92437C - Stagner, Jabar

�°F`OMT4j CAMA I I DREDGE & FILL No 92437 ABCD
°
! GENERAL PERMIT Previous permit
� Date previous permit issued
I I New Modification 1 I 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 ,-1 i',• i.7 ' d Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
�•�Applicant Name `? c--;--tr11v ,
...Q.'(` 'Authorized Agent ` 11 /1ve- av 0 11-- r
Address 2'6 2 0 Lr&(€IJ P(,�1 D, Project Location(County): r /Q&
City rAh Ilk r State AIC ZIP 22(0('F1 Street Address/State Road/Lot#(s) // 2 S NA,cam' 0 D
Phone#( i►9) (ni,Y "c1 -, '
Email _. C, <7'1"G.U it c-r J v S ki1 c, (C✓+l Subdivision -
J City A-416,,A4I, Vi.tln.,1Th ZIP 2r7)2
Affected [1 cw 1 1 EW ,kI PTA ❑ES ❑PTS Adj.Wtr.Body !')'1'/"" ('': v ` (nat/mai/unk)
AEC(s): ❑OEA I I IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body ‘C.1,-l j rrt- .C)vvI.c
ORW:yes/no PNA:yes/ o) /
Type of Project/Activity ;,- ):, e ci l:'r (,. C I'li r,
(scale:f =Zv')
Shoreline Length
Access Length 1 i '._
Pier(dock)length v� /� w A '
Fixed Platform(s) (`�' ........ a ,II lin m i.. ..� ..... ...
.....
Floating Platform(s) '7 Y >2 �' NM IIIIIIIIIIIIIIII
111111111111111111111111111111111111
Finger pier(s)
Total Platform area 5 i Z S'` I_
iii
Groin length/# /'
Bulkhead/Riprap length �/� gem4 r�
Avg distance offshore --*- YIN ,A IIP__. _RAI rill__
IN II
Breakwater/Sill ) �rrrrs
Max distance/length I Ill ��
Basin,channel / 1 ! ' ‘„,j
11111
Cubic yards / 1.._..... i _. -
Boat ramp
r .___._
Boathousef Boatlift i3 "13 (Z x� 111
Qr.• '
Beach Bulldozing
gqozing ----------
Other r. , t^�
< 2 I S , ,eW...._._ .. . ......._.._ ......_..._ ... __. ..._..._ tt ; . ,..... b.4-1 I • • i ..
SAV observed: yes n• ! I .�, .I 1 E,
Moratorium: n/a yes no 1 i 1
Site Photos: yes no (i..�i� 1` ,I 1 1 I c, .t
Riparian Waiver Attached: yes no i /� j I: I
•
A building permit/zoning permit may be required by: LA)V\ � A-4 L -4 r L Gt(i^
ri TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions r).�ik. tcc,l r.'- ,c t • s>!L '/�-/-1 - vt rui. 1)( DSo,-i'�1 vr..,cI no s.I �.
,,,-.�.«."1 �liU -1 F-. ?1 tik) 1., ' 0-/ di-xi r,'I!�PJ r/f� Sht,/' n See note on back regarding River Basin rules
;�[ruc( ? ' .r, ,. Now /R~Ifl,�,,}. CJ
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)
Agent or Applicant PRINTElb home Permit Officer's PRINTED Name
Signature**Please read comps ance 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

°t COAST
"kct. CAMA n DREDGE & FILL No 92437 _ ABCD
'o�y fa= GENERAL PERMIT Previous sous
Date previous permit issued
New [ I Modification n Complete Reissue 1 1 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 n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s) ,
Phone#( )
Email Subdivision
City ZIP
Affected n CW n EW n PTA n ES n PTS Adj.Wtr.Body (nat/mari/unk)
AEC(s): n OEA n IHA n UW n SPIMA PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:, ')
Shoreline Length
Access Length ____...�. l__._ _. ._.j._ 1 t l...i ._ .. ...._..._� ,...-.. ,. s I i..._y
Pier(dock)length Ilk m'
OMBI
Fixed Platforms) 111111111111.1111111 i I I lila • non 1I
IFF :wills
Floating Platform(s) Ht.
1
Finger pier(s) 1
....4....... E
Total Platform area , ' 5-4•
Groin length/# ./' j Lpf „
�
Bulkhead/Riprap length it
Avg distance offshore
Breakwater/Sill w
. 11.011Ill I
Max distance/length I , ) IMI
Basin,channel ►�J
�- II; ��
Cubic yards � �'�
I
Boat ramp r ��
Boathouse/Boatlift t!'1>ti) 111111
_ �, �'
Beach Bulldozing I Nu arit3 I
tt:( _
Other - — lIHO
....�..,.mii ��...��.�..:� ... __
III
op 1 1 �
SAV observed: yes no I , 1. or 1 ,
Moratorium: n/a yes no !invil l '
Site Photos: yes no aumisismimais - —1--
Riparian Waiver Attached: yes no unommuum R I us 1 T III_ al I
A buildingmay requiredby: Al'
permit/zoning permit be � t�` Pifr I[ 4"
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions la ,t
ill. } ❑ See note on back regarding River Basin rules
-l\i /ij,,l)1,, •..
FtSee 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
rrr 11I
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

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NC MARINE_ CONTRACTOR#62746
DOCKS•BULKHEADS•PILE OR1,PNG•80AT UFTS
Ashley Brooks 175
N.'N. 4,141/4)
580 Poarscn Circle
Newport.NC 213570
abrooks 1 P e c.r r.c o rn 2.52-646-3212
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Al-t-A-14-t-i c e EA' r 14

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion tobe completed by owner or their agent)
Name of Prcperr, Owner yfJ�
Address of ProPcrt)' j 2 ,s- “ D DIZI ve_
Ma.l:nc Adaress of Or:ner
22'Z D L -16 63 0 E hl b 2 R►4(,r i 4.�}-- 2-7(dG
I DS �15• God
Owner's email 4I4ri ( , s tr e r Q V Owner s Phonex ( `j C{(4{ 9 71'E
Agents Name L � 1 2�1:S Agent Phoney 252-444 32/Z
Agents Emaii: 511dr-CtinPWl ct rir-e /1' I ( . co '`�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owneri
I hereby certify that I own property adjacent to the above referenced property The indivicual apoly,ng for this
permit has described to me. as shown on the attached crawmg the ceveiooment they are p-opos ng
description or dray/end, with dimensions. muss t ae.proy ded with th.s letter.
—tar ' 1/— 'DO NOT•have-ob.ections to this proposal I DO have ob,ections to this proposal.
If you have objections 10_what is being proposed, you must notify the N.C. Division of Coastal
Management(OCM) 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
1 understand.that any proposed pier. dock.mooring plings:boat ramp. breakwater. ooathouse I:ft or
groin must be set back a minimum distance of 15•from my area of riparian access uness waived by rye
(this does not apply to bulkheads or riprap revetments). (If yc;J wish to waive the setback, you must sign
the appropriate blank below.)
Apo I DO wish to waive some/all of the 15'setb ck
nature of Adjacent Rrparrar rrcperty Octiner
-OR-
I do not wish to waive the 15 setback requirement(initial the blank.r
0, Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: -� 1,v % r i f(Fi' c�N
Mailing Address of ARPO: // v50c,/1/(i ,c iec
ARPO's email* .l I 42 I?�/!�
O ' Lvi' RPO's Phone#:_/ 9 7/
q
Date: 1 ' � 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
Scanned with CamScanner

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED cr HAND DE!EVERY
:Top portion to be completed by owner or their agent,
Name cf?rsoer-; ;;•.vrc, (-4
Adcress of P-^pelt' i i 2 5 r-4/ D D 21 >rt_ %L/T7"1� •FAre..)
I'' f I
!o93.I. 1C ,A cress c' Y?Z L 14-1 vl �� S�J (b r +y-
Owlet's email `(�',Y�I_• 7certer y! ��v:► j5 Ghv r. _l i 1 1_ �7rr
�.�7crl s Name ! 141.-"r'C:✓ IG 1f/i��... . Aar..--t ;More» 7,52- /2-
- E c• ,5�1 o It-C :r> 001. Q ri t-t, :-tI '„�nrlct { j . cc,- r'
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Adjacent Property Owner.
tiered: r Ly th7'IO:^.- roc.4it ad•3ti._ ;: :o:heab•cverefe-3nce'; :;'G; rt-i 7-11Pf^dvl':ua aos!y'•n:fc-i"I5
Dc'n',I: has described :o n-e as s'.,'. n crt^^ et:achec vavv-n0 tra cev2 re , 'Op,:A nc
-F�r.ptlon cr crc; r.h jtr.:s!c •s. must ne prov der. 'w;t" tf:9 ._'te•
4 ; DO NOT have on: c:;c•ns t_ :its aroo.sa _._ I D3 ha.e .t ec,tcns to :r..: . --lcosa
if you have objections to what is being proposed. you must notify the N.0 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 „nr:erst?nc tha: a- •; :ropased G . 711C•0-t;7g 17,1 ncs co?i -arnr
g'C n t"..st to set sack 2 tml;t:^l ;'r1 __ cf 177 '_1 1'1 re8 cj •,c 1'13" CCCCSS l.n ess :".21ued b:
id-vs dces no: ap:iy is h 'kneads cr -ap '$V- iC 'i :I' i.h, • :a're :re S%a6..1 i •.• must sign
^te approF'i.:te*Cla i!
e".-- I 'DO':vis t: •:,•alvcZ./
CR-
I do not w'sh tc .:ai'•rcc 1 L. scaac c •eq..lremerr :t .:al :jt ark,
i---.-� S sr.ature Proper'; rJ:•'�: j
�+ r^
TypediPrinted name of ARPO: _t •+,,'TLL�}i.� 5 Q_�1!`' �, l..i.-
Mailing Address of ARPO: • Po. 12.5 I ►"�'�� lC�,r?�_ V"
.ARPO's emaire3(0,,(v ,041A trt,.CCiA ARPO's Phone*:(-119)zig-,-.410t--\
110 3
Date: £-2o-223 _'waiver is val.d for up to one year from ARPC s Sign of r
.1614

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit S / 4-
Mailing Address -520 1E.t ey'''
re4LG( c.. CI' G '"T
Phone Number: t ! '"" '?
Emai! Address: L'Oa,` . 5 LG
��"�
-
1 certify that I have authonZeci ��- 9 � 2e):% 5
to ac, on my behalf, for the purpose of applying for and obtair.ing all CAMA permits
1 -r-
necessary for the following proposed development- • :t� ` +
at my property located at 1, 2-- S t)t7! v I:77. 4.pJ i
in f'MLI- /2ZeCounty.
furthermore certify the! 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 ;ands in connection with evaluating information rotated to this
permit application.
Pro erty Owner Information:
i
. E�VEo
Print or Type Namtc REG
pia 2 L737"
6 c)
Date
•
This certification is valid through : 2- 13 1 2 -.?3