89041A (MOD) - Moore III, Walter

o Rt courq OCAftAADREDGE & FILL
INI GENERAL PERMIT
N° 89041 B
Previous permit
Date previous permit issued
C D
f New ZModification ❑ Complete Reissue ❑ Partial Reissue Modified 06-06-2024 MLMitchefl
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:
15A NCAC 6'1 k . 165 es ❑ Rules attached. General Permit Rules available at the following link: vnvvvdaq.nc,gov/CAMArules
Applicant Name I. � J11LA+tf J. M OC7re. .
Address �?.. C.2 swwlCaVv. V-d:>0,.
City Ceral(al, State MC, zip 2,771;-7
Phone#C1,5l) 112 - 28021 1
Email �loaL•x cmro%jo- 4zenL�lOVII rr.S. r6im
Authorized Agent -C TL E4 u L o IMc VA1
T—.
Project Location (County): —&0- t JfV CIC
Street Address/State RoadlLot #(s) 2d6 Z V xb o.d
Subdivision caAlxsyo- 7?COLG)d-
City Cn`lDl kCi. zip 7-"19Zi
Affected ❑CIN ZIEW PTA ES PTS Ad), War. Body CanA-( •('o %,n-t'('g'Ta 1_-i 04 (na{ an nk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body KVLO"i�5 �,1o.vtr.(. �ia-li ��
ORIN: yeje� PNA: yez�
Type ofProject/ Activity 17rcAoE 45sX IGOt n e�.G.11lIo..) kgj±-ty io wy.o3clutrtyZrrF�
4.0 Ip(.(OLO si01 (Scale:)"3yop.)
Shoreline Length ((so
Access Length
J
Pier (dock) length
Platformis)
~� N
3 ~__
"A
Flied
uP1akA6 •�
Floating Platform(s)
Finger piers)
D Q,ED OE 4 5'
% 16al of 514AILLoul
Total Platform area
BOiYOsA To MAK
Groin length/g
aCp Tll of 4.3'
/tNAI TO kf to S
GA
� � L6L, 'Bhy
r
Bulkhead/Riprap length
.w �-
4-gamaX tE.5
Avg distance offshore
.w ti. �-.-
Ix
Bre6water/5111
I ff' 3 .O r K 2' b
Max distance/length
Basin clianne At5' A td0
K2.b� -A y.0' X1.d'3,
XO.S
Cubic yards / SS
o
NWL-
X1.0 �.� ­4-4=T1�1
Boat ramp-
T�'a'►. :•-` r:. s"s'r �YlrrlT'`� (09^_��
Boathouse/ Boatlift
30'
RELOCATE DREWE SPOIL 1 L'—i-�)
Beach Bulldozing
10
.DISPOSAL SITE 30' FROM NWL / MLM 1 4 8x 5��
jh
Other �. i L EV..caS
SILT FENCE AROUND PERIMETER r. ,ry
sFf jF i(' 1 wc— IL..
MLM
`�cl
M�ell
IL
R' l
h' Moore. a t .-r•��"'" I
SAV observed: yes no
I.�
()hkrWrvs>. r-VOGr�
Moratorium: yes no/�
na
Site Photos: es no
I
Riparian Waiver Attached: es
A building permit/zoning permit may be required by: C U rt't+" r-{
C r, 4sKiV
❑TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
`I5AQA
See note on back regarding River Basin rules
rr
9i 14 4BvtGE 70 (n
e 1 a V1 b a±Aa
t;,ts N W L y�z ❑ 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)
IVIa(t 1ti MArAe-11
Agent or Applicant PRINTED Name Permit Officer's
erPRINTED Name
Signature --Please read compliance statement on back of permit" Signature L,) .
940o.11 935� 5/1-S(2oz4 9/28�zaz*¢
Application Feels) Check g/Money Order Issuing Date Expiration Date
Modified 06-06-2024 MI.Mitchell

❑CAMA I� DREDGE & FILL N $bq 1 O B C D
- 4 Previous permit
GENERAL PER
.,,.,.,,__,,// MIT Date previous permit issued
ell['New ]Modification El Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coast Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 01-4 A- ¢9,_„_,_-_,_,-.,__..._—.- DRulesattached. General Pei mit Rules available at the following link:w ,ceV,ncsov/CAMAMes
Applicant Name _A.J?4}ec 3. _ Y
Addressycc- scdwtoy�
City Co ..__ State
Phone # (•r,Q)__L. J.1 - 3S0'�
Emal_,40C4 retf•r7�I0. Yf�.C�V1��cr5. Col',
Authorized Agent
Project Location (County):-
Street Address/State Road/Lot#(s) �BOffiYs V�YI'1'Y—
Subdrvlsion__CAYOVa Fj5g4G
city. rovoIkC— _.-__._.... ZIP.
Affected u[W [JEW F4PfA DES r]PTS Adi.Wtr. Body. CQys0.1- 0 kane "}Zp,�,'�%M f &JgDnk)
AEC(s): E]OEA IHA ❑UW DSPIMA OPWS Closest Ma), Wtr. BodyS-S\a vsCi 1SJ
ORW: yei�f) PNA:yego
Type of Project/Activityc4a a 4S` Y t r-a` e � 6 cello bo-ki'^ io aK ' Wn
4 5 bet Oki n I _ t. a}ror Ley l (Scale:f°oho )
—
Shoreline Length 1(o0r
Access Length
Pier (dock) length, J
Fixed Plallozm(s), <)Pla..,.t,kS
Floating Platform(s)^
Finger pier(s) DRE..D Gt 45a 1
Total Platform area •'�+ /�- ��- `•. rti
B O'TYOK rO rAA1G Ni Wl.+
Groin length/g_ s n� GA.t�{51.. iO y-t`iOTTs
OF-PYtt of 4.5 BJ.y Bulkhead/ Ripraplengih
Avg distance offshore__ V ,... �.- /„ sX
Breakwater/Sill-__ %, r I 4•s� ~- N
X2.n S.
i a.o x 1
Max distance/ length
Basin cbanne -Ali X ld,Qr _ ti X 2.0 X 3.O X 2.o r I ,4-....� u W L
Cubic yams,.,_ . N W 1- 0 I Y. 1. 0' Y. O .S'
Boat ramp St I ({- t 1 r r i 1 1 i T (t"'ttj(L� i t y` l�C)&'�-.�-F�`-
0oathouse/eoatlih TG`Gc y^ W *A Po$�p� � � E= l
Beach Bulldozing I� 5 Poi%- 'D 15 pOSAL /( .yj O by 611
V1 1 t
Other _...�S11'� CIA.0 1"' / * s -{+� LjLi-- 'R-
SAV observed: �k ti S M0 0 r I
Moratorium: n a yes no t l r r i t t e t s t s l l
yes no "^-- 1"• ��f-'� f u0s,"r.Tvs. Mai Ore -
Site Photos: no
Riparian Waiver Attached: yes no
A building permit/zoring permit may be required by:
Permit Conditlons
- TAR/PAM/NEUSEISUFFER(circleone)
_.rr_ nr a~]yJkjci �Ly\p 0)LAVL L. r(� ■ See note on back regarding River Basin rules
14 t!V1: , o ID C 1 II c+�o`.1 r. A b r t'J t[. te1s,N W l See additional notes/condirions on back
of permit --
Application Fee(s) Check
r
VD REVIEWED COMPLIANCE STATEMENT. (Please Initial)
--
Permit Officer's PRINTED Name
Signature
sl2s12oz4---- 9/2g�z.�z�
Issuing Date Expiration Date

oA,"Corr", ❑LAMA DREDGE & FILL N° 89041 B C D
a Previous permit
INGENERAL
/E N E RAL PERMIT Date previous permit issued
New ❑Modification El Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coast esources Commission in an area of environmental concern pursuant to:
I SA NCAC 01 it, t Sb 6 ❑ Rules attached. ffj'General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
ApplicantName W4�t,.({-cIf J. Mmb'rG �m
.�
Address �U 1- SGlWloy- V-oa.,&
City C,c>rai(Qi State I.IG ZIP 2,157-7
Phone #qsn) 6Z1 - 343b3
Email �I eba izotrouo- ce�6Vt'U'r-5.Lour
Affected ❑CW
AEC(s): ❑ OEA
ORW: ye5��
WEW EPTA
❑IHA ❑UW
PNA:
Authorized Agent C E F U t 0 lNe N� p
Project Location (County): 60.0lt
Street Address/State Road/Lot #(s) s CV rr iAW &y
Subdivision CAYDV c, 7E,GCLGK
City Corolla. zip 7-`792-1
❑ ES ❑ PTS Adj. Wtr. Body CCLYWL1 +o kxy.se%F� (n an nk)
❑SPIMA ❑PWS Closest Maj. Wtr. Body Y-WOZT$ TM\CLV :k 729..1
Type of Project/ Activity V C r da a 45 t K 1 to O t es f sit <-, l o tJ % o'Hisw% +o re cli t wi a tT
4.5 b -1 ou KC rmaj L t 4 f L e V!I (Scale: 0'=Gp )
Shoreline Length 1%O
Access Length
J
Pier(dock) len
Platform [
3
Fixed Platforms) �� l... '� uP1�5
Floating Platform(s)
DQ,�V GE A-5,
Finger pier(s)
X fbo' of 54ALLov)
\
- r
Total Platform area
Groin length/k
To MAK ~� t� ��
GMAL TO V-40�s N vJ L_
Bulkhead/ len
,
D EP Tkt of 4-.a
~� r
LSL. 8h`(
Riprap gth
^—
X 4 � X 4 •S
Avg distance offshore^-
1
Breakwater/Sill
i X 3 0' Y. -1.O X 1
~ ~ 1 Y.
Maxdistaii e
Basin thanne �� X tlSOr
I X2.o� KZ.O� X2,o t
i
Cubic yards (p85
N �
Boat ramp
5 11+ t l t r t l t t T j ,�
Boathouse/Boatlift
4GNGe--•� �RopoSEp
J
Beach Bulldozing
I. 5 Pb)1_ 'V t 5P05AL.
Other c=, i t't' CU.CC.S
r' "'
SAV observed: yes no
0 re -
Moratorium: n a yes no
Site Photos: CS)no
I
�14'
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: C U rr4. ,_ -- Cra LU,4 !
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
See note on back regarding River Basin rules
5i(} �etnc� io be 1L,a�d eA be-+W=iior. NW l
1 � See additional notes/conditions on back
a.Y.d dicooSal a.rizo_ pr:e�ciLaAr�U�
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
a,r�i ti K Ar he,t I
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit•. Signature
8¢00, 0�cl,9354 5128'2024 9/Z�Izaz�
Application Feels) Check tt/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
—TT
Name of Property Owner Requesting Permit:ta
,`1_ t =e(~
Mailing Address: �C "z Srt"'V1'�ii1 l
Phone Number:�
Email Address: `�(:+G i1 r G:x1/ c. �'+� �:,tk jrt t i l�E L� e1 ce, rt
I certify that I have authorized Kelli Thompson with EZ Equipment
Agent / 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 '? \ (,C) tP, 1 tit 1O KI ,
in c°`"mck 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
Title
l
Date
This certification is valid through 1 31 1 2024

INC. DIVISION OF
to ♦ •
(Top portion to be completes) by owner oft it agert!:
Name ofProperty ovo„'- A�
Addross of Progeny �l �'' '�? �- / K© /
lalall4ng A/jdtfSfi FJt Qwner Z \ �i✓ �.h'1-.7•^v�„(� � 'T C� `/�� a�.��
ur��� tC�ylrtP
Agent's Name,
Agents Email
Agent Phor,0
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
( +LLam._t + pRtP cod Jgiod a/ i!! l�dtamt ProAeM Ownof}
i hereby teat I own property adjacent to the above referenced property. The individual applying for this
permit has bad to me, as shown on the attached drawing, the development they are proposing. A
100 NOT have objections to this proposal. I DO have objections to this proposal.
r. 'mre V"JWewra to wool rS Doing propossa, you must now the N.C. Division of Cosa£at
Marragamant (OC" In wrfeing within 10 days of WOW of this notice. Correspondence should be
mailed to 401 & Griffin St., Ste, 360, Eitzabef r Cffy, NC, 279o9. DCM representatives can also be
contact at (252) 2"390C No response is considered the same as no ot#actton It you have been
notified by Ceded Maii.
WAIVER SECTION (_qhg2sq,only onet
I understand that any proposed per, dock, mooring pilings, boat romp, breakwater, boathouse, Ilk or
gran must be sot back a minimum distance of 15` from my area of riparian access unless waived by me
(this dces mt anpty to §MIk:hegq§ gr r oleo revetments). of you wish to waive the setback, you RIVALS -Lan -
the appropriate blank below.)
100 wish to waive sometaJI of the 15' setback
-OR- signature of Adjacent riparian property owner
iry
100 NOT wish to waive the 15' setback requirement (initial the blank)
Typed/Printed name of ARPO:
t/
Mailing Address ofARPO: Iii)Icj Ltrt`k)Iny ) " ) (jork,YA VA 114 7
ARP{Ys email: �ti SCA+ O 7{a w�'I,D,t + ARPO'e Phones: i 7- (! - I
Date: ) - q- )LI "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 NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REC[tESTE ar-11kV DF iL VERY
(Top portion
Name of Property Owner
Address of Property
completed by owner or their
Matl,ng .Address of Owner
owner's emailf j , %� _ Owner s phPoneE/
Agent's Name.
gent S Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(flottom portion (gba comejIfted by the Adiasant Property Ownsn
hereby Certify that i own property adjacent to the above referenced property 1It,, i0vWuai appN.nq for this
permit has described to me ati Shown on the attached diawmq the development they are prrpus,ng �A
g ri ¢Qrf�t r drag ,P no, w,.�i a�,ngL~£anx. musi,y�prav� gg �th,a i�;er
i DO NOT have obiecttons to this proposal _ I DO have objections to this proposal
,� _��v__..._ _.,._._..._
if you have objections to what is being proposed, you mast not±ly the N.C. Dtvdsian of Coestat
Management {DCM) h1 writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Sto. 300. Elizabeth City, NC, 27909. DCM tviemsentarives can also be
contacted at (252) 2"3Wl, No response is considered the same as no objection if you have been
notified by Certified Mail,
WAIVER SECTION;Ch sa onW 2twe
1 understand that any proposed pier, dock. mooring Pilings_ boat ramp br,t„kwaler, boalhoose. A w
grflm must be set b K-,k a mlifurlure distance Of 15 from my Aral o' „pw,an access unless watvsd by are
it s¢j�Q, 1Ql,'pp'e,�',LQ„�jU yy,yy tl7 ripf �,.[t"Yeytm nt ;`. (11 IOU wisf9 tc 4 X,P,, the Setback, y0U Waf a, 2
!no appropnate blank below I 4
a
I DO wish to waive sorneiati of the 15' setback
5190wture ofAdtaranl Riparian Pooerty CwlS r^� s
OR.
I DO NOI swish to waive the t5 setback require cow ;in,bai the blank)
-� t 1SC /ittn+rrai�p+e./ti"
Signature of Adjacent Riparian Properly Owner, -e� Y e1-&a'ste. p.
TypedfPrinted name of ARPO:
Mallin$ Address of
._ARPO:.1� r4—WaPjtVA ,_Y_}_ - .�Y 2/rj"
ARPO'e email: { SN+w,'
�l�I�
Date'PA 112w-n_°waiver is ,
valid for up to one year from ARPO's Signature'
Revised August 2022

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