87111A - Witwer, Timothy and Susan

t L•IGAMA [aJ DREDGE ) & FILL iN O/ 111 ,2 L A B C D
GENERAL PERMIT Previous permit —===!fi
a Date previous permit issued
New Mo I ication E 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. 1:1 General Permit Rules available at the following link: wwwdeq nc gov/CAMArulg{
Applicant Name _
Address
City
Phone # (_ )
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
r-g
Subdivision
City ZIP
Affected CW EIEW E] PTA 0 ES 11 PTS Adj. Win Body (dat/man/unk)
AEC(s): nOEA IHA F]UW E]SPIMA 0PWS Closest Maj. Wtr. Body
ORIN: yes/no ; PNA: yes/no ac,
Type of Project/ Activity 1 —�
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platform(s),
Floating Platform(s)
Finger pier(s)
Total Platform area
j
n I n h/iJ
he Riprap length
distance offshore ILt F� Breakwater/Sill
Max distance/ length i V
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: i,yeg no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:
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
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
r
Signature*•Please read compliance statement on back of permit** Signature
i l'j
Application Feels) Check ft/Money Order Issuing Date
(Please
Expiration Date

RECEIVED
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RECEIVEID
SI.C. DIM10N OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAIVER FORM MAR 95 2.094
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their ageni) D
Name of Property Owner. -Ti A,%-o4k j k,4v> ei
Address of Properly_ 3o4 ereaui-vad a/- EI72• c4!ti /1 C 29
Mailing Address of Owner 5"%/! 2.
Owners email: 671A owner's Phone#:�S�`3�3 �' a
Agent's Name:L&Vclen 1r4Ariner Agent Phone,
Aaenfs Email: L 4 rirde n 4-14Nw t
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion is be comatetsd by ttre Adjacent Property Owner)
I hereby cerft that I own property adjaceMto 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
✓t 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 M.C. Division of Coastal
fdanagement (DCrQ 11, voiting rvilhin 10 days of receipt of this notice Correspondence should be
mailed to 401 S. Gritlln St., Ste. 300, Elisabeth City, NC, 27909. DCW representatives can also be
eontacced at (252) 264agW_ Aro response is considered the area as no objscffon if you have been
notified by Certified Mail
WAVER 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 riprap revetments). (Ifyou wish to waive the setback, you must sign
the appropriate blank below_)
I DO wish to waive somefall of the IV se
Y t ` Pry
Signature Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (mitial the blank) RECEIVED
Signature of Adjacent Riparian Property Owner.
MAR 2 5 2024
i yped/Printed name of ARPO: Mailing Address of ARPO: ®CM' "' - EC
ARPO's email:
Date:
ARPO's Phone#:
=waiver is valid for up to one year from ARPO's Signature=
Revised July 2021

RECEIVED
Stl.C. DWMION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMVAIVER FORM MAR 2 5 2024
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) ®CM_EC
Name of Property Owner.
30r`( Breczet.00c( br I7-(%z C:�rr nc a25d5
Address of Property:
e"I
Mailing Address of Owner. E /9M 0-
Owners email: 419 Owners Phone#. ) 5
Agent's Name: �ci7de�,'r'''C- Agent Phone#: t3
Agents Email: t a" den r✓iar7ne 09 141,4 + La. I
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION,
(Bottom portion to be completed by tha Adjacent Property Owner)
I hereby certify that 1 own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. 9
✓✓f DO NOT have objections to this proposal I DO have objections to this proposal.
If you have objecirons fo what is being proposed You musf notify the IY.0 Drvlsion of Coasfat
Pdianagement (DOFiV in writing wfitrin 10 daYs of receipt of this notice_ Correspondence should be
mailed to 401 S. GrWn Si, Ste. 300, Elrzabefh City, NC, 27909. DCM representatives can also be
contacted at [phone]. Aro resltanse fs c:onsWered Me same as nfl objection if you have been
noitfted by Cer red Nail.
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 16 from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive sometali of the 16 setba k
v � i9
Si fine orAdjacent Riparian Propery Owner
-OR-
I do not wish to waive the 16 setback requirement (Mal the blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: `waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

�°�`°"'"�❑CAMA ❑ DREDGE & FILL N9 87111 A B C D
3 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:
I SA NCAC ❑Rules attached. ❑General Permit Rules available at the following link: W Wwq.nc gov/CAMArulec
Applicant Name _
Address
City
Phone # ( )
Email
State _ ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City —
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:,' 'I ' )
ck—li— I nourh
Access Length
-
Pier dock length
-�
I
Fixed Platformls ) —
I
�
-_--i
i
,
Floating Platform(s)
I
I
,�
•
_
Finger piers)
Total Platform area length
Groin length/q -
Bulkhead/Riprap length rJ eJ (p+
Avgdistanceoffshore-
r}P
,
-t-
1�
+
�
-
(
-
i
i
-
Breakwater/Sill ---
�-
•
-
-
Max distance/length ,.2
Basin, channel
Cubic yardsBoat
•�^
i}
+
__
I
I
4
G
I
_
-
_
_...-.
ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
j-
y.
I.
„�._
i I
I
I
SAV observed: yes no
-
f
Moratorium: 6/a - yes no
Site Photos: iyes no -6
Riparian Waiver Attached: yes no '_,,. �,_„_�.
..�
i,_.
.�.
--
-
�_"'L�•Y„_,.
--.
_._.._
-
3:._A.
-
...
..._
-
.....
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 lnitialll/!,�•�
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
F�
Signature "Please read compliance statement on back of permit** Signature
Application Feels) Check p/Money Order Issuing Date Expiration Date vv

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to I-f hl er 's
(Naine of Property Owner)
property located at 0 LA "P)ree2P {,Jaod r)k .
!� (Address, Lot, Block, Road, etc.) /�
on 6L5Iuo�nR I<iVcr in `G-Ij_" >efin O�AA N.C.
(Waterbody) (City/Town and/or Comity)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
-�ppr-ox. 1� 50' Ob VIN yL '6U Lkhe-o,c-
Cc I S iv u c -I--wn w-l`I-Pn P'P-pairs -f'o
WAIVER
I understand that a pier, dock, mooring pilings,
must be set back a minimum distance of 15' frc
me. (If you wish to waive the setback, you must
I I do wish to waive the 15' setback r
I do not wish to waive the 15' setb<
(Property Owner
/"
Information)
"j
2S'z- 333 -O & --�D
Telephone Number/email address
Date
a
'Valid for one calendar year after signature'
1417 (z
oin
by
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I I M oTh 14 Itwer s
(Naine of Property Owner)
property located at ,�0 �4 �ree2P i �ood �k .
(Address, Lot, Block, Road, etc.)
on3LSquo -6nl< 21veY- in E- a2aheltn lit Eu N.C.
(Waterbody) (City/Town and/or Cou ty)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
50 Ob YIN yL Lkhe-o,D�
CO V S I v U C --tan Lk) 1 i'Pn PVC rs
I5fiv� P1 eV-.
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 I I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
irnoi'hy Lt1 i %cam
Print or Ty e Name
c304I )cee2ew00J �- Ma7inC %r1qg Addres$ 1 a I
/r7ahZ it�[�Y
City/State/Zip
25-t- 333-0IT-40
Telephone Number/email address
z 9 MOW zOL3
Date
(Adjacent Property Owner Information)
lillj'/JIPIG/Llrl
Telephone Number/email address
Date
(Revised Aug. 2014)
n Places
*Valid for one calendar year after signature*

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