87104A - Werk, Lynn

oo—A4 I�CAMA ❑ DREDGE & FILL NI?87104 (D B C r
AN
WGENERAL PERMIT Previous revioous Pernilt issued
IMNew []Modification ❑ Complete Reissue ❑ Partial Reissue
As enchanted by the State of North Carniimm , Department of FiMrmental Quality and the coastal Resources Commicslom n in an aof emironmwtpl concern punuam to:
at
I SA NCAC fN • I ZZ(30 ❑Rules attached. ®General Panit Wdes availa6leazdtefallowing Wdc mwt y,ncwwf 4^ales
— tlro+' nM
Applicant Nam�e.ji� y' ,'1.-_ wArraed Agent _=�� �(,fltxl,G( mGc. _. Shur
Address fvy41`M`)�1[Y19 Lr-x, ProjectlxxatimfCwmy')_ Lnt.aa Y1
city c1rwi Nit sam-_�v —ZIP rl 5110 Sueet AddreulStam WaadUt#(a)
Phone#( ) I '�b7fi 1033 . jZ1yer- 6Crm Ln.
Eman�y.yknW eT is @ kttFtY.�`.t . c<arrz subdivision,
ChY L pp 71P .2?980
Affected ❑cW Wm ®PTA ❑ES ❑PTS Adj. Wir. Body^ �tl6iy O,N K-W4 - Qmanfunk
AEC(s): ❑ofA ❑IHA ❑UW ❑SPIMA Diem Ctasast Maj. LNV Body e';�CYh�Y``C .7t9tj
Type of Project/
shoreline Length T- ra4'
Access Length
Pier (dada length
Fixed Platform(s)
Floatioli Platforor(s)
Finger Plans)
Total Platform area
Bulkhead/Rlprap length
Avg distance offshore
Max distance/ length
Basin, channel �-
Cubicyards
Boatramp
.Bca,thousoAj!EqP IZ. r X/3r
Beach Bulldo2ing'
Other n
SAV observed: � yes CID r 10.1-_i` i.�_ i ' r
. Mor torwm: no ---I---1- -"-i '-,--. �y._�-r-+ 1
Site Photos: no
Riparian WaiverAthched: Yes
A building permit/mningpermh maybe required by: elk ftwol,. cell
Permit Conditions T
{Scale: j
❑ TAR/PAM(NEUSEIBUFFER (cirete one)
❑ See note on back regarding River Basin rules
❑ see additional notes/wndilions on bark
I AM AWARE OFSTAUTtS CRC RULES AND CONDITIONS TNATAPPLY TO THIS PROLECTAND REVIEWED COMPLIANCE STATEMENT. (Please initial) .,oS�
Permit Offlar's PRINTED Name
SlgnaNm ••Please read compile tibe statement on back of pemdN•
Application Fee(s) Check #/Money Order
Date

do"rXCAMA ❑ DREDGE & FILL
90"1 GENERAL PERMIT
No 87104
Previous permit
Date previous permit issued
® B C D
® 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:
I SA NCAC I H - I °`ZoC% ❑Rules attached. ©General Permit Rules available at the following link: www.deq.nc.gov/CAMAruIes
Applicant Name b, nr\ Werk
Address 2S V VQ�r Mj (fiton jLrN
City C FW.OP I 43TII State NC ZIP a 7516
Phone # (9U) A I ^'4bi6
Email 1 y, w erk @ hDimcL'tl C Orn
Authorized Agent ( d 11Rtd lI L S'i>tsa
Project Location (County)' t et=s0.11
Street Address/State Road/Lot #(s)
Z tVe/r' 1'fcr-m Ln.
Subdivision
city TNAer zip 279TO
Affected ❑ CW ® EW R PTA ❑ ES ❑ PTS Adj. Wtr. Body 0 KOW.Ol� tom\ K't / Oman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body A ( be rhia.r � Sot I�Of
ORW: yes/0 PNA: yes td
Type of Project/ Activity _
Shoreline Length / 1412/
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) ^
Finger pier(s)
I
Total Platform area
Groin length/#
Bulkhead/Riprap length -�
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel -�
Cubic yards
Boat ramp
Boathouse oath j Z r X IT
Beach Bulldozing
Other ^
e,K �
SAY observed: yes � X0
Moratorium: nno
Site Photos: no
Riparian Waiver Attached: yes ( 11
A building permit/zoning permit may be required by: ChR =atL... CC -A t
Permit Conditions
AWARE OF
Agent or Applicant PRINTED Name
APPLY
►Tw\t�oniC
It'kt3'
�Q�
Permit
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature *'Please read compliance statement on back of permit" Signature[U
e Y1 qu 2YYY It4gl23 4/1g121/
Application Feels) Check N/Money Order Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILL N9 87104 A' B C D
Previous permit
3 3 GENERAL PERMIT Date previous permit issued
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. Y❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ CW MEW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Won Body
ORW: yes/oo PNA: yes/no
Type of Project/ Activity
(Scale: )
177
Access Length
I
-
I
I
i
Pier (dock) length
j
!
.,
r
7
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
1
Total Platform area
�
Groin length/#-
�`
Bulkhead/Riprap length
—
�
-_-
-
I
�
�
�.'
-.r
-
Avg distance offshore
-
-
----
--
-_
4
(-
Breakwater/Sill
i
I-
I
Max distance/length
-
-
Basin, channel
Cubic
1�
yards
-4--
Boat ramp
Boathouse/Boatlift
li
_
Beach Bulldozing
-
'
-_-
-
-
-
-
'
Other
_
t
p
f
t
1
SAYobserved: yes no
---
Moratorium: n/a yes no
Site Photos:
Rimanan Waiver Attached:
A building permit/zoning permit maybe required by: ._ IN • ,_rig � t..... i,
Permit Conditions
❑ 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
Application Fee(s)
Signature
Check #/Money Order Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Date: August 1, 2023
Name of Property Owner Requesting Permit:
Lynn Werk
1033 River Acres Lane
Tyner, NC 27980
252-221-4670
[e-mail]
I certify that I have authorized Stokely and Holland Marine Construction (114 Swan Lane
Hertford, NC 27944) to act on my behalf, for the purpose of applying for and obtaining all
CANA permits necessary for the following proposed development: building a boat lift at my
property located at 1033 River Acres Lane, Tyner, NC 27980 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 permit
application.
Property Owner Information:'' II
Signature �� t b -5
Print or Type Name: Lynn Gibbs Werk
Date: 8/01/2023
This certification is valid through 12/31/2023

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Date: August 16, 2023
Name of Adjacent Riparian Property Owner
State of North Carolina/North Carolina Wildlife Resources Commission
Owner/Operator of NC state Boating Access Area (BAA) at Cannons Ferry in Tyner, NC (along Chowan River)
To Authorized Agent of State of North Carolina/North Carolina Wildlife Resources Commission,
This correspondence is to notify you, as a riparian property owner, that we are applying for a Coastal Area
Management Act (CAMA) Minor permit to install a boat lift and wooden piling for a sailboat on the left side
of our dock on our property at 1033 River Acres Lane, Tyner, NC, in Chowan County, which is adjacent to
your property.
A copy of the project drawing is attached/enclosed for your review. We have selected Stokely & Holland
Marine Construction to build the boat lift.
Please check one of the two statements at the bottom ---indicating whether you have no objection or you
do have an objection to the project-- and include your signature and date. If you wish to mail this
document, please send it to: North Carolina Division of Coastal Management (DCDCM), Elizabeth City
District, 401 South Griffin Street, Suite 300, Elizabeth City, NC 27909 (phone: [phone]) If this
document is not received by the NCDCM within 10 days of receipt of this notice, it will be considered that
you have no comments or objections regarding this project.
If you have any questions about the project, please do not hesitate to contact either of us at the
address/phone numbers/email addresses listed below, or contact the Elizabeth City District of NC DCM.
Sincerely,
Stephen & Lynn Werk
1033 River Acres Lane
Tyner, NC, 27980
[e-mail]/[e-mail]
Cell number: 919-622-3116
V I have no objection to the project described in this correspondence
I have objection(s) to the project described in this correspondence.
/liG1N2C
Adjacent Riparian Signature GftL ! Date
i
William "Gator" Ridgeway
1133 Don Juan Road
Hertford NC 27944
/!VL�vr`l�Jlt��j S�H�ceS
Co�M.�55%iJ�

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Date: August 26, 2023
Adjacent Riparian Property Owner
Name: Karen A. Fallon
Street Address: 2024 Falon Lane
City, State, Zip code: Tyner, North Carolina 27980
To Ms. Joey Fallon Waldron (Power of Attorney for Karen A. Fallon)
This correspondence is to notify you, as a riparian property owner, that we are applying for a Coastal Area
Management Act (CAMA) Minor permit to install a boat lift and wooden piling for a sailboat on the left side
of our dock on our property at 1033 River Acres Lane, Tyner, NC, in Chowan County, which is adjacent to
your property.
A copy of the project drawing is attached/enclosed for your review. We have selected Stokely & Holland
Marine Construction to build the boat lift.
Please check one of the two statements at the bottom ---indicating whether you have no objection or you
do have an objection to the project-- and include your signature and date. Please return the form to
[e-mail]. If you wish to mail this document, please send it to: North Carolina Division of
Coastal Management (DCDCM), Elizabeth City District, 401 South Griffin Street, Suite 300, Elizabeth City, NC
27909 (phone: [phone]) If this document is not received by the NCDCM within 10 days of receipt of
this notice, it will be considered that you have no comments or objections regarding this project.
If you have any questions about the project, please do not hesitate to contact either of us at the
address/phone numbers/email addresses listed below, or contact the Elizabeth City District of NC DCM.
Sincerely,
Stephen & Lynn Werk
1033 River Acres Lane
Tyner, NC, 27980
[e-mail]/[e-mail]
Cell number: 919-622-3116
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signatur �__ _ _ Date 8/27/23

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