91258C - Clark

`°"rkN❑CAMA ❑ DREDGE & FILL N9 91258 , A B D
GPrevious permit
GENERAL PERMIT
Date previous permit issued,
❑New ❑Modification ❑Cornplete 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 -, 1,+( 1 k U y ❑Rules attached. FJ,General Permit Rules available at the following link:www.deq.nc.Yov/CAMArules
Applicant Name Sa 1 L.� rr L Q \V Authorized Agent -� C 1—/1 �)C J ✓� 5
Address 5 �" ��1�1 /1 C- 1✓ Project Location(County): r � C 1
City-1 f Q V \`� State ZIP UJ? Street Address/State Road/Lot#(s) ,L-A 0 L l ( v�.'1 1 C
Phone#(,�C� )
Email Subdivision
City p ZIP r� S
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body } (�a nan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body (y�u �,U e e �4
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:,\jr-1 �
Shoreline Length
Access Length -�-_- - __ ��__ �� . _... i... .� ...... _......1 1 ...... _.LK
_
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) ( I
i !
Finger pier(s) '
I
Total Platform area I
Groin length/# I
Bulkhead/Riprap length Lam-
Avg distance offshore 1 ` J1
_.__-. 1_...... ......_ .. _.._.._ _l..
Breakwater/Sill
Max distance/length
i
Basin,channel
Cubic yards _ .. .._.__._ '__ _.._ _......_. ......
JL
Boat ramp --
Boathouse/Boatlift or
Beach Bulldozing N
Other .... ._.._ 3 1
�)
( c �
SAV observed: yes T 1
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: C-, /Ph Pr•1 d ��
TAR/PAM/NEUSE/BUFFER circle one
Permit Conditions 1 P c� �h�. F l_ ( )
� ❑ See note on back regarding River Basin rules
V �� ("( , \ 1"'. -_ _ r= \ ❑ See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (PleaAq Initial).
Agent or Applicant PRINTED'Name Permit Officer's PRINTED Name /
Signature** lease read compliance statement on back of permit**; ure
Application e(s) Check#/Money Order Issuing 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:
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*O`°"r41 OCAMA ❑ DREDGE & FILL N9 91258 A B C D
GENERAL PERMIT Previous permit �-.
� Date previous permit issued 1 '
❑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 k ° i k U I'D ❑Rules attached. ❑-General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
I� tY r + 1
Applicant Name - Authorized Agent _
Address 7,L' 1 + /1;-.� Project Location(County): r -
City f ' 1,Q State C 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
(Scale: .,, )
Shoreline Length
I
Access Length _. .._.. �_._ ._ _. _....._.._... ----
._.
Pier(dock)length
Fixed Platform(s)
1--ii
Floating Platform(s)
I
Finger pier(s) I
i
Total Platform area
Groin length/#
Bulkhead/Riprap length I
I
Avg distance offshore f ( +-
Breakwater/Sill
i
Max distance/length
Basin,channel
Cubic yards ._ ___... --
Boat ramp J '
4
Boathouse/Boatlift + .
Beach Bulldozing \
Other t .�.t....._.1 1 . ..�— �.. .: �. L__._.....
SAV observed: yes no
Moratorium: n/a yes no
J
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: A—k-.)
Permit Conditions { ❑TAR/PAM/NEUSE/BUFFER(circle one)
� .
r � ❑ 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. (Plea a Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
1 {
Signature"Please read compliance statement on back of permit" ure
Application Fee(s) Check#/Money Order Issuing a etD 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 F-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

&6(Wr"( . CAMA ❑ DREDGE & FILL 988701 A B O D
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 L T � 00 ❑Rules attached. General Permit Rules available at the following link:www.dgg.ncgov/CAMArules
Applicant Name Authorized Agent S '— r
Address A` �'� V Project Location(County):
City State 1 V ZIP Street Address/State Road/Lot#(Ca t
s)
Phone# ) Z3 00
Email Subdivision
City O ZIP
Affected ❑CW ❑EW ❑PTA tERS ❑PTSAdj.Wtr.Body �i��t(>�" lC aman/unk)
AEC(s): �❑OEA ❑)IHA ❑UWSPIMA U PWS Closest Maj.Wtr.Body >��-� "f5"44
LJ
ORW:yeq/ho/ PNA:yes o
Type of Project/Activity D FAO
(Scale .fi )
Shoreline Length
Access Length
Pier(dock)length vl� '
Fixed Platforms)
Floating Platf rm(s) RECEIVED
Finger piers) O C T 0 3 2024
Total Platform area
Groin I ngth/# .11 DCM-MHD CITY
B hea Riprap length
r �
Avg distance offshore
Breakwater/Sill �L J
Max distance/length
Basin,channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other NO
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zo g permit m be ecluir by:
❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
AA 61 ❑ See additional notes/conditions on back
I AM AWAR OF AT TES,CRC RULE ND CO ITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
c0 60 s F 1
or Applican N e Permit Officer's PRINTED e
Si a**Ple�ead com ance statement on back of permit** 7 Z 8;L,;
Application Feels) Check#/Money Order Iss ing D to pira n Date

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
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Property Owner 'noor-ral:n,-:
�,,,,� (�, ('Q�,,�,� RECEIVED
OCT 0 3 2024
DCM-MHD CITY
9 11

N.0-OMSICNOF COASTAL FAANAGEM,ENT
ADJACENT RIPARIAN PROPFIRTY OWNCRNOTEFICATION(1PrAIVIER FORM
METt RN Rlepelp-, f.Laupas,r Loo!HAND ')F-''oERY
(Top portion to be mompleted by owner of ihelf agent)
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mx?m&Mwore Mr-L-r
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AQP r If Na f-NA.. L G- 4 P-0 I—c-S Agee,"PIR0,10 3212—
Aoi- ACENT RIPARIAN PRQPr;RT Y OWNEWS CERTIFICAMON
jim.JQ be comp�,; ax
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devr.bo to rw. as VW&r Cc " 3=61W :ic�wn, ;f-yev-,tF;ey Ara crft;a 6
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NOT a^11cr-S*I Irms ofoosal I Do"ve mW,110M"q tr A ofe,0=1
eic lions fa wem i* banq pfoposid you moss fjo* ibitfif.c. ZIMSIon 0
M*Afig*Mtnf M'w'W �O WMIN9 W140"'? f 0 days 0 mcc0r 49 Iftim MOM conaspamorrice skw-id be
MW(Odm 400 Cammiofre A-left.Mrv-Pllv4d City.MC 26557,DOW MIPMOMOV05 W050 b*c011f"Cod
At(2M 809,2804. No MY cum:,Vc W rho some fflx"ok"Won it yaw JWv*b""marif1w ay
Canihod Nil il
WAIVERSECTION
I 4rejerv.ima tt•ai ure ;r3pow. J it%sr, 'IVk. MM.N pfirtgS wxfarm bmjkW-alje-,
vailt mist b-p-,re
-Qu wit"
or-,
OR.
i,do not wjyoj t0,A-4,0*lie tAfiAthack requirement(7-iloW.he igank)
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TYPOd-Wrinw!nampo of ARM C�64 c4L Fc,
MI&IIIna AddfOSS W ARPO: 400 13(0�ec St
ARPOIS 11MAH:
VAil foe up to one yopr from ARPO's Signatume'r
Re.vifthd JU4, 2
RECEIVED
OCT 0 3 2024
DCM—MHD CITY

9/27124, 11:30 AM Riparian Property Owner Waiver Form Final.png
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER FORM
r---RTTF--- MA IL RE', R`. R<;y.C.I 1 iES'E'-*''.' H:. -.)E_ ;' R-y
"7 -,) .^rtrf nn rr: hA .... ^, n•r.r 1!•� 7:r• . eh�r .`i�S?'!1t;
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,;..�.�. :. . _ 05 ��'a��'t�tlt °����!`1 252 °►02 -?300
_t...; F, SG10/C�t1�Ci ,a � !C (0L+y
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
BQ.ttorn rtl.Qn_tQ_ _Q4rr1QICtcC b�tttC_r�C;�S.4 t Prp�+±�rty pwnC.
I Y Ii/ .. �_•1."I. `•y T'�`�,�. A . ':"..M h. '1 \ , .-+
If you hav objeemons to what is tinny proposod. you +»ust notify th♦ N C oleAston of Coastal
Manag+n*nt?0CMi in wnbnq within 10 days of roca,pr of this notice Corraepondenca shou,'d be
mai4d to 400 Commerce Ave.,Morel%vid City.h'C 26S67.DCM roprosenu&vw.s can a!so bo contacted
at,2`2, 0.S•2E0J. No respoosc is consooctcd the$Jiro as no o01cctron If you have toot"nottfrod by
ccmf)co Mall
WAIVER SECTION
�" ..,c'e:C!:air a "' . .::f^:C _ �'CJ . L,l-•'J' .7::C:. ."•CS: AZ'rC•��i 't
S •:tS^C•:sC7/ •. :....^.C:h�. . !: '�•^:'^^.. r:. h '?.4 1.* -"!:C".J:• .: must+S!2
I do not w .. *3 re .,C ' ;r!��.. •r, - .•,..r... .J 'C t.7 _jVdl
Typed.'Printcd nanH of ARPO. --`` / `'/ _
Varlrng Address of ARPO: 30 _..3 504 _ -' (1sQ� C t170p-Ip
5
ARPO's•magi dolimill AR T hens 9, .2 2,/-4 U60
0&1♦ q I;t-1/1 'w,oivvr is volid for up to on+ year from ARPO's Stfinsturio'
RECEIVED
O C T 0 3 2024
DCM-MHD CITY
httpsl/mail.google.corn/maiUu/0/#inbox/FMfcgzQXJQNsdZRhHiHLbGQtBSMsnOCT?projector=l&messagePartld=0.l 1/1