87061A - Mark Thomas

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❑CAMA ElDREDGE& FILL N9 87061 A B C D
Previous permit
GENERAL 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 i❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov1CAMAruIes
Applicant Name
Address
City A' ii;' < State
Phone # (_ )
Email
Authorized Agent L.
Project Location (County).
ZIP Street Address/State Road/Lot#(s)
Subdivision 1 tJ
City
Affected ❑ON ❑EW ❑PTA FJEs F,�pTS Adi.Wtr.Body - i;.. ii we1 (nattmanjunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no,' PNA: yes6-1
Type of Project/ Activity
^y K
(4 t " 4
(Scale: -:"i, )
Pier (dock) length
�H!eflng �!tform(s)
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logo
ogo
P
M
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t..■Gimill
Finger pler(s)
Total Platform area
Groin :.
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift■gone
Other■•
IMEM
1111
Elm
M12
0
ENO
ME
me
No
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AV observed: yes •:inn::A■••■D:■■■■iEE3®::::::
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Photos:Site
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A building permit/zoning permit may be required by:
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Permit Conditions
I AM AWARE OF STATUTE!
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit-*
Application Fee(s) Check N/Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Pleaselnitial)
1. t
Permit Cer's PRINTED Name
Signature
12
Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 07/26/23
Name of Property Owner Applying for Permit:
Mark Thomas
Mailing Address:
107 Bass St. Moyock, NC 27958
I certify that I have authorized (agent)
Lauren Berry Burch to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 80' of bulkhead including (2) returns 2' on the West and 3' East properly, lines
at (my property located at) 1387 Tulls Creek Rd. Moyock, NC 27958
This certification is valid thru (date) 7/26/24
V/ W2
Property Owner Signature Date

i ■` Complete item :1, 2, and 3.
■yFi&&our nalfie and, address on the reverse
so that we can return the card to you.
■ Attach this cans to the back of the mailpiece,
or on the front If space Permits.
jcuph %, `OY�6,t :5kAY&
138q TuIIS ccz qd
mWotxt NC &195y
IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII III IIII III
9590 9402 7485 2055 1976 30
■ Complete items 1, 2, and 3.
■ Print year name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailplece,
or on the front If space nermita_
NoAtavc .4 ril%6ae,� mles
lab C-Mi06% nil Rd.
MWVJ /UC a-�gsg
II I IIIIII IN III III 111111 IN 11111111111111111
9590 9402 7485 2055 1976 23
/ / ❑ Agent
xO / ❑ Addre
,pillcelved tfy (Printed Name) C.6Dgteotpl
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
I3. Service Type ❑ Priority Mall Express®
Cl Adult Signature ❑ Registered MailTa
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted'
❑ Certified Mail® De very
❑ Certified Mail Restricted Delivery ❑ Signature Confi matlonTa
m r na,.... _
Domestic Return Receipt
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Del. ,
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type ❑ Priority Mall Express®
❑ Adult Signature El Registered MailTM
❑ Adult Signature Restricted Delivery ❑ Registeretl Mall Restricted
❑ Certified Mall® Delivery
❑ Certified Mail Restricted Delivery O Slgn t re ConFl atio"
- - , --•x ..,, vcw�-uuoa { 111.1. 1.!, , 4 I . Domestic Return Receipt
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Mark Thomac,--1387 Tulk Creek
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Construct 80' of bulkhead including (2) returns, 2' on West and 3' East property lines.

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