87167A - White

ACAhAA 9 DREDGE GENERAL PERMPgo
Na 87167 G s C d,f
Previous permit
Daze previous permit issued
New ❑Modification []Complete Reissue ❑Partial Reissue
As authorized by the S^tt�u�eejjof North Carolina, Department of PsNronmentai Quality and the Coastal Resources Commission in an area of environmental rnmncn pursuant to:
++! I SA NCAC .£_� r to O___v�.� ❑ Rules attached. R( Ca eras Permit Rules available at the following link: www�gi {y„er^eevlGsrws �a
AppJl.t Name_-XZJ e,r' -......... ..71tSi.._..
Address 14{b f �,j X�11� FlJt
City 61i talpLMh C'.t state NC LP W, 9 09
Email
Affected 0CW ®EW jNPPA QES rx-1PTS
AEC(.): rJOEA 0IHA OUW ❑SPIMA OPWS
ORW: yes/e PNA: yes/g
Type of Project/ Activity
Authorized Agent KehheiWN 1-)111e 1-
Project location (County): lR44 rs d't8�n -m.
Street AddressfState Road/Lot #(s)
2fiq 5hadrtoc,i� �_.._..--
Adi. Wtr. Body
Closest Mal. War. Body.
-1 Of
NTj )
Shoreline Length
Access Length
r [t Pier (dock) length
Pied Platforms
itITI
� r
t ! 3 j
Floating Platforms) tl
Finger pier(s)
E
Total Platform area i
Groin length/# ^
ulkheORipraplength'SCQr =
Avg distance offshore .tit
Breakwater/Sill '
i
MaxdistanceJ length_ of �
Basin, channel j
Cubic yards
Boat ramp ti
Boathouse/Boatlift
Beach Bulldozing '
other ^
SAV observed: /�1 yes
0 1 .. �'...
Moratorium: i�
no
Site Photos: Photos: (yyF
no {
Riparian Walver Attached: yes
A building permlt/zoning permit may be required
Permit Conditions
Ke r, ,-, c-�
Agent or Aplpl'cant PRI Name ,
S nature" easere ppll�la^n statement on backof permk--
Application Fee(s) - Check#/Money Order
TAR7PMt/NEUSE/BUFFER(drde one)
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Permit
SlgnaW
f't! 2Y ��iz-J2y
Issuing Date Expiration Date

AMA ® DREDGE & FILL
GENERAL PERMIT
0 New ❑ Modification []Complete Reissue ❑ Partial Reissue
N9 87167
Previous permit
Date previous permit issued
B 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:
v
I SA NCAC 1 H' 1100 ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nceov/CAMArules
Applicant Name T_c6 c t LJYSsz .
Address 146`7 Pl f NonAon W.
City E11zo be*h CVO 4 state KC zip Z19O9
Phone #(z q) 330—�{►qf0
Email
Authorized
Project Location (County): VCLYf a 6 M' C
Street Address/State Road/Lot #(s)
2S `( 5ho.d neck (Zol.
City
93 U I
Affected ❑CW ®EW ❑&PTA QES ❑K PTS Adj. Wtr. Body `!]u7 � \E� (at an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body I�obe (,P_ Sr4>-ri
ORW: yes/e PNA: yes/(o
Type of Project/ Activity yn J,
shoreline Length
Access Length ^.
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/q
ulkhea Riprap length Sao '
Avg distance offshore t
Breakwater/Sill -�
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: /'�� yes (015
Moratorium: b{Y s no
Site Photos: CA no e,Ao
Riparian Waiver Attached: yes vte, cAeK 1Q0p "
A building permit/zoning permit may be required by: t �s 2_W 07p N& Go, <�
Permit Conditions
Agent or Applicant PRINTED Name
Permit Ofhcees PRINTED Name
NETS ►
ft
ovPAP.
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Si nature **Please read compliance statement on back of permit**
Application Feels) Check It/Money Order
Signature "
L/i V 2`f (Oh?-/.ZY
Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILL N9 87167 A B C D
>� Previous permit
GENERAL PERMIT Date previous permit issued
t, 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 �'-➢ ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.goy/CAMArules
Applicant Name Authorized Agent '
Address Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone # ( ) ; c. ' i 01
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (oat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no, PNA: yes/no
Type of Project/ Activity
e
MEMO
No
ME
ME
�...��■!■
Riprap length
Avg distance offshore
_
Max distance/ length
channel
Cubic yards
Boat ramp
■
.
■
■■
■■■■
■.
.
SC.�
■■�
.AVBulkhead/
�
MHiloBreakwater/Sill
■■%
�'
■
■CCU
-'*!■®
.■■■■i
■■■Basin,
■■
■EMIN
......._..�.
..■
':■■::■EME
■
�
.■:■■O
A building permit/zoning permit may be required by:
t t• '- .� .. <;\F,
„�,�
( r
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 permit*'
Application Fee(s) Check q/Money Order
Signature
Issuing Date
Expiration Date

Duly Authorized Representative (DAR) Delegation Form
Facility Name: Frog Island Seafood, Inc. AM
Prior to completing this form, please ensure the person completing this form is an authorized signatory. An authorized signatory is as
follows:
(1) For a corporation. By a responsible corporate officer. For the purpose of this section, a responsible corporate officer means:
(i) A president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any
other person who performs similar policy- or decision -making functions for the corporation, or
(ii) the manager of one or more manufacturing, production, or operating facilities, provided, the manager is authorized to
make management decisions which govern the operation of the regulated facility including having the explicit or implicit
duty of making major capital investment recommendations, and initiating and directing other comprehensive measures to
assure long term environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit application
requirements; and where authority to sign documents has been assigned or delegated to the manager in accordance with
corporate procedures.
(2) For a partnership or sole proprietorship, a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency, either a principal executive officer or ranking elected official. For
purposes of this section, a principal executive officer of a Federal agency includes: (i) the chief executive officer of the
agency, or (ii) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the
agency.
This authorization may specify either named individual(%) or position(s) that must have responsibility for the overall operation of the
regulated facility, activity, or environmental matters for the company. Please identify either Planted individuals) or positions) (not
both) and thencomplete the "Facility Contact Identification Form "for identified individuals.
I certify I am an Authorized Signatory and am requesting the following persons/positions to be Duly Authorized Representative
(DAR) in order to complete reports required by NCDEQ permits and submit information requested by the NCDEQ Director on behalf
of the above facility.
Kenneth Elliott, consultant
i certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.
Michelle White
Typed or printed name of authorized signatory
J_1S� "d3QW2 ,LU: XV w�°,i ""9. B VD
Signature of authorized signatory ..
Secretary, Frog Island Seafood, Inc. November 4, 2022
Title of authorized signatory Date

Elliott Consulting
PO Box 112
Aydlett, North Carolina 27916
Phone:[phone]
Cynthia Rountree
NC Department of Environmental Quality
Division of Coastal Management
Elizabeth City District
401 S. Griffin Street, Suite 300
Elizabeth City, North Carolina 27909
Dear Ms. Rountree:
I am writing to you on behalf of Mr. Robert White, 259 Shadneck Road, Elizabeth City, NC
27909 in Pasquotank County. Mr. White is applying for a CAMA General Permit to construct a
new bulkhead on 500 feet of his shoreline there. There is no planned change from the
proposed project we discussed during your site visit there in December 2023. Enclosed are
green cards and other documents you requested verifying notifications to riparian owners,
along with maps of the project site. Mr. White is requesting approval of this general permit as
soon as possible. Please let me know if you have any questions.
Thank you,
Ken Elliott`
Elliott Consulting
1/16/2024
RECEIVED
JAN 10 2024
DCM-EC

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 Owner: Robert D. White
Address of Property: 259 Shadneck Road Elizabeth City NC 27909
Mailing Address of Owner: PO Box 2107 Elizabeth City NC 27909
Owner's email: frogisland23 )hotmail.com Owner's Phone#: [phone]
Agent's Name: Kenneth Elliott Elliott Consulting Agent Phone#: [phone]
Agent's Email: [e-mail]
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 for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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 nonry the rv.c. urwsron or 1,0a5rai
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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
M
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: x
RECEIVED
Typed/Printed name of ARPO: Albrecht M Heyder _
Mailing Address of ARPO: 111 Medical Drive #A Elizabeth City, NC 27909 JAN 1 0 2024
ARPO's email:
Date:
ARPO's Phone#: [phone] DCM-EC
*waiver is valid for up to one year from ARPO's Signature* lJ
Revised July 2021

Dr. Albrecht M. Heyder
111 Medical Drive, kA
Elizabeth City, NC 27909
Dear Dr. Heyder:
Elliott Consulting
202 Elliott Road
PO Box 112
Aydlett, North Carolina 27916
Phone:[phone]
I am writing to you on behalf of Mr. Robert D. White, PO Box 2107, Elizabeth City, NC 27909, who is applying
for an NC Division of Coastal Management CAMA General Permit to construct wood and vinyl bulkheading on
his home residential parcel located at 259 Shadneck Road, Elizabeth City, NC 27909, on Big Flatty Creek in
Pasquotank County. The work proposed will be standard bulkhead construction utilizing soldier piles, wood
or fiberglass sheathing, whalers, tie -rods, and anchor piles. The new bulkhead will be a maximum 500 feet
long and will be placed a maximum two feet waterward of the existing bulkhead. After bulkhead construction
is complete, the contractor will install silt screen behind the sheathing and then backfill with sand and
topsoil. The specifics of the proposed work are in the enclosed application forms and drawings.
As an adjacent riparian property owner to the aforementioned project, I am required to notify you of the
development to give you the opportunity to comment on the project. Please review the attached riparian
owner notification and statement, and drawings. If you have no objections to the project, please indicate as
such on the owner's statement and then return the signed statement to my office in the enclosed self-
addressed stamped envelope. It is not necessary to complete the waiver section on the statement since there
will be no construction beyond bulkheading within 15 feet of your property.
Should you have any objections to this proposal, please send your written comments to Ms. Cynthia
Rountree, NCDEQ Division of Coastal Management, 401 S. Griffin St., Suite 300, Elizabeth City, NC 27909
within 10 days of your receipt of this notice. Such comments will be considered by the Division in reaching a
final decision on the application. No comment within 10 days of your receipt of this notice will be considered
as no objection. If you have any questions on this project, please call me at 252-339.9021, or e-mail me at
ken0kenobx.com.
Mr. Robert D. White appreciates your consideration of this project.
Thank you,
Ken Elliott
Elliott Consulting
12/27/2023
RECEIVED
101blUk
()CM -EC

■ Complete items 1, 2, and 3.
■ 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:
Albrecht M. Heyder
Josephine C. Heyder
706 Small Drive
Elizabeth City, NC 27909
A. Signature /
❑ Agent
X ❑ Address,
B. Received to d ed N e) C. Date of Deliv
D. Is delivery addressbiHerent from item 77 El Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Expresso
❑ Adult Signature
❑ Registered Mail'"
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9590 9402 6051 0125 8776 11
Certified Mail Restricted Delivery
❑ Return Receipt for
Merchandise
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
O Signature Confirmation`"
❑ Signature Confirmation
2. Article Number (Transfer from service label)
7022 0 410 0 0 0 0 9 3 0 � 4 4
Nail
8 4 O'ri Restricted Delivery
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
U.S. Postal Service'"
CERTIFIED s O RECEIPT
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Sent To Albrecht M. Heyder
N
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Josephine C. Heyder
--••---- -----""""'"''"""
706 Small Drive
..............................
ciy �ieie, Elizabeth City, NC 27909
■ Complete items 1, 2, and 3.
■ 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
Dr. Albrecht M. Heyder
111 Medical Drive, #A
Elizabeth City, NC 27909
171
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SiieeieMlApiT 111 Medical Drive, #A
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1024
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12/28/2023
H
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B. eceived by (Printed Name) C. Date of Delivery
D"izS f /-a -a IG
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
RO BVED
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IIIIIIIII III I II III I I I II I (I I I II I I II I III 3. Service Type ❑ gist Mall Express®
❑Adult Signature ❑ Registered Mails^
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❑ Certified Mall® Delai 'a�
9590 9402 3209 7166 6703 80 ❑ Certified Mail Restricted Delivery 0
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❑ collect on Delivery
❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation*"
2. Article Number (Transfer from service label) .,.__._...(ail ❑ signature Confirmation
7 019 0160 0000 988 7 4 9 8 7 0) I Restricted Delivery Restricted Delivery
It
PS Farm 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Racelp I

N.C. OF COASTAL MANAGEENT
ON
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORIVIC C E I VED
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
JAN 2 6 2024
(Top portion to be completed by owner or their agent)
Name of Property Owner: Robert D. White DCM-EC
Address of Property: 259 Shadneck Road Elizabeth City NC 27909
Mailing Address of Owner: PO Box 2107 Elizabeth City, NC 27909
Owner's email: frogisland230hotmail.com Owner's Phone#: [phone]
Agent's Name: Kenneth Elliott, Elliott Consulting Agent Phone#: [phone]
Agent's Email: [e-mail]
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
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 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/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blajik)
Signature of Adjacent Riparian Property Owner: x l
Typed/Printed name of ARPO: State of North Carolina Wildlife Resources Commission
Mailing Address of ARPO: 1701 Mail Service Center. Raleigh, NC 27699-1700
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: I ci *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

Eiliott Consulting
202 Elliott Road
PO Box 112
Aydlett, North Carolina 27916
North Carolina Wildlife Resources Commission Phone: [phone]
Boating Access Areas
1720 Mail Service Center
Raleigh, NC 27699-1700
Re: Big Flatty BAA, 265 Shadneck Road, Elizabeth City, NC 27909, Lat 36.1501 N, Lon-76.1331 W
Dear Adjacent Riparian Property Owner:
I am writing to you on behalf of Mr. Robert D. White, PO Box 2107, Elizabeth City, NC 27909, who is applying
for an NC Division of Coastal Management CAMA General Permit to construct wood and vinyl bulkheading on
his home residential parcel located at 259 Shadneck Road, Elizabeth City, NC 27909, on Big Flatty Creek in
Pasquotank County. The work proposed will be standard bulkhead construction utilizing soldier piles, wood
or fiberglass sheathing, whalers, tie -rods, and anchor piles. The new bulkhead will be a maximum 500 feet
long and will be placed a maximum two feet waterward of the existing bulkhead. After bulkhead construction
is complete, the contractor will install silt screen behind the sheathing and then backfill with sand and
topsoil. The specifics of the proposed work are in the enclosed application forms and drawings.
As an adjacent riparian property owner to the aforementioned project, I am required to notify you of the
development to give you the opportunity to comment on the project. Please review the attached riparian
owner notification and statement, and drawings. If you have no objections to the project, please indicate as
such on the owner's statement and then return the signed statement to my office in the enclosed self-
addressed stamped envelope. It is not necessary to complete the waiver section on the statement since there
will be no construction beyond bulkheading within 15 feet of your property.
Should you have any objections to this proposal, please send your written comments to Ms. Cynthia
Rountree, NCDEQ Division of Coastal Management, 401 S. Griffin St., Suite 300, Elizabeth City, NC 27909
within 10 days of your receipt of this notice. Such comments will be considered by the Division in reaching a
final decision on the application. No comment within 10 days of your receipt of this notice will be considered
as no objection. If you have any questions on this project, please call me at 252-339-9021, or e-mail me at
ken(@kenobx.com.
Mr. Robert D. White appreciates your consideration of this project.
Thank you,
Ken Elliott
Elliott Consulting
1/5/2024
RECEIVED
JAN J b Zak
[)CM EC

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 Owner: Robert D. White
Address of Property: 259 Shadneck Road Elizabeth City, NC 27909
Mailing Address of Owner: PO Box 2107 Elizabeth City NC 27909
Owner's email: frogisland23(a)hotmail.com Owners Phone#: [phone]
Agent's Name: Kenneth Elliott, Elliott Consulting Agent Phone#: [phone]
Agent's Email: [e-mail]
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.
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.U. uivision or Loasrai
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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property
on
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
RECEIVED
JAN 18 2824
Typed/Printed name of ARPO: State of North Carolina Wildlife Resources Commission
DCM-EC
Mailing Address of ARPO: 1720 Mail Service Center Raleigh NQ 27699-1700
ARPO's email: [e-mail] ARPO's Phone#:
919-707--0150
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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