93069C - Vereen, David

��`°"'",1ElCAMA DREDGE & FILL N9 93069 ABCD
30
GENERAL PERMIT Previous permit ' '
Date previous permit issued
El New ❑Modification El Complete Reissue El 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 V+1-i• \y( 0 ❑Rules attached. ❑ General Permit Rules available at the following link:www.deo.nc.gov/CAMArules
Applicant Name V ctV 1 c\ V`t V-r e v) Authorized Agent b by �r i Cj h4
Address '- '', 13G\LeV '4L? . Project Location(County): 1"`1,-,\0w
City N IA\oe'-1' State )v G ZIP 1.8 J JG Street Address/State Road/Lot#(s) A
KA E
Phone#( 1 l ef) fj 12 _ L 33 7
Email G{ 11)Cjc • VtYeen@C'VI1GIiI.Coyv-i Subdivision \la(1CIVK S OV'CS
J City litAkx14 ZIP2&S3C/
Affected Tim ❑EW fl PTA El ES El PTS Adj.Wtr.Body ?CI V. OTT UL)0 NI p (na unk)
AEC(s): ❑OEA ❑IHA El UW ❑SPIMA PWS Closest Maj.Wtr.Body .k IN v "
ORW:yes/no PNA:yes/no
Type of Project/Activity \1e"C t1VC52d 1 X',(" (I \(-1 l C1 \ _
` (Scale:NI FL
Shoreline Length
Access Length (.0 " ', I r �I ...._.._..
I
Pier(dock)length _/ ! 1 t-- \,,. j f • i_/ NI n
Fixed Platform(s) 1 C i..
Floating Platform(s) j ' 1
► W i.iil►' ti
Finger pier(s) / r~',
Total Platform area L CC 5cj•--4
{ i111111
Groin length/# / ' '
•r v Ir rti
Bulkhead/Riprap length } r< I r ©�.. ..i
- El
Avg distance offshore / —__.
10
I oM
Breakwater/Sill / I i j
Max distance/length +',i, Y 0M04 \', 3 t
Basin,channel�.- J
Cubic yards -'" �_i V'',' ' ���p� G� � l IV 3‘j? -
Boat ramp - } I ytL
Boathouse/Boatlift — �`f��
Beach Bulldozing / .
Other 't\1C SIiV3 CILit`►'1(`v' t W °1;104.1115 Y, I ..._....
SAV observed: yes no _., , ._..
Moratorium: n/a yes A I
Site Photos: no ': I
Riparian Waiver Attached: es no ' 1C. i ,► v:4-'
A building permit/zoning permit may be required by: ` 1 , ,i t l- L`t \j
Permit Conditions I f 1,:i - ''`'.t ("j '\v'loci 2-C 0 SC [1 TAR/PAM/NEUSE/BUFFER(circle one)
,,C 't•T i We.A ( \by lOV kion o I ..v- cue...) c.�1C, ,)\ ' t V i v i v' ,N- pi, See note on back regarding River Basin rules
O-c '2, -yOY't,- (Au SI,t j krc#e. c_,v,r-, I V'O'k" f'},cCed I ,
``(`(i W 1 New\erk(h O-- CV)&) I tc p ck4c'('‘ y vA [7 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
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

o�°�C0"r'INUCAMA ❑ DREDGE & FILL No 93069 A B 'C D
GENERAL PERMIT Previous permit
Date previous permit issued
El New n Modification n 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 t H. 1 LL 0 ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name `, :('' 'i f' \t i r : Authorized Agent
Address , 1-1_4('t .f4 v• }, 1, Project Location(County):
City , } State NI G ZIP Street Address/State Road/Lot#(s) ,v�p„`E
Phone#( ) I
Email „ ,,I r . . . Subdivision ,I C1 v (It lr _, t c ti'i j
City ; HL, 0 ZIP 2Jr./ri
Affected I I CW n EW n PTA n ES n PTS Adj.Wtr.Body ' [(nman/unk)
AEC(s): OEA ❑IHA ❑uw n SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length } t 1" ( k
Pier(dock)length j i j j�t
Fixed Platform(s) ;_...�_-_-- t-_ __r1 ...__.___ __F.__�__... ! I v
I 3
f
Floating Platforms) Pr Y r C` "
Finger pier(s) I i
Total Platform area 'Cr'' fj.-1 4 j f f ,Groin length/# 1_ —_._ I
Bulkhead/Riprap length i...... ..'.-_...-.. l ........._1_ Y2w t !..L_._._ . .... ._. ...`.t� . ... .. `w1-
Avg distance offshore ,,k- -�.`,, ` �
W IC' xC~ 4 NI
1 I V
Breakwater/Sill . 1 i � ' � � � � i
i
Max distance/length 4,41 k, � t 1 f'
Basin,channel Cl(LAC ' I ` `- T /' + -
_ __ _ l...__ .f_ V.k r �,-- _..._..- _..-__ _
Cubic yards_i 1__f/ le 2. 0
Boat ramp �` 6 x w�
( �y"�
Boathouse/Boatlift
�
Beach Bulldozing -- C.V...._ s. el I
Other ' i \✓ ...W 1C,IZ Y. ._
SAV observed: yes no
Moratorium: n/a yes nnoo KA t I f
Site Photos: yes 'no` 1 -+lJ1% - - ..__ _ _ _-- }-
Riparian Waiver Attached: yes no t'yt'(11�P:1 I (� tic'
I _.._.__.__ , t{Vi j Vif Cl
A building permit/zoning permit may be required by: . c o/
Permit Conditions i(-ri,i ,% -I t r 1 - I , -f-4 i r.t- iT -',i 1 n TAR/PAM/NEUSE/BUFFER(circle one)
kjr i , it 1‘ S.,e (-'t , \, t l', M t, n See note on back regarding River Basin rules
. ' { } Ti 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 --y
Application Fee(s) Check t/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

N.C.DIVISION OF COASTAL MANAGEMENT
-._ ...^..un.mi%H p FnPM
Lr AUTHORI ATION FOR LAMA PERMIT APPLICATION
Name of Property Owner RequestingPermit srmit Y t
Mailing Address:
0 -Fick. eX Qocka
Nub NC a8539
Phone Number:
9- 35 r
Email Address: ' o331D-�0- 1_
d`-odd. ve,ceen.
11 I certify that I have authorized @ ��I co Y`rl
Bobb Bit h
Age Cor.tractor
to act on my behalf for the purpose of applying fur and obtaining all CAMA permits
necessary for the following proposed development
UocK
1 .
at my property located at I a I ct 112o0,d, }_ be N C e2 S539
'n Qns\OVJ County.
1 furthermore certify that I am authorized to grant and do 'n 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 0 ner I formation:
Signature
�v td vex-,,..,
Print or Type Name RECEIVED
OW he
Title Orr a 2
IDfd 1aDa3
Date OCM-MHD CITY
is vi '3
alid through _ 1 o�__I ��a �� QH 00
his certification9
EZOZ 7, 0
OJA 9OJ I

...
m'
. .., . .. . .
OP
ADJACENT N C. DIVISION OF
CERTIFIED RIPARIAN PROPERTYCOASTAL MANAGE
MAIL RETURN RECEIPT
NOTIFICAT ONT I
EIPT RE IFIC IWAIVER FORM
(Top portion to be °f HAND DELIVERY
Name of Propertycompleted by owner or '
Owner: David their agent) '•and Erin VereenII
Address of Property: 101 Baker Rd, Hubert •
NC 28539
Mailing Address of Owner: 101 Baker Rd, Hubert N •
Owner's email: dtodd.vereen C •28539
@gmailcom Owner's Phone a
Agent's Name. Bobby Bright
all
Agent's Email bjbri ht Agent Phone# [phone]
9 @live.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
'Bottom '
ortion to be com leted b the Ad'acent Pro a 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
descri lion or drawm with dimensions must be rovided with this letter.
1 I DO NOT have objections to this ro osal.
p P 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252) 946-6481. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
4 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 npanan access unless waived by me
I (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 same/all of the 15'setback h: r W.A........A.1
Signature • Adjacent R 'arian 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:
troy r l an S\(‘.nre s L 23°1
Mailing Address of ARPO: aC htS •lam
a� ( In(Avv Infit✓Cu cto�rn S ti 1 0a 1?-(pc
ARPO's email: y
ARPO Phone#:
ARPO's Signature"
R
?,01 "waiver is valid for up to one year from E ED
Date:
ON 0 2 2623
CCM-MHD COY

b
ii
ADJACENT N.C. DIVISION OF
CERTIFIED MAIRIAN PROPERTY OASTgE MANAGEMENT
RETURN R W RER NOTIFICATION/WAIVE
ECEIP QUEST R FORM
(Top portion to ED or HAND DELIVERY
Name be Completed of Property Owner. David and by owner or their a
Erin Vereen agent)
Address of Property: 101 Baker aker Rd, Hubert NC 28539
101 Baker Rd
Owner's e , Hubert NC 28539
mail: dtodd.ver Owner's Phone#:
Agent's Name: [e-mail]
Y Bright
Agent's Email: [e-mail] Agent Phone#. [phone]
@ com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom onion to be co
m leted b the Adjacent Pro
I hereby certify that I own property a Owner)
adjacent to the above referenced ro rt The i
descn tion or drawin with dimensions must be rovided with thisletter applying for this
permit has described to me, as shown on the attached drawing. the developmenty ndividual they are proposing A
I DO NOT have objections to this proposal.
Y have objections to what is beingI DO have objections to this proposal.
If you �
tal
Management(DCM)i in writing r posed, you must notify
Coa
mailed to 943 Washington Square Mall, Washington, NC 27889. DCMtepre representatives
can also be
within 10 days of receipt of this notice. Correspondence should be
contacted at(252) 946-6481. No response is considered the same as no objection if you have been
notified by Certified Mail. rues also be
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 / airtzet carazzit::,\._
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:
Daniel Sullivan
Typed/Printed name of ARPO: �I
Mailing Address of ARPO: 3 4-a Xe r , 1161�C 4 /r c Z?53 7
ARPO's email)Li an n . 'Il q e 3 Math A$PAls Phone#: / ��Qrj(Q ���
Date: Q �-1 7 ,�---"waiver is valid for up to one year from ARPO's SignatuuLt D
Revised May 2021
OFF A22023
DCM-MHD CITY

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