89857A - Smith, R.

d NCA ;nA 1 DRIED, its & FILL
GEAERAL PERMIT
N° 89857
Pre-Acmn prrmit
Gate pre norm per,
( lNea+ ( IModi0catiott )ConlpleteReisslil i_}Partial Reiss; m
As authorlW try it,* S _ s of North Cwol tw Uqn^ , t of ErMrtvvnar„at Quxfc, 1 the Coastsl A�,,U e, dtnkon in an aroa A emho rurcern ❑Ynuam tts'
i SA NCAC W._...,...._. ` I?-_1fZ.. '_ __ _ _.. __... [ Fhd*s Atsd, t (r� G¢++ma1 P*+eMt tl : " n kialnle u the fok "/rm ;I, -,cmt6 L�.eGYts. illr
Addrea`����`S2.>2.Yi11S.1'l�4t�Eqd. Protect t.acation{rr., r':
chy,.t;; tgAvo > sdro__ Y[ ._ 7)P, a�iOl , ,. Street Mdr#%lSWAIt ,•eatN(ty w L ll —
Phane ♦ { �'�) 9l( "{ - W __..._._,,. �� �/-yt E aT �c� V t+. _. _ � ._..
EmaS
ADette6... i._ICW NEW ®Pin (DES OPTS AdI. Wtr.
AEC{F): ❑oeA Qnu+ nuw MsP1Mll ['Jwu. aourtmai,Wu. NA) —,1V ctvw-1._.
ORW: yes& Palk irtsJ10
Type Of Project/ A-, Ary Y `j.. _ �ISdc..,.,
ShorNine .e^ 41- }
kr-
4C Lenq
PMr (dock)length
Fixed Matforrnis)
Floating Plat(ortnist._....
1 1
rnearP q;-
+
Total Pworm alga _S _ 19-a xkL 1 , } ± . IIkF , . t.sd `i ? t4 4,4
, r
Groin L-ngN*
Basin, dlannca___-.. 01'' -
h
GJtdC Yirtfs ,,._....... I , 1 f
Boat ramp_. Y _i ` _.._._.._ 1. ,_
Boathomel BoatlfhBeach ButWozing
.-...
Other xtD
Site phows:
-T 1
.,'W•an Viiahvr Atlad, €. '!K
AbundingpernniVionir: permhmaYberequired try. .. __.5d�71X.._`�'-.4+�1 s'T5i ..._..__...
TAR,PAh6Ti B>'EIBUFPER (arcly aril
PermR Canditbns __. _ _... .._._�._._.
1. t regatdl g RNer Basin rui:
ElSwaddW, ro(esjcwMhiona on Wck
fAMAWAM OPSTATO 'S, ChCRUfESANOW4Ont =h STNATAPPEYTOTMSPPoS. K(TANDRMEWEDCOMMI YASTATEMENT. (Fk4av,
A nn
lgv,to h rt dt✓/�--O�N^em'e' Permh6 t Pm
I Home
----tee'--•'�•
Sfanature ••Pktaae read cr(pBance Wtetnant on ba, urpermit•a Signature
MWicatiOn F*S) Check 0/money Ord+ luAq Oate �E, +Mon Date

Statement of Compliance and Cci sistency
This permit is subject to compllar > with this applicati r and permit condi rms. Any violation r ' these terms may
subject the pet'nittee to a tine or iminal or civil actin and may cause tf, permit to brcorne rill and void,
This permit mu it be on the projec site and accessib€e a the permit officer •when the project is respected for
compliance, The e applicant (ertifie. ' �y signing this per,; it that: 1) prior to it (lertaking arty activ es authorized by t! =:
permit, the applicant will confer 4t I i appropriate locs i authorities to cor?fir i� that this project i onsistent with tr=:
local land use plan and all local oil =iances, and 2) a u i lien statement fro-; _he adjacent ripari rproperty owner; ;
has been obtained, or proof of del ,<,?ry of certified ma notification of the djacent riparian prt >erty ownerfs).
The State of Noith Carolina and th Division of Coastal vanagement, in iss ing this permit and r the best available
information and belief, certify that 11is project is eons =_rnt with the North : irolina Coastal Ma �agement Progra.r
River Basin Rules Applicable To Ye tr Project:
tJ Tar- Nmllco River Basin I offer Rules Neuse ;wer Basin Buffer Pi us
If indicated on -`runt of permit, yo project is subject a the Environments Management Corn -,!ssion's Buffer Re!
for the River Basin checked abovt due to its location v ;thin that River Bas i. These buffer ruler are enforced by th
NC Division of Water Resources. I you have any quest ins, please contact lie Division of Wags Resources at the
Washington Regional Office (252- 46.6481) or the Wi riington Regional q Tice (910.796-7215)
Notes/Additiorial Permit Condit, ns:
Please ensure ali debris associated with lie removal or construe+ on of the permitted d,t abpment is contained -thin the authorized
project area and d •iposed of in an appna rate upland location.
Division of Coastaj-Managif
Morehead City Headquarters
400 Commerce Ave Morehead City, NC A
252-W$-2808/ 1-SMARCOAST Fax: 252
(Serves: Carteret, Craven — south of the N
Counties)
Washington Dim :1
,57 943 Washington ! luare Mail Washingtor,
i1.3330 252.946.6481
i,se River, Onslow Fax: [phone]!
(Serves: Beaufon; . raven — north of the N
Tyrrell and Washi, yton Counties)
Elizabeth aty Disulct Wilmington Dist? a
i C ;:7889
use River, Hyde, Pamih>
401 S. Griffin St. Stu. 300 127 Cardinal Drht Ext. Wilmington, NC 2) C5-3945
Elizabeth City, NC 27909 910-796.7215
252-264-3901 Fax: [phone]f�
(Serves: 8ertie, Camden, Chowan, Curritu $, Dare, Gates, Herttor:! (Serves: Brunswi:. New Hanover and Pen ter Counties)
Pasquotank and Perqulmans Counties)
http://portaLncijenr.orR/web/cmil� cm -homy n�vseaatm:, ;;

a�taurq ®LAMA ❑ DREDGE & FILL
3 GENERAL PERMIT
N New ❑ Modification ❑ Complete Reissue [-]Partial Reissue
N° 89857 (25 B C D
Previous permit
Date previous permit issued
As authorized by the Stateof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
914,
15A NCAC 1 N , l Aoc) ❑ Rules attached. M General Permit Rules available at the following link: www.de nc Pov/CAMArules
Applicant Name14"C SJ5f It ,i YY%I hy Authorized Agent (7
Address 110 O p M L n r rh f C6` e t PL. Project Location (County): PA_ ii�
City PL&.r Cel\VWe State VA zip �V(3,Z Street Address/State Road/Lot#(s) 1O+- * 171 JZ
Phone#(Z) 9(.,11A4- 14y 1.3(u W. �caa�i l<k�tr
Email ®t'MiYhIm 9z1 �C(QhCA.CGih Subdivision Oca1p ry
VLG
city �(/'� f-) 1k ZIP .Z-7 f 5% 1
Affected ❑ CW © EW © PTA ❑ ES ❑ PTS Adj. Wtr. Body C KODU)C1-IL(Y¢r C_ I 40man/unk)
AEC(s): ❑OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Win Body I�T l bew"V.r (2 -S �
ORW: yes. 6)PNA: yes/ i0o
Type of Project/ Activity
Shoreline Length *f— b O7
Access Length C rxl
pn
Pier (dock)length
Fixed Platform(s) l:
Floating Platform(s)
Finger pier(s)
Total Platform area ('A80.Sq
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length
Basin, channel _
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other '/I xfaf Slop};1
NNN",.. r91
f X6r
2.,04/r(e'1oes
IpsMp)
)P \w
of
,frp� J
SAV observed, � yes
Moratorium: '`'(J+' y/es� no ,6(`1z"
Site Photos:
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: ge'r we CQtAn'iv
Permit Conditions
(Scale:)" V(Y )
❑ 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
Permit O efh , PRINTED Name
Signature
10/S/?3
�isizy
Signature "`Please read compliance statement on back of
permit••
�
Saco, �-
9101
Application Feels)
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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Fender Counties)
Revised 6/01/2021

�otcour4,❑CAMA ❑DREDGE &FILL N9 89857 fA) B C'sD
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 - ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name _
Address
City
Phone #
Email
State ZIP
Affected ❑ cW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ uW
ORW: yes/no PNA: yes/no.:
Type of Project/ Activity
c6. 1m. I aoath
❑ES ❑PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
I
Subdivision
City —
Adj. Wtr. Body (nat/man/unk)
Closest Mal. Wtr. Body
(Scale: )
Access Lengthi
I
t'
i__
Pier (dock) length
Fixed Platform(s)
—
Floating Platform(s)
—
)
_L.
i
� �I.
;
.-
� �
J
_ i
'
It
A
Finger pier(s)
Total Platform area
Groin length/it
Bulkhead/Riprap length
Avg distance offshore
-I--..
-.
_--_-__.
_
_
_.
__
._.
_
---�-_
Breakwater Sill
L'�—
Max distance/length
Basin, channel
Cubic yards
Y
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
o _
_.i__
i _
Other
_
-.
- _
_
_
__
_
SAV observed: yes no
Moratorium: n/a Yes no
t_
""�
-
_
"'-
t
yes no Site Photos:
-
-
,,
1
Rioarian Waiver Attached: ves no
A building permit/zoning permit may be required by:
Permit Conditions
❑ 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 Permit Officer's PRINTED Name .
a
Signature **Please read compliance statement on back of permit** Signature
<I ,
Application Feels) Check q/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
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

DIVISION OF •MANAGEMENT
(Top portion to be completed by owner or their agent)
Name of Property Owner.
Kajel(
5m(fk a/icj
RnA
A( J4f,�-k-
Address of Property:
2Wt(lo4n1
i J� wr. ROxq j
wa 4 M el-r /
H- I ff
-J.C. ,ogY I
�— —7
Mailing Address of Owner: liago1
fQ'aa.Ghtc! piact
(turcellt✓sli
VA 203
Owner's email: U hl! 0fl' �!Z I &
�04W, 0H Owner's Phone#
�_7)' ) h,� 4- 4, i ±J
Agent's Name:
Agent Phone* ECE9 V ED
Agent's Email SEP 2 8 2023
LKI'm INN,
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. 6
I DO NOT have objections to this proposal. I DO have objections to this proposal,
if you nave objections to what is being proposed, you must notNy the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. correspondence should be
melted to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909, DCM repmsentadvas can also be
contacted at [phone]. No response Is considered the some as no objection N 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 elan
the appropriate blank below )
I DO wish to waive somelall of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: _ Greg Jones —
Mailing Address of ARPo: 804 Green Oaks Pkwy, Holly Springs NC, 27540
ARPO's email: [e-mail] ARPO's Phoned: 6628898630
Date: 09/25/1976 'walver is valid for up to one year from ARPO's Signature'
Revised July 2021

DocuSign Envelope ID: 1135COE2-9FF1-4E80-B88D-B7BE39C3E764
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICA710NiWANSR FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or. HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner, wi iil Qe'1 Ka)jel ( L/)I i tk aAd ArlA 44 j4f,*tk
Address ofProperty: 136 uj. Rojol WA4 1peiT� F4-11� f,J•C•
Mailing Address of Owner: (b,'DI CJraldhacl NocC PurcCll✓,1LG VA 20132—
Owner's amail: 0 h1_ O? tth 9y t & �cAt 04f Owners Phone i- C'?d0 g,,! — 411 ±1��yy
Agent's Name; Agent Phone#: R F I P� a E I V D
Agent's Emall,
c CD P a 9023
�L.11l
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthts
permit has described to me, as shown on the attached drawing, the development they are proposing.
desoppAlon or drawing with dlmenklon5. Epust be vroAded with this letter.
X I DO NOT have objections to this proposal. I DO have objections to this proposal,
if you have objections to what /s being proposed, you must notHy the N.C. Division of Coastal
Management (DC" in writing within 10 days of receipt of this notice, Correspondence should be
malted to 401 S. GrMrin St., Ste. 300, Elizabeth City, NC, 27909, DCM representatives can also be
contacted at [phone]. No response Is considered the some "no objection Myou have been
notified by CerUNed 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 glop
the appropriate blank below )
I DO wish to waive some/ail of the 15' setback
-OR-
Signature ofAdjacent Riparian property Owner
I do not wish to waive the 15' setback requirement {inriial the blank) NGK
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Nancy Ga,
Mailing Address of ARPO: PO Box 81 Merry Hill NC 27957 - 134 W Royal Way
ARPO's small: [e-mail] ARPO's Phone#• 7039805334
Date:09/26/2023
'waiver Is valid for up to one year from ARPO's Signature"
Revised July 2021

Date: September 26, 2023
From: Ann Smith
Re: Permit to complete Pier/Boat lift
Please find attached the drawings for our permit
application to complete the boat lift for on our pier at the
following address:
RECEIVED
136 W. Royal Way SEP 2 a 268
Merry Hill, N.C. 27957
DGM—EC
Owners: William Russell Smith & Ann Smith
The Pier was completed under a previous permit that was
approved earlier in the year. This permit is just to
complete the work as follows:
• install boat lift and complete walkway around boat lift
• Add piling on side of pier for other boat slip
• Add stairs to existing jet ski platform on side (remove
the ones on top of platform)
Contractor: Bobby White

Application to finish BOAT LIFT
/oax s w.�l•�i�,kY
5410 slop
6x1� sl-ePdown
4'x21'
Finish boat lift and
add walkway
14' x 10' 1
AddxS
14' x 21' I
119 sc.11 Sm `4-h
I\
V
lb 1�
SX00
/SX2o
F�
Add piling for
boat slip (no
0 decking)
Add stairs to jet
ski lift (on side)
4' x 6'
RECEIVED
0 C T 0 3 2023
: )CM —EC

Stairway 42" wide x 65 feet long
A SU%V "NO PGr FOR Proposed
W. RUSSELL SMI7H
ARO WE steps to Pier
ANN M. SMITH
LOT 17TR — PMW 2 — SCOTCH NW. PRLSERLE PUO
TJ8 WEsr ROYAL my
MERRY WA. TOMNSMW — BERRE COUNTY — NORTH CARpIN/
SME. I -20' AWE I. 2022
TOTAL ARG 54Mf M 24,011 X A. (CCROMTE UEA,tlO)
SOIMCC MZPETCf:.. 1 WS . 19
/f v.A It" N'
MT . k; A14WW.. = "4'leA ltOdO
wstKUKf
eeN, sumx 1.. EW( 1 i u W' aa/a/1.
1M5 SUTtY IS C M ( d1W e.Y n
mwn n it b N (-sae# [vEmw m ke wetly.
°
s
pin, K/(KACf:
NY IA I 0 g
0 RO W 80 3
Nyy
iblf pY MIM I{Ywi MnIY Rt �Y
OMYIRS'.MM[55: 44
IQW I WNICH.f{ NAtt Y
WRCRl4%If. NRGYM AIJ] �a�
�a
a
8,
(Jones)
O %,
{A"'qv
T
+.
wcs,
Rom,
Existing
/ Pier
Existing patio and
walkway
(Kings)
RECEIVED
SEP 2 9 2W
t�CM-EC

Materials:
- 4x4 composite pressure treated wood for framing
- Trex deck boards for surface of stairs that will match
Pier composite
Enhance Naturals Composite Decking Board
by Trex
SEP 2 9 2023
DGM-EC

Stairs will have risers
and may not be this
steep but designed
like above picture
Design Description:
Picture shows how trex
board will be used on
steps, but color will
match Pier compo w'GE ED
SEP 19 IM
®C-EC
• Stairs will come down the slope and connect to existing
pier
• Stairs will be framed in 4 x 4 composite wood with trex
deck boards for surface
• They will be built into the hill and fit the landscape as
closely as possible
• No railings
• From the existing walkway to the pier will be 65 feet in
length with the steps being 42" in width

q 1 '
T i .
Y y
Nv
t1
„ 1 i
t ,l
7 b �
s rr
II��tb'!{.,a

I
o
m
N o0 3 w
0
s
9 �
J
n C'i
c�
c �
o �
a �
c
c i
o um L
C Ca
c C-
U ci
�
LE
20
a m
� c
N U a
N
N