87007A - Wilmott, Terry and Timbrell

°""'""r l29CAIVIA LJ DREDGE & FFLL 1.4. UJ UV: (63 B C (
11
GENERAL PERMIT Previous permit
©New ❑Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued
As authorized by the State of North Caroffna, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant m:
I SA NCAC Rules attached. ® General Permit Rules available at the following link wwwdennc¢o lCAMAndrH
Applicant Name '��_7 _[; fmnt b/Q.U_ �`—}i1C {" Authadzed Agent r)0-YC, C�-^^i AV, dr"Nl0Uft+'Z
Address ; O 3 >i�.nm S l�<P. Project Location (County): l.rt6t...>C+•L'�
City -- t1 _ State zip cal ,_ street Address(State RoadlLat #(s) 1 o r #. 35 _.-.
Phone#('•t�n�)-��i�i'K�s�i� _�.I
m
Eail (lSL lMA (,�'.jj V\M, CS`-V% Subdivision
Gty— — V—AA-tY1 zIP �,�r1.s .�
Affected �[W ©EW PTA ❑ �PTS Adj-Wv Rady1. 6 ifyl l _„_, ilrl*--rdUnk
AEC(s): OEA piHA DUW OSPIMA 0PWS Closest Maj.Wtr. Body �lberyna.-i.e. Joi.LV�rX'
ORW: yeS1,1 PNA: yes/ttt,3o
Type of Project/ Activity k r sA S
t r if, .vi
Shoreline Length
Access Length;`gr„xt
S [
Pier (dock) length K(o
rXl- rr•i`ry
fixed Platform(sl lS
Floating Platforms)
,
Finger piers)
.44
+
s
Tt
Total Platform area ,Rg5!7
i'
Groin lengthff#
Bulkhead/ Ripmp length
Avg distance offshore
'
Breakwater/Sill—
Max distance/length
x6` kk I' ,-4,5YPYt
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. Basin, channel
Cubicyards—
Boat ramp
2�5 Xi4t _
Beach Bulldozing
Other
SAY observed: yes `. , a
Moratorium: nl Yes no
Site Photos: no ;---- - --t t I i Y �
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: LL Crtpt,t CLfL
Permit Conditions .___... _..
TAWPANUNEUSE/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 CONOfnONS THAT APPLY TO THIS PROTECT AND RMEWED COMPLIANCE STATEMENT. (Pleaselnioal)__.
Agent or Appli[anIPROTED Name
ZKmv"`Piehlse read compliance statement on back of permit" SignaturaV `

NCAMA ❑ DREDGE & FILL
GENERAL PERMIT
❑)C New ❑ Modification ❑ Complete Reissue []Partial Reissue
N° 87007 Q B C D
Previous permit
Date previous permit issued
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 7 H - 12,00 ❑ Rules attached. ® General Permit Rules available at the following link: www.de .nc gov/CAMArules
Applicant Name_ T mlorev Lill, mo,-� Authorized Agent l_a6, l((At �VN C1r0110 tw �JZ
Address,- 10 YY 'n7n, S Cc r', Project Location (County): 1. ut.. Ct-Vh
City r= Qeyxq '1W' State INC. zip 11 Street Address/State Road/Lot #(s) 33
Phone#(,'L^ia 12 rQ--2``,29/� ``� e2 l�yoy�t�����
(��Xa.�
pre�1^
Email l Wl limeA- <IQ.r\eCJ' coo Subdivision �T�"'Ik
City Eclenknn zip a7932
Affected ❑ CW NEW [5d PTA ❑ ES ❑ PTS Adj. Wtr. Body Yeo p' nr\ I V Cu{^ zt bman/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtc Body 1''beYhLCr �e �OU,YV
ORW: yes/0 PNA: yesA
Type of Project/
Shoreline Length '/— -J-576'
Access Length Q /
Pier (dock) length 'to t X C1 r
Fixed Platform(s) 15 K17
, I
Floating Platform(s)
Finger pler(s)`, 1y rnX3�
Total Platform area 76y3�-('+
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
athous / Boatlift 2 5 X 14 r
Beach Bulldozing
Other —
x ('( 6eW
Wes. w 7-51 XI
6 `.+5Q
e�
SAV observed: yes a
Moratorium: no/ ,y�es no
V I
Site Photos: no
Riparian Waiver Attached: yes
r. ,
A building permit/zoning permit may be required by: KOLA2C r&
Permit Conditions
Agent or Applicant PRINTED Name
(lj'XfZ' c.g-dy Vh C v )' IZrXGf
R E!,e, tl 1`/fx 3'F,r Cale: I''=505
WQ WALW
2SIXtyf bu l.oAse �_ Nt
yeopt,tix �u.r
Permit OM 's PRINTED Name
G�, A _ aj-
tb
aibJ
W ✓r —\
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❑ TARIPAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
ElSee additional notes/conditions on back
(Please Initial)
Signature'•Pleaseread compliance statement on back of permit•- SignaturE/'
$ 1/.3 ag 5/3gg
Application Feels) Check tt/Money Order Issuing Date Expiration Date

#MNew
[MCAMA ❑ DREDGE & FILL N9 87007 Al B C D
GENERAL PERMIT Previous 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:
15A NCAC ❑ Rules attached. 0 General Permit Rules available at the following link: www.dea.nc pov/CAMMvIes
Applicant I
Address _
City
Phone #
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road)
Subdivision
City _
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body ,) (nattman/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wt, Body
ORW: yes/no. PNA: yes/no
Type of Project/ Activity
(Scale: )
cFnmlinn i onm6
Access Length
Pier (dock) length
Fixed Platforms)1
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Bulkhead/ Riprap length
Avg distance offshore
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A building permit/zoning permit may be required by:
Permit Conditions
❑ TARMAM/NEUSE/BUFFER(circleone)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLYTO THIS PROJECTAND 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 q/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner ReqjW
r Wilmott
Mailing Address: rri /
G77ATZ.RECEIVED
Phone Number: 252-722-2722 NOV 0 7 2023
Email Address: [e-mail] r�v
I certify that I have authorized Daniel Andronowitz ®CM -EC
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Pier, Dock, and boat lift install
at my property located at 236 Osprey dr, Edenton, NC 27932
in Chowan 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
Print or Type Name
Owner
Title 4_
Date �
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVE[
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY NOV 0 7 2023
(Top portion to be completed by owner or their agent) ®G fl �tVl-EC
Name of Property Owner: TerryWllmott
Address of Property: 236 Osprey dr, Edenton, NC 27932
Mailing Address of owner: 103 Morris Clr, Edenton, NC 27932
Owners email:[e-mail]11 Owners Phone#:
252-722-2722
Agent's Name: Daniel Andronowitz Agent Phone#: [phone]
Agent's Emall: Shmarine799gmail.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Ownerl
I hereby certify that 1 own property adjacent to the above referenced property. The individual applying forthis
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.
/K 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 /s 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
ig�-o-rAcTiacen7RipananPrbooi 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: Preston Dunphy / f /�
Mailing Address /of ARPO: �1� i + �yi, fj ,r� 5 I d�6i }'T h �Ff 1 �V ( �'
ARPO's email: �t 00��(7 k r 1�-NNf A ARPO's Phone#:
Date: ( U 12 3 / '-j . "waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY RECEIVED
ECEI!7 9 ED
(Top portion to be completed by owner or their agent)
Nov 0 7 208
Name of Property Owner: I:g p r Wi1Mgt:L
Address of Property: N.Pn A-E�
Mailing Address of Owner: �—M6rri-1; ci_r, Edentgnr NC 27922 �Vt
owner's email: Te r rywilmott@yahoo. Owner's Phone#: 252=722-2722
com
Agent's Name: Dani-91 andiconowi a Agent Phone#:252-4 55_,rQ222
na79@gpiai
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
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.
X 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 (DCiyn in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Sle. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. o 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 sign
the appropriate blank below.)
I DO wish to waive some/ail of the 15' setback
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: Rohe. dg6ff±23-23 for
ANDRON PROPERTIES, INC.
Typed/Printed name of ARPO: AA r n r+, a� , nr,
Mailing Address of ARPO: 155—pelican —€dQQ:L9fa, NC 27952
ARPO's email:<i`> tlrr ARPO's Phone#: 3' ` 2ti ' "' 7ru
Date: 9,13 /2023 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

RECEIVED
NOV 0 7 2OB
()CM -EC
80'+/- 15'
--------------- ' 12- --------------
roof
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