89111A - Monsees, Charles and Debra

°"0�� I FAMA DREDGE &FILL NP 891 11 (a� e c D
l GENEtL PERMIT Previous permit
Date previous permit issued
New ❑Modification []Complete Reissue ❑Partial Reissue
As authorized by the S /je of North Carolina, Department of Environmental Quality and the scat Resources Commission in an area of environmental concern pursuant to:
ISANCAC 2I r // O 1) ❑ Rules attached. CoF'Geneial Permit Rules available at the following link: www.dea.ncgov/CAMArules
Phone # (;L". 3 :4 1 —'5 Q ZCi
Email M GA S 11,e 5 0 Uu o.t rsa n ACt, C • n^
S Authorized Agent A 't n. a S U u c, se. L:JL
Project Location (County): 'Da ('--
Street Address/State Road/Lot#(s)_�1.$_Q
1,4 C, u-2v
Affected ❑CW ®EW ©PTA ©ES ©PTS Adj. War. Body C an 0, ( (nat/ ari/ k)
AEC(s): ❑,,OEA ❑INA ❑UW ❑SPIMA ❑PWS Closest Mal. Win Body /L•em AA r
ORW: yes/ pbJ PNA; yes/ /
Type of Pr``ojelt/ Activity 5 s / /�l (2c_ 4I d, <-C.rt c, 1 0 } .'—�_ 21
Shoreline Length �k /5 5
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platforms)
Finger pier(s)
(Scale: Wr S )
CA NJ A 1` 1 " if
t.
'Dn cKIV C
• 9
r/I c / c , y y
X
ZI- /I/L/A(tJ
Total Platform area
Gr tticl, h/g
Bulkhead Ipraplength
Avg distance offshore
yt r
Breakwater/Sill
_
Max disltce/ le t
S. sJsS?L
Basin, channel
Cubic yards—
1
Boat ramp
Boathouse/BoatliR
Beach Bulldozing
—'
Other
((/
SAV observed: yes no
Moratorium: n/a yes n0
Site Photos: yes no (r L
Riparian Waiver Attached: no
A building permit/zoning permit maybe required by:
Permit Conditions
SrrN � !%lv�lLl"h�llD
,r
❑ TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARLPFSTATUT CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
I 1 Gt"e ylr.ngc Cnf-de�
Agent or p lir`nt NTED ame Pe JoI�PRINTED Name
(_
Sign t r, •'Pleas r ad col)pliance statement on backof permit*' Sig ure
Ti c
Application Feels) Check II/Money Order Issuing Date Expiration Date

/�'\
N? 89111 DREDGE & FILL V B C D
Previous permit
(j,
:,14,-A�A
EEL PERMIT Date previous permit issued
ew ❑Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by the StaiIe of North Carolina, Department of Environmental Quality and the
,,C�o/3�taI Resources Commission in an area of environmental concern pursuant to:
I SA NCAC �(r C� Rulesattached. 1171'Cseneml Permit Rules available at the following link: wvrw.dee.nc ¢ov/CAMArules
Applicant Name �1 C,�— I E S $- Z) Q 6_, e& sue. S� z
�c
Address 1 u i P Tr-, •C-
City fr'+'-4p C C�:l- State sz- ZIP Jf D 'T
Phone#(j 33 ) --33 Zcs
Email M O A S e-e S Q 170 �A C U n Ayi'. Z O zl _
Authorized Agent s 2)y y}—
Project Location (County):
Street Address/State Road/Lot #(s) U r% r/< � , ,
to —IS Z W-2Y
Subdivision
City
Affected ❑CW ®EW ®PTA RES [-�PTS Adj. Wtr. Body CO, rn 0- (nad an/ k)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ,q 4,
ORW: yes/rJb T, PNA: yes/0 / n /
Type of Project/ Activity 5 S r ��l�est /Z� /a (Q L c.n � cJ } .E L / � r
(Scale: NTS )
Shoreline Length 15
Access Length cA Jv A.
Pier (dock) length
Fixed Platform(s)
'Da cKr n/ C
� e
e err
Floating PlatformFA
s) �/
Finger pier(s)
Total Platform area
Gr h/q
Bulkhead/>'iprap length
r
I (c, .
Avg distance offshore
Breakwater/Sill
Max distance/ le h
65'
Basin, channel
Cubicyards
r
Boat ramp
_
Boathouse/ Boatlift
Beach Bulldozing
Other_
tv
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yeses' no L
Riparian Waiver Attached: s no
A building permit/zoning permit maybe required by:
Permit Conditions
JAT APPLY TO THIS PROJECT
Agent or Applicant PRINTED Name
V-_
Signal rePlease read compliance statement on back of permit-'
Application Feels) Check R/Money Order
1 n i 2et-�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial) X-
Pefmit Officer's PRINTED Name
Sig ure
t� )=IZ7-
Issuing Date Expiration Date

❑CAMA ❑ DREDGE & FILL NO 89111 A B C D
Previous permit
GENERAL 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:
I SA NCAC ❑ Rules attached. 0' General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name _
Address
City
Phone # O
Email
g
State ZIP
> Authorized Agent
Project Location (County): —
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (naUman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no ;
• a
Type of Project/ Activity / `>
(Scale: )
..... _..... __..
-
-
—
Access Length •,
Pier(dock)length
Fixed. Platform(s)
r
Floating Platform(s)
Finger pier(s)
—1.-_
t
Total Platform area �. 1 -tl"
t
i`
z
yy
_
Groin length/#
c�J
Bulkhead/Riprap length
`-
AvgdistanceoffshoretX
Breakwater/Sill - - -
-
'•
111
1
1
Ll
S.I',L.l
f 1�
i
r;1
_
-
Max distance/length
_
-
Basin, channel
Cubicyards
Boat ramp
Boathouse/ Boatlift
I
r
Beach Bulldozing
-
l
Other
'..
IT
'—
_
T
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: Yes no
A building permit/zoning permit may be required by:
❑ 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).'
`Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
i z
Application Feels) Check q/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
RECEIVED
Name of Property Owner Requesting Permit: f `C(IS CO JUL g g 2024
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
4
K,yy WAII Nx Xlglff
FOR
Agent
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in D aQ . County.
JI Hi 'h)
I 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:
Signature
Print or Type Name
d(J.c>E2
Title
7 I l
Date
This certification is valid through 1
-EC

S
115 Quork ct
coming 2ft off of , "}
`y 1
ginal bulkhead with a
Oft return, continued
o adjoiningperty�

N.C. DIVISION OF COASTAL MANAGEMENT CEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FFOW
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
J 0 N 2 4 2024
(Top portion to be completed by owner or their agent)
Name of Property Owner: t ;Y` kc t t ' t/ n se(S DCM—EC
Address of Property: ( 1 J Qy0 (-k-
Mailing Address of Owner:
V
a fanner,
owner's emaiLV&>(\SeeSO`yiS PV,'-JQ&bwn(vr�er'sPhone#:
Agent's Name: ,� \ JC)r� Agent Phone#: aO 99 L-1
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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.
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. Division of Coastal
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.
1rdEI194 i--1=1 I -o
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15from 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.)
I DO wish to waive some/all of the 15' setback
Sign re of Adja665nt Rip � ian Property Owner
-O R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: TAyk 1J�ntiCCr F
Mailing Address of ARPO: t13 CL\Avg-K 64 Kati- XV,t_ N, LLi Ax Z?, 'YY
ARPO's email:�k, I eMCCFF 04A44L t.ARPO's Phone#: 71 �tr � � J0---
Date: Zoti *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERA N 2 4 2024
(Top portion to be completed by owner or their agent) DCM-EC
Name of Property Owner: (v\,-C k. Az Ve 5
Address of Property:(�'rf�15
Mailing Address of Owner: _�� ( c (L �. i k 'l ( C)e i 1 �1 r t I S �� K �� /�1f h rm
Owner's email: 6)(cf0aylyler ner's Phone#:
Agent's Name: J Agent Phone#:
Agent's Email: 64k!rk,J ACS y,�7Czh0t7r7
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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.
� 41 DO, NOT have,objections to this proposal. I DO have objections to this proposal.
If kbu have objections to what is being proposed, you must notify the N.C. Division of Coastal
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.)
x I DO wish to waive some/all of the 15' setback / iJ
Signature y cent Riparian Pr perty O�w/ner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:% LLf
x Typed/Printed name of ARPO:
u Mailing Address ofARPO: n(U����kOt?.�,
ARPO's emaill:()/ 1� 09-9/611130's Phone#: 6�JCl 441 d?
X Date: �I� ? I��f *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021