89168A - Pendleton, Benjamin and Edward

#V]New
❑CAMA 0 DREDGE & FILL NU 89168 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
❑ 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:
SA NCAC 1 S ❑ Rules attached. 4 General Permit Rules available at the following link: w ..deq.m.gov/CAMArules
Applicant Name i-
Address
City State ! : A ZIP
Phone # (_ )
C-11
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW [�J PTA ❑ ES FV1 PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA. 'InPWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:, _I
c6...d:..e 1... K
. •• III
■�
�
����■�■�■��■�■■���,
.III
C���1
..
..
::�:::::��
III
INS
IN
'::�C�'
I
:C'
C
I
®■.■
■■.®...■MEN
■■®■►ll�Mli
■.
►V�a
MEN
0
MEN
..
oil
.
t
w
■■u■■■�■►■r..■■■m■■■■■■■■■■■
h:.:��C
�i�►:
:
���C
'0:'.�0
SAV observed:e
Moratorium:, n/a yes n
Photos: yes n
r■■
■N
�RA
#�■�■■■�■■■■■■�■■■Site
1
�■ii�■■■■■■■..
■■■■v■■■■■■
A building permit/zoning permit may be required
Permit Conditions'
❑ TARJPAM/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) T(ac r
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name -
Signature **Please read compliance•, statement on back of permit** Signature
_ I ;.
Application Fee(s) Check N/Money Order Issuing Date's Expiration Date

AGENT AUTHORIZATIQN FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit
Mailing Address: O_ =
Phone Number: �S
Email Address:
I certify that I have authorized U tf of r -e
ent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development Lo_ o+ ra� 1A re pa %t--
at my property located at %Ct�7R0
in A§
ao County.
i furthermore certify Mat 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:
r
i �A
Signature
pe wd l
Print or Type Name
© uyyk e- r-
Title
Date
This ceffcation is valid through
RECEIVED
J U L 8 3 2024
DCM-EC

03-WOa
%Z £6l0(
a3AI303'd

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM jUL g 3 202ti
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) 0 CM -EC
Name of Property Owner: r-)Qrcs
Address of Property: 1 l t3' n .�-d �Z c\
Mailing Address of Owner: V2) Sx 14 2A e\^¢ ; 'oa e E �� 1 )L
4 .
Owner's email: �kkn 4'v:3ryl," k' ne,.r's Phone#: ��7't -- Lv{ -li 23�
Agent's Name: Agent Phore#: 'a52 > () -- U—i
Agent's Email: ~a Vb 5 ` r`Otm,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom bortion to be comoleted 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
1'130 NOT have objections to this proposal. I DO have objections to this proposal,
If you have objections to what is being proposes, you must noisy me n.a.. ulr,alun v, l.vnaau,
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
matted 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 (Choose only one
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 Ilv to bulkheads or riorap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Sigriliture 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: #
TypediPrinted name of ARPO: iU t t) Air v r'-1 n A
Mailing Address of ARPO:i rV "I .1 '� *1 Fit ` f ) ,t ° t-i7 f i/L
r
ARPO's email: Al- k,M ARPO's Phone#: l 7? `t 3 13
Date: 0 1) ) }_ ) t _'waiver is valid for up to one yearfrom ARPO's Signature*
Revised August 2022

RECEIVED
JUL 9 3 2024
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ����
CERTIFIED MAIL DCM—
RETURN RECEIPT REQUESTED or HAND DELIVERY C
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property:
Mailing Address of Owner:
owner's email:
t e_L-raw
_ 4Jn �331:t.
Ulf
Agent's Name: Agent Phone#: 51I d - t� %l CJ
Agent's Email: L y � "� t2 < r e e(c V i
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
I' 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 nonry me rv.L,. umslun ul MVda Lal
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 (Choose only one
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 r prop revetments). (If you wish to waive the setback, you must sign
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)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: 'DQW)O p+ (XXVV MY111G
Malling Address of ARPO: 555 Me ds-InUn &-
ARPO'semail: L?W2l Qi @IIIObEjjlICeARPO'sPhone#:
Date: (A 1-11 i 'waiver is valid for up to one year from ARPO's Signature`
T
Revised August 2022

;�IVED
JUL 9 3 2024
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM ��^^
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY .)( ANI-GC
(Top portion to be completed by owner or their agent)
)�
Name of Property Owner:
Address of Property: C,'X)
Mailing Address ofOwner, , v3N ry <L� C l a•-`rs'✓=
Owner`s email: r� „��i� e, I �w (.(°Owner's Phone#: _ _ '' ") `757 -
Agent's Name: VS,,t�ic+ r �7a�c �\ Agent Phone#:�i't r p
Agent's Email: lkS i fdt dtiek, « NBC Cove"
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I herebycertify 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.
I -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 notay the rr.c. Ulyrsren of wawa,
Management (DC" 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 (Choose only one
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathoJ
groin must be set back a minimum distance of 15' from my area of riparian access unless w
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, y
the appropriate blank below.)
1 DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: I'Vv vr+^ , f W vnr r
Typed/Printed name of ARPO: M16Acr-r.1 " 1" 22alUA.4rr u+
Mailing Address of ARPO: i "l"19 T v kr (Lcl. I i iwl o et( ah4 Nc Slsfpi
ARPO's email: ARPO's Phone#: 252''u"2l SD
Date: `waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

Renaldi, Ronald
From: Williams, Paul C
Sent: Monday, July 22, 2024 10:56 AM
To: Renaldi, Ronald
Subject: RE: Proposed Boat ramp off Nixonton Rd, Pasq. Co
NCDOT has no objections to this project.
Thanks,
Paul C. Williams, Jr.
Division Environmental Officer
Division One
NC Department of Transportation
[phone] office
[phone] mobile
[phone] fax
pcwil1iams2t7a ncdot.gov
113 Airport Dr.
Suite 100
Edenton, NC 27932
Email correspondence to and frorn this address is subject to the
North Carolina Public Records Late and may be disclosed to third parties.
Enai' correspondence to and from this sender is subject to the N.C. Public Records law and may be disclosed to Vivo parties.
From: Renaldi, Ronald <[e-mail]>
Sent: Monday, July 22, 2024 10:16 AM
To: Williams, Paul C<[e-mail]>
Subject: Proposed Boat ramp off Nixonton Rd, Pasq. Co
Morning Paul,
I'm processing a request for a boat ramp replacement, and the owner did not notify
NCDOT. See attached Google Earth pin for ramp location and proposed plan. DOT have
any issues with this proposal?
1

t
�
�`� JJ t SS •'.�N(t
S
�+r+�
il. Y ' .'SA
S ii. .�
�'•,'"i
i 1 .