89096A - Klotz, Christopher and Julia

�VCAMA ❑ DREDGE & FILL
GENERAL PERMIT
lew ❑Modification []Complete Reissue ❑ Partial Reissue
01
Nc" 8909G UA u c D
Previous permit
Date previous permit issued
As audgrixed by the /Sjj� . of North C. Ima. Department of Emdronnlomal Quality and the Coastal Resoseces Co
mmission in an area of environmental concern pursuant to:
I $A NCAC a't r / �D •�- Rules attacked. ocknenl Permit we, available at the rollonbg Mk: sysw deo nc.ew/CaMa.iLs
ZIP 9-3�"L 9_
Autfonred Agent 'J l- X� 6•.I /C/Sc a_.IS
Project Location (County): 0-CO-
StreetAddress/State fload/Lct d(s) _/ a er Sas n rl C n e, o
�`��� Wtr. Al/ie...arll .s..a Affected �CW (I��,,,� ��PfA �ES �PTS �1� �Y •^ (na ,nark)
AEC(%): �OEA b"A El uw El sPIINA El Pws Closest Maj. ", Body A I J. 4 ,s. s i t i ...A
ORw: ye1/4) PNA: yes/ b
Type of Projeit/ Activity =
L o w r IVI- �. M
Shoreline Length f b 6 -
Access Length
Pier (clock) length �If
Fixed Platform(sl 4 IT,
Floating PlaNwmis) - _
Finger Free
Total Platform area 3 x t,
l��
"I
bulkhead/ Riprap length -
Avg distance offshore. -
Breakwalef/Sill •�
Max distance/length
,---.`
Basin, channel -
�' S ,... _•.
(/)
ems..
Cubic yards .—
' ..
X
Is
�.--Y
Boat ram P --_-
O
Boathouse/Boat11R_ _
S.
Beach Bulldozing -
Other _�, . 1. A . �Tl
SIB A�—
�_s.A
I
(Scale: A1-rq
•2 Ira �ih., S
r YET •y S �tF
SAV observed: yes. S no `� G� r Q c G x , A t. In i en o).r ' /
Moratorium: n/ate yes no 4 I L f (t 1 r a t• S
Site Photos: r�eef�\ no z/t� •/ ��
Riparian Waiwr Altathed. -yetJ CnoN
A building permit/ioning permit may berequired by: _1]W(_£-
PermitConditions_..__. ❑ TAWPAWNEDSE/aUFFER(coUa ore)
ElSee note Of, back regarding River Basin rules
- ----- - --_-- - ---'- See additional notes/conditions on bad
(Please Initfall
_Agent or Applicant PRINTED Name 1/ i1 / Permit officers PRINTED Name
4- i�Vl -
S9 e�Pkaie mad compliance statement on bock of permll•'� \ S�Jr 1(^ee
�!UJ/ Date zy U
/ arty Order Issuing Dale
J
Application iec(,1 CheckN Mo rsg -�- (xplradon Date

ot.Occur" �CAMA ❑ DREDGE & FILL
3� GENERAL PERMIT
N9 89096 Q B C D
Previous permit
Date previous permit issued
P j evv ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized byMthhe /sp�to of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC (_.rt r / ZD'7- ❑ Rules attached. General Permit Rules available at the following link: wwv✓.deq.nc.gov/CAMArules
Applicant
Address _
City
ZIP ?-3�z9
Phone # (W) 325- Optt `7 S 4
Email !'1 c lu e n 0 %l/ ot2a o M0.�� r canes.
Authorized Agent ✓ A. -I A"k¢-X-rL
Project Location (County): T) o` (-A-
Street Address/State Road/Lot #(s) / d C, San r'i T 9 La, k.._
S& /555/ Go 1- 3s-
Subdivision 5 W Gn t,_- Yn a ra d
City Ce/inv6 ZIP Z y6
Affected ❑ CW
LvJ''TA ❑ ES
❑ PTS
Adj. Wtr. Body it be....r-14L X ,..,. d
F
AEC(s): ❑ OEA IHA
❑ UW ❑ SPIMA
❑ PWS
1ta
J Jt/'nan/unk)
Closest Maj. Wtr. Body
ORW: yes/c. > PNA: yes/To
TfProject/ActivityZA
y
_c��
LrM31 X 91
c w
f 4-k S�
a e (scale: A rS)
Shoreline Length 4
N
Access Length
Pier (dock) length / C' vr $
T�
Fixed Platform(s)
Floating Platform(s) —
J I
Finger pier(s) 31 K C/x
' y9 ��y,1�p.�9�r r2a
-3
jl
Total Platform area Zc
- - • S'I�PS
Groin length/#
T /
Bulkhead/Riprap length —
Avg distance offshore
Breakwater/Sill
Max distance/ length
_
Basin, channel
Cubic yards
Boat ramp
V
Boathouse/ Boatlift
Beach Bulldozing
Other 1 n, 15 l
I
Ej uS L
A c n j�i 11 —
�
SAV observed: yes 1 no
d
E7t. 6kc1CH E7177f
�7[ r DESK _. d r4 Q S
Moratorium: n/a \ yes no
I
Site Photos: yes", no
ALL
C
I
Riparian Waiver Attached: no
i
A building permit/zoning permit may be required by: wok
C-O wt
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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)IK !C
`f V Cs. rV
Agent or Applicant PRINTED Name
Permit Officer l PRINTED Name
Si nature'*Please read compliance statement on back of permit'"
P1, 2�_7
Si ture
`7b�/2y
%--
7
Application Feels)
Check #/Money Order
Issuing Date Expiration Date

�"°""❑CAMA ❑ DREDGE & FILL N9 89096 A B C D
s 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 ❑Rules attached. ❑-General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address / '-� •' '
City State
Phone # O
Email
ZIP )
Authorized Agent e,
Project Location (County): I
Street Address/State Road/Lot #(s)
1; E %rr o
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 -j A 5<-
_ a4e_T � 2-- / (Scale: A/ -1 .
1'
Access Length
Pier (dock) length-
FixedPlatform(s)
[
)r
I
T
Floating Platform(s)
�
Finger pier(s)
I
1
{
3
/ °'
)
Total Platform area
_
r
{
r
r'•
,
Groin length/# . -
j
_
'—
Bulkhead/Riprap length
�
—1
Avg distance offshore
Breakwater/Sill
Max distance/ length
I
,
-
{
Basin, channel
i
_
_
Cubic yards
i..
�
_
.._...
Boat ramp—.
_
t
I
—'.—
_
—
Boathouse/ Boatlift
_
Beach Bulldozing
i
}
y
_
—�
Other
_1-
iTi_
'—
71,
—
I
SAV observed: yes `' no
Moratorium:
I
t
i
Id
t
n/a yes no1j�c,l
I
Site Photos: yes no
—<j—�
4
Riparian Waiver Attached: yes no1-
A building permit/zoning permit may be required by:
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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please Initial) P�
Signature **Please read compliance statement on back of permit**
Application Fee(s)
Signature
Check#/Money Order Issuing Date
Expiration Date

Doouslpn Envelo" ID: DieEi0e7.502E-11Ei-A923-78ADE7BAD7DA
„•� r . LL� >
to set on my bOhOW, tot the Purpose of applying tot and obtaining all CAW permits
necessary for the WAOwirV Proposed development: O ock I t lopwt✓ a,nol��rly ,
at my prop" located at 12 0 Suxlyi 4PyiL. •c
in 00-1-- e- ce,any.
f fiwrhemnore cerW that f am autlarhed to grans and do in fact grant pemKsslon to
Dhf&fon of Cosate/ Af nagernent scoff, the Locei Psm* Mar and Owk agents to amen
bn* to o wmdon WM evaluadog hdor nMbn slated to this
party owner kif MMUM:
Wh
Christopher Klotz
Prkt or Typo Nana
77*
/Z ✓4/2_—/
Date
This certification Is valid through

r
I I
Postal
fr CERTIFIED
!■r MAIUREJ
Domestic Mail Only
co . . . r i
co KiII DO-ril`Ni'llg- r 4 1
Ln Certified Mail Fee r I
C3 p n L'
W
�Extra NIC85 Pa Fees {Check box, add ree B,/ppprtlWrifel
❑ Return Receipt (hardcoPY) $ Ml, �Ir
',. [I Return Receipt (electronic) $
s ❑ ceniAed Mau Restricted oelWq $
17. OAdunslgnature Requlred
Ln ❑ Adult Signature RBSWted DOWM $
$it.62
Postage
0
'' To P"go and Fees
C3 s$ ;
3 Sent Toir
r ..... .... ...... . .... --------------
postmark
!}tf =ry
1f
Postmark
Nero
(15,131, --1i1P
i
1
1 � j
PS Farm 3830-02-000-9047 See Reverse for. instructions':
U.S. Postal Service TM
CERTIFIED MAIL®R RECEIPT
Domestic Mail Only
• For delivery information, visit our website of 77.usps.coin .
r
■
r
q:
r
r
r
PS Fortu 3000, Januar Seu tiovorsu for Instruotl -- -`
y.y

�(Cx� CoAn•knrt *1tW0 ail ( "£ :5�-
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAIVER FORM
CFRTIFIEDhVU RFIUiN RSGEIPT RF I 1 I�yr HAND D LF (VERY.
(Top portion to be completed by owner or their agent)
Name or property omw. .mis v
A,doress of PmgWl, 12 0 41 "^"`•k 1 0I CO1i nq�o,n
1•�t.�.f..t1 vA a33a
auw+g Adaroas a erne. 9 a. o N l-y,nd o nw
DWI am" +f..icSfs('rftTAdN�i1,@ ormer'sPhorol
t�rvl
Agent's NW* Qa1Lc'�1t�t��' � y' � t 1 A06M
A"ritsEtTtan w<��e�r�;•cld3?�f @gw,c�:�._c
ADJACENT RIPARIAN PROPERTY OWNLN'0 C[RTIF ICATION
(agugmmakmiq"F_yspNtWbrtMA0115il lIric"fOr-920[1
I Hereby C*" dial I a*" prop" 0.4conl to rho III rewenceo property. I ho V-4y t ep' O for 01,
ON~ has doto rtw, as shorn on the II IxNeO dr"". ve dartlopmcnl vwy are propo-W-2 6
��14(dS�4Il.Qi•�k44�.�stldQl.'.01Y5+tl>i3ktltt
I DO NOT full obpCOOns 10 V a proposal _ 1 DO htro OPI'l rtti 10 a" PrOPOW
1v+1>h o.1
must rlo atN
%1 you have od oct/oris rorK! Proposed, you
Afenagernent (DCM) In writing wwrin f0 days of Well of WS no&* CWSSPbfldanta Show bit
rnalred to 401 S. Griffin St, Sit. J00, Enratxth City, NC, 2f909. t]� cian all bo
contacted at (262) 26e•9901. Ho response Is consld and the Sarno as rfo obMcdon M you hm bw
notified by Certified Al
WAIVER SECTION (Choose RI1k one
I urdetsten0 that any proposed •look, mooring w9s, i l ramp. txtakwater. 00"1011". tA. or
groin must to W. hack a rNrtM+wm d+slance of 15' kern n+iI »4Sh q w,w*4sw:OaCk. OW mnWW
lVY3 4Q41_AtIDPr!
V* appropriate bunt bill
I DO Wish 10 wYro SOM6181 of the 15' setback Sgnatlrro o(A46011tt RWW VITPQRy O+ner
.OR•
1 00 NOT W1ih ID w*.V the 1 S' 6809 k roqukMntl ("I IN I
signature of Adiaeent RIParlan Propillwner. rAll
reOLstnp�.— S(9`^
Typedlf'dnted name of All FV Q Q1401tc!
Milling Address of ARPO: 111• Slp{t1V&L =1 K t—N_'-�� � t 1 b� t� ►
qlg• 345.5a2
h�n�PLRea'`4t3' 'tTARPO's. 9gT ccm q
Date:.0 lt,s?•02_8 _•Waiver is v
for up to one yell from ARPO's 5112natute• L
Ro,risad Auqust 2022

N.C• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAtVER FORM
CFRIIt 1H MAIL jfjURN RECEIIrt RF_QVE lEpur t{a,NOaFt Is1FIjY
(Tap portion to be c:ompiotod by owner or tllvif agent)
Ad�llra vi Property. �Z O . .1�L�1 1--0elt _ . Lodi enn ]P
M ,I.ag yuld.ess dl 0wtticr. -�i 3.0 � > n�Jt o nw 4etyia l 33 3 01
(XV1"'sam::aLy:icjr-^UAei4(I�-tr�em:.Pnnnrt �i• 3�jQ� ;15y 1
<'jv�nsa.l . r. avYl
Wnt:.Nwa:ZYc%rN4Cnt- AwePhuser` �'la3.511H
AiiJACFNT RI/MR:#N hN9PERTY OWNER'A GEItT��#TIUN
t�[ArOfn .__ t GjMnIP(i►llt dy 4h* Ad}r44Gc P.bYMIIY Si�tri r3
I rKm.by wtuly mrn 1 OM'n propmV AdIKOPI to trle apaea reh)mriced MQpwW -Who IndrlXlJ�, UVWAV %A Uft
permit haz ov-,Lv +ld to me• us allown on Um atoOted OVWQ. Ule dGV1-1f*0_1r fd UM am P"P'Wl`Q• 6
do= (K &DWOng, *ll. h dimen5 s. rJ hr. nrovkled w0 a r-
1 DO NOT Nwe obler<tio ns 10 thIc pmPmal 100 havn crb)nct tlns to M's Vopvwl.
H yrw trove nt¢e ctiwrs to what is he(oft
ptorwsed, Uo+r must r(otlly the N.C. ondmi n a/ Coaxial
INanagamerlt (DCIN) in W11"g wkhl n 10 days or re cefpr at dris nOGco• CurreSPbn o S1lolrk! Dc
mailed ry d0, S. Ginn St., Ste. 300, Lrtitabeth City. NC, 27908. DC1f rrprrs+sW (1 you have tmrv:
conrarted at (262) 264 390f. No res(xlnsc is conridacd the so4iriv d3 n0 elbjeC
nodfled by Certified tfaJ(.
WAIVER 3ECT10N tCh".%-* ani Pna)
I unntic*:.wlaW rttat my { a]po:axl pw. dock Itxxxirr� ¢Il,nc):., tr�a; ra rV. prn tiv :t- tom: houvr. lift y
Qh7'n nw51 ha•^,kIidnrrn�rn dw5t8nC�C al +'i honl My .jrc� ut h; anw, arms:: unk ,; Lr.:,vrJ by mr
lU1r$dot� nrrt : tG buJctle H : IiDrQ leirvCVl rs'r. (1, yo:: w Sh to ways tic .e:hdrx, -you mu�rt s,lnn
.t•,. a: pro; into ta"k Wow }
I DO wet, to waive scnxl c11 of ifie 75' SafattCk Swnnfum of Ar;raCord R+,p~ Pliv"-rty ()r .W
•G.R.
L DO NOT Wyatt L9 W.IAfB MO
Setbw* mquirenwnt(ifSd�"• the blink} %vni Ni
ckA
8lpnawto of AdJaaent Riparian Property
TYp"PrInted name of ARPO: • i Q�e a14r+ .
t t 1 !tY_ I��1 Ii P • i{ J`J.�..-�i+��' `�'7eTJ;�*
M.ilinp Address of ARPO:— �- [;t 1 ov►�
ARPO's email: r7r' �Jtlarrd - ARPO's Phone#:.,5
P � r� waiver is valid for up to one year from ARPO's 519nowte'
Daa: %z -L I Relr)st:d Auqusf 2022