100491C - Rose

❑CAMA ❑ DREDGE & FILL N9 100491 A B Q 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 C' .1` I L1-L- ❑Rules attached. ta General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name FA IA)t V_\ eOSe Authorized Agent �� l OTT V1C
Address i it I(b�)\1 i, H L 1 Y SA I Jy- Project Location(County): r Y1 c ACl,,.)
City 1C\\15\)U\! O State ZIP Street Address/State Road/Lot#(s)
Phone#( (K_ 2Y'X " `�.�L)L-1
Email f'7+-v( `_t C- e1 C)V\ I Subdivision
City C-11.0 C\\x1>j e r 0 ZIP Z t` L-L(
Affected ❑CW 13EW P"PTA ❑ES ❑PTS Adj.Wtr.Body �\ 1 W4� Unat man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yesino PNA:yeso
Type of Project/Activity C.�C,Se C� l� ,f I�1 ��k (\--Y Y-, L,o e v n1-'rk V'r t l , Q ,
11 (Scale: rA T< )
Shoreline Length 1 09
Access Length I
Pier(dock)length HID r �.'f`LL�\C
Fixed Platform(s) I�� X 7 `i I , r1 }" 1
Floating Platform(s) — _W\ j
Finger pier(s)
Total Platform area 9(1c �_4'rr
Groin length/# / I V\ 5r�
Bulkhead/Riprap length
Avg distance offshore
J �--�
� L
Breakwater/Sill / tyC
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse%Boatlift'�3 K l ,I f ti l
Beach Bulldozing y '
Other 21 fic r ry
SAV observed: yes no
Moratorium: n/a yes (`
Site Photos: yes � rJ1 vm, 4/ L(-C
Riparian Waiver Attached: "eY\` l� )n �'� � 1
A building permit/zoning permit maybe required by: . W C\l' 4)L Y'n I �l1rjlC(,� C>L� )
-r� l ❑ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions; e-tct� ��1C�C��C1 IY��1K�C� _ �C'� �l�f+ CLV� (-f
i( l-C e{ (/JI V1 Y)C S Y yki k C c Y"\2cne Y\A' 7 y on sqL_-.I D }}',uw See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I M AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
�4ge or Applicant PRIN ED Permit Officer's PRINTED Nae
fl.f 1`;�101L,- ��---� Gt 711 E
Si nature"Please read compliance statement on back of permit" Signature
;yCc IG �3 ►o/� I l� �l C} col/ 5
Application Fee(s) Check#/Money Order Issui Date n Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:[phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

1+0LOASTq ❑CAMA ❑ DREDGE & FILL N9 1 ()0491 A B (C D
3°
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:
I SA NCAC ❑Rules attached. r❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision
City ZIP
Affected ❑CW 0 EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:
Shoreline Length
Access Length
Pier(dock)length r Y
Fixed Platform(s) ; _1 7. .... ....__.._....._.
oL-
Floating Platform(s)
Finger pier(s) �}. - -
_-.......-- - - -
Total Platform area r I, .-
Groin length/#
Bulkhead/Riprap length
Avg distance offshore J - - { t f J c
Breakwater/Sill
4V
i
Max distance/length
rAA
Basin,channel ` I -
r
Cubic yards `
Boat ramp ( {
Boathouse/Boatlift
Beach Bulldozing i `-
Other i
SAV observed: es no
Y
Moratorium: n/a yes no Y Y l '
Site Photos: yes no IJ
j __... ............. ... .._. .._... ..__ ,.... ... j'_� .t�''. r 4.-
Riparian Waiver Attached: yes no ) f
A building permit/zoning permit may be required by: i�.1':��( �; I t\(tC,l(i? ` t t' I
1T "S(11 - 1 r 11 (� = c} _ I l s ! i ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
l ; �. >> >l, C c t ��. t 1C 1 1 �-.i C,}})•1 ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)Vlf
ri LOA �-1
Age or A scant PRISE%Nam
✓ Permit Officer's PRINTED Name
rf Ef � -� -.
Signature"Please read compliance statement on back of permit" Signature
ICfI - I( cI I , !, 1{ ;1/C �S
Application Fee(s) Check#/Money Order Issui g Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F-1 Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ,r- f ljC06e--
Mailing Address: 114 L , H U Y-5 T 0
/J
Phone Number:
Email Address: % 601a
I certify that I have authorized C3 Scott, Inc
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 2- p P f--56,0 a—L
at my property located at ( t `- Sy� N L }--I V
in I L D County.
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:
>� r,L RECEIVED
Signature
d w) .� ��L SEP 1 3 2U24
Print or Type Name DCM-MHD CITY
Title
Date
This certification is valid through 12 0 I CS / 0104

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to--.F&N% J —Ft PD 5-6 's
(wame of Property Owner)
property located at //� �ONvJ L• �f^,�ST -P4 , Su�it�lS150�10
� // (Address, Lot, Block, Road, etc.)
on 1* �.6t 4L 1`crt ►�r� , in A1,6;L, l., C , N.C.
(Waterbody) (City/Town and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on cation.
one of fey) X I have no objection to this proposal.
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
PAU =
RECEIVE®
SEP 13 2024
DCM-MHD CITY
WAIVER SECTION
I understand that a 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
Initial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
Here on I do wish to waive the 15' setback requirement.
one of J,
these 0 X I do not wish to waive the 15' setback requirement.
lines
(Property Owner Information) (Adjac rope w formation)
> � `--41
Sign�u//"a "Signature
Z:CIAz )/ 'T ke�e—
Print Tyke N me Prin r Type Name
�lo �� L I�� r�7 .. D . *30x 3-r
M thng Addr ss Mailing Address
75�vQ,N5 2ar�s fI � Z85$`� S'c��lsRo�O , Ak Zp�B
City/StateMp City/StatelZlp _
qM- .3 30— 4 ��q 9io— �� —235 r
Telephone Number/email address Telephone Number/email address
D 2 S Z-'� D 8 J/ z z V-
Dat� —1 Date*
��—r
(Revised Aug. 2014)
*Valid for one calendar year after signature`

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to �� (�► Q 's
�1 F ( ame of Property ow er) .
property located at
(Address, Lot, Block, oad, etc.)
on ►f Y , in d� IN/ CD
, N.C.
(Waterbo y) (City/Town and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on location.
one of �, I have no objection to this proposal.
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
RECEIVED
SEP 13 2024
WAIVER SECTION DCM-MHD CITY
I understand that a 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
Initial me. (if you wish to waive the setback, you must initial the appropriate blank below.)
Here on 01} f h,— I do wish to waive the 15' setback requi ement.
one of �, 0
these I do not wish to waive the 15'setbac requirement.
lines
(Property Owner Info tion) (Adja nt Prope Owner Information)
i
I
Sign a atur
c �f v J—
/tor Type Na/ne y�T Print or Type Name
4- ajoh-AT
b'A r h'o 1)
M�i�g Addres � � Mai!' g Address
Ci /State/Zp !!M
/�• -�0 30
Te ephone Num Te/eone Number/email address
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

hawing vreparea by: L,s acott, inc. vroperty Aaaress
)ate: 8/14/24 114 John L Hurst Drive
kale: 1": 30' Swansboro, NC 28584
_. Property Owner:
Eddie Rose
k
NORTH / INTRACOASTAL
WATERWAY
Proposed Work:
15
-Demo existing walkway, Dock
Existing
platform, stairs, finger pier 24k
and four boat lift pilings on :4 Boat : Lift
:Lift Piles:
existing lift on the east side A....X
and haul off 2'x2o'
-Construct a new 140'x5' sure Finger Pier
step walkway with a 15'x24' RECEIVED
platform, a 2'x20' finger pier
and a set of steps on east side
of walkway using 8" timbers 2024
piles, 2' and 5' sure step
panels, 2"x8" girders, 2"x6" DCM-MHD CITY
joists, 2"x8" band boards,galvanized timber bolts and 5,x140
stainless-steel screws Walkway
-Remove existing boat lift on
east side of the walkway,
install four new 10" pilings and
then reinstall the existing lift
..��� BEACH
Stairs
Existing Seawall
-o
o MARSH
r LAND r
tv
�— p CD
n
116 John L� 112 John L
Hurst Drive Hurst Drive