101352C - Everett

�3&diCOASrk ❑CAMA ❑ DREDGE & FILL N9101352 A B ( . 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 07 N' i) G,' ❑Rules attached. 0 General Permit Rules available at the following link:www.dgq.nc.gov/CAMArules
Applicant Name J on ✓ Authorized Agent I y i L'I S i(Af�✓a J,'
Address L26 5 G-�-1- 0, ; ✓c Project Location(County): t/.,4,d4
City !IVi L%c/ } State ZIP Street Address/State Road/Lot#(s) 70P �Og G�� f P ✓� ✓�
Phone#( ) Ia;j f 72
Email Subdivision �— 1
City Alec _;Lo✓t ZIP 70
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body Cc/✓L C PLC k- (�man/unk)
AEC(s): 1-1OEA ❑IHA ❑UW ❑SPIMA ❑ r
PWS Closest Maj.Wtr.Body C.Or
ORW:yes/no PNA:yes/bI
Type of Project/Activity 11 Cad :: I c ✓C�+ f- v Hj� �, "v�►c�A
J (Scale:/!/ T5)
Shoreline Length
Access Length
Pier(dock)length J�
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
t, A
Total Platform area �^
Groin length/#
ulkhea¢ARiprap length
Avg distance offshore
Breakwater/Sill { r
t
Max distance/length 7 l
Basin,channel /
Cubic yards
Boat ramp
Boathouse/Boatlift t rc ,A/ �
Beach Bulldozing ,) .�i _ f
Other
SAV observed: yes no ley
Moratorium: n/a yes no r
Site Photos: yes no V
Riparian Waiver Attached: yew no
A building permit/zoning permit may be required by: '4- r v
Permit Conditions 1 - k" I i\�, !<� j ) a I h� ALL LCd N 4, �h a C {,ci1 0� ❑ TAR/PAM/NEUSE/BUFFER(circle one)
;/1 "/ r, „ i ✓A - I , I Ci -; , GV i t ❑ 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)
A nt or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read coif pliance statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issui g Date Expiration Da et

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 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

1*j`°^Sr^lN❑CAMA ❑ DREDGE & FILL N- 9 101.352 A B C D
GENERAL PERMIT Previous permit
previous
� 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:
I SA NCAC ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.Yov/CAMArules
Applicant Name Authorized Agent I . �-12 O"CA J;'�n
Address Project Location(County):
City State Al C ZIP Street Address/State Road/Lot#(s) 7U% :: L ' ✓r ✓�
Phone#
Email Subdivision `
City ZIP }7j 7 1419
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj.Wtr.Body (&man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/ny
Type of Project/Activity �_ � {
` (Scale: /r/ TA
Shoreline Length
Access Length ! /
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
ujkhead/Riprap length j
Avg distance offshore
Breakwater/Sill i
Max distance/length }
Basin,channel
Cubic yards
Boat ramp .,
Boathouse/Boatlift {
Beach Bulldozing _ I
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes. no J' ,I 0-- Lf
A building permit/zoning permit may be required by: I
❑ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions 1; :' t o r1,
t -,t a., i ❑ 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)
well-) t
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please're &ror)pliance statement on back of permit** ., Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration

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 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 AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: '-Z:1
Mailing address:
lop Seoi Gaffe Dr.
Telephone Number:
1, /
I certify that I have authorized t' SI�n bradf (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of_Vi 11 I S eCl VVU 1
at my property located at �,Seo r� V
This certification is valid through (date).
(Property Owner Information)
Signature
nd 2re++
P nt or Type Name
0Wn -
Title, co. owner or trustee for property RECEIVED
Date
U-412-4 Nov O 7 2024
G D 2 — 4-1 -7 2- DCM-MHD CITY
Telephone Number

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NN'OTIFICATIONIWAIVER FORM
Name of Property Owner: RD� M Q r )d CVe.Y-e-f 4-
Address of Property: See
(Lot or Street#, Street or Road, City&County)
Agent's Name #: t" r C"��5�(�Y1 � Mailing Address:
Agent's phone #:
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.
X I have 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 90 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be
contacted at(252) 808-2808. 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, 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.) RECEIVED
I do wish to waive the 15' setback requirement.
EvUV 0 ] 2024
_1 do not wish to waive the 15' setback requirement.
DCM-MHD CITY
(Property Ow ormation) (Adjacent Property Owner Information)
ign a Si ature
Print or ype Name Print or Type Name
Mailing Address Mailing Address

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G_ RECEIVED
NU V 0 7 2024
DC MHD CITY

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIViER FORM
Name of Property Owner: CVe Y e+ f
Address of Property: ) :li> Gc
(lot or Street#,Street or Road.City 8 County)
Agent`s Name #: C}j�f�i'� �V Mailing Address:
Agent's phone #: Z�to 985)
1 hereby certify that l own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawipgAe development
,
they are proposing.A► n` � "� �
_ I have 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 400 Commerce Ave., Morehead City, NC, 28557 DCM representatives can also be
contacted at(252) 808-280& 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, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15'from my area of riparian access unless waived by RECEIVED� u
wish to waive the setback,you must initial the appropriate blank below.
I do wish to waive the 15'setback requirement.
N U V 0 7 2024
I- 1 do not wish to waive the 15'setback requirement.
DCM-MHD CITY
(Property Ow ormation) (Adjacent Property Owner Information)
ign a Signature
P;bVI-nond Eye V-,0-4
Pfine Name Print or Type Na
me
70P SPA D- a+L Dy- '�00 Z17A ] ?TVA
Mailing Address Mailing Address

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�"LTory
G- RECEIVED
NOV 0 7 2024
DCM-IOHD CITY