93056C - Sullivan, Daniel

3°e `OAS1° [ I CA MA DREDGE & FILL N9 93056 A B , C D
a i 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:
I 5A NCAC 0+H it 2_0() Rules attached. EC General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Y aY'I 1{' ' L u 1 `li h 1 ti 1 5 1l 11 v C'4-1 Authorized Agent 'JVXN 6 O� Y 1 (,)h i
Address `>3 3 F I,-s L,i lv, L-ct ne Project Location(County): !C\O`.)[CW
A City ir i CI in el State C H ZIP L4 9 eiC Street Address/State Road/Lot#(s) 1 05 E)n key. �(-ad
Phone#(S(c3 ZI`� c:L L
Email r;:(4II iV 1- (1. (1',/e Ccwl Subdivision elE1Y\G1h6 3‘ICYeS
City HklwevA- ZIP 2.HS.M
Affected I CW ®EW LPTA ❑ES PTS Adj.Wtr.Body C CW r Di' S j 1 vvi�p r t/man/unk)
AEC(s): IllOEA El IHA El UW 0 SPIMA ❑PWS Closest Maj.Wtr.Body At -I-W W T
ORW:yes/no PNA•ye no
Type of Project/Activity PV()1,7rc ed P I -ry. olv�A Oci fr)Y�-,
LI I r (Scale:t\IT )
Shoreline Length .�
Access Length IO x Z i ___ •_- :_ I_.._
Pier(dock)length / 'k/ i �� '"- ~��!'� _
Fixed Platform(s) 1O'x2°` __.. "_ �"•"`�,'..__
Floating Platform(s) ./ ff
j i .
Finger pier(s) I ww
i tib` k2'0"
' putt• J
_
Total Platform area 2 CI) S q (cc 4 ( � w I .�' 11,'. \y - \P,
Groin len h/# -� • _<__gt fi j r—
Bulkhead/Riprap length '; /1Y)_ t _._.......... i.............. _...
Avg distance offshore - i ( 1
Breakwater/Sill ,�-- j NI.*
Max distance/length 1f'-' r''4Vs1 N\-iWII 0(( 4
Basin,channel 01" l_ �_
Cubic yards (I'lr1YS .__. 3 !,. _._.___,,
i ,
Boat ramp _-
,
Boathouse/Boatlift
Beach Bulldozing I , I' j"
Other N p S I rS CI Of 1-101(1
I
SAV observed: yes no ` i , kik 1,.. L -
Moratorium: n/a yes ``''
Site Photos: ye o� l c r e _.. ; .. ..._. ....._..._... ;.._...._ 5 Y_ I. _ . _.. - �i�� . ...
Riparian es , no L11q �_ ' IDIA1�1\1Ok11 1 C4\I +\
p � � �v.Ij �� � fit W�'1� ; � ��,,�, )
A building permit/zoning permit may be required by: f /hs IO(A) C (U✓4 I
❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions Icl)'1 C-{"Y,1 I `, ,':(I(I(zi i v rt aci- = Ica sri ft nUf"OT 3(to sS i f-f'
(;t 1 tL t I(_'d.0 91 i l 1 v o-� e)c<('fc 2.0 1 {r t ---- \-k WI ec1(IR (;-F i ❑ See note on back regarding River Basin rules
ftk.,(S tV `1 it w 1 CWtl v I/1 . i t\\ JOY 11r o oq e C.(/.) 1Gl l 1 ❑ See additional notes/conditions on back
::IC C\ Vv1i r; n >", , c �. ' :v, , c l,,.LS-+, ,1.-e -
I AMB AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) .1 �
,iAC�N �''1G V 0V1 C/1( VIf
Agent o Apu i nt PRI N e Permit Officer's PRINTED Name
Signature**please read compliance statement on back of permit** Signature ,
12 O .7.r).-'-j /'�-II
Application Fee(s) Check St/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

os0`°11'4 11CAMA ❑ DREDGE & FILL No 93056 ABC D
I3
. -
GENERAL PERMIT Previous permit
Date previous permit issued
❑New I 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 1--- 1-H H. 1 ❑Rules attached. H. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name r . i i 1' , ` .`i ' f' \ Authorized Agent ` 1..., 1t
Address 1 - J 1 .l I rA 1 L-(1 t IC Project Location(County): % `'';il 1.
City t' 1')t"It ; ,I State C H ZIP Li L'' Street Address/State Road/Lot#(s) (C y,6 4.€'. c (l!\
Phone#(-l' b / f
Email i'r (o( I `dl T live . C( ,--1 Subdivision ()SIN-\r'1r1(k ‘1( '''(`. q
City i. ZIP 1.E `.: i l
Affected ❑CW ®EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body -, ' I' r'Ck ('-' 'C1 V‘ 1'k) i(naL/man/unk)
AEC(s): OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body A x VI
ORW:yes/no PNA:yes/no
Type of Project/Activity 1-';'( 'V( (Cl t-CY" Cttilk j9t<Ikfrv,1-v-
1 (Scale:q; ,)
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) IIIIIIIIIIIMIIIIIIIIPIIIMIIIIIIIIIMIIIIIIIIIIIIIIIIIIVKp
Finger pier(s) . flflfti 11111M11111111 V .
Total Platform area ,•; - �,
Groin length/# MIS II II i SIM -� ( -
Bulkhead/Riprap length / t3I i
Avg distance offshore r--
Breakwater/Sill =
Max distance/length NmilIngimmillimm. r
ein" al II
Basin,channel '
- asiiiimilimi 1
Cubic yards - al No
Boat ramp IIIIIIIIIIIIIIIIIIIIIIIIIMII Ss II 1111$1111111111111111111111111111
Boathouse/Boatlift
Beach Bulldozing =II IIIIIIIIIIIIIEPIIIIWIIIMl.
Other , ,
II III
SAV observed: yes no Mai II
Moratorium: n/a yes no NIL Erisiiiiillorgiyaminis
i f I1
Site Photos: yes no
IIIIN
Riparian Waiver Attached: yes no ► ,
A building permit/zoning permit may be required by: c VAC IC(,O C.C L I 1 t-`'
ri TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ;"i'1 ..r.,ii,'i fail it(i -1 2CCUcell't rc,f . r(crj, r
t t r , i .,- . „`11 t 4 A(`-{" Oct( eYi Lo, , co I INI k 1 ;.„_\i r',� `k -4 C U ❑ See note on back regarding River Basin rules
CiL,tl t , '1 4 , PO i`? He 1 ; r1\1',\ na"V1 r" ,;' .- r ,rill
❑ 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 Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
'T
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

d AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
, r Name of Property Owner Requesting Permit: Dolt,/ e I .C1-1 ii, ✓Q rL
(, •Iaper Pert
Mailing Address: I3-1 1� >�I855ON1 L,%JIC�'�N�` Q�.�j oc
N r [
4,011111
Phone Number: 5 6 �' J' J
Email Address: d 5111;v 5,e/ A3111.144 , p N L4
`''' _ I certify that I have authorized Ba6D� 8t" .54+'
`,,{ Agent/Contractor
• •
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
/i 11
• necessary for the following proposed development:
i
at my property located atGyeiIAet•sA jlpr r 16 3 Baker rd$i'(u44r F) .
in f7)115/6 w County 24539
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
A. permit application.
Tl_• " •.41i• Property Owner Information:
______.--- ---)A-1)::)Signature
---*-------.'
Da✓ ,eJ Sull,✓di✓
Print or Type Name
ti, ��� buJNP✓
,�,;: . Title
2 1 .t3 t�4
.......,
Date
RECEIVED
This certification is valid through ij / g l Q
st�� -- SEP 06 2023
p - tip C!T

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103 Qdker R©' di/ �''53 y
QAr/a4 55aref k"y6e-fit/r,
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1,1111'.- — i p___ ___. _ __ v (1,4 1-e.„7".,
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II ._________.... ____ -- -
RECEI
_. ._ rEp 06- 2023 _-._
-----
Ili ____-- _ -__DCM-Milo CITY
1. - --- --

•
Y N.C. DIVISION OF COASTAL MANAGEMENT
AIIP
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/VI/AIVER FORM
CERTIFIED MAIL- RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
i
Name of Property Owner: /11 e (/ (4 u /t/ef� qA d L4nti iiir.
';. + �.aeq46
Address of Property: to'3 3n/CLr j\oRd f //Lib r Nci .253q
Mailing Address of Owner /3 SS fiis.s ,Y7 L a zi /-9544� / 6 1 99 Os
0 a� 7 7 7S
°: >: ,. Owners email:LiSu/i/✓.l6'A�filAnd. eda_ Owners Phone#: 5-6 7.-d/s- S02'
Agent's Name: t �J1�7f^�c�1 t Agent Phone#: /l 0'JrSY-U '�5 t�^
�, J J
.„.. Agent's Email: r dQ` a
+4 i
...
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
F (Bottom portion to be completed by the Adjacent Pronertv Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
f permit has described to me,as shown on the attached drawing,the development they are proposing.A
descri lion or drawingwith dimensions must be rovided with this letter.
� i�' I DO NOT have objections to this proposal. I DO
have objections to this proposal.
If you have objections to what is being pro
posed,you must notify 9 ( M)in writing within 10 days of receipt of this notice t Correspondence shou.C. Division of ld 1.
Management DC g y
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910)796-7215.No response is considered the same as no objection if
notified by Certified Mail. / you have been
no
t
I understand that anyWAIVER SECTION a'.`
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 y �/j� '
Signature of Adjacent Riparian P op Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:_,E7/1L.,c-f'f, Ve .� .4, ''4
Typed/Printed name of ARPO: ��I (1 I f ��'C1eP�(1 �`
Mailing Address of ARPO: (o P�• 14ik-bex-V NC. as 3CI \\\
ARPO's email:ehenck CI�c - " "j
q " ARPO's Phone#: 33t0 70—i�}� t,
Date: 1' ►,do a 3 "waiver is valid for uP one Year to fr RFCEIv �'
om ARPO's Signature* �.
I
Revised July 2021
SEP 0 b ZOZ3
l
®CM-Mr-ID CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
fr CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 1)44,fl SidiA,1 4/7 a 6u tqw, 1//v4n
I
Address of Property: /o5 JifCel- Road, I-Wu4 , NC 2$}-3'7
Mailing Address of Owner: /333 �j(o155‘,,� Laic'v Aii�k/1 d, Cf/ L/WD5
Owners email: d sw II ti, 1 le qSi 1ai .C'LI Owner's Phone#: Sb72I S- 60427 H
•
Agent's Name:' v0y ter l,q Agent Phone#: 1 Q IQ 55k 0 ' J
Agent's Email: V b r , G Yl a►JI i VC C ov't
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
4
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 127 Cardinal Drive Ext., Wilmington,NC 28405-3845. DCM representatives can also be
contacted at(910)796-7215.No response is considered the same as no objection if you have been
notified by Certified Mall.
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.)4110 ///%/fD
I DO wish to waive some/all of the 15'setback 1`�N,
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:
Typed/Printed name of ARPO:
c 1 Ko��i. L Grlt'
II, _ C'
Mailing Address of ARPO: 5 4c2Drt2ociAA,W4.t(yloll,S t I ,/ 7/ARPO's email: C.h;,1 1
12 m ARP s Phone#: — �
Date: R/2..5/ Z3 'waiver is valid for up to one year from ARPO' C E I V E D
`
s Signature" �F
Revised July 2021
SEP 06 2023
DCM-MHD CIT