92416C - Coley, Jon

o40(usT4NflCAMA DREDGE & FILL No. 92416 A B C D
3
GENERAL PERMIT
Previous permit
i 2Date previous permit issued
n New I Modification I I 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:
ISA NCAC t 2 r+ • 1000 n Rules attached. „IRGeneral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Namel'lof-4 IA '''`titi_ M4P. u C / 101 C G I et- Authorized Agent I rS- _
Address 0X 2S V ^I ( Project Location(County): /'r/c(e"•
City ' 4)cH},C �U State 'V C. ZIP 7')Z Street Address/State Road/Lot#(s) 2)L `vat 1"4" SOL0.'t It Z
Phone#(=L) �Z( - Z6(G<-
Email 1L,,''1 t e octco %h% . covv.. Subdivi ion Q,,
City 'H kl C. Bead" ZIP 2'S1Z
Affected _CW InEW Q PTA n ES ❑PTS Adj.Wtr.Body-Ipock GA,1A i- /20 S-c'`i (nat/man/unk)
AEC(s): n OEA I I IHA n UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body IL JC_Q)
ORW:yes/no PNA:yes/no.
Type of Project/Activity A c>n's..cof dock I-,Li I/G
(Scale:t':ll)l )
Shoreline Length
Access Length -- �_.__ >..__... 1.._,.._.._ ....
Pier(dock)length Z 11-k "' M
J" J`�
Fixed Platform(s) ; i J j (
_._.�..... .. 1._._.__._. _._--_L. .__......_.....-,---_--_._._._.._ Ai -I,
Floating Platform(s) \-,,„1"N
r... .._ — .. ._ -e...... s ..gm1,1,.....me.__ ____....w.—....iL.— —/
Finger pier(s) j. I
Total Platform area .co S�(-4- , 1�- i I _tD,i., % , O /{
Groin length/# - \ • wV+
, r c i I _ I
Bulkhead/Riprap length .ice .----I- . --- - I `
Avg distance offshore ,......._. ! .. __j s_._...... 1 ...__.,.-...-._.........._ !...... .`
•
Breakwater/Sill { f I -
Max distance/length
•
Basin,channel '
Cubic yards
Its
Boat ramp -�� _ + �_._. __ •
Boathouse/Boatlift --'—
Beach Bulldozing
Other ^0 Yvv- Si‘Ps f f
f
SAV observed: yes . ! 3 1 Gi"'yao^t) i"r�.'
Moratorium: n/a yes no I - f j
Site Photos: ye,‘\ 'o /ipl,1'A Sk,ltt- iit4i1P 1-01n- of - -
Riparian Waiver Attached: yes/ no ,_w. �p ii_
A building permit/zoning permit may be required by: AA-IOvt•\l.' DPbk
Permit Conditions 1) i` -1.;i k-,- t- 'J_ ,1/ Ac'1 FX C .Pd Al . -',cl�i^ ab cp.4".J n TAR/PAM/NEUSE/BUFFER(circle one)
, 6, -- ,,, . K lk(,..n.(//V)l vU, z) ' l,,,(1, ( .)r,J7iof /i-tn-& 'c 4 0 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)
gf�t 1
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
)r
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

,"`6'^, ,...........,,Il, CAMA DREDGE & FILL No 92416 A B C 'D
et,
GENERAL PERMIT Previous permit
Date previous permit issued
n 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 "1 1 ('}.k) Rules attached. jI General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name , ' !AC .-L i. / , ( I Authorized Agent ',">I<,ri''-.r
Address Project Location(County): l�/t,.(,�
City _ State Al L. ZIP f kci )Z Street Address/State Road/Lot#(s) 71 Z- !V a'• Sli 12. r ry
Phone#( ) -/7 t C
Email Subdivision
City ,i( '( `tSPc,t I \ ZIP 2 SrC 17.
Affected I I CW ❑EW nPTA ❑ES ❑PTS Adj.Wtr.Body _-,,IN"is (c,.,c,.l /20)i- �*-(-I' (nat/man/unk)
AEC(s): IDEA ❑IHA ❑UW fl SPIMA ❑PWS Closest Maj.Wtr.Body JL SO
V i to
ORW:yes/no PNA:yes/no
Type of Project/Activity fi v rr .'2 r,1 k.
(Scale:1s;/Q' )
Shoreline Length
Access Length — „ _ --
imippi 4 I 1 1 I ej It
Pier(dock)length 2 . 1, '^t_ MilimummimmumewiiahreA
Fixed Platform(s)
11I1Mi
Floating Platform(s) ` IMIi..am ; �. �■�m��� aua ua
Finger pier(s) J 11111111111111.1116.11111Firrill1111111111 NE 11111111111111111111111111 f
Total Platform area ©5 /=- 512111111 113e S)'{ 1111611111111111111111101111111111114111�
Groin length/# -- Z �� �� ii iuu1 � .lYl� ��uivaaa�a�u&'ill
GPM �_._._._y_ "i =ii�li ���� 1 Bulkhead/Riprap length _.„----- i
iiii
Avg distance offshore - II Mina I 111111inifillillail1111111111111111111111
Breakwater/Sill ai ■ uuaa �■■�■ ■ .■
Max distance/length f tua■.�� .aa■■ (i .aj.".h aauau.■.� ■
Basin,channel _.,./-'----
Cubic yards =
Boat ramp _---"'--
IIIIIII
Boathouse/Boatlift -�� IIIIINUIR$� $If011 aaaau�
Beach Bulldozing --" 11$I �� 11 .i.uus� �..aaa ��
Other j flflUI# IIIIflIIIIIfl#II5I! IUI
IMIIIIIIII � br!RI•l I `�IVI ��Nl•�I� I•I•�>•
SAV observed: yes =11111111MEIMMII.11111111111111. 1111111111111
Moratorium: n/a yes no �
Site Photos: yes. no 1111111110.11 __ __{ r s TI��IIIINN� I � �������
Riparian Waiver Attached: yes no as���� L u�am.� Lda11111111aaaaaa
A building permit/zoning permit may be required by: AEU f.,,A A c_. C]Qt,C k,N
Permit Conditions I i ' ( t :i'...11 ,i-I r t,t r eiAl , ,,,I)I-. / ..r, ❑TAR/PAM/NEUSE/BUFFER(circle one)
rr _‘ ,_.,,a,t<, ,.r.c( /rti H L'U, Z) /..s.,.r 1 ,, {. - ' ' ❑ See note on back regarding River Basin rules
..J' r +
/I ❑ 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)
Wc,`k(le �tet 1
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
R
111
Signature**Please read compliance statement on back of permit** Signature
1D'CA A °� /'7; 1
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: (Ton Coley
} Mailing Address: 3'13 ; ii G+.
7Z.._6N1e;11„ A9c- 27c
Phone Number: ct19 - 39C- y(6'j
Email Address: jOif
\ , Gait � /, re.v,)
I certify that I have authorized I)evoo L32/57r
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: DOC)c Re.bit// I
at my property located at al). 4/ Sham I/ A 77a'f'L 6ceth gig57,a
in Carr&c r 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 rmation:
Signat777
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Print or Type Name y 202
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Title �' co.),
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Date •
This certification is valid through / /

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ‘••• C'cs\\--\R
Mailing Address:
\ 1--
Phone Number: 2_51 - 72L - 2
c
Email Address: ev-si\r^..
I certify that I have authorized \ tr
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: c
at my property located at \—,4\ 2
in Q. kt7 e2 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:
RSCSNED
01...•••••••••••••••••••1* SEP 211 523
Signature
DCVA-Mr4D Cr"
Print or Type Name
Title
(:‘s\ 1 \ \
I
Date
This certification is valid through

•
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETcIRN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner on b6
Address of Property Z N(AOS C L-' t `
Mailing Address of Owner Ill- *ND) ,7hdtj Dive- 11
Owner's email: jolt* $p06'mvl`,e4"1 Owner's Phone#. `/9 ,34c "Ifby
Agent's Nam:402 /M L 'd kT` Agent Phone#: o pZ 2R3 L49
Agent's Email(?✓O7,.,L3O4Tt 6r itf,Ir.CDM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me. as shown on the attached drawing. the development they are proposing. A
description or drawing, with dimensions, must be provided with this Letter.
f7t7"
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted
at(252) 808.2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift,or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must shin
the appropriate blank below.)
1 DO wish to waive some/all of the 15' setback
Signatur Adjacent Riparian roperty Owner
-OR-
I do not wish to waive the 15'setback requirement (initial the ban* E`v�D
�tEC
Signature of Adjacent Riparian Property Owner: 2023
p 2 6
Typed/Printed name of ARPO: dCi\,Y\ Cl bo 1� � I s 1 ��t� v`$ $ 5v G11
Mailing Address . A
P4 10 t -1-tY1- -i‘, 'o�`,h N G 0 J
op
AR Omom! 'eattaAtt i t. -n C.
s email: ARPO's?hone#: —47RO'C.�la I
Date: DI 'Dt t` a-3 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

•
N.C. CDIVISI tN OF COASTAL M,°,N N.GEME T
ADJACENT IPAROAN PR'OPCERTY O',"'NER KtTIFICATIC> ;MIVCER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Ton coley
Address of Property: W?. /V Shoic II drive_ "Mantic be i) NG 23570i
Mailing Address of Owner: 7,3/3 Bety 1/il/ c r Relier Ii 4/G A766--
Owner's email: 7l1.cr,/rynQ 6mi,'%•(.0M Owner's Phone#: 9//4 -.395- 110
Agent's Name:Ode vo,'I /S0/5?cr Agent Phone#: ?NV- 701 3 3691
Agent's Email. Oe vvo.73o/57L c (:.r'1ai'(.Lc)m
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATIo rI
(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 descrip' n or drawing,with dimensions,must be provided with this letter.
L 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(®CM)in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Off,Wilmington,NC 28405.®CM representatives can also be contacted at .
[phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
NfifAIV[ER 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 Sian the
appropriate blank below.)
I DO wish to waive some/all of the 15'setback
-te -64.! ,01
Sgnature of jacent Riparian roperty Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:* ✓ - --.1".'��
Typed/I rinted name of AfR PO:JL irk of y /�, / , e lelahhhr R6'gAddressofA0:4- �3U2 0., Rev
hartitroc-t 01 (`/
c/sboc0 iv.. 3 a
ARPO's email:- udt.f fe-J5 ?ynOr/ARwo's PI�one#:'t 0/9 92/-d/3( '
Irate:*- 9/5f/202 3 'waiver isvalid for up to one year from ARPO's Signat:.
Revise WWD
SEP 0 8 ?023

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: (70r) C. )lc!
Address of Property: owl /V Sh0%G 1/ &ivc- i1 I G bea&A ,27e )457AZ
Mailing Address of Owner: / 3/3 Bey /f"// Cat Rat Ie/ I 'v_ La76/�
Owner's email: cr7• Ok D 4)6,4?a;/, MOwner's Phone#: q 3 [ `M
� �y� ca �I t/
Agent's Name:Pei/Oil 4.. l,�CC Agent Phone#: AO. 7a 3 3‘q9
Agent's Email:99VO/7136(il26 ! G✓rzo 6.04I
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.
V
\ I DO NOT have objections to this proposal. I DO have objections to this proposal.
f 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.DCM representatives can also be contacted at
[phone], No recp.,nse is considered the same ?s no nhJection 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
oQSC4L
. �(
SignatureA jacernt iparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: („) 3 _ �\
Typed/Printed name of ARPO: - X--)e Ll (_ , , oc 0,ss
g,,,,.
Mailing Address of ARPO: \\% ) S\--oy)Q,.• CfpQ-\ pr. C-reekvio) ( le,,)--)�
ARPO's email: � a-�\3 74
��('1 QSS'�3 eC�t3'1r;ttk.`ARPO's Phone#:
Date: a\ \2c(2 " *waiver is valid for up to one year from ARPO's SignattOECEIVED
Revised May 2021
SEP 0 8 ZIj23
pCh4-noi...,;. CITY