Print or Type Name
Title
1 21
Date
This certification is valid through

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:
Address of Property:
Mailing Address of Owner:
Owners email:
John & Elizabeth Girard
4036 Ivy Lane, Kitty Hawk NC 27949
4036 Ivy Lane, Kitty Hawk NC 27949
[e-mail] Owners Phone#:
252-305-4402
Agent's Name: Affordable Biil's)William Eger Agent Phone#: [phone]
Agent's Email: [e-mail]
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
I DO NOT have objections to this proposal. �_ I DO have objections to this proposal.
It you nave opieCUOns to wnat 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 401 S. Grim St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. 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
mo
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:ArJp-,,:Hrh
Typed/Printed name of ARPO: Brian & Elizabeth Newman
Mailing Address of ARPO:
P.O. Box 1450, Kitty Hawk, NC 27949 (4032 Ivy Lane)
ARPO's email: by1' a4?2 lUmrllt{ Aeo, 40mARP0's Phone#: Z.S L- 2(o J "384ly
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
v

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
John & Elizabeth Girard
Address of Property: 4036 Ivy Lane, Kitty Hawk NC 27949
Mailing Address of Owner: 4036 Ivy Lane, Kitty Hawk NC 27949
Owner's email: [e-mail]
Agent's Name: Affordable Biil'sM/iliiam Eger
Agent's Email: [e-mail]
Owner's Phone#:
252-305-4402
Agent Phone#: [phone]
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.
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. AGM representatives can also be
contacted at [phone]. 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-
Signature of Adjacent Riparian Prbpefty Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: --- t
Typed/Printed name of ARPO: Deana & Steve Wentz
Mailing Address of ARPO:
4100 Ivy Lane, Kitty Hawk, NC 27949 (4040 Ivy Lane)
ARPO's email: &g-,f'yJ.(b� ARPO's Phone#:'�3r� SSE, IMS
Date: Z -3 --waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
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that the error of closure as eafculatetl by latitutles and departures is 1.10,000: that ii was cleaved m - rd� :G""�='i(Gn�• '.
axorc nce with G. S. 4730 as amended.
-:S:ness my hand and seal this (aTM day of ll.PR9iL , A_D. 19 e4- r' 1,2801
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Carver, Yvonne
From:
Sent:
To:
Subject:
Attachments:
Good morning Teresa,
Carver, Yvonne
Wednesday, September 20, 2023 7:50 AM
Bill Eger
Girard GP/Receipt
GIRARD GP89994 & Receipt-09192023073937.pdf
A copy of general permit (GP) number 89994 for Girard's bulkhead project is attached. The pdf
attachment also contains a copy of your receipt for the permit fees.
To validate this permit, please address the following:
1. print and sign the permit on the bottom left-hand corner below your printed name,
2. initial where indicated on the bottom right of the permit, and
3. scan and send a signed copy of the GP back to me.
No work can be initiated until after we receive the signed copy. Please let me know if you have any
questions regarding this correspondence.
Thank you,
Vn"
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
Please note that my email address has changed to: yvonne.carverAdep.nc.gov
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
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