89180A - O,Neal, Matthew

N° 89180 `0
❑DREDGE & FILL O B C D
5 GENERAL PERMIT Previous permit
Date previous permit issued
[+New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the Rate of North Carolina, Department of Environmental Quality and the Coas I Resources Commission in an area of environmental concern pursuant to:
i Z (� (7 ❑ttached. GeenRules at Permit Rules available at the following link: www.d .nc. ov CAMArule
I SA NCAC C) 'hi
Applicant Name _()t de'a7
Address i!5 ri % i'jG p-C, Q'4
ciry,Culr. }. L•_L State I'l (' ZIP 213-L?
Phone#('4jZ) 3'3 L a fir i:o } -
Email r�'Lfdl_J�3'A G c JL' . C 0VA
Authorized Agent DeLAie i Atul roi%uw,
Project Location (County): C. tl•rr L �jJ,('i' 11
Street Address/State Road/Lot#(s) 1;' e' .SZL Gi xe're.
leap CA'A
Subdivision
City i•_jkrrticijr.� ZIP Z7192-9
Affected ❑CW ✓�EW I�PTA YES E(PTS Adj. Wtr. Body All'' N I Al tjr4•s•+,.._1Z tJdt'— (at an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body I�nt'('� L2VstlsyVr�tJeLs"
ORIN: yes & PNA: ye n9 -
Type of Project/Activity CJ6i%A1rJA L(j, x I(.,` �1Y.eM�(6-yor'Lvy
1
5' Y- ;tL LJ1:2ra, tit::a . (Scale:('S:SCjj
Shoreline Length oizl
Access Length
Pier (dock) length
Fixed Platform(s) i 0'St I L '
Floating Platforms)
Finger piers)
Total Platform area 2A0 �irx
Groin length/g 1
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp,
Boathouse/ 8oatlih
Beach Bulldozing
Other S}rttf�'S
SAV observed: yes no
Moratorium: n/a` yes no
Site Photos: es no
Riparian Waiver Adached: yes no
A building permit/zoning permit may be required by:
Permit
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❑ TAR/PAM/NEUSFJBUFFER (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)
an n ronowltz
All Inor Ap c nIPRINTEDName Permit Officer's PRI/NTTEDD Na�rge
Signature' Pleasere.c7n lance statement on back of permit•• Signature s t
1217,
Application Feels) eck A/M yOrder Issuing Date —L Expiration Dale C

y,,0MT4',N �CAMA ❑ DREDGE & FILL
10 GENERAL PERMIT
N9 89180 e B C D
Previous permit
Date previous permit issued
[VrNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coas I Resources Commission in an area of environmental concern pursuant to:
15A NCAC © Ali . f Z Gb ❑ attached. GeRules neral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name inn *kPVy t�t,.t
Address { !7 IJ .1 AG 7'ItIOi c Zcea d
City r State 11�1G zip 2-1'729
Phone # Cz j 33 1 —r'i?rp�
Email C 1 3-3e i, 1 VI,- _ Com
Authorized Agent D21A\ el AhA re, aA r,ki
Project Location (County): D Ptr, j :!Irt A Cl-
Street 1
Address/State Road/Lot #(s) 1 S Jb 3y, C. S Y4O r e
Zc) a�A
Subdivision
City IF, 2,1929
Affected ❑cW gEW gPTA [VrES EPTs Adj. Win Body fSat'+llNL.O..nA.�A Al '-tJ Br ljl�an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body tJ n f Lcxy%A tNq "R t J r; v—
ORW: yes no PNA: ye no
Type of Project/Activity n h �;i IrUA \c),xI�,t ��Y- ad �l�iT • C6vtsk-CUc--
s I M- 1 6 t iA)0c> Ia &kcxx ,r* . (Scale:Y`%�f)
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) 1 D s5L IL 1
Floating Platform(s)
Finger piers)
Total Platform area -V0
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other s+cLi t, 5
IVr
;li-;
90sa I
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: es no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit
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Agent or ApplicWPRINTED Name
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Gxst 'at)j
Signature -'Please read c2mpliance statement on back of permit"
Application Feels) C R #/Money Order
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❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
JD REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Arlc+i Nl�fel elt
PerOfficer's
PRINTED NN.ar-pee
Signature t t
IssuingIssuing Date IFExpiration Date

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❑LAMA❑ DREDGE & FILL NO 89180 A a 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:
15A NCAC <_S 11-1 . ( 2. C.) 0 ❑ Rules attached. ❑`� General Permit Rules available at the following link: www.de .nc gov/CAMArules
Applicant Name i�. n..t O `1,sr'G
Address ct"A
City State k..i f", zip 2.
Phone #(lit{ -
Email t/ f' c> t•y1
Authorized Agent ( ) n 1 e" { :°�5 + , A r , " r, k.' t
Project Location (County): 1" I I V V , k I e. C. 1-
Street Address/State Road/Lot #(s) I ' i , , , S V," - ( r., v a ,
Subdivision
City
Affected ❑CW ❑EW ❑PTA nvES ❑PTS Adj. Wtr. Body }'. (nat(man/unk)
AEC(s): ❑DEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body-Q- -
ORW: yes6o. PNA: yes/no
Type of Project/ Activity
(Scale:. )
Access Length
Pier (dock) length
Fixed Platform(s)
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Floating Platform(s)■ri
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Total Platform area- 2.1cl)■�■.■.ME
Groin length/#
Rprap length
Avg distance offshore-
Max distance/ length_
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
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A building permit/zoning permit may be required by: .� '� (-f•.-•j
❑ 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
Application Feels) C eck N/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:.
Mailing Address: 160P�(.
Phone Number: C�69'- 'S",l)-I - hC 1
Email Address: C.�Ly'�1 i. i C t JC. cc'nn
I certify that I have authorized k)( nA t rta3(_ c (5C r 1 41xx-0 At+r,,v )
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: jack P% /'m _
rRot A %fS to au. *d- —
at my property located at 160 'YN' S1): ie XA . ( u✓r,1 c k- il'k- 4 3•i rca-cl
in C.vvti<rtvc.y County.
I furthermore certify that l 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:
T Si nature
Print or Type Name
Title
Date
This certification is valid through ! /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: P-W t kIy ; 0' 11 ;%l
Address of Property: lJl7 �1G `7 �C �ti (vs : vc N�, •3 }�1r i
N\
Mailing Address of Owner:
li
Owner's email: CiA61A3. 03� 11 \R C.ury\ Owner's Phone#: 96a - 1 ,3J — 6?,
Agent's Name: t j� ytd,vrvxa, Z
Ag L S:zNir\ t-4,,nnk e�Arxn ttrt,� Agent Phone#: - t-t 5-6 -- l0 3,�Z-R
Agent's Email: !Sin (y1A r1✓I Q_'( r\ 04-50k G 11. C.c Y\
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.
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 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.)
19bluish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR- Lhb•*fir Y. 01X5/ IWONI"; JV t{ ^V4 4`l A0&-,t
a� n� wish t give the 15' setback rag, ire G6tk cox .9 vD J+s Gi 8w-ey,
�14-Signature of Adjacent Riparian Property Owner:M—WMR6%"1
_
Typed/Printed name of ARPO: C.VVAW LF S Lz5 �:) - 1b2 t�� cz>X V
Mailing Address of ARPO: ?o be x-Y7i� A"p L fv(. , ;�I q fi Lo
ARPO's email:: ['46tJ`z eRAo ry -u1.1 am ARPO's Phone#: '7-5Z - 3 39
Date: ,bl 45 L4 `waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT10NIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. iA a4 t_n_) (-) (1.@..a l
Address of Property: 160 71&. 516&yl " %/Y✓0CX MCI 0-112 9
,
Mailing Address of Owner:
Owner'semaii: isliJt (,,An OwneesPhone#: a6J-33-1'580y
itarx j Anct�wwiAL
Agent's Name: b0u2n tjiwl+2 Mari AL Agent Phone#:
Agent's Email: /n f n,l O1 rt u -iq (off (V1Q 1 I • 'LO✓YN
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that 1 own property adjacent to the above referenced property, The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
4Y 1 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 (DCIM In writing within 10 days of receipt of this notice. Correspondence should be
malted 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.)
I DO wish to waive some/all of the 15' setback
of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
-Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: GJ7 tli10,M e7 D&M P�
Mailing Address ofARPO: 30yq cAea te_ Liy, L(M-ooL NLt 319a9
ARPO's email:
ARPO's Phone#: gS") 4 f q- �
Date:/2 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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