89212A - Maurice, Tracey

�oAte"r"`tr OCAMA ❑ DREDGE & FILL N9 89212 A B C D
GENERAL PERMIT Previous permit
t Date previous permititissued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue A /11
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: v
15A NCAC ' ) , ❑ Rules attached. ❑'General Permit Rules available at the following link: www.dcq.nc.goy/CAMAruIes
Applicant Name
Address
City State
Phone # (I
Email i Yc1t , ; j-i ( I t.t k; ,..4.
1
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/rio ' PNAf yes/no
Type of Project/ Activity
c �....en..e �e.,•»r. I tl.T�.
Authorized Agent r- t t t
Project Location (County): �.
Street Address/State Road/Lot #(s)Y':
1
Subdivision
City '
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale:; )
■■
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11111ME
11
in
IN
10111
MEMS
Floating Platform(s)
No
an
ME
Finger pler(s)
WIEN
Total Platform area
IN
Groin length/#_
e.
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel Cubic yards
Boat ramp■■Ali"WE
WIN
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Permit
U 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. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature *'Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

Name of Property Owner Requesting Permit:
Mailing Address: b5 S
/Ll'c 2-7 J I/ If
Phone Number:
Email Address:
I certify that I have authorized
ru
rni'ik6+D�\k Nkawu /Davic'I Aoi b r -o s -c
Ar pent I
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development:
at my property located at
in 1—�)O� rl�- Couniv.
f furthermore, certify that I an) authorized to grant, and do in fact grant permission 1','
Division of Coastal Management staff, the Local Permit Officer and thoir agents to 0-11tv"
on Me aforetnenlioned lands in connection with evaluating information related to this
Permit application.
Pape Owner Information:
-T ,/o.- q�
Print ef Type Nance
7 , 2b i 2q
Date
This certification is valid through 71 2- 0 1 2 5-

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTEC or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: (fit t ui,k l
Address of Property: V a t
Ma➢ina Address of Owner: �✓1
U
Ownarsemail^iY�CE�±�urt�f t'��ti'I�Ir1k.�t Owner's Phone#: a�d-�Ci,a,��J,7�
Agent's Name;
Agent's Email'
Agent Phor*4.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(ft22m portion to be completed by the Adiacent PrODarty Owner)
I hereby, cenify that 1 own property ad acent 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 drawinC with dimensions, niutii be provided with this letter.
IDO 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
malted to 401 S. Grim St., Ste. 300, ilizabeth City, NC, 27999. OCM representatives can also be
contacted a t [phone], No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose oniv one
I understand that any proposed pier, dock, mooring pilings, boat rarnp, breakwater, boathouse, lift, cf
groin must he. set back a mmimum distance of 1 t from my area of riparian access unless waived by me
(ihis does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must SiAn
the appropriate blank below.)
DO wish to waive some/ail of the 15' setback
Signature of Adacent Riparian Properly Owner
-OR- f
I DO NOT wish to waive the 15' setback reclivement (initial the blank).,_ Vv
l
Signature of Adjacent Riparian Property Owner: "✓L71Jti '\ h5t7
4 p�
Typed/Printed name of ARPO: W 11GtY1 �v S tL�� V/
Mailing Address of ARPO: V-7 S • Dc?x w + zti
ARPO'semail: Q("rUJA"Z0l1e janO,raARPO'sPhoneM.
Date: LZ I I xJ 'waiver is valid for up to one year from ARPO's Signature`
6tevist?d August 2022

N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFIGATIONAWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTEC or HAND DELIVERY
(Top portion to be completed by owner or their agent',
Name of Property Owner
Address of Property: C%� J " �'v'u C�'Ct l 1
Mailirio Address of'Dwner. f _ �11
Owner's entarC"�rZ+i =�t'n�u�tli[z �Pa✓-I41trnL,n.+Giwner's Phone#: � ��,� `��-'� t�i` 7�'
Agents Name:
Agent Phor_
Agent's Email
RIAMBITS
=• + •� • • • + - s�- 4
I hereby certify that I own property adacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached draw;ng, the devetapmen'. they are prapos4ng. A
descriotion or drawino, with dimensions, mus: be mrovidea with this letter.
1K IDO NOT have objmtion° to this proposal. 100 have objections to this proposal-
tf you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 70 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
norifted by Certified Mail.
WAIVER SECTION (Choose only one
1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, (,r
or6r must beset back a minimum distance cf 15' from my area of riparian access unless waived by me
s Does not DlY tc bulkheads or riurao revetments). (if you wish to waive the setback, you mua_ t sign
the appropriate_- blank below.;
00 with to waive scrnerall of the 's5' setback
Signature of Adacent Riparian Proper,'), Owner
-OR-
I DO NOT wish to waive the 15' setuacR requirement (initial the blank) 4
Signature of Ad)aeenl Riparian Property Owner:
TypedtPrinted name of ARPO:
Mailing Address of ARPO:
ON-�
is Phone#: 1 5 � - 7
Date: % 1; t 1 q waiver is valid for up to one year from ARPO's Signature'
Revised August 2022

CANAL TO GINGUITE CREEK
TRAIL
Cjvvoop
PROPOSED 60A[LtF I
NVVL NORMAL WATER LEVEL
3C* 9JFFER LINE
TRACEY MAURICH
CAMA GENERAL PERMIT BOATLIFT
-a
40 80' 120'

Mitchell, Martin L
From: Tracey Maurice <[e-mail]>
Sent: Monday, August 12, 2024 10:31 AM
To: Mitchell, Martin L
Subject: RE: [External] RE: General Permit Application Material
Attachments: 85 S Dogwood Lift Piling Sketch.jpg
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Here ya go
Thanks!
Tracey Maurice
Area Manager
Outer Banks, NC
252-202-1878 (cell)
Tracey.Maurice(CaE) gc.com
PERFORMANCE
IMIL;f0005t Ryfc.E - yirgw.
From: Mitchell, Martin L <[e-mail]>
Sent: Monday, August 12, 2024 9:49 AM
To: Tracey Maurice <Tracey. Ma [e-mail]>
Subject: RE: [External] RE: General Permit Application Material
External mail: This email originated outside of PFG. Do not click links, open attachments, or respond if it appears to be suspicious.
Tracey,
10 feet seems reasonable. Just send me a revised drawing showing the 10-foot spacing.
If you decide to change the currently proposed 10-foot spacing prior to construction, please let me know and I can
always issue a Permit Modification.
From: Tracey Maurice <[e-mail]>
Sent: Sunday, August 11, 2024 6:46 PM
To: Mitchell, Martin L <[e-mail]>
Subject: [External] RE: General Permit Application Material
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Correction on the drawing.... looks like the 2 pilings will be 8-12 ft apart ... until we consult David Ambrose we are
not certainthe exact distance butwe assume 1 Oft
Tracey Maurice

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