89041A - Moore, Walter

❑CAMA B DREDGE & FILL BPrev
GENERAL PERMIT Date us permit Li
,,��// Date previous permit issued
'New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmemal Qualityand the Coast Resources Conunission in an area ofenvironmental concern pursuant to:
❑Rules attached. General Permit Rules available at the following Ink: wwvv.deq.ncxov/CAMArules
Applicant Name _U-41rf '-M siabrC -1117_
Address i,f- SG(Wto%tylc'
city —Ci:>-WiLQ-_._,-- State ___zIP_.ZZ1Z77_-
Phone # rLn)__. a 21 - 384)
Email _ QN;4 r c+nrn / c 0. 17 e .-L. b V ltr� -r
Authorized Agent-E.
Project Location (County): _ a��.�. b
Street Address/State Roadq.ot k(s) �4eCb`C+Cyr Y r4NL
Subdivision _._ C.0.YoV Q 17Cci r-14
city Coro[\a _, _ zip T z
Affected ueW [JEW ✓❑tPTA [:]ES ❑PTs Adj. Wtr. Body. CartAl-1•o km I:s l,S" to �a nk1
AEC(s): ❑DEA ❑IHA ❑UW ❑SPIMA OPUS Closest Mal. Wtr.Body,__..kIA0-Vr5 1n\U-KJ
ORW: yeiffD PNA: yes
Type of Project/Activity Dr rasa as' Y t r_ ` o F 6� c;­,l10 6ol}rss +ea w. wl ikkso vn
(Scale: V'=GOI )
Shoreline length_ 1(s0
Access Length v+✓ n,i �.
Pier (dock) length J
Fined PlaHorm(s) 2
Floating Plallorm(s)_
Finger pier(s)___
% l60' of StthU.otJ
�•.
__
Total Platform area
Groin length/E
.+... �•.- r...
8 O'TTDs4 �O MhY
GANaAI. TO K.1.loY-t'S
..-w,
Bulkhead/Ripraplengih
r ti
aE.PYH of 4.a w
r`•
Avg dista'ceoftshore ___4.—�-
X 4�5 X $t
t-
Breakwater/Sill -__
•r.i n-- I Y- 3 o' x¢
(
Max distance/IengtB
Basin charts _ -45' X ld0 r
---
r s
' x 2.0� K 2.0 X 2.0_-
Cubic yards fQS S
Boat ramp �___
Boathouse/BoatliR_
v....
x0.5r
S I t} ,yj�, s t s s t l l t Y j 1"'�Y N i s S s
{Gs.ce ^...It- PR.a poS y,
l be1 { o.
E*
Beach Buldonng ))
Other
1_ V
Pb}t_
15Po5AyTLIp
1,\fiYrl�ll
l
0G1L6�y- S�(tMal.e...
-•- _._
[Ha�S
f/t tt1/•
L ...
A Itici�l MO or e- a t t l t.{c
s t t
SAV obsmed: yes
nMoratorum: nyes
E
Site Photos: no
Riparian Waiver Att
ached: s a
A building permit/goring permit may be required by:__�t/_(r�{r+ e•„_�Q
Permit Conditions_-_..._--_ .__ ..
_
AM
permit-'
Application Fee(s) Check
TARIPAM/NEUSEIBUFFER (circle one)
. See note on back regarding River Basin rules
See additional noses/conditions on back
10 REVIEWED COMPLIANCE STATEMENT. (Please Initial).__
Permit Officer's
t�PRINTED
LName
��
Signature L / `�
5la.s�2oz4__-- 9/28Izoz<G
Issuing Date Expiration Date

Ad our4 ❑CAMA DREDGE & FILL
�GENERAL PERMIT
�/
� New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N° 89041
Previous permit
Date previous permit issued
O B C D
As authorized by the State of North Carolina, Department of Environmental Quality and the Coasta Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 0�1it. ( 5b 6 ❑ Rules attached. General Permit Rules available at the following link: wwwcIeq nc gov/CAMArules
Applicant Name W L,(+V.0 I. M mbCC -rM
Address salmcey%- V-04..E
City C�(6 ��,Ot.. State XJC. zip ZZiZ!
Phone#(J!n) 62-1 - 3�h3
l t
Email joq�yyLYS,OSt�O
Authorized Agent E L
L
Project Location (County): b
Street Address/State Road/Lot#(s) GUrrl*mL
Subdivision C.CLYOV O- F7G0.Glrl
City Co-4.0tk0, zip 7-792i
Affected ❑CW [VrEW EFTA ❑ES ❑PTS Adj. Wtr. Body CCLVW.t+o _$k.,GL -(n annk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body V—, K0-tY5 x5la.t,�d 729wq
ORW: yetfll� PNA: yes/ io
Type of Project/ Activity r c da e 45' X 1 0 s es F s %a-k I o tJ 6,5+k-^ t\ io w1.wc L m u vr�
4.5 b•el oLo vso rw. l tJ Aer La VeA (Sca1e:)"7(op )
z
Shoreline Length 11 in0
Access Length y
J
Pier (dock) lengti
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) Dp,�.D C>.E 45'
X 160' oV- 5UrALLoW
Total Platform area _- SOTTO ✓L To KAV \ �J �_ Tr K -S N W L +
Groin length/q , � \ G����- TO O
Bulkhead/Riprap length X 4 51 X4 sr �—
Avg distance offshore ^-• ^- �" ,— -- — -^ — — — — — — X q•.5' ice— N
Breakwater/Sill I K 3 •O ' X
Max distance/ length�� �`- 9 •� I x 3.5 �+
-45' X Edo' x2.o' -Az.o' x1.o'
Basin channe ---
ti
Cubic yards fa85 NWL I Xl.o xo.5' 10�,1�+�
Boat ramp 5 11+ t r t r r J J r T j, % 1 t
Boathouse/Boatlift fct.ce —J-: QRoposEEw J
Beach Bulldozing I_ 5 9011. V 1 sppS,gL. 1 08K S►'AI
Other s-+i l'F CN.CPJS . r• , I A-c-
fsioor�rrftrlr,.t.``,I
SAV observed: yes now
Moratorium: n a yes no
Site Photos: es no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: C L/ r1^ 1'1'LI c k_ Ct LAA
Permit Conditions Af
J1cAc- e)
�! in rules
ack
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STA
Wl.a,&; to K,Acke 1
Agent or Applicant PRINTED Name Permit Officer's PR/RIIJNTTEEEDDNNNaame
Signature "Please read compliance statement on back of permit" Signature
8400.11 9354 512`d'2oZ4
Application Feels) Check!!/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _i�� i �r �t . ( % 0 rc`_'�'"�
Mailing Address:
Phone Number: —77t'7--(may 2-1-- ' �
Email Address: `'G�y G=A/'v r r r? i� <:-1k &r A I 1 DN6 , ceo r�
T�T
I certify that 1 have authorized Kelli Thompson with EZ Equipment
Agen i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dredge Canal
at my property located at ':2.,\ (Lc) —t, ►� yl }� v,�
in c°°"°`k County.
l 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:
Sign re
Print or Type Name
L.21 Q &L
1 Title
Date
This certification is valid through " 1 35 1 2024

N.C, DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAIVER FORM
eE�)[ j JE AIL EfN9 'C `IF -L ft 'WU7,EC} or -Mt Oi ;L,I`J RY
(Top portion to be completed by owner or it Ir agent)
Name of Property Owner a G 1 t' `�U ✓ E .. -i ..
Address ofProperty
Mat4agAddrossof Owner ,(0
Owners emavy--ey
u� fp_
Agents Name,
Agent's Email:
•m
PROPERTYADJACENT RJPARLAN OWNER'SCERTIFICATION
IF you stave objacttons to what is being proposed, you must notify the N.C. Division of Coastal
Mansgamant (OC" in writing within f0 days of roceipt of this notice. Cormpondence should be
171000d to 401 S. GHhfn St, Ste, 300, Elizabeth City, NC, 27909. OCM representatives can also be
contacted of (254 264.390C No response is considered the same as no objection if you have been
nohTred by Certified Mail,
SECTIONWAIVER only one
1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
UW
•�.• a ..•• • a • ♦ ♦-• • • z - •. A `S =. r
the
appropriate blank e
100 wish to waive 5ometall of the 15' setback _
Signature of Adjacent Riparian Property Owner
_Op.
100 NOT wish to waive the 15` satback requirement (inmal the blank) 51 .
Signature of Adjacent Riparian Property Owner.
TypedlPrinted name of ARPO: _ vet e ( C�2 (1 l L
e ` t2 ,�4� Vet ���� 4A �J S 7
Mailing Address of ARPO: � �� z � � ti f � t 7 1� l p � �
ARPO's email; ARPO's Phone#
Date; t ; d -1 'waiver is valid for up to one year from ARPO's Signature'
Revised August 2022

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONAVAIVER FORM
CtRTIFIFO MAIL RET4JRN RECEIPT REQUESTP,C-gr [—i&N2 j.IV
(Top portion to be completed by�oyfi of theft agent)
Name of Property Owner
Address of Property
Mailing Address of Owner C-L L._ �_ �--1 ��-L... -,y,',,- •'-r _�/ _
Owners ema�>�.� L f� _ Owns, s vidne 1 j L
Agent's Name
jL{ /y' �ij}'''� "' Agarrt Atrondd
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
i ttem portion to be completed by the Adia"ift Properly Ovt+rtgn
I nerebYcertify that i own property ad(acertto tfw above referenced property lttonlawdual applying for this
permit has described to me_ as shown on the attached drawr nq_ the developrmmnt they are ynapa:rrng A
cri yqn w dr ,wr danenswna, n,rrwl pe�pr v,ci�q_,wrtr This Im;ar
✓ i DO NOT have objections to this proposal T 100 haver otiechons In this proposal
If po0 have objections to whet is being proposed, you musr rtinti yy M_o N.C. Aivisfon of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Sta. 300, Elizabeth City, NC, 27909, DCht representatives can also he
contacted at [phone]. No response is considered the same as no ody"llon it you have been
notirrad by Certibad Mail
WAIVER SECTION (Ctt. se aniy one's
I understand Ihat any proposers law deck, mo(vtng prangs_ boat ramp boalhatise,'th o:
groat must Ue set bacii a mmenum distance of 15 from my area of nparan access unless warv-;d by <ry
tftis does Trot, ply + buGtheaAs ar riPfaa rev_g{mentS!. It, you wish to wa:rva the setback. You m011 orgn
the appropnste blank below )
I DO wish to waive sometaif of file i 5' sotback
per __v._..._.._
$igrueturs of Adjacent Ripener Prooctn,, tfrv; ter
OR.
100 NOT Mail to waive the tS setback rarturremnrrt tindiai ha, olasrk)
Av ... `Wit'
Si nature of Adjacent Riparian PropertyOwner, eFFafisa_
OF /
Typed/Printed name of ARPO:
Mailing Addr¢tsa of ARPO: �� ���f r vv _, C_„}�, ?±yyi l� l-/'C p ✓/#__ 33 d„ r_w'ZIST
�I
ARPO's arneii:(et{itARPO's PhonoN. %bai�,`�%�.. r� Cst+`1NVM" ,
Date' _CeJo t7? MZ1j__waddtver is valid for up to one year from ARPO's Signature"
RevisedAiignst 2022

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