75303_Waylon Clarke_20200310

07 CAMA/ _DREDGE & FILL ' 'p,t-s No. 75303
T� A C D
GENERAL PERMIT uSI g5 Previous permit#
)G 'New ❑Modification ❑Complete Reissue ❑Partial Reissue 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 5A NCAC 7 (J .
1-Rules attached.
Applicant Name A1/4(/4 ( tr. p /, Project Location: County ll. ,-(,
Address . % S IA,,,--- I/_ _ Street Address/State Road/Lot#(s) /?C G/,- / U/-i
City///i ,-i ti State iV( ZIP _2 7,0(' cl
Phone # (z=-.?) 214„ - G TC-- E-Mail ✓t Subdivision Lj///
Authorized Agent 4 City I v ••,-•/�, ,.i �e( ZIP -2 7 (f
711CW new El PTA ❑ES ❑PTS Phone# ( --)/// River Basin `/?-w-
Affected 7 OEA I7 HHF 7 IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body /-- / /�•.:-1- , C.4 / (nat / an /unkn)
7 PWS:
ORW: yes / no PNA yes / no
Closest Maj.Wtr. Body -,4 4 ,i
Type of Project/Activity , / /;,, ij, r 'L.- /,, / . 4 r r�r/i
/ i !1 G/i 1,... 1 Yb , L , (Scale: / ,: 3G )
Pier(dock)length -
\r
Fixed Platform(s) - 4 j I C � I \II [
Floating Platforms) ? 4 `r r- T i_
Finger pier(s) y
Groin length i
number �!{ 1 ��1 I
Bulkhead/Riprap length 4r► 4r &�� I I
avg distance offshore iI I
max distance offshore j 1 _ .�►---1
-\ r
Basin,channel -- _ }
i..‘I, I-.. `i,.'
, e-1b
cubic yards
44'p I cl
Boat ram �. I ! 1 r"r��;c d i ' r�'
Boathouse/Boatlift ' i y)
' l�l j —. `,�
Beach Bulldozing —_ - _. -„we,'u w' ...I-.7 r l a l " ,
Other ter.., /y C A / ' / ,
`� �! 7o t f4�� 1— i
I 1 t-
Shoreline Length �` — r�` 4 a _.I I "" `�- _
—ja } 1
SAY: not sure yes no —._-..- -- .�.._._—.
f
Moratorium: n/a yes no
I-
Photos: yes no ' j I
Waiver Attached: j yes no —
A building permit may be/required by: ,/ it See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions • G' (1, 2 f6. 0
bv� A n I✓,all� JU+rN _ i /1 e, f j
Agent or A�plican,,not Name Permit Officer's Printed Name
4A\(iiiio hottee.
ignature
Si natufe lease read compliance statement on back of permit** gn
g P
1 1/0a `.;41 ..,-2/7-2 /. ( /0 2 02 0 J, / /v .,70_2 o
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 (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-7215)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 252-946-6481
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 Cit riot 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

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENTT
I hereby certify that I own property adjacent to ('}(�(C6cgtlk � C_IMiUe.. 's
e ofProperty Owner)
property located at (076 C)iP(� " N11-
on Cn , (Address, Lot, Block, Road, etci)
leo- N1 - , in {,C UlndinI , N.C.
(Waterbody) (City/Town and r County)
The applicant has described to me, as shown below, the development proposed at the above
locatioy-
i/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
brad O 01- Ge_e4\- b addnf s
( Th ()teal- t Ervrikewd f 7' 2 l (O!it he pits-i11g
\ et apt tt�UN rea ►(ecL Read O1t5 cVt. eock e toil( re�1�ied
\fivkill)tv-ek bunk, Wedot S ailificina 1 pi )iris too pui- d \
cc( -app, br, i\\ be d usm? 6,0 aad old fwiber)..
WAIVER SECTION
I understand that a 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. (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.
Th
(Property Owner Information) (A4a,o7c n Property ner Information)
a
2/7rvt)A-C, et
Signa re .Si�}futur �
VAN I e ) ,4t e n Cla( / r-r
Print of Type Name Print or Ty Name NI cL,
Mailing Addtess ling A cress �1 if
27'?(z' Mailing
)vlatd )/ l 027i2
Ci / tate/Zip City ate/Zip
z-Zola—t T7 0 ���5a-.s1;e- o� a
Telephone Number/email address Telephone Number/email address
62-.2 ZD
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ``;,; , _ , I '_, ' +.t j ,.' 's
, (Name of Property Owner)
property located at -,l f ). ! . !_`),
(Address, Lot, Block, Road, etc.)
on %'•. ,...',._ , in ,.. tr:s_. `.•,(j,lj(•. , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me. as shown below, the development proposed at the above
o tion.
I have no objection to this proposal.
i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
fro! till;fi LC i'ltreN 1111. .)' ,I. 1 . t)i ti I,, [. iii 1.f3 if.) t[efiJr. " J •1
f 1
�"`t'lc',1 i_lit( t��ki , t ..,ri'c� ` it'ii; iik. . (i' ,) ; "i • l i,:
1
i,�.4j1,,Ji. 0; iLkJ\511. k1t „g1 :1.,_i!X. - i J11 'k_ 14-.1 lip.. • �� �� 1 itry.` tl��'. , ci -
! t ` t }_ S
4'� •.
\ 1i .;.v,'t, k,„( t.,r,)rt' _ t—71I. F. f{' i U►i' +fi�'_ 'J'�( (�r;l t�lc;,�c',� !•�j�ft'j.
'' r Erik- 6
;• ,, .ini, . ,,1 \1 r r 17,' r WAIVER SECTION
I understand that a 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. (If you wish to waive the setback. you must initial the appropriate blank below.)
c1)v I do wish to waive the 15'setback requirement.
0A,_
I do not wish to waive the 15' setback requirement.
(Property Owner information) (Adjacent Property Owner Information)
(AM W ki It Li-LP"'") LLB Gall,-�l 1 4-64-(1'�
Signature Signature*
L AV*WWI
Print or Type Name Print off !!r Type Name
{ - i(t.','/ i tL `-) 1_`l Pc144 -LtSr'kDa-
Mailing Address iImg Address
City/State/Zip City/State2i
q10-ldl- b1l lit hani,AtekitlnNe sM2414co>-
Telephone Number/email address Teleph ne Numbed/email address
a- 2o2J
• Date lhrr.'
(Revised Aug 2014)
`Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C�/1r�5{-r ,2,( i 3 C tat,t-- 's
( a e of Property Owner)
property located at ( p ( ieev-- J ljtf \A
(Address, Lot, Block, Road, etc.)
on (7( c b \f , in Lc b. ( ii1Lrn , N.C.
(Waterbody) (City/Town an /or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
.e. bce i(tctveot eT c (, ec* 61tr . 'd cat- k 01ddrr..5 d-
v Gieal- 1IJi-. Y441 PJC .27 Z�f tk) be pa t11l iti
re)pkacisd and ..uktikic ,aed' I4e.cvku*31 s eckc,k e 4( viz tt
"{Q,c t o.CeJ Voc . U�ny} ,c2i2.}- 1-.)0\lt, i^,Q tad, `5' A\-iptim 1; r.
0-0,k be, c -ao ( more, j,,t r-p law briolle. 1x l'I I?,
r&v3 ciM dta 1- bars ' WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
X I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
p—DocuSigned by:
j( Pry.nUj. .� rut
Signat e iar �IleEF4ED..
i k4 (A. C,a Marshall Gill
Print or Type Name Print or Type Name
tfu�Y s+c�) 19210 us Hwy 64 East
Mailing Address Mailing Address
1?,0'.11'1,w/el's JVt'.- Z)1( 0 wi l l i amston, NC 27892
City/State/Zip City/State/Zip
257 6710 252-789-6150
Telephone Number/email address Telephone Number/email address
2 n 3/2/2020
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature'

NC Division of Coasta'i Mgtt Habitat Impact Computer Sheet •
Applicant
Date: /1j{4 /0,
General Permit#: 7 ,30
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipatedlieal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes rrr total includes Excludes any •
anticipated restoration any anticipated restoration and/or
restoration or and/or lamp restoration or temp impact
+� / temp impacts) impact
aanicuet) { iemp impacts) amount)
0 `n Wa o/� /
Dredge❑ All❑ Both 0 Other 0 l v it (rJ 5/0
• rifs./n e Dredge❑ Fill❑ Both ❑ Other El J rO S6
N,s Li Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other El
Dredge El Fill El Both El Other El
Dredge El Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge El Fill 0 Both ❑ Other El
Dredge El Fill El Both El Other El
Dredge❑ Fill El Both ❑ Other El
Dredge❑ Fill El Both ❑ Other ❑
Dredge El Fill El Both ❑ Other El
Dredge❑ Fill❑ Both ❑ Other ❑