74520D - Danford

'i,CAMA / ; ;DREDGE &'FILL NO. 74520 A B C
GENERAL PERMIT Previous permit#
4New - 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 SA NCAC lil 0o
❑ Rules attached.
Applicant Name (wee Avo'r �a� ud Project Location: County ; �,,s�.��olt._
Address�ZS ;�t�,...rc� �✓ . Street Address/ State Road/ Lot #(s) �D
Cityk�Axl, i } State "(, ZIP L 1_�09 1 aur.&Ara
Phone # (�) 2 2' '1U4; E-Mail d�A��AL ,(ISubdivision
Authorized Agent VAS C(AJ. 6,,, -61-L H O-) City___O' • (�{� k ZIP 25`'l(. C{
❑ CW ❑ EW ❑ PTA )4ES P(PTS Phone # (I 0) :' Affected River Basin (w,, e e
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body C G.nSk (na�unkn)
❑ PWS: i
1 - i IN A +� `'Clos et �ai. Wtr. Rodv 'U L')�Jj
ORW: yesPNA yes /irtQi -
Type of �.�reline Length
Jxv
ting Platform(s)
ger pier(s)
in length
number
avg distance offshore
MENNEN
max distance offshor--S
MENNEN
cubic yards
ramp MEMEME
ch Bulldozing
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Agent or Applicant Printed Name
Signatu a ** Please read compliance statement on back of permit
U0°^ _ 7 3w
Application Fee(s) Check #
Permit Officer's Printed Name
q�13
Issuing ate xpi tion Date

KCAMA /,QDREDDE w FILL No. 74520 A B C cal
GENERAL PERMIT PrwAouspermit
IQNew Modification I lComplete Reissue f ]Partial Reissue Date previous permit Issued
authorized by the State of North Carolina, Department of Environmental Quality
d the Coastal Resource Commission in an area of environmental
ironmeal concern pursuant to I SA NCAC r) � Jfit OQ
❑ RaMs anadrd.
1plicant Name_ ��,cep— _ Project Location: County
Idress__g2m!S 7JL_�_-_ Street Address/ State Road/
ly I som_US,ZIP�Q�C —. LQvr njQt,,T
oneM(gfo)% 1 u ;E-MaildS^,�—� 11<o��lt s1 Subdivision
--_—n
rthorized Agent +.�ec�n.ta%ats---SNd-Z-t-ke.r) City �c .-+� �SIt-. 1ST% ZIP '2SH(.A
lerted new Deer ❑PTA )4ES AVTS Phone# ($L)81+fe41Ne Pwreet111 i.�w.ls r
;C(S): na" ❑NNP DIN ❑URA ❑NIA Adj. Wtr.Body tw.uJ1_
O PW5:
tw �[IpClosest Mµ Wtr. Body_--
yes � PNA yes C_ -- -
fpe of Project/ Activity 1e&jgk i 6jtt A QggQ st s. U.4. '% s
'lied Pladorm(s) _ s� // /t
=loaong Pla[larnn(s) _ N --, -'�� VAwA L
=roger pin (sl I
number
3ulkheeN aaasylength
avg duancc aflshwc
3a0rraK distance ofbhore_���
channel
�bryarea___ r
Bwr ramp - __.
Boanousel'os;' I
BeachRrJkk+:ng
ode 54=/� op a
L (suw: 0" 2_o, 7 )jjI
a. A
9tor.Wn. t..qd[ 60----- p _
SAM not sunyes Lt c.uhiMio 4---
Moratonunc �v yes ra 'b rpi
w,nelt _
Ph. C� Yes
Waiver Anached: yes
4 building permit may be required by: 7—fj ... ar eYCM 1j ISLF _JU3% I See rate on bads regarding River Basin rules.
( Note Local Planning jurisdiction)
Votes/ Special Conditbns [> /il.t_CUupt't Wva UF- A"I.M 11UC41 -a t1 AT-0 FWOCRRt- S irWLN_
7-)krvJ (?VLUUtAQ"•L U611`04r AtPAAV :1r61-1 6vX RL^AVI TVAU-Nn UM"eur3 sF
N u.'W XC %MWJktAh A& tse wiT M1,T-Otft WCtLA
�T7t
Matt -Hon
Pet Appian Penned Name .-_ Permaollker• Nm
NPleeeerMdcorr[pNerrcesnatr[ereon afpormkN'a,
�tr1oP— -
.__.. ._—. - _.._ �C�Z. .. I

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: L.�1410f
Mailing Address: 199-5 LA)b�_
I,Jt tm�na --ort . NCD�'
Phone Number: � l Dr ?�3 9, yag3
Email Address: arc -,L � Lx-, I I 50tt+,h a rl
I certify that I have authorized H5 Construction LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6uAkh>PA.L
r-�,4 t
at my property located at
in 6I(W)6 U/ I �ounty.
1 furthermore certify that 1 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:
14L C�.'-" ��
CA, Signatures k
Print or Type Name
Title
1 d,5 1 1
Date
This certification is valid through

CERTIFIED MAIL - RETURI�RgCEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION'WAIVER FORM
Name of propwty Owner
Address of Property; i fd .!J< -✓t r+h A• S i• 1 O ce ctr% 1EI L ]Beac t '`� "W t tyt—)
{lot or Streel N )reet or Road. City 8 Cour+iyt
AgeWs Name N. NS Caxtruction Matting Address- 2164 "den ftxh Rd.
Aowws ptVOM V: 910-884 4381 Supply. NC 28462
I hereby certify that I own property adjacent to the above refererioed property The Ox*idW
applying for ttvs permit has described to me as shown on the attached drawiztg the devekon d
they are proposing A deem Qf drawirttL w i dmaok - mist be anddntf witlf fats Imo.
Matt e rug rh}WiOns tO tilt', Prupk>sal. _ 1 have objections to this proposal.
NyrwhSWa rxstoWh t#sb0i+DPFOP0084YUmustnotifyitheD1iV*0*w*1C0*@WA6WVN0 "
(DCAQ in saftlp within 10 days of, of this notice. Contact i1h%xM8ftV IW DDCN aN b
awrMl�retDhtm//Wwwn coastal t�+eia'crnstatt�list orbyc y141i4RCOAST:
is coaswa+erd 00 a� as no ShNsft if you how bow nntMed LYy Cw~ UA
WAIVER SECTION
I understand that a per, dock, ff*omg pilings, boat ramp, breakwater, boathouse. or A must
be 90 back a minimum distance of 15' from rrty area of riparian acom unless waived by me. (if
you wish to waive the setback . you must fnitW the appropriate blank be ow i
i do wish to waive the 15' setback recluirement
i I do not w:sh to waive the 15' setbar..k requirement
( Owner informationj
.1 -_.A� _ ,".r'4"O-
Sigxrtwy
F'rW or Tie Navw ry
(atn, i J4G i�►S# t'Y t �t
Uadznq Adaruss
(R Property Ow, r I rxttation)
Lt/
Print or Ty
ss 6�3r(4 kJ
MadNrg addle s
r';t e'Statrn
Teiapnone f/t '�"c'iI • � Nwnbw ErnM3S
(Ravoed Asap. 2014)

RTIFI D
IL, RET CEIPT
E TED
*7
D(VIS40N OF COASTAL MAMAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTWICATIONMAIVER FORM
Noftotftpefty Owner
Ad*m of PMW. Its LQUrtOt"o, 47j(
(W of street *. Sweet or toad, —City & County)
Agwd's Marne # H5 Construction MOM Ad*ess: 2164 hiders Such Aq.
VergA - 's phone [phone] Supply, NC 28462
twft1by ONtItY that I own Property advent to the ahove referenced property. The wKkvdua
aPP44V for this . perrnit has described to me as Stx)Wn on V* adached drawkV-V* devekNxsent
ary PMPOSM A ftQx6M-QUUWVM- MMLAMMAWL MW be gMgW "Ib " W-r.
q-1 have noobjwlOmto this Prix—,O __I havaob*ikms to this pn-qx"_
#YOLF h8" Qbjecbions to what is beaV proposed you nxAanoft)F the DVVW400 of C64SWAj$ft*VggW#
(DCAQ in wrMv widvin 10 days or reca" at aws 006M Consft::t jnfo�� kw 0CM Oak" Is
orbit caNing 140#4RCOAST
"' WANER SECTION
I tgxWstand that a Pier, dock, MOWKV PtkQS. b" ramp, breakwater. boadjouse of Eft nxtgt
be Se back a nurwmm distwM Of 15'ftom my area of rpmw actress unifts d by fm' iff
YOU wrist tO Waiw te Setback, YOu MMg-IM4W ft appropriate blank beiowi,
i do Wtsh to waive I S'Settack requirement
! dO ftOt wish to waive the 15' setback. requaerrent.
(P""" 0Wn4W WkwMadon)
S�g�fov
?A4rv-Jk ' D- d:�au4 ��,
*fit or Type AkM
/A / 9 tylj'iR fyr-i wt.
WW*V Addms
;Riparian PropcVy owner tafemwtion)
;TM1 wrype At
5744 NC-
cifyismtealp
Vif -670-
T
tRW,SW AW, 20141

9/17/2019 Mail - Brock, Brendan O - Outlook
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https://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQALF2P%2F3yZfNOv%2B453... 1/2

Dete Received
Date Deposited
Check From Name
Name of Pwmlt Hold r
Vondar
Check Number
Check
amount
Permit NumbeNCommenta
Race/ t or Relund/Raalbcsted
Columnl
Co1umn2
Column]
Colu-4
Cobmn5
ColumnL
Column?
Co1umn9
CobmnD
9/17/2019
9/17/2019
9/17/2019
9/17/2019
9/17/2019
9/17/2019
-
9/17/2019
-
Jonathan Riley Jonathan Riley
rti
B & J Construction of NC, LLC G 8 W Industrial Propees, LLC
H5 Construction, LLC LeeAnne Danford
La and Patricia McNeill Larry McNeill
Will Richardson/Richardson Construction Erskine Blount
Will Richardson/Richardson Construction Jim Fisher _ _
American Marine Construction Inc Joseph Yoder
BUT
BBBT - -
BUT
BUT
3226
$ 200.00
GP #74718D
GP #74382D - - --
GP #74520D
JD not 8568
2087
S 200.00
TMc rot. 9114
2362
$ 400.00
BB rct. 9112
1046
$ 200.00
GP #74706D
BB not. 9115
BUT
7530
7529
$ 200.00
$ 200.00
GP #74537D
GP #74536D
BB rct. �116
TMc rct. 9150
BBBT
-
-
First Citizens Bank
88781
400.00
GP #74707D
Tmac rct. 9192