101506C - Ward

&FICAMA ❑ DREDGE & FILL N9101506 A B c D
GENERAL PERMIT Previous permit
Date previous permit issued
d 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.nc.gov/CAMArules
Applicant Name MOA± YV C1Mt Authorized Agent
Address U` i Le LoY A � TY +Vh tiff Project Location(County): C COY Y e n
City lZc+ «(In State N c" ZIP Z�2�L�7 Street Address/State Road/Lot#(s) CI(�`
Phone#� Li Z(O-F,3q I
Email VJ("r( (1±U1PLt1 G1 1 m liYti'1fa I -Col-I Subdivision
city 'r v Ic�-Ct ZIP ? `_
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body I- C Cal,,✓LCi (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body �'OCi�,jf S c)or�sC(
ORW`.yesOo PNA:ye no Type of Project/Activity Q� DOUSE 6 �)01/ "P-02 �rr ye-6 V
Shoreline Length (Scale:N 7 S)
Access Length
Pier(dock)length
Fixed Platform(s) i i
Floating Platform(s)
i l y
3
Finger pier(s) l �
Total Platform area
Groin length/#
Bulkhead Ri ra length
--.-
Avg distance offshore -
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards '-
Boat ramp
Boathouse/Boatlift
Beach Bulldozing �- p
-
��
Other [ rr
......... . _r, .._�_S�._ ... ._._.._. _........... ........... .__..._____......._.-
i
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no44+ 4
Riparian Waiver Attached: yes no
T
A building permit/zoning permit may be required by: Lt, t�V��C� -4`,\-c ( ,�V�CY E ccck
I ❑ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ 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)
I�nwrk C-it 1���r,e
Agent or A{Jp icant PRI TED Name PermJit Officer's PRINTED Name
Signature"* ease read compliance s atement on back of permit** Sign atu e
. I ry q L 1 11 r I ,,9 h /�)q
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] 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

`W41 ❑CAMA ❑ DREDGE & FILL N9 101 '506 A B C 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:
15A NCAC f F I'(i( C , ❑Rules attached. ❑ General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address 1 t Project Location(County):
City State ! 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 Mal.Wtr.Body
ORW:yes/po PNA:yes/no
Type of Project/Activity
(Scale:jU
Shoreline Length
Access Length
Pier(dock)length _ HIE -77t7-
Fixed Platform(s) F
i
Floating Platform(s) ; )
E
b
Finger pier(s) tv
Total Platform area
Groin length/# l
_Bulkhead/Riprap length I— -- - - ..--- _
3 �
Avg distance offshore ? 3 }
Breakwater/Sill
� I
Max distance/length L A t 1
Basin,channel t
_.__�.._.
Cubic yards
Boat ramp r _
t�t
Boathouse/Boatlift
Beach Bulldozing
Other
1x1
1 �
SAV observed: yes no
Moratorium: n/a yes no }
Site Photos: yes no +1FI
Riparian Waiver Attached: yes no
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. (Please Initial) j
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**please read compliance statement on back of permit** Signature
f;
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

AGENT AUT}IORIZATION FOR CAf111A PERMIT APPLIC TION
Name of Property Owner Requesting Permit:
k
Mailing Address: ��� If
Phone Number: �j Sri _ Y2�K 3-4 1
Email Address: ?.✓E � f
.ns
I certify that I have authorized J�S4,1 %Jr,Is
Agent/Contractor
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 5-91--ly lm� car j
in (���,�fi`� County.
l 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:
ee�a
Signature
Print or Type Name
Title
9 s' Z3 i 2�1y
Date
This certification is valid through 0/ 1 2402-5
oil"wtlt'r'o �►►_

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION(MINOR PERMIT)
CERTIFIED MAIL,RETURN RECEIPT REQUESTED or HAND DELIVERED
Date
Name of Adjalcm Rirknian Property Owner
Mhlrrss
-T __oVL__ZS5_�9+{
City,State Zip
To Whom It May Concern:
"is correspondence is to notify you as riparian property owner that I am applying for a LAMA Minor permit to
/ /
on my property at S 101 .44d Born D, -
in ..(ir4f s,}_ County,which is adjacent to your properly. A copy or thr applicalirm and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity,please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this nonce,it will he considcrcd that you have no
comments or objections regarding this project.
If you have objections or comments,please mark the appropriate statement below and send your correspondence tu:
(LOCAL PERMIT OFFICER,NAME:OF LOCAL GOVERNMENT,MAILING ADDRESS CITY,STATE,ZIP CODE)
If you have any questions about the project,please do not hesitate to conact me at my addrk-idriumber listed below,or
contact(LOCAL PERMIT OFFICER)at(PHONE NUMBER),or by email at:(LPO EMAIL).
Sincerely,
'y.* Ge�•l� 7M-112d- '124
Properly Owner's None Telephone Number
Z,-a Pi A-)?-
Address City Slate Zip
I have no objection to the project described in this correspondence.
I have objection(s)to the project described in this correspondence.
(/ Ati jeccnt Riparian Signature Date
—fir , Or�rr�l 70g too^sagi
Print Type Name Telephone Number
Address City State 'Lip
Revised July 2021
IR ADJACENT RIPARIAN OWNER NO`f l Fl
of proposed development to the /Adjacent Ripe
ice (a sign-off by the owncr on this form) or cc
iy other method which satisfies the Local Permit 1

ADJACENT RIPARIAN PROPERTY OWNER OT FICATION(MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQt tF4TFD or HAND DELIVERED
'�/Z 312024
We
Name of d• trn n
.lacenl Ripena Prpeny Owner
A � M,-Z� Dr
City.State Zip
To Whom It May Concern:
This comet/po dent is to notify you as a ripanan Property owner that I am applying for a LAMA Minor permit to
l���C•c_c >�• GXnihta- yv��c�u�s.0\
on my property at A4d eA _-=- —
in (� ( County,which is adjacent to your property.A copy of the applkatiaa and Project
drawing b attachedienchwed for your review.
if you have no objections it,the ProPosed activity.please mark the appropriate statement below and return to me as soon
sss possible. If no comment.are received within 10 days of receipt of this notice,it will be considered that you have no
comments or objections regarding this project.
if you have objections or comments,please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER.NAME OF LOCAL GOVERNMENT,MAILING ADDRESS CITY,STATE,ZEP CODE)
If you have any questions about the project,please do not hesitate to contact me at my address/number listed below,or
eootaet(LOCAL PERMIT OFFICER)at(PHONE NUMBER),or by email at:(LPO EMAIL).
Sb=dy,
ft r�r,r -- 7/5-t/7e-U41
property Owner's Name Telephone Number
f 5"lE o� L��}h• ill �.+i:.,:�, ,U L 216//�
Addre,s City State Zip
✓ I have no abjection to the project described in this correspondence.
I have objection(s)to th project described in this correspondence.
i djacent an Signature
FwA-e
Prim orlype Name Telephone Number
Addroas City State Zip
Revised July 2021

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