87149A - Gay, Mary

at�w � 0, P tLY�:AMA IL1'aREDGE 8t FILL N9 87149 B C D
GENERAL PERM(` Previous permit L/
Date previous permit Issued
�I�jew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coa taI Resources Commission in an area of environmental concern pursuant to:
I SA NCAC r /� D O `)'� 2- `) s7 ❑ Rules attached. erel Permit Rules avagable at the following link: vnwtdeq nc Wq &MA _,
Applicant Name T\6-f` / 0.
Address ,0.,''"�'I`C�e-
City _� e.I, y !] t�,wagrate _ zip 2- 3:u
Phone#(�
Email Ar
M4v�_Y 9. Et) L{ S �'sU s <•a m-
Authorizedggent /Vc
Project Location (County):
Subdivision Wf Alwo-4zvka eoye. & %L,s_
City 104 9 S /^( c _tip Z% f - "!
Affected ❑cW OM kJ7W EffW-- CJpff Adj. wan Body L Q /AJ O- k
AEC(s): ❑OEA ❑IRA ❑uW ❑JCSPIMA ❑PW$ Closest Mal. Wtr. Body o &-/I
ORW: yes/40 PNA: yes w
Type of Project/ Activity V i
"'5,� d u.5 n. I I . le Q
Shoreline Lengthf
Access Length
Pier (dock) length
Fixed Platform(s) I J K.
Floating Platform(s)
Finger pler(s)
Total Platform area c�
of .:n$th/g
Bulkhead Riprap length
(stance offshore 9,
Breakwat r Sill
Maxdis rsZe/length ,J.
Basin, channel
Cubic yards
Boat ramp
Boathouse/ BoatllR
Beach Bulldozing -
Other
��- GArJ�r!_
pt.1��,0��2�-d ro xay
.p�G.y; /al 7C Sr OI4�I'�M
an�- 'Awl Kl�..c�d, gr sswk'
T
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SA observed: yes no' JJ I s
Moratorium: n/ate yes 1 1<•
Site Photos: yes no rfr T�RIJ WA t, t,
Riparian Waiver Attached: no
A building permit/zoning permit maybe required by:
Permit Conditions
"Please
'b
Order Issuing
u
(Scale:
t M
s
Byers*
(wAijv
EJ TAR/PAM/NEUSE/BUFFER (drele one)
See note on back regarding River Basin rules
See additional notes/conditions on back
DMPLIANCE STATEMENT, (Please inith
„",— C0.S
PRINTED Name
Date
v

�CAMA EDGE & FILL N° 87149 B C D
GENERAL PERMIT Previous permit
Date previous permit issued
'slew
❑Modification []Complete Reissue ❑ Partial Reissue
As authorized by jthe State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
by
I SA NCAC _/ /4t 0 a a Y 1'�- `� C' ❑ Rules attached. 046eneral Permit Rules available at the following link: wyvw.deq.nc.eov/CAMArules
Applicant Name
Arlrlracc nL-/ / �= Q. l�-
City a- cJ d J `-1 /w�tate V14- zip 2 3 (-1-9'
Phone # (— )
Email ln'v-y +H Sd V 9 LL S ai..I o ; r�-
Affected ❑ CW gm- c�Pw
AEC(s): ❑OEA ❑IHA UW
ORW: yes/40 PNA: yes o
Type of Project/ Activityy 1 ny
Shoreline Length % '5
Access Length
/ 2 /
Pier (dock)length
Fixed Platform(s) J o X S
Floating Platform(s)
Finger pier(s)
Total Platform area
;-,seiri-lepgth/q
/Bulkhead R/# length
vg istance offshore �, f
Max one/ll
r��a
Max dis nice/length �-
Basin, channel 1
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
S X
SAV observed: yes no d � I I
Moratorium: n/a yes J
Site Photos: yes no �V 'rltiRrJ (.Jp(V�
Riparian Waiver Attached: no
A building permit/zoning permit may be required by: � ni,t YL n
Permit Conditions
Authorized Agent /v t51 i Y\ �-�--5 ( W /L /'ri-a- '1
Project Location (County): �r—
// U
Street Address/State Road/Lot #(s) L c7'f- �o l
Subdivision
City N CL
2 c.
�t5— TS Adj. Wtr. Body C, � p� 0- 1 ,/ (n ma unk)
❑SP//IMA n❑PWS 11 Closest Maj. Wtr. Body 4lo o /I //> k9--S®u//^
VAe 14' C� P(A. Ca.� 4- /�. Tl"6n� .�T 27yiS its
�« /4 2_g1sjkor s d_- d o1-kf 4 dd /J� s' (Scale:
�. IN I J rJ
pw��,n�rz>vd �` x2y
it o
or Applicant PRINTED Name
Sign ture *'Please read compliance statement on back of permit*'
Application Feels) Check q/Money Order
t
I
�we;-i
Y' L
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
ID REVIEWED COMPLIANCE STATEMENT. (Please Initial) Y--
Permit Officer's PRINTED Name
cfvtnr��
Sign u
/ 13
Issuing Date Expiration Date

[ICAMA ❑ DREDGE & FILL N9 87149 A B C D
GENERAL PERMIT PreepSperm``
Date previous permit issued
V] 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:
-7 /
I SA NCAC r `%-� ❑ Rules attached. (p'General Permit Rules available at the following link: www.deq.ncgoy/CAMArules
Applicant Name
Address 7 ) �-
City �J r- <J c'F 4tate V / t ZIP 2- .J
Phone #
Email cif y,o �'I Y� �Qr A 5�n3icc�/r,...
Project Location (County):
Street Address/State Road/Lot #(s)
it i. 1 �: e /✓(m.[/- �,/n b-�'^
Subdivision 0/I/ it%G 4 S ��e d C.'4✓" 's s
Ciry /�`)' ` , ) ZIP
Affected ❑eW DEW ;❑PTA QES- Q°pT5 Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: I\ , -
Shoreline Leneth '
Access Length
Pier (dock) length
Fixed Platform(s) / -D x,
I
I
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore el I
�
-
-
�—
_
�I
_
_
_
_
_
�
_
`'l
L-f
0,4I
J.
r
Breakwater/Sill
I
I
i
Maxdis,tante/length
Basin, channel
Cubic yards
Boat ram
i
Boathouse/ Boatlift
L�
I
Beach Bulldozing
V
1
Other
i
Q
'C
1-
---
,
SAV observed: yes no
Moratorium:: n/a yes no -_
Site Photos: -' yes no
Riparian Waiver Attached: yes no
._
'• T
W
A building permit/zoning permit may be required by:
Permit Conditions
I AM AWARE
Agent or Applicant PRINTED Name
Signature --Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I COMPLIANCE STATEMENT. (Please Initial)
C, '�" _ d
Permit Officer's PRINTED Name .
i
Signature
Issuing Date Expiration Date

Nam® of Property Owner Requesting Permit
Mailing Address:
Phone Number:
Emsll Address;
I certify that 1 have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMAt permite
necessary for the following proposed development:
at my property located at,--
In County.
.N 4
i lu►Mgrmora carHry that t am authorized to grant, and do in foot grant permission to
Division of Coastal Management staff, the Local Permit officer and their agents to enter
on the aforementioned tends In connection with evaluating information related to this
permit application.
Property Ownrinformatlon:
s► at�r
/174x-y X, Cry
r' print or Type Name`
reow �.
'Tide,
► 2--v f
Date,
This certifloation is valid through __J —�
Revised Mar. 2016

N.C, 01VINION ON 00ANTAL MANAOf1NT
AOJAGUNT RIMRIAN PROPNIITY OWNAR NOTIPlOAT10N1M1AIVER P011M
�Uti]�LIfLQ.AVUL:.,LQl1Ut1N IUIUItIPi,.�GULU I LU u(t IANU ULLIYLI#Y
(1hQ lwttlal III Ird tnkapinted by uwnm ur Illalr npgnl)
1)
Nettle fir Ih�{Mld ON1MI;f�,,.:....
AM*UN1-hwa11i I..�LLJ ) 1 �r I I1I kill
Owosr9e1ns1 .�Ow1Mf'efNlata9:' I'.: I `.'' I' I .'' L'.'Ir
Acwt Nefie:AUlmdl'hix�Ml
ALMAUN I' RIPARIAN pROPRRTY OW NCR'8 CNRTIPICATION
tp ion.labecwll9letedkYJlteAdMOULEAVOkQls'N9d
I hereby ON* tlM11 awn IstMuulY •NnrYad Iu Itle shove Iohnuncud plopwly. I Ixl Individual applying forthlo
pemNt 11O deeNnOed N file, as shown oil 1110 Ndlucluid ddmwwillliti, IIlm dguvalapnlonl Ihuy um ptopusbW. p
_1:�•�dl�h;V „(� 1 ( -)ll 'It�,�•\ 11,'\Itl,.c,t lrf.t`(il Fir.li (i ,. ,
1 OO N0� bona oryoc! ali% o II14n proluenl _ I CO have ob)ocllone to this proposal.
yuj/ %u ow&op#cdanato whit )a bong proposed, you mwf no 1 NeMA DivieffinO Will
Kwh,igmeent (DW 10 1Rifin9 within 10 days or tocolpf of this notice. Con Vimidence shouhl he
nuivd M 4m S. Cd ft St, Ste. 300, Elizabeth Clty, NC, 7790A DCM representatives can also be
o r,oead M f2p 204dMt. No maponso la considered the sonic as no objection If you have hoary
Ma -v d by ca~ M&A
WAIVER SECTION IChaoae only On
1 oidmig od ItMt any proposed pier, deck, mooring pilings, boat ramp, breakwater, boethouso, IIR, or
groin n g be Tier bark o rrWinum distance of 15' from my area of riparian access unlous waived by me
R'rs does not Soto buk treads or rioreg revebnental. (if you wish to waive the setback, you must sign
II D epdoQrFata dank nN �
DO Wes'+ ".a wave skxrWalelaN of the 15' se
•oft• �/
1 DO NOT wish to wawa the 15' setback requirement (initial the dank)
517ukxxs bf A?IacuM Riparian Property Owner. ' - d C�'"'1^^` '/ V)at A L.
TrPWIRrinted name of ARM ��//[ /G� ..!/ 7.✓.d A'( F�/L //
m&" Address of ARPO:/�7;'/ A.rL 0!'' r'AO • v+c.'s��5 i s.�csa/f',f ,� .
Ap"s army: % — ----- ARPO'a Phones:. __- J �;•�•
Dw. — //Y[�` ---waiver Is valid for up to one yuar from ARPO's 8lgnslura•
�/ 77 rnvlsed Aultusf 7(1):
if P�IwLL`ilct*iil�tllbRO.wel�rases,N

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property OwnerMafcA✓
Address of Property: 4 - mad/
Mailing Address of Owner: t 1 �t CA r' ( 1\1' A L0 V
Owner's email:,---- ___ Owner's Phonetk ' IjZ��tP
Agents Name: Agent Phonejk
Agents
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to 6e comoleted lw the Adiaeant ProesrNr 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. 9
Ce�S-kLk tno CtJDPVty D L (R•(.•it-iLS" Cu1�t�`�
✓ I DO NOT have objections o this proposal. 1 DO have objections to this proposal. 1,
!r you have objections to what is being proposed, you must notify 011811Y.C. Dlvh ion of Coastal
Management (DCM) in writing within 10 days of receipt of this noUce. Correspondence should be
malted to 401 S. Gd fln St, Ste. 300, Elizabeth City, NC, 27909. DCM MPresantath'es can also be
contacted at [phone]. No response is considered the same as no objection If you have been
notified by Car~ Mall.
WAIVER SECTION (Choose only one)
1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin bof 15' from my area of riparian access union waived by me
must be set back a minimum distance
(this does not set bulkheads or florae revetinanis). (If you wish to waive the setback, you must elan
the appropriate blank below.) ^ _ I
IDES wish to waive some/all of the 15 setback ��_ ►�//fie or A` enill
Signature o Adjacent Ripanan Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner.
TypedlPrinted name of ARPO:
Meiling Address ofARPO:�A(,3'S S-`RAue- ma--nr- in Wou � NBC
ARPO's small:.---- -ARPO's Phoned:
Data: _*waiver is valid for up to one year from ARPWs Signature`
Revised August 2022 niev

Carver, Yvonne
From:
Sent:
To:
Subject:
Attachments:
Good afternoon Julie,
Carver, Yvonne
Wednesday, January 31, 2024 5:24 PM
Julie Emory ([e-mail])
Gay GP87149
GAY GP87149-01312024165855.pdf
A copy of general permit (GP) number 87149 is attached for Mary Gay's bulkhead/dock project
in Nags Head. I picked up the check from your office earlier today and left your receipt for the
permit fee.
In order to validate this permit, please address the following:
1. review, print and sign the permit on the bottom left-hand corner below your printed
name,
2. initial where indicated on the bottom right of the permit, and
3. scan and send a signed copy of the GP back to me.
No development can be initiated until after we receive the signed copy. Please let me know if
you have any questions regarding this correspondence.
Best regards,
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-621-6453
401 S. Griffin St., Suite 300
Elizabeth City, NC 27909
i