87162A - Perry, Bryan and Susie

"`°"" AMA RREDGE & FILL NY 6i10/1 (� e C
�+E.I�LR�1 �CpR/�IT Previous permit_
4 V L PERMIT Date previous permit issued _
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State jof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant wi
IS N fJ fill, C S r b
A CAC ❑ Rules attached. S44 General Permit Rules available at the following link: www.den.nc sov(CAMAruJ
AppIkcant Name
Address
City F,�5"�"1At sA State _�,_/ ZIP,
Phona k (its-N.,...._0 �j,=:�3&.A....,,....,
Email 2r-4 Q ^Ce,_i'Csu l od,.}}
rt�Ot A C _
De
Project Location (County):.
Street Address4tate Road/Lot
Subd1visl4n
Clty __AE-fl7S,.I S311 zlp 2 �ry �
Affected ❑CW t4m PTA El ES PTS Adj. Wtr. Body CA, st 0__ (nathhaNLnk)
❑ AEC(s): OEA iHA ❑UW ❑$PIMA ❑PWS Closest Mai, Wm Body �V1
ORW: yes/ho \ PNA: yesti�)
Type of Project/ Activity C rJ ;a C •r- M A, i Afl-ems' N,4 4 C C,' ii 2 k 1 t / J—G o � /jt� 14 _ V/fit 1f t
'� elk i- % 6"N �i �s}�hI C t% Fl %e i a verrtit or (SceieiAXN j
Shoreline Length i f y w
Access Length
111
Pier (dock) length
Fixed Platforms)
4
Floating Platform(s)
v
Finger Flails) —
TO
T I i
�4r
Patform area
Groin length/h r!
Bulkhead/ Rkprap length
Avg distance offshore
Breakwater/Sill
Max dista ttel length -r —
Basin, channel
Cubic yards
Boat ramp_
Boathouse/ soattat
Beach Bulldozing___--_-___
Other
� �Q'J
'V t'r
SAV observed: yes no i
Moratorium: n/a yes no
Site Photos: es,.
Riparian Waiver Attached: yes no �,:`�j_. u (R'rA'DH'°'M1+
A building permit/zoning permit may he required bY:..____..�.
Permit Conditions
�T�cAvgra �.
J rR.4\ ✓
M
0�A(I6t'P<,
{1�
❑ 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 PROJECTAND REVIEWED COMPLIANCESTATEMENT. (Please Initial) _
.�Agent or Appll M PRI TED Name --
T9iynetura •P ase road compliant statement on back of permit'"
Applifatlon Fee(s)_ Check a/Monay Order
Permit Officer's PRINTED Name
Sign t
��
issmng Da a Expiration Date
f'

KEDGE & FILL N9 87162 A B C D
a GENERAL PERMIT Previous 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 #i / is 6 ❑ Rules attached. -tZ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant N^ame n 9-'
Address 1 J,
City Ff ISC o State hC,ZIP
Phone#(= q'?' —_&3-g<
Email btl 4p::) I Cb ro 41n 9 Ce AAa C C� 4 L
Authorized
Project Location (County): <-D C��
Street Address/State Road/Lot #(s)
X 184 Da_cav son
SubdivisionI
City /-s A"A ZIP
Affected ❑ CW W
� ❑ ES ❑ PTS Adj. Wtr. Body ! 0.rt 0—j (naU an nk)
AEC(s): ❑OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body �U.M /T C..CJ -S� tn.n CL
ORW: yet—`` PNA: yeslr-�)
Type of Project/ Activity L 5 tJ "P H G"t" M Ar / f`( A- 0 r, F 1i 2 Co (j-1 N{ G- z. P /}1f(-AM�
C'-t gk L- l C i ',4n( Cc% Pt i`' O' : / � DEPT-H O G"3 iS VIA_ Zo0.)r*-J2Q H (Stale:/�S j
r
Shoreline Length_ A
Access Length
Pier (dock) length
Fixed Platform(s) ^
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/p o
Bulkhead/ Riprap length
Avg distance offshore o
Breakwater/Sill
Max distance/ length .. -
Basin, channel
Cubic yards_�`l .7 _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing '-
Other
q4
4!�J
041 (S 40
�,'4X
f�i sf n
E x ©Uf KIkEIY°
•- CR rs SE � r wd
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes nq_
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
AND
Agent or Applicant PRINTED Name
Iouts �t7 c- �
ID %A tJ /30A'V H,,R5—tJ
Signature **Please read compliance statement on back of permit**
E/ chin
Appli ation Fee(s) Checktf/Money Order
REVIEWED
xtRVF{-ra 2
it
1 �5 -3 21 -
' I
_ 2
I
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Peribit Officer's PRINTED Name
Signa a ,/� /z // d
Issuing Date Expiration Date2

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

a�°pC0A5Tl) OCAMA El DREDGE & FILL No 87162 A� B c D
Previous permit
GENERAL PERMIT fDate 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. ,, ❑ General Permit Rules available at the following link: www.dee.nc goy/CAMArules
Applicant Name
Address
City
Phone # (_ )
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision _
City _
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) "'
Floating Plafform(s)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes no
!!
Moratorium: n/a
yes no
',il
Site Photos:
yes no
Riparian Waiver Attached:
yes no
A building permit/zoning permit may be required by:
Permit Conditions
4
(Scaler )
❑ 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
Signature **Please read compliance statement on back of permit**
Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven -south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Berne, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AtrrHOR17.ATION TO ACT AS REPRESENTATIVE FORM
Landowner of record authori7.es Environinental professionals, Inc. to:
I. enter the property to gather environmental mid site information, including delineation of
environmental regulatory jurisdictions;
1 enter the site with the regulatory agencies (i.e. U.S. Amy Corps of Engineers,
North Carolina Division of Coastal Management, North Carolina Division of Water
Quality, etc.) as needed to review regulatory alignment(s) and/or to identity additional
regulatory jurisdictions;
3. submit plats and other information to acquire regulatory agency confirmations, approvals,
and/or determinations (U.S. Amy Corps of Engineers, North Carolina Division of
Coastal Management, North Carolina Division of Water Quality, and municipalities); and
4. act as agent for the purposes of obtaining environmental permits, anthori=11011s, and/or
determinations,
i(m ovvner Dine
Client Date

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PROFE�5�09�A��
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My Beach House, LLC
PO Box 2128
Suffolk, VA 23432
To Whom It May Concern,
Environmental Professionals, Inc. has been retained by Mr Bryan Perry to represent him to the
North Carolina Division of Coastal Management for the purposes of requesting authorization to
maintenance dredge the canal on Decoy Lane, Frisco, NO Dare County and as depicted in the
enclosed project sketch.
Should you have any questions regarding this request, please contact:
Environmental Professionals, Inc. or NO Division of Coastal Mangement
Attn: Mr. George H Wood, CEP, PWS Attn: Ms. Yvonne Carver
PO Box 3368 401 South Griffin Street Suite 300
Kill Devil Hills, NC 27948 Elizabeth City, NC 27909
252-441-0239 252-264-3901-
obxwood9yahoo.com [e-mail]
If you have comment about the project, please mark the appropriate statement below and
return to Environmental Professionals, Inc.
The NC Division of Coastal Management provides 10 days from the date of notification in
which to comment.
I appreciate your consideration of this matter and remain available to answer any questions you
may have regarding this request.
Sincerely,
i�-- //kZ/
ge H Wood, CEP, PWS
I have no objections to the project described in this correspondence.
objecti s to the project described in this correspondence.
nature Date
P.O.BOx3368 • KILL DEVIL HILLS, NORTH CAROLIN.A 27948
MOBILE.: [phone] • OFFICE.: 252-411-0239
EMAIL; obxwood*ynhoo.com

=Y
ENRR0WENTi
POOFES$ION:ILS
—ue—
PLAN,NINC FOR
{ BETTER
E>VIRONAIEW
Ms. Mary Clare Wheelock
1 Choice Ct
Lutherville Timonium, Md 21093
Dear Ms. Wheelock
Environmental Professionals, Inc. has been retained by Mr Bryan Perry to represent him to the
North Carolina Division of Coastal Management for the purposes of requesting authorization to
maintenance dredge the canal on Decoy Lane, Frisco, NC Dare County and as depicted in the
enclosed project sketch.
Should you have any questions regarding this request, please contact:
Environmental Professionals, Inc.
Attn: Mr. George H Wood, CEP, PWS
PO Box 3368
Kill Devil Hills, NC 27948
252-441-0239
[e-mail]
or NC Division of Coastal Mangement
Attn: Ms. Yvonne Carver
401 South Griffin Street Suite 300
Elizabeth City, NC 27909
252-264-3901
[e-mail]
If you have comment about the project, please mark the appropriate statement below and
return to Environmental Professionals, Inc.
The NC Division of Coastal Management provides 10 days from the date of notification in
which to comment.
I appreciate your consideration of this matter and remain available to answer any questions you
may have regarding this request.
Sincerely,
George H Wood, CEP, PWS
I have no objections to the project described in this correspondence.
I have objections to the project described in this correspondence.
Signature
Date
P.O.BOX3368 • KILL DEVIL HILLS, NORTH CAROLINA 27948
MOBILE: [phone] • OFFICE: 252-441-0239
EMAIL: [e-mail]

2,
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if sDace Dermits.
My 4te,cL Nuoxe,/Lc-
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reived by (Printed Ne e) C. Date of Deli
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D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑Registered Mail'"'
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❑ SignatureConfirmation^^
❑ Collect on Delivery
❑ Signature Confirmation
2. Article Number (transfer from service label)
D Collect on Delivery Restricted Delivery
Restricted Delivery
"- -1 MalI
7022 0410 0001 0564 1867
1 Delivery
oo,Restricted
Ps Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt
■ Complete Items 1, 2, and 3.SECTION ON DELIVERY
■ Print your name and address on the reverse A' Signature
so that we can return the card to you. X ❑ Agent
■ Attach this card to the back of the mailpiece, ❑ Addre:
or on the front if space permits. B. Received by noted
1. Article Addressed to: - C. Da of of Deli
D. Is delivery address different from item 1? (0 Yes Z
Md. Ma.y ��are If YES, enfar delivery address below: 0 No
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2. Article Number (Transfer fromservice label)
❑ Certified Mail Restricted Delivery
O Collect on Delivery ry
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DoinB&tk Nei0rn'89ceipt

Carver, Yvonne
From:
George Wood <[e-mail]>
Sent:
Saturday, February 17, 2024 3:49 PM
To:
Carver, Yvonne
Cc:
George Wood
Subject:
[External] Fwd: Sign off 48181 Decoy Dr Buxton, NC
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
As requested
Begin forwarded message:
From: Leigh Broadhurst <leigh broad hurst@verizon. net>
Subject: Re: Sign off 48181 Decoy Dr Buxton, NC
Date: February 17, 2024 at 3:21:08 PM EST
To: George Wood <[e-mail]>
We accept that materials and equipment can be stored.
Leigh Broadhurst
[e-mail]
On Friday, February 16, 2024 at 08:11:49 AM EST, George Wood <[e-mail]> wrote:
This email is to confirm that Bryan Perry and his contractors can temporarily store materials on our
property at 48181 Decoy Dr Buxton, NC during the proposed dredging of
the canal.
I think if you respond yes to this email to the Division of Coastal
Management (they are included in this email ) that should address the
request by the Division.
t

Tall
/"-'/J12-
�PY3'91

Carver, Yvonne
From:
Sent:
To:
Subject:
Attachments:
Good afternoon George,
Carver, Yvonne
Monday, February 19, 2024 5:04 PM
George Wood
Perry GP87162
PERRY GP87162-02192024170054.pdf
A copy of general permit (GP) number 87162 authorizing the maintenance dredge project
for the Perrys at Decoy Drive in Buxton is attached for your review and signature.
To validate this permit, please address the following:
1. print and sign the permit on the bottom left-hand corner belowyour 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.
If you have any questions regarding this correspondence, please don't hesitate to contact
me.
Thankyou.
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

®XCAMA / XDREDGE m FILL NQ 67356 (9) B C D
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �/
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC H. /��
®Rules attached.
Applicant Name BRAN PkRRY Project Location: County t)ARC
Address 4 9 b9coy
fi (%dl VC
City By7(-"ON State AlC
ZIP 0
Phone # (1 S2) 99,5 53 4 (- E-Mail
Authorized Agent G %good
E PT
Affected ElCw r9EW U PTA
DES
❑ PTS
❑OEA ❑HHF ❑IH
AEC(s):
❑UBA
El N/A
❑ PWS:
ORW: yes / fi(60 PNA yes / 0>
Street Address/ State Road/ Lot #(s)
4813'4 Ci coy be/1)L�
Subdivision Oi$ /J C /�
city O u X -hos-0 ZIP ;7 `7 9.2
Phone # () River Basin �+35QuDT�1IC
Adj. Wtr. Body C/8N A li (nat�unkn)
Closest Maj. Wtr. Body PAM "D ,Sacery A
Type of Project/ Activity 0 C-1AJ C/4N k L v Z S r A 14S, Crxf
rN llkCrtF SH()04L ijI@k74 (Scale: errs )
Pier (dock)length i. __ I I 7qi _
Fixed (dock)
length_
N W (/ ( p ry�
Floating Platform(s)--
Fingerpier(s) I�A lbY 5 P7
Groin length j l
number -r- - v
Bulkhead/ Riprap length
avg distance offshore _
max distance offshore �XrSnt� ` T
Basin,channel 25" X /�,�t g4!-KFiC'p I ��- psl/ ) Pe122 i
-ZIT, w' rµ _21 t7 I_6 t
cubic yards /Oo ,EI�RNP
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
u/
r
Shoreline Length �� 1—
S�.-.
SAV: not sure yes
Moratorium: RIP yes no
Photos: }G3 no n L 4.
Waiver Attached: yes J -
A building permit may be required by: 0,9 ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) d
Notes/ Special Conditions ISpD/G /`),I f' 8 P ,Y&?J �•S ,�j/i���/LL /-r�-I- C�`%"w��
l�ulKhe A�re� �e14) A)�, t ��
Application Fee(s) Check #
}
Permit Officer's Printed Vame
S5/uourrUGTS t
Signature �f
s ,,Qry 7 ,20 17 w E
lssui6g Date r Exp' tion Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar -Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.nett
Revised 08/27/14

FE
/I DREDGE & FILL a � 4307j /JGRALPERMIT Previous permit#'Y�
t4Modification El Complete Reissue OPartiai Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC %
8 `` les attached.
Applicant Name "I �_S/ P �Project Location: County
Address ! H j ay DAWC12 Y R 9 Street Address/
�State
' Road/ Lot #(s)
Ciry___ (�x � State_f�%�ZIP O _�DIT)9 Ate'/ nD
Phone # Fax # {_) Subdivision ^
Authorized Agent y� Ciry _807-PAI ZIP 9 7126 _
Affected 0cW TC" A QES ❑PTS Phone# ( ) River Basin Kw,/eg1VVk
(
AEC s : OOEA O HHF ❑ IH ❑ USA ❑ WA SON%
) ❑ PWS: ❑FC: Adj. Wtr. Body C1iN1�L TV ftmz CJ (nat krMunkn)
ORW: yes / ® PNA yes / no Crit. Hab. yes 1 ® Closest Maj. Wtc Body P%MLj W SQ:>VV
TypeofProject/Activity rD-AIDLWVJ1ILCE DKEVfIA' C1311VAL lalVit1
(Scale: s {• )
Pier (dock) length__
�PlatJIA
form(s) - r'finger pler(s)Groin lengthnumber Bulkhead/ R iprap lengthavgdistanceoffshoremax distance offshore/y ` 0'
cubic yards_._
Boat ramp I 1
N.� i
Boathouse/ Boatlik '—t-` � -ice - -
I
Beach Bulldozing _ I I j ( I � � i � I i 6I(� % " PO NV�)✓
Other
Shoreline Lengths
SAV• <vq yes no
Sandbags: notsure yes
Moratorium: n/a yes o©
)i�' not _ 1.
Photos:
Waiver Attached: yes ®
A building permit may be required by: D RF QUA/-TY ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
` C A L L T" QGC c y -USP�1�1�7�AR�GIN�
Application Fee(s) Check #
Local Plannfng)udsdiaion RoverFlle Name

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