75419_John Richard_20200109

0 ' CAMA / DREDGE & FILL # 5 �� $ No. 75419 g C D
EN ERAL PERMIT '-'° �P O Previous permit# N q
��-= w __Modification Complete Reissue -Partial Reissue Datepreviouspermit issued 4
o P /'�'
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 I5A NCAC 0 31J• I zoo. .
/ ❑Rules attached.
Applicant Name -TNN/ Imo)6.I•iiA129 Project Location: County PAI1 LI C 0 Cep�ri
Address Li 0 G I-1012TO R!) �j Street Address/State Road/Lot#(s) tiOt Nog a-)City l3 v irJl I A L State \ ZIP p)7 I 12.D
Phone# ( ) E-Mail Subdivision
Authorized Agent RIC 1&/ $FROO J C City 0 g) TA L ZIP 2 ?5- I
Affected -CW paw t RTA Ilk ❑PTS Phone# ( ) River Basin C U�1-
AEC(s): _OEA HHF ❑IH BA ❑WA Adj.Wtr. Body 6 R' 1i\)5 C go. , an /unkn)
_ PWS: r Us �1�E
�.ORW: yes If no PNA 0 no Closest Maj.Wtr. Body
r
Type of Project//Activity A u 111 o 212 () J /xi-( / ri A(TUX rl 1- /II7,L 1- 91 1. LI Fr, I
MAy Fi ) i F 1/I IZD WAT kP 01= N1�L (Scale: 1 : 2w )
Pier(dock)length ✓
.., r7
Fixed Platform(s) 4(...d
- __ e
Floating Platform(s) t.�./'��
Finger pier(s)
Groin length I . .
number 4 I
I 1 _ O
Bulkhead/Riprap length j
avg distance offshore G Kr`- 1 C
max distance offshore ` cit 1
Basin,channel
(
cubic yards
I -
Boat ramp
Goad, tuft '7.13 f Ir % A ,Q�`g
_ L N V t I
k}k a ��
tot
Beach Bulldozing J �� S �� ti
v_
• Other_ "'i' ���4/ e ��
i J
Shoreline Length b� L�`L � 1
0.- 1 • 01—‘115-4° h
I
SAV: yes no __4 to I ,,..6 it ,
Moratorium: n/a yes i15 I ti}4 voyO4OOa 0,f t(
Photos: yes 47 i f l.. — II
Y
Waiver Attached: yes 0 i
A building permit may be required by: ?AML)C O C ow.)71 . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions $1 [ 0'i ''I, 1 I()6 Pi )M ,i co/JD/1761,0J_ UbA r C , t Y
ib I "(cii 1: 1) C.UAizal; b 1407)-/ 6F Cgc )LSI.
ci,._ ,.., s,„. i•-•a LA 5s—"-- ii tj I A) HO 4'
Agent or Applicant Prit'fted Nalihe Permit Officer's P ' Name
Si nature **Please re d compliance statement on back of permit** Signature
f Zoo. O0 9 1-.4r) Zto20 9 Apse(c7 0 Z 0
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I)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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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:
Tar-Pamlico River Basin Buffer Rules Other:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-72 1 5)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret, Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized �'`� n z� -—� �.
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
-in 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:
T-n
l
ignature
"Chl& : t
t or Ty Name
t.v
Title
edit'
This certification is valid through 0 / 13 I I cRv o

John Richard, Jr.
6106 Horton Road
Oriental, NC 28578
508-380-0050
November 12, 2019
Charles Holton
P.O. Box 811
Oriental, NC 28571
Dear Mr. Holton:
The powers that be at the State level are requesting that I inform you of
my need to extend my existing dock (8)DiAr f et to the right to
accommodate mylift. This will in no wayir�'i 'actyour requirement for
p q
a 15 ft setback from your property line.
Please sign and date this letter and return it in the enclosed envelope so I
may proceed with this project.
Thank you.
Sincerely,
h Richard, Jr.
I, Charles Houlton, have no problem with a five foot extension of the
existing dock on the property at 6106 Horton Road, Oriental, NC
C le Holton Date: / / / 17

John Richard, Jr.
6106 Horton Road
Oriental, NC 28578
508-380-0050
November 13, 2019
Donald Smith
P.O. Box 105
Cedar Bluff, VA 24609
Dear Mr. Smith:
The powers that be at the State level are requwng that I inform you of
my need to extend my existing �$)dock Eiphrfeet to the right to ri g
accommodate my lift. This will in no way impact your requirement for
a 15 ft setback from your property line.
Please sign and date this letter and return it in the enclosed envelope so I
may proceed with this project.
Thank you.
Sin ,erely,
Jn Richard, Jr.
I, Donald Smith, have no problem with a five foot extension of the
existi dock on the erty at 6106 Ho n Road, Oriental, NC
e-74e it /�
D ald S th Date:

John Richard, Jr.
6106 Horton Road
Oriental, NC 28578
508-380-0050
November 12, 2019
Charles Holton
P.O. Box 811
Oriental, NC 28571
Dear Mr. Holton:
The powers that be at the State level are requesting that I inform you of
my need to extend my existing dock (5) five feet to the right to
accommodate my lift. This will in no way impact your requirement for
a 15 ft setback from your property line.
Please sign and date this letter and return it in the enclosed envelope so I
may proceed with this project.
Thank you.
-ti Sincerely,
kiRhard, Jr.
I, Charles Houlton, have no problem with a five foot extension of the
existing dock on the property at 6106 Horton Road, Oriental, NC
C le Dolton - Date: 2 )T/ 7

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: l( \ei tJ ‘r A4Z
Address of Property: ___ (O�, _,� , r� ) ,�KiG 4��C
kac�S 7)
(Lot or Street#, Street or Road, City &County)
Agent's Name#: 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.
2 -4,4
&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. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-listinq or by calling 1-888-4RCOAST.
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, or lift 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.
(Pro. is Ow -r Information) (Riparian Property Owner I formation)
.4 _411111111* 1 Ailla 1 /1;.-6' '--*----(//7 -- *--
Sig atur� Signature
Ci i ; ►. 116 c 4-A 4es 4 l-tb ) -i
Print or Type Name Print or Type Name
Ca(©t, oZ-V:0111 , �6D R,e r30 1 (
Mailing Address Mailing Address
O' 1 ei.-i4-C `O�- J-I5 7( G tezAT4Le 9 )
City/State/Zip City/State/Zip
54:In() ' OCSO
Tplephone Number/Email Address Telephone Number/Email Address
(04.a .2 5,QC ttiu #��i1.Rem
/ 0 r- Oc — /9
Date Date
(Revised Aug. 2014)

L ej.6
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: -Jr1',.) 1c ri M b )y
Address of Property: Jr /000 a L ',AQ e t e c.crg , Dom= °?)
(Lot or Street#, Street or Road, City&Coun )
Agent's Name#: 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.
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. Contact information for DCM offices is
available at http://www.nccoastalmanagemenr let/w*b/cm/staff-li"tirq or by calling 1-888-4RCOAST.
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, or lift 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.
(-ropey/ki nformation) (Riparian roperty Own I mation)
11111111W A.'
.X 6riere,./s/ >
Sign.. ure1 Sig Lure
,NO ' i) ) ( i S tit-eC) e 0‘, t..% p,-L_ "--3 m,
Print or Type Name Print or Type Name
e /ep,6 0-ci , ks ?i ,0 -(30' l o w
Mailing Address Mailing Address
ce,cko WG. , -. 7/ CepAg_- LuWe U A .296o l
City/State/Zip City/State
3�—(aaSL "$ /,.sue
Telephone Number/Email Address Telephone Number/Email Address
Q-ic il-a 4i5C c' cNbT7✓le. —_
Date Date
(Revised Aug. 2014)

Applicant: T60.1 IZ 1 c N AR D >
Date: 4 JA rJ 20
General Permit#: 7 S '//
Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft FINAL Sq.Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact,amount)am temp impacts) amount)
L A Fri Dredge❑ Fill 0 Both 0 Other p 12�I r l 2 r?4F I
Dredge 0 Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill 0 Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ FiN❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill 0 Both ❑ Other 0
li
Dredge❑ FiN❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both ❑ Other ❑