76448D - Godwin

CAMA/ QDREDGE & FILL N° 76448 A B
3ENERAL PERMIT Previous permit#
New Modification El Complete Reissue ❑Partial Reissue Date previous permit issued .-----
-ized by the State of North Carolina, Department of Environmental Quality —7U " (,
.oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ff��
❑Rules attached.
t NameC7Ckrli ( cjiLA1l Y\ Project Location: County &(AV\s t,,, i(J
at)3 9 Un to (Z.d , Street Address/State Road/Lot#(s)
S+6v eir U State NC ZIP a-8 31 z 9b9 Do.r1 Li( Or. S E
'(91 D) 483_ 6 833E-Mail t Subdivision
ed Agent Mike— S-1"ilh C.t. \ (Stagy ( ((�©give�
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ng permit may be required by: B`C vA S W'C - CotAv\ I I See note on back regarding River Basin r
I nral Plannino luricdirtinnl A /'s I 1 1 i

AO XCARA ►/XDREDGE a Flu. N9 76448 A B c DE
lkif c EN ERAL PERMIT Previous permit
New 'Modification OComplete Reissue L Partrai Reissue Date previous permit issued .••••'"'-----
As authorized by the State of North Carolina,Department of Environmental Quality ��. I o 0
and the coastal Resource Commission in an arp of amareern.ayl otantarn pursuant to 1 SA NCAC
Applicant Name • G od i,,,i n •
a atncliad.
Project Location: County ;Krw�..j't.,,it� _
Address_M1 Q urkt% f, . Street Address/State Lot#(s) �+
city 0.c4-av Pr Sty. NC DP -g (a. �i crri ck?�Ur. 1E
Phone#(SO) yea-9833E-►sari .e- sk, .ision�i
AuuthorizedAgent Mike-Sh4ttr1\ l LYt it9 r/. aty Bo jivra DP (9-BYtz- -
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Affected cc" CEW �A � OPTS Phone# ( �' River BVI L4 4er
D O€A Q WV A D USA ❑ AAECs). Wt s)S (t
p r'ws: MM ,
ORW: rea i nn PNA no Deli<t Mai Wtr.Body
e of tl Activity t '
.Type � _
ekthi PMr(dock)hrgsh
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Faced PSadarrr.(s> ii , iiriiiA �ri��.
Roams Pistionnu)
Frew Polbris)__ 711M119:0111111 1111111bilir'
Groin length
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ea=ii2d,:.,If,,or�0, ± ` i '� t i
miss dbuno.aihor.AL_ 3` - ainimmi �
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cubit reds
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Moratorium: We ns a iiii1•11111111111• 1111111111/111111
Phaoc yea OP ii�i��■ -�.�iii �I L
Waiver Attached. ye! - i {- t - 1- 1 - ,
A building permit may be required by DYuY\c t4'C COyIY a,y • ❑See note on back regar tfini River Boon rules,
NNote Local T Jurisdiction) it 0.4 a of 7 N'I I / 11��rrttak-o (�
Sp.

•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ,
Mailing Address:
Phone Number: 0 _ �$3 _ ' 33
Email Address: --7.4Ai 4 L//
I certify that I have authorized 1
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 r4'.•,
in
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:
Signature
ad
P ' t or Type Name

•
U.S. Postal Service'W.
CERTIFIED MAIL° RECEIPT
ra Domestic Mail Only
rU
ru For delivery traormation,visit our website at www.usps.com'.
1 Lu*bertOn t 'NC; 28351
ra ; -
.A 'Certified Mail Fee $3.5, 0462
o yytt��++SS��FF 04
ft ;Extra Services it.Foes(chock box,add fee a��,y�5���-j����•ta�)
1 ❑Return Receipthardcupyj $_ '"'
0 , ❑Return Receipt keectronic) $___3f IJI.L. Postmark
0 Certified Mall Restricted Delvery $.__.dd 1',, Here
Q []Adult Signature Required $-___geV..00
❑Adult Signature Restricted Delivery$______ _.
O 1 Postage
#0.55
rq Total Postage and Fees ..'- 08/03/2020
5 $4.10 ^tom _____ --- _
IT I Sent To x ,..- o'- „ T� ;y-`ram` LG."tf/i
I= Street and Apt.No.,or p0 box No.
r- z)3 9 er,1 . Di 5 t
i.City,State,ZIP+4 , w
PS Form 3800,April 2015 PSI7530-02-000 P047 See Reverse for Instructions
U.S. Postal Service-
CERTIFIED MAIL° RECEIPT
m Domestic Mail Only
fUO For delivery information,visit our website at www.usps.com''.
BoUUviei. Nt
.-R0 ^s ert Sod tJiaii Fee $3.55 cc — `—114-67.--
i� 1 _Sri.00 04
ru ,Eixtra Services E FFees(check box,addd ; -' •e)
❑Return Receipt lhardcapyr $`_ Ti•'�tin'
O ❑Return Receipt(eectronic; $__ tt!J.i�0
Ci 0 Certitled Melt Restricted Delivery S___/0.i-i i P Here
p � Hera
co DAdult Signature Required $__-$0_00
❑Adult Signature Restricted Delivery'$
p Postage l0.55
O !Total Postage and F a y f iy f f i3/2020
g $4.10
0" (Sent To -----.—_.__ —
0 {Street and tNo.,or BddNo. .4 t` l `/ &%firs--
Icity,sf(fe,2lP;i+ ,
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•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner ��r �� ';,�r✓
Address of Property: aC fo i' ` o, v w ALL 2 24,°'��
(Lot or Street#, Street or Road, City&County)
Agent's Name#: rf!is � S)zwei Mailing Address: 3/ 9 . t4.
Agents phone#: gio — -
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.
1 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 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. 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.)
i do wish to waive the 15' setback requirement.
s3 I do not wish to waive the 15' setback requirement.
(Property ner I rm n) (Adjacent Property Owner Information)
✓(P4/9 ` r . 41i wriv)
Signatu•e Signature
'II If;
Print or Type Name Print or Type Name
3%9 ./,-f, 3)4
Mailing Address a,r.,,<i,,,. A

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ;,' ► / o A��-,�i,�� ,'� frbf? / '• `
�� (Name of Property Owner)
property located at 0266 Del, :_,
,(Address, Lott Block, Road,%
', , in : etc„) ,
on Lv G -� � .�,,`'' ,KI s,erew �/. ;� ' . / C/ri;' r'/ Z 0_, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above Iocc
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 drawin
J
Jf ✓
, - 111_ , -- ,..„,,i- / , /
,,.fr, ,, ,.._ , ____., ,i, , , ., , .,_._ fila/.57,i ofk,-.149 5
w,i <�cam r
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set b,
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to r
the setback, you must initial the appropriate blank below.)
/]fq I do wish to waive the 15' setback requirement.
i",/14 I do not wish to waive the 15' setback requirement.
(Propert Owner form n) (Adjacent Property Owner Information)
z /9D9 4D! 4/11�
Sinatt re Signature
Signature
S�i4ire c
Print or Tyne Name Print nr T.nn A/"--

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: , i,
Address of Property: '-
(Lot or Street#, Street or Road, City&County)
Agents {Name#: ✓, �., r-" .;�� L,�
Mailing Address: -tJ 9 ; .: f
Agent's phone#: _ 7_2
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 descri Lion or drawin with dimensions must be rovided with this letter.
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 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no ob'ection if ou have been notified b 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property / wner In atio
(Adjacent Property Owner Information)
Signature 6'. 6
gnature
'71 F
Print or Type Name
Print or Type Name
Mailing Address
tannin", ArJ.J �''�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to tom:
property located at ,off► ' (Name of Property Owner)/ (Address, Lot, Block, Road, etc.)
on i/'/ der- in //>vra.
(Waterbody N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above loc
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 drawn
ha.s iiilv/vyr / c)
r z7.5•
y
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/I 11( Y __ tr.j .'.5/ /) f•. 9/i4. !e'C • 7.
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set b
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
the setback, you must initial the appropriate blank below.)
Ia I do wish to waive the 15' setback requirement.
4/a. I do not wish to waive the 15' setback requirement.
(Property wner m n) (Adjacent Property Owner Information)
f
• (P0/$
t';aure
PI , t c Signature
Print or Type Name Print or Type Name
Mailing Address AA..;I;..- A __

Crock
n(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Receipt or RNund/Reallocatet)'
a nn3 Column) Columns Column6 Column? Colum 8 Column!n
Bulkheads LLC Dale Ardizzone 'Wells Fargo 23505'$ 200.00 'GP#77858D KE rct.10790
Kelly and Tano Fajla Charlotte Metro 1719 $ 200.00 GP#77853D BB rct.11543
'ne Construction LLC Linda Weber BB&T 5930 $ 200.00 GP#76597D BB rct.11533
4C LLC Richard Reuhland BB&T 1117 $ 200.00 GP#76484D BB rct.11544
ist.Daniel Shirley Jordan Messick SunTrust 5365 $ 600.00 GP#765430 PA rct.10267
1st/Daniel Shirley Melissa Hardin SunTrust _ 5366 $ 200.00 GP#76577D PA rct.10266
LLC Rebecca Taylor Wells Fargo 1025 $ 200.00 GP#77835D PA rct.10269
vction,LLC Kevin Driscoll Navy Federal CU 1167 $ 200.00 GP#76587D PA rct.10264
many Roger Hudson First Bank 1446 $ 200.00 GP#76544D PA rct.10268
Ine Construction LLC Alison Marshal BB&T 5964 $ 200.00 GP#76487D BB rct.11549
same The Fidelity Bank 6413 $ 200.00 GP#76483D BB rct.11547
actors Inc. Webster Trask PNC Bank 8787 $ 200.00 GP#76477D KE rct.10792
arvices,LLC Perry and Darlene Mansfield First Citizens Bank 3433 $ 200.00 GP#76432D Ben rct.10299
*vices,LLC George and Karen Brake FCB 3432 $ 200.00 IGP#77622D Ben rct.10300
1 Gary Godwin BB&T 2002 $ 200.00 GP#76448D Ben rct.10298
tors LLC Chris and Nancy Sweeney FCB 9243 $ 200.00 GP#76436D Ben rct.10297
actors Inc. Pipers Neck 29,LLC PNC Bank 8788 $ 200.00 GP#76478D KE rct.10791
ine Construction LLC Beverly and Patrick Wright Rev.Ti BB&T 5951 $ 400.00'GP#76485D BB rct.11548