89827A - Levy

W CAMA R DREDGE & FILL N9 89827 B C D
PrevloGENERAL PERMIT Date preykxfspefrnitissued
YINew ❑Modification L] Complete Reissue UPartialReissue
As awdwrud by the Saw, e of //N�oah CanuPonm . Departern of Ernnmmm,W Q Wdy and dw Card Resource ea of In an arias enNroranwr al cua trn Prslu um to.
ISA NCAC ___.___._.7J.Z.'_1l_QQ.A (!1 E] w. attached. , X Gncral Pertrit Rules avdbb:e a the Ulow sg link YDYriilo9.nt-E4'!LU'%'I/'rl--+�5
Appkant N'nne—�.aShC>•r[i d 1f�tY v�{UQr Ile LEVtf Authorized Agent ,A,%;VAMU0Wt �L.CP—"t1e�7
Add. _ 301 V,11 A 1, k)n J fit_ 10 fir. Proieu Location (County): _.Seell•Sn� �--
Ckye&ZTLn _—Sn h(C aP_3t_17_ Swag Addre4Srote Row"#(')
&TW r Qhy u,ac Cha4`tND:fl co>ti+ Subarsbo CI`a-� Dr, _
MCGed OW ®kW NM Ks ®PIS A4. Wv. Body rahn`
AEC(,): EJOEA ❑IRA E]UW ❑SPtMA oPW5 Closet Mal. Wv. B04Yn
ORW: yes/@) PIik ywe
Type of Project/ Activity &.tJ)tow 92' ,P A) h,.Akhxt,J t Cnat#x�ei- a a`t' X a/' She)e i,de _
CIO f1L .�y [��s _. _.-.. (Scale: it=2pt)
Shoreline ten h=L=1t4
r
Access Length
Pier (dock)length
Fbmd Piatrmm(s)__ ..... .. .. -.
aoabrg Phlforrrysi
Finger piers)
u
1
Total Platform area `• - -�' - --
Avg distant* 0FTVWe it
Breakwater/SM
Max distance(kngth 1
1
a g r h
pLv ..f.F
Baun, charm
Cubicyardr
Boat romp __ _.i / % . - • �F ///% .....
Boathouse/BaatNt
Beach bulldozing
Diner
'.. '
f i
SAY abxned:,
SitePo
Site Photos:tw! � ho kl
Riparian WYrve'Atbched: yes go-_(_".�-
A building pemna/zoning permit may be required by; `^'^ ` m
TARMtP1MEU$E/8UFFE0. (drde one)
Permit Conlitions
.-.-._._ ._.. FI Sit note on bark regarding Rner Basin rules
See additional wmVwnditlom on back
Permit
(Please Initial) G
-.—
signature •'s 6Amad compliance statement on back of Perm
sign, surw f
�
IL.00 12(�3f /14113 4/23
App6wdonke(s) Check g/Monty Order having Data Expiration Date

®CAMA 5d DREDGE & FILL N9 89827 a C D
a 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:
15A NCAC 714 t 11 pfj Ct I ZOO []Rules attached. 9 General Permit Rules available at the following link: www.deq.nc.goy/CAMArules
Applicant Name K'% O.rd t 1YAcarCt.Aer tic L.P-V4 Authorized Agent UCea&%I,-Ae LOh fl-t, rS/S)K MLf 11
f, 1 i
Address 1, 30a CjJ�.C.n'�ly UlY_�O �1 F^.p Project Location (County): Ckaw cLy%
City l&aby\ State �L zip ac793.Z Street Address/State Road/Lot#(s) Ipt ' ` / \
Phone#(=) 217 ' 12.04
` �
Email C' k en/4 �nC TM0.11 . CQ", Subdivision COL& I-r, C(1,4nJ bV: ^
City r�Qrl"ItN ziP 21 t^� l3z
Affected ❑ CW ® EW PTA © ES ® PTS Adj. Wtr. Body r—OLAr jI (nat/(�unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wen Body At by iI P_
ORW: yes/Q6 PNA: yes/0
Type of Project/ Activity Itisa In;' 0� 6t...jVjVeCj t l�etSi'YLtC�' A P 4 f x Y r
Shoreline Length '/— 't eL
Access Length
Pier (dock) length ai l r )c
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) '^
Total Platform area
Groin length/# •-
ulk /Riprap length clZI
Avg distance offshore l�
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(Scale: I t=10 )
i
cc"A
yJ liz+k �r I
. I j
r° � I
i st r Q
SAV observed: yes ..t
Moratorium: /a yes no ( �, ` ^(
Site Photos: 48 no C
Riparian Waiver Attached: yes 40 /�yy ((��
A building permit/zoning permit may be required by: Cr\OLkXLY\ Ca wki
Permit Conditions
OF
Agent or Applicant PRINTED Name
Permit
❑ TAWPAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature **Please read compliance statement on back of permit** Sign turev
�'t�o� I _ I a(o�I /lq/
Application Fee(s) Check#/Money Order Issuing Date
laic/23
Expiration Date

AGENT AUTHORIZA11ON FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: F) Ch � "s
Mailing Address: 302 COu(>AYH CILAb PC
"k-i4L+QA NC 2'ig3Z
Phone Number: 3522871202
Email Address: hc+fylal coeil
I certify that I have authorized
Agent f Con ractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
rervtove S+i^� etch= and cca 6+yu�
necessary for the following proposed development: �SL.F of T r�Yt y1n4l Iou.►kh0*0
�V
OFLA. CA1e,+VU,-I- in 7U,tU' WaIV-WaU I.CaAn J'/'vi^A
at my property located at 302 COAMrti OhAb Pei✓L JECieAitill NX, 219_-3'Z
11
in dViOU 4A County.
I furthermore certify that l 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.
Properly Owner Information:
Signature
Richard Levy
Print or Type Name
Title
Ju130,2023
I /
Date
This certification is valid through 7 l a5 l o?�-
RECEIVED
V Imo®
SEP 0 6 2023
r-�
DCM-

RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM SEP 0 6 2023
CERTIFIED MAIL RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent) DCM-EC
Name of Property Owner:
Address of Property: DU 4 LIOQA!Y� C ly
Mailing Address of Owner. 'SGMe
owner's email: rltVyrV I2 horVmoi)• COM Owner's Phone#:
26z-
Agents Name: 0:,32 G141 Agent Phone#: 31 y'fyy.
Fttlt(Jar/i
Agent's Email: CX 4n ASj CAN}YAGtDY3 Cod QrYlsli ( Lam
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacentto the above referenced property. The individual apptying farthis
permit has descr}bed to me, as shown on the attached drawing, the development they ere proposing. A
—ZI DO NOT have objections to this proposal. I r,
B you have objections to what is being proposed, you m'
w o
m oN
Ilftnagement (DC" In writing within 10 days of receipt of
mailed to 401 S. Grifi7n SL, Ste. 300, Elizabeth City, NC, 27
=` o
contacted at [phone]. No response is considered the
s o
no~ by Certified Mail.
o
WAIVER SECTION
o
z o
1 understand that any proposed pier, dock, mooring pilings, boat
c
groin must be set back a minimum distance of 15' from my area
ru
(this does not apply to bulkheads or riprep revetments). (if you
§ e^
the appropriate blank below.)
L-I
1 DO wish to waive some/all of the 15' setback
-OR-
I do not wish to waive the 15' setback requirement pnklal the b
Signature ofAdJacent Riparian Propeerty owner:
It
TypedlPrinted name of ARPO: G �' G
Mailing Address of ARPO: Coco 'a/\6t.t Tev es YAL
ARPO's email: ARPO's Phone
3
"waiver waiver Is valid for up to one ys B

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVE®
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAI RETURN RECEIPT REQUESTED or NAND DELIVERY SEP 0 6 2023
(Top portion to be completed by owner or their agent) DCM_C
Name of Property Owner:
Address of Property:
Mailing Address of Owner. SaMe,
Owner's email: r r1C9 h2kVu ;), Can4 Owner's Phone* 3 519 ` 0 $.%Oa
Agent's Name: QMAGItlt COn±fflCAaj IQ, Agent Phone 31Z— t{'jyy
Teti lli9a/1
Agent's Email: S'y-ean54e comyoctr Y5 as Qnut ( Lxk4
ADJACENT RIPARIAN PROPERTY OWNER'S ri
(Bottom Portion to be completed by the Adiacel N
I hereby certify that I own property adjacent to the above referenced pi
permit has described to me, as shown on the attached drawing, thr
description or drawing with dimensions must be provided with this It
I DO NOT have objections to this proposal. I DO
If you have objections to what Is being proposed, you -must
Management (DCM) In writing within 10 days of receipt of this
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 2790:
contacted at [phone]. No response Is considered the sa,
noted by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ran
groin must be set back a minimum distance of 15from my area of r
(this does not apply to bulkheads or riprap revetments). (if you wish
the appropriate blank below.)
I DO wish to waive sometall of the 15' setback
Signature ofAdjacent
I do not wish to waive the 15' setback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: %�Vtd 11
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
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'waiver Is valid for up to one year from ARPO's Signature'
Revised July 2021

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