100486C - Batten

❑CAMA ❑ DREDGE & FILL N9 1OO486 A a CC1 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 +H• ,ZC(`" ❑Rules attached. 2 General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name 1JcYo VJ`l ei,, 1 Authorized Agent i r I r hI
Address ! �,l t-1 r,& Project Location(County): 11,/-I pf t Q
City l-ICE t` State r"A C ZIP L](7 Street Address/State Road/Lot#(s)
Phone#O q - C�
Email by y( ) I1 V . r DV--I Subdivision /
J Cityzip5 rJL�. �l ,In��S�Y o I-,
Affected 2CW ❑EW .�PTA ❑ES ❑PTS Adj.Wtr.Body �� l r C� C Y f E' L `1,;-hTCnat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body CSC
ORW:yes/no PNA:yes/no
Type of Project/Activity ;'� (� f Y- Cv -4-v v rv:TANlC� �)C'Ck
(Scale: -Tc )
Shoreline Length
Access Length
Pier(dock)length 1�1, 0.1(11(111 I �\
Fixed Platform(s)
1
Floating Platform(s) �f t�` i
1
Finger pier(s) c 1
Total Platform area ?tf q 5C1 E r 1L'ii I'+r, f r
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill � `'—•-,- � .( i
Max distance/length �' -. 1.t I• ( L
Basin,channel #`
Cubic yards
Boat ramp ' ' „� .
Boathouse/Boatli
Beach Bulldozing /� " y
Other �1C,y (`T txr _ic Cc r. n lj��
SAV observed: yes Co
Moratorium: n/a yes (no
► �', r rl� 1 k' ,
Site Photos: yes (-.nQ ("
Riparian Waiver Attached: es C no
A building permit/zoning permit may be required by: ! Y ' 0Y)L\
Permit Conditions L 1 -, L'1 A �(C Yti, = 1 �gC �S�_�4 ❑TAR/PAM/NEUSE/BUFFER(circle one)
Y f JL 1,1,(t'1 ( i`i J kJ 1C41(o Cc Y+1 J201k-c r1+ 7 t-IC0 S!F f-f /)�jlr1oirr ❑ See note on back regarding River Basin rules
(o M (?C)0
❑ 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) ' tI
b •1(n ot �Arn L- (A-h r i f
Agent or Ap cant PRINTED Name Permit Officer's PRINTED Name
�i"(i-7liitilLl
Signature :ease read compliance statement on back of permit" Signature
rclLL JDA DllZ(o 25
Application Feels) i' Check#/Money Order Iss niu g Date T Expi ation ate

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

o1+o(OUN, ❑CAMA ❑ DREDGE & FILL N° 100486 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:
15A NCAC !-� �L< ❑Rules attached. ❑ 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 ❑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
(Scaler,, 1 �)
Shoreline Length
Access Length -
f
Pier(dock)length `t. t {
Fixed Platform(s) ...� _ 5 1
Floating Platform(s) A J, 4 i
; . k
Finger pier(s) -- -1 i-_-..... ; r ....a_ _..... c .__ t(._.._.. 1...- - . -
}2 -
Total Platform area
Groin length/# it
Bulkhead/Riprap length ........ ..............._.... ...._ �..T...... __.._... .
Avg distance offshore c A
Breakwater/Sill _
Max distance/length
Basin,channel
Cubic yards
Boat ramp
_I
Boathouse/Boatlift
Beach Bulldozing j.
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: es no. ' _ .. ......... ......... _..._... -' -
_...
Riparian Waiver Attached: yes no 1, �� (jI t j t
A building permit/zoning permit may be required by:
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions i /! � � i� c i = �'- t � i}"-{
( r" I Jt,Ik-( ,1+ LJ('(:��a /'4 o. ( ❑ 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 Fee(s) Check#/Money Order Issuing e 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 1-1 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: Qki -_
Mailing Address:
X1C z�,(--
Phone Number: Zf O
v
Email Address: b'- `�� ` ' V e
\ � �
{ certify that I have authorized ��t� `� Y)
A nt/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: LC-d icy",
at my property located at
in e 7/'f ✓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:
sign ure RECEIVED
(9 0 SE"' 0 9 2024
Print or Type Name
E) w ►-f C � DCM-MHD CITY
Title
Date
This certification is valid through CJ I

Docusign Envelope ID:BA296495-254D-4Al2-8864-000939613F7C
RECEIVED
N.C. DIVISION OF COASTAL.. MANAGEMENT SEP 0 9 2024
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL. RETURN RECEIPT REQUEST�-u or HAND U ' HID CITY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property 137
Mailing Address of Owner
Owner's email ,P Z4, 4"caner s Phone# 7 t
Agent's Name & - 0
�1�" Agent Phone#:A(.,,D- 5
A
Agent's Email � r ✓
_+ �f 6[� �r f , ,�' o✓h
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be compLe d hy 1heAdiacent Prove ProverW 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
de m *mp or drawing.with dimensions, must be provided with this letter.
j
I=L-
- OT 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 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted
at(252) 515-5400. 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 Try 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.)
Signed by:
I DO wish to waive somelall of the 15' setback q �
S gnatum of Ac Iacent
-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: 0 � ~ 7"f ''.._. ;z -
ARP©: ,% � �
Mailing Address of _c.F' �,..._..___.s��'
ARPO's email' ARPO's Phone#:
8/13/2024 i 4:05 PVi EDT
Date: waiver is valid for up to one year from ARPO's Signature"
Reviser/May 2021

Dncusign Envelope ID:4F3AA156-2D54-4858-A1D9-E56A6S6D2D3C
RECEIVED
N,C. DIVISION OF COASTAL MANAGEMENT Sri' 0 9 2024
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HANG DEk1►► K MHD CITY
Jop portion to be completed by owner or their argent)
Name of Property fawner.
Address of Property
Mailing Address of Owner, g 2 j ;F.t d w eiv
^x
Owner's email --_.._. _ � '0�0Iwner's Phone#: r
Agent's Name'�62 u�T r i Agent Phone#,310_-a5—i 0+7 5
Agent's Email VC , C wl
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 I he ir:dividUal applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
destangiWn or drawing,with dimensions must be provided with this letter.
�l V
0 tvr T-,have objections to this proposal. _____I DO have objections to this proposal
It 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 400 Commerce Ave.,Morehead City,NC 28557,DCM representatives can also be contacted
at(252)515-5400. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
1 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 ire
(this does snot apply to bulkheads or riprap revetments ,I;you wish to waive the setback you: must sign
the appropriate blank below)
I DO wish to waive someiali of the 15'setback
Signature of Adjacent lRipar an Property Owner
-OR-
I do not wish try waive the 15'setback requirement(initial the'blank)
Signed by.
Signature of Adjacent Riparian; Property Owner;.-
TypedlPrinted name of ARPO: o e
Mailing Address of ARPO: / / - 7. l
ARPO's email: ARPO's Phone#: f_f _
8/13/2024 1 2:54 PM EDT
Elate: 2waiver is valid for tip to one year from ARPO's Signature"
)Revised May 2021

RECEIVED �©
5EP 0 9 2024
DCM-MHD CITY
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