89244A - Brooks, Larry and Deborah

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50CAMA YJ DREDGE & FILL � y <3 B C D
PrevGENERAL PERMIT Date t--
Date previous Permit issued
❑ Modification ❑ Complete Reissue I
1 .1 Partial Reissue
As authorized by the State ofNortrthCarolina, Department. of Environmental Quality and the Co ismi Resources Commission in an area of environmental cnntern pursuant to
I5A N(:AC-____..q H __I!i.y.�L ..___ .... ......_._.. U Rules 41acbed. 'J�(' Gmer it Permit Rules available at the fdlow.T link: AMd"q,nc:. 'nMen��y
_89Y1C-- • -
Applicant Name . "bl(3}XJC12—�\ 1� ywttonzect Agern
Address '�_ ......... Project Location Cou
city Cit 2tr State AC , ._ ......_. ZIP 2 3 3L 3 _ Street Address/State Roadttot #(s) 4�'i�^
Phone # ( ?)�l L3 _ —lip
���,,� — —.
E nai
���S.tYX.....�t_My,°'kYYsC1 t� , Cd,xr+. ____.. ____ Subdivision _ n,
City.
Affected L_.1CW NEW ®PTA ES IT PTS Adl�Wv. Body—_ _..{'SLFY!'tiiC_1Y _"C'� rat maNunk)
AEC(s): t OEA []IHA 1-1UW 71SPIMA ElPWS Closest Kai Wtr, Body t�j-{10,
CRtWyes <j t) PNA: Yes
Type of Project/Activity_ 44a.��(20t t>1t not.,_.4 .t�k'-WLt�-ci �r a.+.� Tr•V"' (Scale: _.....
�iI' 3Csr)
Shoreline Lengthfi- lacer
Access Length .L
Pier (duck) length
Fixed Platforms) ..... -
Floating Platform(s) --
Finger pter(s)._
Total Platform area VsS
_.
Groin lengthjd
__.
qi;
utdisance offp length—{Z.4}_r_
Avg dis{xnce offshore R
Breakwater/Sill
Max distance/ length .fit". _.
Basin, channel
Cubicyards _
Boat ramp A
Boathouse/ RoatliH '� _ _ .. .. Nso-
Beach Bulldozing !.
Other
SAV observed- yes G
Moratorium. yes no
nu LLL !� CCC
Site photos' ( ,rno - -
Riparian Waiver Attached* yes no rr''
A building permit/mningpermR may be required
Permit Conditions_
., 4 i` TAR/PAMINEUSUBUFFER (elide one}
See rote on back regarding River Basin rules
See additional notes/conditions on back
IAM a_aAWARE OFSTATUFM. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please initial)_
Permit
SignaCure ""Please d wmpli6nce statement on beck of pn[tnit"" Signature _L
64COrc "7111y _ toffy/2y Z,ry/2S-
Application Fee(s) check II/Money Order Issuing Date Expiration Date

tA "(DWA KCAMA ® DREDGE & FILL
GENERAL PERMIT
® New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
1N`.' 89Z44 (5 B C D
Previous permit
Date previous permit issued
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 r?1i - (1 ba ❑ Rules attached. © General Permit Rules available at the following link: www.deo.nc goy/CAMArvles
Applicant Name La JYu t -hd1 n Qh OYwkj
Address 2-131 (,P$t `1`r(x
City C.rf�Q \S4.V jxcV-
Ll State O, zip 23323
Phone # (_`%a3a1T31p3
EmailCA
_ _elobtaOM 97 e` A-1
Authorized Agent
Project Location (County): 7C rQ Ia-,1 Y nt6
Street Address/State Road/Lot #(s) 14 *1- S :Z
1(63 T�We010 4.
Subdivision k�,,c n co(o- rt s,
City r r� ZIP h7?y/'
Affected ❑ CW
EW
® PTA
N ES
© PTS Adj. Wtr. Body
1 eWAtV
SG eman/unk)
AEC(s): 1-1OEA
❑ IHA
❑ uW
❑ SPIMA
tN6t 1
ElPWS Closest Maj. Wtr. Body n tk2.w-CL�Af
�lk�
ORW: yes ns PNA: yes,
Type of Project/ Activity
J (Scale: f/,3(`)
Shoreline Lengtht� ��O
Access Lengthy
(�
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
.�
Total Platform area
Groin length/#
h
ulkhea / Riprap length
120
Avg distance offshore
(�
Breakwater/Sill
Max distance/length
Basin, channel
p- s
Cubic yards
Boat ramp
Z
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yes
®n
Moratorium:
yes
no
Site Photos:
Riparian Waiver Attached:
(a
yes
no
no
4V
7 1
A building permit/zoning permit may be required by: 1''U"Yu. Ix3�r�$ �.uW`
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
Name
Signature **Please read compliance statement on back of permit**
Application Feels) Check #/Money Order
❑ See additional notes/conditions on back
(Please Initial)
Permit
W4
Signature
to/Y/zy VY/25-
Issuing Date Expiration Date

QA"`°"14,NVICAMA Ed DREDGE & FILL NY 89244 A B C D
GENERAL PERMIT Previous permit
I
30 El 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.ncgov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW❑ PTA M 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:; :•ci )
E!
1NEON
......�����
.
.C1C1®....HC.1.
19®
.1111.
Floating Platform(s)
M■11�1
.N.1MOMEN
�11M0
�
1m11
MN
MEMO
ME
EN
Finger pier(s)
ME
Omni
Total Platform area11.111111C1.■■.�9
®�.5■■■.■.1■■■11011011
Groin length/#
:-. ..
MEN
MEN
M111�1M
1■■I"1'1®1EM
:1MMMMM
11■■11'�
.
�!!�--��!--■■%■■..
OMEN
-■.■..1..�o1�
0111��1111
O■■II■01IIO■
O■�E
OMM
MN
■
MEMNEM
AMOMEEEM
EEE/M/IM
MINNOM■■I
A building permit/zoning permit may be required by:
Permit Conditions
❑ 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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature '-Please read compliance statement on back of permit"
Application Feels) Check it/Money Order
Signature
Issuing Date
(Please Initial)
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY SEP 17 2024
(Top portion to be completed by owner or their agent) -5 �r_�J (�
Name of Property Owner: /-9rr/ r 13%-U��l, S K, v CM -EC
Address of Property: 14 5 i le 4Z S r, Hez-rl-inni /V G. i i V'/
Mailing Address of Owner.
�y /, LOrvr
Owners email:f/ir'f'Ab)—I�O/t_s9ahn(OOwers Phone#: �SJS�.Z75`/j
Agent's Name: �M "rl A 4- A Agent Phone# a� -T5 - 4313
Agent's Email: LC1.7 e h4hytas I
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. 1 DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.c. unnsion of coasra)
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 (252) 2643901. 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 sicrn
the appropriate blank below.)
I DO wish to waive some/all of the I & setback,
x / / . /� r
Si ati-fe of Adjacent Riparian Property Owner
-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:
Mailing Address of ARPO:
ARPO's email-
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

ADJA�cNN.C. DIION AN
OF COASTAL MANAGEMENT RECEIVED
T RIVIS
PARIAN PROPERTY ObMER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY SEP 17 2024
(Top portion to be completedbyowner or their agent) (�
Name of Property Owner: 1- A f / � �, k J rO,2 �j �( D ° "'�/j
-EC
Address of Property: 16- debt S / A16
bailing Address of Owner. -5 FANI e
Owner's email: ��d 6jil7,2/iS 9�Vf V0 n���fione# M.7,5`7
Agent's Name: 1 raIldon Mur r"'L T'n c. Agent Phone#:_ %S k 3,3 ( - 0 (3
Agent's Email: (-Gr+�r `en ►'Ku.fn e %�,.,�� 1
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(�oftom portion Yo be completed by the Adjacent Prooertv Otvner)
I hereby certify that I 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
rz�9— I DO NOT have objections to this proposal. 1 DO have objections to this proposal.
rr you nave Objections to what is being proposed, you must notrfy the M. - Division of Coastal
Management (DCNQ in writing within 40 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, AFC 27900. DCM representatives can also be
contacted at [phone]. NO response Is considered the same as no objection if you have been
noiffied by Certiifed Mall.
WAIVER. SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, iiii, or
groin must be set back a minimum distance of I& 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 16 setbacl�--
Y Gam/
Signature of Ad Ripa " n Property Owner
OR -
I do not wish to waive the 15' setback requirement (initial th blank)
Signature of Adjacent Riparian Property Owner.
TypedlPrinted name ofARPO:
Mailing Address of ARPO.
ARPO's email:
ARPO's Phone#:
Date: . lver is valid for up to one year from ARPO's signatures
Revised July 2021

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