89875A - Muirhead

#`" ®CAMA ❑DREDGE &FILL Na 89875 ®8 a
on
GENERAL PERMIT previous permit 89908fl
Date previous permit issued A/Z'
❑ New ❑ Modification ® Complete Reissue ❑ Partial Reissue
As authorized by tie State of North Carolina; Deparbnert of Environmental duality and the Coastal Resources Commission in an area of environmental concern pursuant to.
ISANCAC fn - f aw Rules attached. ® Genaral Permit Rules available at the following lark: wmvd ram.. �,�,n�¢pv/CA les
Applicant Name [T)l eltcLei IBLUr PliPosi Autimmed Agem ,f. rOLIML
Ad&w SM Veree1.1't bin "ect Location (Coaray): t�Er ii P
city_ `-ku- 1 ifm state N C zip_ 215;1'7 StreetAddreawSweRAadtLot#(a) l& -4.2
phone #(%Q) JAIS rngueab C. Cure,
Email 5 nci McAr�tP0.ri Q Yy a" I C SubdWkion_ � ._._,
Affected ❑CW NEW NJPTA FIES L1 PTS Ad1-Wtr. Body I jj11�r__(Q ntye n ynan/unk)
AEC(.): �OEA �IHA �uW �SPIMA ElPWs Closest Ma). Wtr. Body A461 ,A, 1x.
DRW: ye -0) PHA: yes, 5O .
'[Yae of "ect/ Activity tt-ry.s'1 r"Je CI §2X ` latC� a e,r w/ tior k 7 p• "1 n „ t7ta � t: dr
i
lu,e..r ak w.r i iO� x410 %=_pil..t_ d (0 9Ce fi`..cl t (Scale: �
Shoreline length t- (ioyti
�.,,Er
Access Length ^ ,—j—r—' ' -+ e— F-r—.—r--� , .6 yC,E�(
Pier (dock) length I>aa K7Cy� r I r ' t - >•-� __3 r ..._�diq f, �..1_ Lr,
Pied Piaifonn(sl If, 2Cy� '-' I I t i � 1 I I _
i2' X1CSrt r ('
Floating Platform(s) "' j 7--'i
�L�,� ,
Elogerpiers)�K sx(er t r a t ,_s+-r``s �—��—'
Total Platform area tx+•• r t r r +"�"�I� r r (rmrr•Tl -'; — T.. .i�LL.+—KT_"'__ -. -4.. « ';_ - r `-- -s--o- ..._-
Groin lengthJ# i. I t
Bulkhead/ Riprap lengtli I I I , T14 -`
Avg distaste offshore Smalavater/Sill
Max distance/length ` - i I
Basin, channel
Cubic yards �^ r __t , {_-_s .. . ........... .
Boat ramp 1 •. 1 e , t r I . ).-. I _. ._.,_ _, � __
Boathouse/r 1— i -J-'- _ _` `-1 -------
_ate
Bvatrdt
Beach Bulldozing a'" I - r -'--• �"-'.. 'i-I i j' —a�6
Other_ --r i I--
.-:.. I
SAVobserved:.
Moratorium:a s no
Sit
Riparian
W no Rip
Riparian Waiver Attached: yes
A building permit/mning permit may be required
PermitConditions I,i No podl--&%
TAR/PAM/NEUSFJBUFFFR (circle one)
See note on back regarding River Basin mles
See additional noirs/conditions on back
I AM AWARE OF SMUTM CRC RULES AND WNDMNSTH"APPLV TOTHIS PROJECT AND REVIEWED CDMPWLNCE STATEMENT. (Please lnidai) _
A.geg4arAppiicant D,(tiNTED a perms IYd vh}Lumen us..,e r
'Pleas d m Pliance statement on back of Permit"• Signature
1°N iZ3 2/4/;?a
GIs) Check#(Money order Issuing Data Expiration Date

MN9 89875
�� orO141 ®CAMA [I DREDGE &FILL $990(& a c D
GENERAL PERMIT Previous permit
� Date previous permit issued
❑ New []Modification X 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 1NN , "am m 'l L ❑ Rules attached. � General Permit Rules available at the following link: www.M deq.nc.gov/CAArules
Applicant Name I I I t c, kcLe � kui r r e-ckd Authorized Agent TyaAS SGtwv er J('.
Address Soo VC rc P& r —or. Project Location (County): &r )�l e 99
City C t, )n State N zip a 7 5 a7 Street A�dfdress/State Road/Lot #(s) (a � .0
Phone # (`` r rv) ��cl '- q'1 S� _ -1�13 (►'� a'.esk2i c- C%rc �-
Email S ct. sim. MWrtiec cl Q Qryct.(. ct_5H. Subdivision 0rgnf'IN y� r7
City � �i 1' 11 zip
// 219 f
Affected ❑CW ®EW ©PTA ❑ES ❑PTS Adj. Wen Body rl IDGtY,OLrr (e JOlti.N7 na man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body Ill ben,.a -IF Jot��U
ORW: yes no PNA: yes/0
Type of Project/ ActivityCcWsMJ-ci' a G'X 12Ci nie,r w/I6'Xz0' "L`' e&J gtcJ{ rm (caR r )' l it
-I-t r. x t _. ei_!
Shoreline Length
Access Length
Pier (dock) length 120' )e6'
Fixed Platform(s) fb t x��/3
IV X,20'
Floating Platform(s)
Finger pier(s)
I
Total Platform area toz'%C k
Groin length/M
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards_
Boat ramp_
Boathouse/
Beach Bulldozing
Other G Ave
U,29 t r pxde d (o h'f Prlt�.f�y T (Scale: 1' ='f
.�'`. 14e, Lo
t�o- le 2
A 1
tom...)
1p r
r
/n'r.%or
dL
SAV observed: yes (3n
Moratorium: /a yes no
Site Photos: G no
Riparian Waiver Attached: yes (no)O�
A building permit/zoning permit may be required by:
Permit Conditions L) NO pC fSO#N OE Tke rftX,k-�� l cc) }s, C'ctirt
5G t i li,l, f ' ri`c�ria�. access 4reA
RULES AND CONDITIONS
Agent or Applicant PRINTED Name
Permit OtfiCddy PAINTED Name
re„ae PM9.
❑ TAR/PAM/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** Signature 1A
$acx� °o 1 �2 to/q/23 2le)
Application Feels) Check tt/Money Order Issuing Date Expiration Date

iew
AMA [IDREDGE& FILL N9 89875 A B C D
ENERAL PERMIT Previous permit
Date previous permit issued
❑ 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. ❑K General Permit Rules available at the following link: www.dea.nc.gov/CAMArules
Applicant Name _
City
Phone # ( )
Email
Project Location (County):
State ZIP Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wen Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ U W ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length _
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area _
Groin length/q _
Bulkhead/ Riprap lei
Avg distance offshor
Breakwater/Sill _
Max distance/ lengt
Basin, channel _
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Atti
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ 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
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature`* Please read compliance statement on back of permit* • Signature
Application Feels) Check fr/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
k /' -, , �)k rW4
Name of Property Owner Requesting Permit: t t� LV-L
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
'i
c
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 i`
in ' e • County.
1 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 aforement6h6d lands in connection with evaluating information related to this
permit application.
Ptoperty.Owner Inforipation:
r
Signature
ILA _
Print ci Type Name 1 U N 1 6 Z06
Title ®CM_E(�
-t
Date
This certification is valid through t i

N.C, DIVISION OF COASTAL MANAGEMENT �� %f
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONjWAIVER FORM
CERTIFIED MAIL RETURN REGEIPT REQUESTED or HAND DELIVERY J U H 2 6 2023
(Top portion to be completed by owner or their agent),,
Name of Property Owner" -A"-_,
Address of Property.
Mailing Address of Owner _.
Sri5yy, t iU1d'7kCt.t7 +stz t. �c-, 1 7
Owner's email.!—_ _ owners Phanet:
Agent's Name:VJY AgentPtpne#
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
{Bottom portion to be completed by the Adjacent Property Owner)
t hereby certify that i own property adjacent to the above referenced property. The individual applying for this
perms has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with d mensionsmust be provided w th this lettef.
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 t c N.C. Division of should
b !
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to M3 Washington Square Me", Washington, NC 27889. DCM representatives can also be
contacted at (252) 9413-6481. No response is considered the some as no objection it you have been
notified by Certified Maii.
WAIVER SECTION
1 understand that any proposed pier, dock, mmIng 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). (it you wish to waive the setback. you must sign
the appropriate blank below.)
I DO wish to waive somelaii of the 15' setback
Signature of Adjacent Riparian Property Owner
.OR_
y r
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner _ i •—
Typed/Printed name of ARPO: ,'A IV,,
t r
'
t A
Mailing Address of ARPO:
-7
ARPO's email: t +�.1T ARPO's Phone#: -j
fJate. *waiver is valid for up to one year from ARPO's Signature'
,
Revised Jury 2021

NA-; DIVISION OF COASTAL MANAGEMENT
ADAAC'.ENRIPARIAN PROPERTY OWNER NOTIFICATiON1WAIVER FORM 'dui
Ili-;r agent'
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
So#tom, +nrt:ar+±a be o{n iet d b� the Adlg�cent Proi#k?nY wner; E�;r, r
9
ED
r 4 d. a l ✓ rdp n :at v ihQ'r'+:9 uiJ .,Cx-.'„+,1
We P L00 // pp 99
��� G t} 2ULJ
r„ r S r ri ur}l; °i'n:, 5�!i R S914.
g 'iPC �{ 'sPt. �_ + : -Wp nolEKtOl S It^
a -VOL, have .7L ec zr,s to whsf is being prO{iosed, you must nottty the N.G Div+slap of Cori!
-vanag9mGill 'Dc* !n writing wdtizin '10 days of raceiyc at ibis notice Correspondenca shoujo bu
�na;ded it 943 Was'tinglon Sifila.r+* 4Sati, WvShingtan. Nib 2760- 0Ghi representatives Call ai3o be
� jx iijcie,l ar 12521 94818482 No response +s considered the same as na ob;ection if you have been
,t,atirs�p oy Dart€fTP4 Mai!,
. •'x i2 3 G�'+58 1 ch '4%srb �., k,r r,*H
)[Pt must
Owner
fir... •�; Pe t .... (,r^�f�tj411 iii��l.�����'
?'pa>e dlPr!nted name of ARPO: tY,Y.-� _�i,.,�.S iR�
Mdiiiry Address of ARPO: /r7 1`hr itiAY r3N AiEK.tdcJX . / �36`73 _
,aSpPCt s emasl sf`.t 3.2 1.H.r� LOP ARPO's Phonau:
valid liar uR tO One /ear from ARPO's Signature"
peen` sG J..'L''i".

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Tracking Number:
9589071052700556930025
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Your item was delivered to the front desk, reception area, or mail room at 1:08 pm on May 16, 2023 in
DURHAM, NC 27701.
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Delivered, Front Desk/Reception/Mail Room
DURHAM, NC 27701
May 16, 2023, 1:08 pm
• Notice Left (No Authorized Recipient Available)
DURHAM, NC 27701
May 12, 2023, 2:15 pm
• In Transit to Next Facility
IMay 11, 2023
• Departed Post Office
BATH, NC 27808
May 8, 2023, 4:17 pm
• USPS in possession of item
BATH, NC 27808
May 8, 2023, 2:21 pm
1 of 2 6/5/2023, 2:03 PM

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MAY 3 0 2023
DCM— C
PUSMAL SERVICE.
BATH
415 CARTERET ST
BATH, NC 27808-9998
05/08/2023 [phone]
02--- PM
Product 0ty Unit Price
Price
--- --------------------------------------
First-class Mail$ 1 $1.50
Large Envelope
Durham, NC 27701
Weight: 0 Ib 1.20 oz
Estimated Delivery Date
Wed 05/10/2023
Certified Mail@ $4.15
Tracking #:
9589 0710 5270 0556 9300 25
Total $5.65
First -Class Mai l@ 1 $1.50
Large Envelope
Durham, NC 27701
Weight: 0 lb 1.20 oz
Estimated Delivery Date
certified Malt®
$4,15
Tracking q-
Total 9589 0710 5270 0556
9300 32
$5.65
First -Class Mail® 1
$1.50
Large Envelope
Durham, NC 27701
Weight: 0 lb 1.20 oz
Estimated Delivery Date
Wed 05/10/2023
Certified Mail®
$q,YS
Tracking N:
o589 0,7In C.97n nRR['
Aynn eo

LEFT side
6ft x 40ft (240sgft) walkway
Boat slip
vt
Dock 6'x 120' (720sgft) Right Side
Platform 16' x 20'(320sgft) With metal Roof(400sgft)
stepdown 12' x 20' (240sgft)
P<
C;
JUN 2 6 1523
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