87222A - Elliott, Wesley

N9 87222 A B C D
+"`°"'urn❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT Previous permit
Rin
Date previous permit issued •Z.i
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 i ( . I !�, C:`C` ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nagov/CAMArules
Applicant Name I ri F..
Address v ! i l w V.rn a. C!
City 0 f 1t, t `/ State {h1 J zip Z 1, -1 -1 1
Phone # ( )
Email 1 5i b? c` `5 - O G.J . t \!A 1 ' C) W
Authorized Agent k' ! i i l c? w.
Project Location (County): C. I , I" !" 4' U cj-
Street Address/State Road/Lot#(s) � —1 ;'..J eti. L\.
Subdivision ( C�) y C? V' (X F..1 P' [_:L.rA'\_
city �' FAY 0 1l O.._ ZIP 2_._i `i
Affected ❑ CW E] EW 11 PTA ❑ ES ❑ PTS Adj. Wtr. Body A 1, to V I5 ` f.7 G(. ;} (naU(n`adjunk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body kF_N.`•C6`<-i �(...5
ORW:yes/no PNA: yes/no
Type of Project/ Activity i her lowJ i7 0''f"f�
t 54s Jr(' (Scale:lrrs P,o)
Shoreline Length I
Access Length I � �—
Pier(dock)length - l
_.
Fixed Platform(s) I
Floating Platform(s) ,t.1 • U
Finger pier(s)
—{— i- ---- �— I--- -
Total Platform area
Groin length/# -i - __ _.-__ _ .
Bulkhead/, Riprap length _ - - I- - - - - -.. )-.. J{i _', -
Avgdistanceoffshore --
-1 Breakwater/Sill --- -,-- - - i�--
Max distance/length ---_ _ ._. �.. _ _ - _!
Basint,6annel) '4-'01 y- (C?Cat --1 L_., __ r -- .�_ _. __ -� - - - _
Cubic yards I `r rA t.,'
Boat ramp �.
Boathouse/ Boatlift
Beach Bulldozing # t3 J 4_(_
Other
SAV observed:
yes no
Moratorium: , n/a.-
yes no..
Site Photos:
yes no
Riparian Waiver Attached:
yes no ss__
A building permit/zoning permit may be required
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 backof permit** Signatures
92�
Application Fee(s) Check M/Money Order Issuing Date Expiration Dale

w
-tA-.
C rs,tR
North Carolina Department o, Envitonrnent and Natural Resources
Division at Crustal Management
Beve 1y raves Perdue, Gavemor James N. Gregson, Director Dee Freeman, Saaeiary
Name of Property Owner Applying for Permit:
Mailing Address:
i certifi, that I have authorized (agent) Kelli l'hompson
._ to acton lrsb'
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
isr ta81 or cusiruef (actimity} dredge canal
at (Mv property located at-) 5 1 -7 _ � WCAj Pw
Thisitertiffcation is valid tlsrai date. 12-31-2024
Property Owner Signature
"�';-9 ( Iq p /I L,. 2 J C,2- 7
Date
400 Commerce Avenue, Morehead city, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: wwva.necoastalmanagementnet
A., Eeuai Oppcowruty \ Atfimative Action E.mployal -53% Reoyded i 101A Post Consumer Paper

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: Scott Elliot
Address of Property: 517 Swan Rd Corolla (Carova) NC 27927
Mailing Address of Owner: 7657 Woddville Rd Mount Airy, MD 21771
Owner's email: wse5860QgMail corn Owner's Phone#:
Agent's Name: Kelli Thompson Agent Phone#: [phone]
Agent's Email: e7P^__niii, pn9ogpaaii rom -
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
description or drawing with dimensions must be provided with this letter.
VI DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you musr noury me nr-t . rnvsroll v. vvaaaa,
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 sian
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) (y(A
Signature of Adjacent Riparian Property Owner: t si '-u r j :� rL f /
Typed/Printed name of ARPO: Mary Beth Friedel
Mailing Address of ARPO: 1228 Swan Hill Ct. Chestnut Hill Cove, MD 21226
ARPO's email: n11) fI qCj _� (4aDl� l0111 ARPO's Phone#: Lilt 43 7- 0(051
Date: i 1 G (2 ii *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

kve
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ,5C,)4 'at t^ 1�U
Address of Property:
Mailing Address of Owner:
Owners email:
WSe-Sc6too 0 ae
rna
Owners Phone#:
Agent's Name:
n
Agent Phone#: 5� • �c� a31 `t
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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
1 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. uwrston or Coasrar
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.)
1 DO wish to waive some/all of the 16 setback �J{%
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:
Typed/Printed name of ARPO:
Mailing Address of ARPO: $0(,
ARPO's email+%kg - 0ii4c Caxxj_ ARPO's Phone#:
Date:
'waiver is valid for up to one year from ARPO's Signature`
Revised July 2021
v/

��
V '
F
I
ram,
LAI
E
E
P
s
0
0
070
0i0