87014A - Butler

'FO—Meva1CAMA ❑ DREDGE & FILL NQ 87014 (D ® C
��i GENERAL PERMIT gyWillp- "W
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®New ❑Modification ❑Complete Reissue ❑Pardal Reissue
As wthoriwd by thState of North Carolina, Department of Emironmental Quality and the Coastal Resources Commission in an area of ernironmental cuncem pursuant to:
714
e/
I SA NCAC I14' taco __ Rules amd d. nX cereal Permc Rules avaiwe atthe following link:w Ai;a.ncgo& MAmIec
City 3,04;a1t State Vsk ZIP eC')'I Y9
Phone # (J'A)%(Q 4 �;6q
Email C(rc.. w 12 W Y@.r'Re}o Mll-
Authorized Agent
Protect Lorin (Camty): IlA u to. T
Sava Add ren/State Road/Lot #(s) - _...._._._
Subdivision
City idea hn ZIP. al cj 32
ABected OW NEW RPTA ❑Es DpTS Ad). Win Body_... r_%Lo(�wfin R..t ifZs r' ,of,%da 'rmNunk)
AEC(s): ❑OEA ❑IRA ❑UW OSPIMA ❑PWS Cbsest Mat. Wm Body
ORW:yeSICO) PNA:yes(rO
Type of``P�rroject/ Activity ��Doa,'i't a,..4_ s•Tf X2r6- �iti^�� pier$ t k t rj`r
rn1a:TTefm ku 5�-t / I 3c�;ti.n 1A *'e _k .Ls' lV x 1"i_i (Scale:I"-3d
Access Length
Pier (clock) length _:..
Fixed Plalfortnls) I xis
Floating Piatform(s) �fa ,t ye p(�) ka' _
63`rr� �ly _ � �` T Lti'��S Qa
Finger piers) a `31 x a t ,�T/�
Total Platform area,y>w�s"
Groin length/W
Bulkhead/fliprapimilth
k
Avg distance ot6hore
_,...
Max distare/kngth___ • :
Basin. channel
Cubicyards
Boat ramp
cathmu oa61
Beach Bulldozing
Other .. _ /n "f. .. ,����,\Q�i'�fQt�. � p'.� g �r,U f•
SAV observed: //�� Yes
Moratorium: Q yes no -- - -
like Photos:
Riparian Waiver Attached: /°�
A building permit/zoning permit may be required by: Clk6 u�,n Y»w
TAWPAd-yNEUSIEUBUFFER(drde one)
Permit conditions
See note on back regarding River Basin rules
see additional notes/cmditions on back

Occur"
3),rACAMA ❑ DREDGE & FILL
GENERAL PERMIT
N9 87014 013 C D
Previous permit
Date previous permit issued
MNew []Modification ❑Complete Reissue ❑Partial Reissue
As authorized by theStateof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 7
15A NCAC 14 ' (add ❑ Rules attached. ❑X General Permit Rules available at the following link: www.dec.nc.gov/CAMArules
Applicant Name Jb n 4 CQ T I�, & 6Q r—
S Address 1 fti 1 'c An &nq ]ZA�
City at-Fdlk State ZIP �.iy37
Phone # (75�7) (o14 33a�
Email SI6K r\ I2 Y,'@ VHnZ C.N. fSP1'
Authorized Agent ``--
Project Location (County): l' I nwcA ,tn
Street Address/State Road/Lot #(s)
I o 3 �a „don tom.
Subdivision
City ��'en't ZIP P7`13.2
Affected ❑ CW © EW [M PTA ❑ ES ❑ PTS Adj. Wtr. Body WOu't JK i &r` �'man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body P l bear (e. S o" A d
ORW: yes/C.) PNA: yes/rQ)
C agrkIV )OOC hC, %e 2rXzy F X( r
Type of Project/ Activity c n� C� � hnrrr Ate-c`` � S
`pp f+�� w 3d
placTp(mW / � 3w1+.a 1;�' ,Q4 Sk't �irtS ` IZf K 13' Inne.:Fi't�1- _ - _ (Scale:ltt= )
Shoreline Length V— IU.t
Access Length
Pier (dock) length vi— Fixed Platform(s)
Floating Platform(s)
Finger pier(s) a$ I x a r
Total Platform area
Groin length/N
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
oathous oats �rx (3fjj2/r13r
Beach Bulldozing �A,
Other (. .4 t
SAV observed: //''�� yes Q
Moratorium: ta(a/ yes no
Site Photos: no
Riparian Waiver Attached: & Zo /a
A building permit/zoning permit may be required by: Ckowo. VN cOV.NlILI
Permit Conditions
Agent or Applicant PRINTED Name
ems.
i ai f
V45' t. t R
1% \�
X�6
C—
J44h(�
00" V(0?'
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit
Signatu9sre'*Please read compliance statement on back of permit'*
a��
Application Fee(s) Check p/Money Order
Signature
101/Iu /23 a/91.2q
Issuing Date Expiration Date

1*Ote""" [[]CAMA ❑ DREDGE & FILL N9 87014 Ai B C D
Previous permit
3 GENERAL PERMIT Date previous permit issued
M 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.deq.nayov/CAMArules
Applicant Name
Add....
City
Phone # ( )
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (naUman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/rto,,
Type of Project/ Activity
(Scale: )
Chnrolinu I on h
Access Length Pier (dock) length
Fixed Platform(s)
■
.®ll�■■■
:■�lNS
��1
■■■
■■ice
:■:
Finger pier(s)
Total Platform area
IN
Groin length/#
12,99.1.
No
t
■■
■■■■■■■■b■■■■■■■■�■■
■■■■
■'
0
SHE
OEM
Beach Bulldozing
Other
SAV observed: yes no i
Moratorium: n/a yes no ■i
'.
Site Photos: yes no
Riparian Waiver Attached: Ves no i■■�■'■:::i:uin
=I
is
000
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
Signature -*Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature
Issuing Date Expiration Date

RECFIVEp
gi 10 2023
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N.C. DNIMN OF COASTAL MANAPI;MENT
ADJACENT RIP
ARIAN PROPERTY OWNER NOT*XAUOMWAIYFR coati
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TypedNrYMaA name of ARPO �TJ d.s '05 f:. G sAvgx —f.R �,,.__
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RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM OCT U 93
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) DCV!V I n A_EC
Name of Property Owner: '�o 5arl7`f G V
Address of Property: l � .3 /� f��Dl1/ �C� d D��%�,
Mailing Address of Owner: /�SZ. /Y%i4 /%!%if% �7G4150�"A*� Z2�
9
Owner's email: .5:�4�t.�4 2 � //i1ar Owner's Phone#: if 33 V
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Dortion 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.
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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 16 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.) oocuslgned by:
I DO wish to waive some/all of the 15' setback Signatureof djacent Riparian Property Owner
-OR- 7C79BOD2941F47E...
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: I Ad r�(.�,,",.°.
]C7�90o2WIF47E
Typed/Printed name of ARPO: Paul Williams Division Environmental officer
Mailing Address of ARPO: 113 Airport Dr., Edenton, NC 27932
ARPO's email:
Date:
[e-mail]
10/09/2023
ARPO's Phone#: (M)482-1861
*waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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