89292A - Wroton, Henry

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A; ❑DREDGE & FILL
ENERAL PERMIT
ew ❑Modification []Complete Reissue ❑ Partial Reissue
Na 89292 A 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:
15A NCAC ❑ Rules attached. ©f General Permk Rules available at the following link: vvww.d .nc. ov CAMArules
Applicant Name
Address
City - State --3y`r >;;i ZIP
Phone #
Email h:., "'Am
Authorized Agent 1 r' `,
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW as SEW ❑V PTA E ES PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body is
ORW: yes/no PNA: yes/no
Type of Project/ Activity 'K (�/ , xai tp C] A v'�
(Scale: 'w" ::: -C)
Access Length
Pier (dock) length
Fixed Platform(s)
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Platform area
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Groin length/#
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Other
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SAV observed: yes no
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A building permit/zoning permit may be required by: (� Y t J !-_
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. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit•` Signature
Application Feels)
Check p/Money Order Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION RECEIVED
SEP 2 6 2024
Name of Property Owner Requesting Permit: rat a i old —DGM_EC
Mailing Address: S o t -2 (Z O D 116.3
nlORFaL C3
Phone Number: 7.5�7 qua
Email Address: Gti2,oTo„l1-11 /,,q4) L, GSM
I certify that 1 have authorized :e f d� kc t `% -�^—
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 9/0(nP
cz!� SS
at my property located at / (DD I) L £ A )- d ,
in t=J0&t`'u C.l< 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:
Signature
N0WAV b, A 07 o J
Print or Type Name
M/R-
Title
D1 I %31 2—
Date
This certification is valid through

DECEIVED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM SEP 2 6 2024
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property:
or Street #, Street or Road, City R County)
Agent's Name #: `) &P &1-tt1 I 1 �
Agent'sphone#: a ao /- (�'10/7
r
DCM-EC
curt,�,e<1
Mailing Address: 1,90 �ar 40,(
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.
/l//1 Jia4e no objections to this proposal. i have objections to this proposal,
If you 7have objections to what is being proposed, you must notify the Division of Coastal 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) 264-
3901 No response is considered the same as no objection if you have been notified by Certified Mail.
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
me. (if you wish to waive the setback, you must initial the appropriate blank below.)
/1 do wish to waive the 15' setback requirement.
CC/ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si"'nnhure
r d I,Jfb 1 OA,
Print or Type Name
30l Z3rbo-AVC 44t/03
Mailing Address
p4o(k Jct a3S Yo
City/Slate/Zip
1l5`a-?��
Telephone Number/Email Address
lhur
`Valid for one calendar year after signature`
(Adjace Property Owner Information)
.S4gruflure' —
Print or Tye Name
Mailing Address
11�2>9,e, /IKC Z7,Qk,l
City/State/Zip
,; 7 3-/FEZ.
Telephone Number/ Email Address
9/Zl/2o24
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Revised Jan. 2017

RECEIVED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORIV EP 2 6 2024
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
DCM-ECG
Name of Property Owner:
Address of Property: /00 ft%r'tccc 0%, yink' /yariiph
(Lot or Street #. Street or Road. City & County)
Agent's Name #: <\t'� ! 4EW I, ik,- Mailing Address: /ao ►rf. & j dam`f�
Agent's phone #: a5 D` Doi- oo d Paw- iva,14 k a 2
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.
A�tt ave
no objections to this proposal. ____ I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal 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) 264-
3901. No response is considered the same as no objection if you have been noti/ied by Certified Mail.
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
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
QNft/ IJMTToti
Punt orTypb Name
2e) I Coo K-1.
Mailing Address
WocPW K Ja a3S-1c)
City/State2ip
-7-�-'7- f1S6- 7935-
Telephone Number / Email Address
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Owe
'Valid for one calendar year after signature`
(Adjacent Property O net Information)
. i�nulurc,:
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Print or Type Name
Mailing Address
�owr dog <iJG ;U?i6'`t-
City/State/Zip
Telephone Number/ Email Address
as Sty �oa-`f
htlle,x
Revised Jan. 2017

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RECEIVED
SEP 2 6 2024
DCM-EC
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