89300A - Eller, Mark

[DREDGE & FILL y9.i00 (AD C o�
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®E�®pA�iP Previous permit
PERMIT Y Date previous permit issued
1�(rvew ❑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 _ 0-1 N . 11 C)C2 ____ D Rules attached. kr Generaf Permit Rules available at the following link: ywwdep.ncaov/CAMAmis
Applicant Name_ }� �,� (�Mr _ Authorized Agent Ai CA -Vs F V41--
Address I
»x rj��(tl (/a 1.1 (•�C't Project Location (Counry):_�j�t'rT TtyV�
City State 9rsl ! 1' v � •• -_.—
- r6 - ZIP_ ] Street Road/Lot
Phone # (�) Lit � VIJ,CT.L�_ .
Emil �y kM<LYcz y'`r' y�.12 YY1 Subdivnton Wrs P•f V t L! u.)
City-. -_1. f; -,sn rtJ ZIP_i•?2 'Y �j •�
Affected UCW VEWTA t�EES ©IPTS Adj. Wtr. BodyaNunk)
AEC(s): �OEA IRA [.JUW n$PIMA nPWS ClosestMaj. Win Body
ORIN: Woo PNA: yeso
type of Project/ Activity LLA.a t CIA k i 6. ' T e} t 1 r L t
Shoreline Length 1 % h 1
Access Length
Pier (dock) length
Fixed Platform(s) _
Floating Platforms)
Fingerpier(s)
Total Platform area
Groin length/g ____I..
SulkheadMlprai iergM iG _
Av&"U" w W wa C_ Y IYC h
Breakwater/Sill
Max distanA—
Cubic
Basin, chan
yard
Boat ramp
BoathouseBeach Bull
Other
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SAV observed: yes np
".
Moratorium: n/a yes no
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Site Photos: no ..... �•�•^ _1 n„a
Riparian Walver AttachedY: es no �_ r.At4 PtL
A building permit/zonin g permit may be required by:.. CSILiCY 1 "l Ur' (' Crx 1 0111
Permit Conditions
:ignature'• Please read compliance statement on back of permit'•
application Feels) Check R/Money 0rder
C YCsk
r tt� DUwV-4-6
53A J
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
ND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Ma,rki k, 9;-V r . :A I �17 7�
Permit Officer's PRINTED Name
Signature s 1
ilS I�� 2 7 m
Issuing Date �— Expirahon Date

[` (DAMA DREDGE & FILL
GENERAL PERMIT
rAew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 89300
Previous permit
Date previous permit issued
( B C D
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 e" H . 1100 ❑ Rules attached. [�General Permit Rules available at the following link: )mww.deq nc gov/CAMArules
Applicant Name M,,..r k, E ( I cr
Address 1016 15M,l `a.(-d e—,,t(,)_) r±
City r. r s State VAr- ZIP T-1 yr 6'9
Phone # ("110) /a (—
Email Ski VKG1,:�l��i(�fiB �10 vY1
Authorized Agent A 1 Q.VI E Vp.h 6-
Project Location (County): CiLLr6 -Irc..,ck , I
Street Address/State Road/Lot#(s) �� 45, ).1JIC. rzC
GoUt�'
Subdivision WcJAeV V C GuJ 5lI`J^Y L> S
City
2-1 932
Affected ❑eW [S?W ©`GTA [j?ES E?PTS Adj. Wtr. Body Gl1ATr1*,LC.k �ipLJ A 1K -( an/unk)
AEC(s): 1-1OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body �6 W rl.1 S a C-Q v
OWN: yele PNA: yeso
Type of Project/ Activity 1 "5'1- c-4A i t 6 t ^rpt Ur a .
(Scale:j-4.o )
Shoreline Length i Sd 5 r
Access Length
Pier (dock) length
Fixed Platform(s) -
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/ Rip reMenIto I(o
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
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yes no
no n i
yes no
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A building permit/zoning permit may be required by:yr-r t
❑ TAWPAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 5ee note on back regarding River Basin rules
❑ See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
N1ce,rki Lh Mrl'G��
Agent !A t PRINTED Name ` Permit Officer's PRINTED Name
mow Signature "Please read compliance statement on back of permit" Signature I J
Application Feels) Check R/Money Order Issuing Date Date

°�°"°❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
ew ❑Modification ❑Complete Reissue ❑Partial Reissue
Nv 89300 A a 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 .' / -'"f I . 1 i () . ✓ ❑Rules attached. E] / General Permit Rules available at the following link: wwwdea nc gov/CAMArules
Applicant Name
VI cz. Y K. E_ (
) n' Y
Authorized Agent A ( i 1. t^. L, ycaks 'F-S
Address (i_) `i'e
c-;. N1 of 1 r't r i( !
r t1 1 ("I(`
Project Location (County): C ° LL t't' � k-(A. C.
Ci t a Y ra Vt i� State
City C ),l
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ZIP '1-.'7 '1 - .+
Street Address/State Road/Lot #(s) I r")
Phone #
Email C'tJ W (T
t'- a S C° 4 tt.4
i sr'
r r':. *^✓t
Subdivision W a i E' e V t rT u.l k%4 ' T
City C i [ In .-(. s ZIP 2.a a
Affected ❑ CW
NEW
❑ PTA
❑i. ES ❑OPTS
Adj. Wtr. Body ( .(da man/unk)
AEC(s): ❑ OEA
❑ IHA
❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body L (, Lo,.{ J .^-, t?i
ORW: yeghJ �
PNA: yes/no
Type of Project/ Activity
t t
- 4'U
Chorannn l nnvth
Access Length -
Pier (dock) length — I
Fixed Platform(s) _
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NO
HIM
M
ON
No
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Floating Platform(s)
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Finger pier(s)
SOME
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me
ON
■
■■nE■MEnE�EC�'C�EEC:E�J■■■�j
Max distance/ length
Cubic yards
Boat ramp
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A building permit/zoning permit maybe 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. (Please Initial)
Agent or Applicant PRINTED
Permit Officer's PRINTED Name
Signature --Please read compliance statement on back of permit** Signature
Application Feels) Check fJ/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION RECEIVED
RECEIVED OCT 1 1 2024
Nepietof Operty Owner Requesting Permit: ' V ` " e LLCTLpr-EC
Phone Number:
Email Address:
I certify that I have authorized
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G R4 0 og >J c— '2— ? a 3 �
2 S ? (0ZI <el<(,60
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at /1) 5� S A A-L'c4-v+-D eT � RG}Npy 0c ,
in c_vn h-i Tv CK-- County.
1 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
A4 -t-t, C , E
Print or Type Name
Title
f 1 fZ 1 01
Date
This certification is valid through

NX. DIVISION OF COASTAL MANAGEMENT
(TOP Portion to be completed by owner or their agent)
Mark C Eller
Name of Property Owner
Address of Property: 108 South Mallard Ct, Grandy, NC 27939
­1 —08-Sout-h­­Ma­1lard­C,t­. G"ra`nd-y----
Mailing Address of Owner: NC 27939
-----------
Owners email: [e-mail] 757-621-8660
Agent's Name: Coast Marine Construction 252-457-5787
Agent Phone#: _
Agent's Fmail: c,[e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(§Qtt*M 129r—t(On to
I hereby certify that I own propedy adjacent to the above referenced property. The mclividuall applying for this
permit has described to me, as shown on the attached drawing, the development they are p p si g
­ . - 10 a n , _A
I DO NOT have objections to this proposal. - ­ I DO have objections to this proposal,
or you nave objections to what is being proposed, you must notify the NX: DivisionofCoastal
Management Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should he
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909, DCM representatives can also be
contacted at [phone]. Ala 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 rprap revetments), (if you wish to waive the setback, you MUSLtpLW
the appropriate blank below.)
I DO wish to waive someiall of the 15'seback
-OR- Signal &­.-ofA-- W-nt­Rkparian Property Owner,-
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: �xo— ARPO's Phone#; —151---tAa;J3-76--5
C4.0u, C-,C�
Date: *.=er Is valid for up to one year from ARPO's Signature*
Revised July 2021

DIVISION . x
(Top portion to be completed by owner or their agent)
Mark C Eller
Name of Property Owner: _ ---
108 South Mallard Ct. Grandy, NC 27939
Address of Property: _
108 South Mallard Ct. Grandy, NC 27939
Mailing Address of Owner: _
Owners email: _ [e-mail] Owner's Phone#:
Coast Marine Construction
757-621-8660
Agent's Name: ®_ Agent Phony#: _ 252 457-5787
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
descri�ition or drawing, with dimensions. must be provided with this letter.
I DO NOT 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
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 riprar. revelments). (If you wish to waive the setback, you Mug-$,W
the appropriate blank below.)
I DO wish to waive somelall of the t5' setback
Signature of Adjacent Riparian Property Owner
EO
I do not wish to waive the 15' setback requirement (initial
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Malting Address of ARPO:
ARPO's email: `-ARPO's Phone#:
Date: c&�Z.2 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021