91269C - Lewis

o*jt°"'4e&❑CAMA ❑ DREDGE & FILL N9 91269 A B C D
3 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:
15A NCAC - i ( ` ,��'� ❑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 N ZIP " Street Address/State Road/Lot#(s)
Phone#
Email (' v,�_ "� ' '��^ ' Subdivision
City )0 /C) ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length
Access Length _'_._ W.... _....... 6?ITT
I T
�...._-.. ). . ............ t ....._......_
Pier(dock)length
Fixed Platform(s) '
. ». I
1 �
Floating Platform(s) i
Finger pier(s)
NJ V
Total Platform area
1... _. _.. l._... .-
Groin length/# I
IAL
Bulkhead/Riprap length
Avg distance offshore _.. _ - _-- ---
Breakwater/Sill
Max distance/length
Basin,channel
i
Cubic yards _ -
- -_._
Boat ramp ) 4- TT _
Boathouse/Boatlift _
Beach Bulldozing
Other l-
j
i
SAV observed: yes
Moratorium: n/a yes no)))) 4.
Site Photos: yes no,
Riparian Waiver Attached: yes no,,,
A building permit/zoning permit may be required
Permit Conditions ^c1 ?c i ❑TAR/PAM/NEUSE/BUFFER(circle one)
�\ ❑ See note on back regarding River Basin rules
i
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES,C C 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
Ly ( fiwqY I /I I P14 of /i I /.25
Application Feels) 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

❑CAMA ❑ DREDGE & FILL N9 91269 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 ❑Rules attached. ❑.1c eneral Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name \ K. Authorized Agent
Address Project Location(County):
City ? State ZIP Street Address/State Road/Lot#(s)
Phone#
Email `t C Subdivision
City ZIP
Affected F 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
Access Length - { -- _.__ - -
Pier(dock)length
I
Fixed Platform(s)
Floating Platform(s) r
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore — -- —.- -
Breakwater/Sill
�,-
Max distance/length _
Basin,channel
Cubic yards ;, -
i
Boat ramp / f
Boathouse/Boatlift
Beach Bulldozing I !
Other r.
SAV observed: yes no
-�
Moratorium: n/a yes no'`
Site Photos: yes no,
E
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions f ❑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
/►I P.S
Application Fee(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:
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

I.
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Phillip A. Lewis
Mailing Address: PO Box 662
Greenville, NC 27835
Phone Number: 252-531-9704
Email Address: [e-mail]
I certify that I have authorized The Cullipher Group, PA
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: construction of new bulkhead as
shown on plan: CAMA GENERAL PERMIT: PROPOSED BULKHEAD dated 9/25/24
at my property located at 407 & 409 Tennessee Avenue, Morehead City
in Carteret County.
/ furthermore certify that / 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.
Pr perry caner Information:
Signature
Phillip A. Lewis
Print or Type Name
Owner
Thl
D e
This certification is valid through 12 l 31 1 2024

N.C. DIVISION OF COASTAL MANAGEMENT FORM
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER
RECEIPT KqQE$LVED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Own e r, Phil Address of Property: 407 &409 Tennessee Avenue, Morehead City
Mailing Address of Owner PO Box 662 Greenville NC 27835
Owner's email; !ewisp i1544qrnail.com Owner's Phone#: [phone]
Agent's Name: The Cullipher Group, ESA Agent Phone#: [phone]
Agent's Email: ron@tcgpcl,com .......
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property
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,
desc titsn or drawin with dimensions most be rovided with this letter_
I DO NOT have objections to this proposal, I DO have objections to this proposal.
ff you have objections to what is being proposed, you must notify the N.G. 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
led by
at(252)808-2808. No response is considered the same as no objection if youhave been notif
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 moist sign
the appropriate blank below.)
1 DO wish to waive someiali of the 15'setback
Signature of Adjacent RipaTla_nProporty Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Own or
Typed/Printe name t ARPO- Chase A, Templeton and/or Jess" L. Templeton
d o
Mailing Address of ARPO: 405 Tennessee Avonuo, Morehead City, NC 2815*57
ARPO's email., Uoo ARP/ 's Phorie#:
Dates wl -waiver ju valid for up to one year from ARPO's Signature'
........
Revised July 20--)1

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY j
(Top portion to be completed by owner or their agent)
Name of Property Owner: Phillip A. Lewis
Address of Property: 407 &409 Tennessee Avenue, Morehead City
Mailing Address of Owner: PO Box 662, Greenville, NC 27835
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: The Cullipher Group, PA Agent Phone#: [phone]
Agent's Email: [e-mail]
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 o drawing, with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
I
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 28667.DCM representatives can also be contacted
at(262) 808-2808. 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank) r • `�
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Peletier Point HOA Inc
Mailing Address of ARPO: 408 Tryon Drive, Goldsboro, NC 27530
ARPO's email: ARPO's Phone#:
Date: J0 - *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

THE CULLIPHER GROUP, P.A.
ENGINEERING&SURVEYING SERVICES
October 9, 2024
Ms. Heather Styron
400 Commerce Avenue
Morehead City, North Carolina 28557
Re: CAMA General Permit Request for 407&409 Tennessee Ave
Dear Ms.Styron,
Please utilize this correspondence as the request by Phillip A. Lewis to apply for a CAMA
General Permit to construct a bulkhead as shown on the provided plan at 407 and 409 Tennessee
Avenue in Morehead City. I have enclosed the following:
Application Fee in the amount of$400(upon receipt of application)
Agent Authorization Form
Signed Riparian Notification
CAMA General Permit: Proposed Bulkhead Plan
If I can provide any additional information, please let me know.
*cerely,
Ronald D. Cullipher, P.E.
HESTRON PLAZA TWO
151-A NC HWY 24
MOREHEAD CITY,NC 28557
[phone]