89840A - Pewett

L"(c AMA [DREDGE & FILL N° 89840 CA)B C D
® GENERAL PERMIT Previous permit
Date previous permit issued
Vew ❑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 D -1 11. O b ❑ Rules attached. dGeneral Pemut Rules available at the Following link:
Appucant name C fa uxor Authorized Agent (t Ja-tell n C 1:d 2 m _ jj 6 Prt N-_<;
Address_.CP'43j Zr{ Project Location(County): Diit-g
City (_l a f h h State VA zip z () UA/ Street Adc1mslState Road/Lot #(s) &4. J4 'r• L s� s
Phone#('fy?:�) 472- 1-34.0 T
_
c� ` 1 Ysi4 i
Email._y_p}wr1r. Fewc!ft CCUL e__g' t.Li� Subdivision_•u�e3h Li0 Nlq.�& •Falk 104
Clty#(nertn 5�1s r_�� zlP 2'fy�e3
Affected ❑CW EEW gPTA WEES ✓❑cPTS Adj. Wtr. Body QN • I i . 'T r.a 4'r-_ Cr (na nar nk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Ma), Wtr. Body r_j tV 'tij C;.k �antag r1
ORW: Vase) PNAeno
Type of Project/ Activity -In,,4 ati 1 I 11 O h Ulkr n cl
,aka (scale:
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(sl—____1-
Floating Platforrn(s)
Fingerpier(s)AIWL
r1,/
Total Platform area 1
Groin len /N �i—_
ulkhe Riprapleng[h , 1 � ^��
Avg distance offshore_ � .T
Max distance/ length
Basin, channel _
other
CABAL 'ro JsA. A GU ITE c:>?EG K
N
n.s rs1C"4 ssy j'
�L y
WI_
Peon-;em 11o1
[j 1 SAV observed: yes m * rCMa lTI I/�ihCGl�(� Moratorium: �yes� no �uh�'e
Site Photos (Jno
$re' I 1
Riparian Waiver Attached: no L117f7fUX
A building permit/zoning permit maybe required by: Seat)Vt@Y SkorN_ro II 7i11,1'Ci inn.

DREDGE & FILL
a GENERAL PERMIT
[New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
Previous permit
Date previous permit issued
vB C D
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 01 R . I J. 0 ❑Rules attached. General Permit Rules available at the following link: www.dea.nc gov/CAMArules
Applicant Name eab&_IY/_f ' t.t�tE`: I Authorized Agent Cfr cJoLy% Ci ),26 VA H 6 k es
Address Q .33 1 V tee( (JJ 00 d �izY M �R,e% Project Location (County):
/' I A II
City L I 1 � o h State VA ZIP L26 QA- Street Address/State Road/Lot #(s) 421-. 1 CL 0 rya
Phone # (722;) 412" 23 4.0
Email Yab_Tft 19o.etS GcsNn Subdivision /�h %iOt_>'1, <s\cic Fsd IU4
city Sokdry\ c,91nox-t�S ZIP 2-7949
Affected ❑CW gEW PTA i�ES ZIPTS Adj.Wtr.Body CCi ,Lll, �o P_rf+vt -+t \�' r (natl
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes no PNA(Dno
Type of Project/ Activity
(Scale:l`:
Shoreline Length 1 1 Ci
Access Length
er
ock) len
Fixed Platform
Fixed Platforms)
Floating
Finger pier(s)
Total Platform area
Groin len h/A�
ulkhea Riprap length 1 ! O
Avg distance offshore TJf
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes no
Moratorium: /a
yes no
Site Photos:
� no
Riparian Waiver Attached:
C.�fEs+ no
CAf1At_ TO Jt-AtJ GUIT15
ti
1i MCrX 61qlly
41 � ti
W it
.)ov\e_5 R 't P&,V.ict-
1
A building permit/zoning permit may be required by: SoAer I& Skare / Mall
APPLY
Agent or Applicant PRINTED Name
Permit Officer's pPRINTED Name
_4jA_AA. A "I
W L
C SEE K
i1 EIJ L
Cast i3o(kheW
PLloposeD Ito,
3 ul k14Ek,p
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signature **Please read compliance statement on back of permit** Signature
"06 ` ° 1 6-3 ID/'34 [23
Application Fee(s) Check #/Money Order Issuing DateI Expiration Date

��tM%-c DCAMA El DREDGE & FILL N9 89840 A B C D
a . ml GENERAL PERMIT Previous permit
Date previous permit issued
E 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. H General Permit Rules available at the following link: www.deq.ncgov/CAMArules
Applicant Name
Address
City
Phone#()_
Email
I Authorized Agent ;
i.r 6"" (::� el Project Location (County): +_.
State ZIP i2,►'' Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ', -L: , :C. ; (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS 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/#
Bulkhead/ Riprap length o
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel `L
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: eyes- no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:I'I )
❑ 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" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

DocuSign Envelope ID: 4F6C99D7-A349-45F7-B4B6-5CBD8C18D7B3
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: IZO U r f Fi kQW I P(' r-[+
Mailing Address: L631 P�)�4�U�1� �fl��l� CJ
Phone Number: 1G 3 - 91
Email Address: /� �.d l • nt�l;�tn & `) (rim
certify that I have authorized l.l.lL-Al 11 �V- � ( (► bt nl N-111ivb
Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: — ; lm ( i fj i
of .hd V oc- en CU -1
at my property located at C 01 1 66V Q O S6lti [ br r> Uyyr "j
in County.
I furthermore certify that 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 lands in connection with evaluating information related to this
permit application.
Property Owner Information:
R'blrt.Vf
8/10/2023
by:
Print or Type Name
Title
Date
This certification is valid through
RECEIVED
AUG 2 1 2023
DCM-EC

N.C. DIVISION OF COASTAL
ENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIION/WAIVER FORS C E I L' E
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
AUG 2 1 2023
(Top portion to be completed by owner or their agent)
Name of Property Owner: VAxti t•, CI )Girl WYItcLy tJCM-EC
Address of Property:
Mailing Address of Owner:
Owners email:
Agent's Name: awz i {'i L«U
R�
Agent's Email: C(0(4641()f6J '1hQf1��
Owner's Phone#:
Agent Phone#: 16)1- 666 � C
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion 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.
XI 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
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 Sig
the appropriate blank below.) 'I T
I DO wish to waive some/all of the 15' setbac
SeI:�
I do not wish to waive the 15' setback requirement (initial the blank)
Mailing Address of ARPO: (Di
ARPO's email: 1,JW°1clppQ-83
Date: I35u( 2.3
V✓\Q•Co�"1 ARPO's Phone#:25z-7tS-D17q
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

W Complete items 1, 2, and 3.
i`Print your name and address on the reverse
so that we can return the card to you.
' ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
j anu's J o RLD
0 `NIcbv� Ira1 (
SactiV I�eV to ShYct s , nC:
2'10i,4q
III'IIIII IIII027IIII'I III111111 342IIII 1111111111
I IIIIII�❑ Collect onMail De Restict Delivery
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Mail Restricted Delivery
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3.
A.
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❑ Agent
❑ Addre:
C. Date of Dell
,1? ❑ Yes
n ❑ No
❑ Prlority Mail Express®
❑ Registered Mall*"
❑ Registered Mail Restricted
Delivery
❑ Signature ConfirmationTM
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, July 2020 PSN 7530 02.000.9053 :':: DdmestilAJietum Receipt !

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SIIR4 Y FOR
ERT HAYWOOD PEWETT, JR. & KARI BETH PEWS
LOT 4 - BLOCK 104 - SOUTHERN SHORES SUBDIVISION
1RHERN SHORES - ATLANTIC TOWNSHIP - DARE COUNTY - NORTH CAROLINA
SEABOARD SURVEYING & PLANNING. INC. C-1
1 sloth 30 (t IOY W. WOOD HILL DR., P.O. BOA M. NAGS HEAD. NC 1
l ,. OFFICE: (252) 4AO-9990 GA%: (252) 4M-0571