77833D - Blalock

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CAMA / 1 DREDGE & FILL N° 77833 A B C `D
GENERAL PERMIT Previous permit#
_.New Modification LComplete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality n7 1/ . / 2 CG,
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC t'i
/ Rules attached.
Applicant Name 1C M
� 1I✓I I14% t k 0 t Project Location: County µ J ' ?pi:
z '
Address 3c4' N ' k'.& cT Street Address/State Road/Lot#(s) _
/
City'r U v `v''✓rife State Ak— ZIP 27,2er 1pG::t( .j`iI ) ` .
31(- 7C�9
Phone#? —� E-Mail Subdivision.
Authorized Agent ��`ftf4' -''k City '7 v ZIP S`'
Affected 0 CW AW S PTA ❑ES ❑PTS Phone# ( ) River Basin A,' v
AEC(s): ID ❑HHF 0 IH UBA ❑WA Adj.Wtr. Body /a4,4a !s S-- , (nat m /unkn)
0 PWS:
Closest Maj.Wtr. Body v 4413
O`'N
ORW: yes / no PNA yes / no ��,, -{�
Type of Project/Activity /l hD,(' �I - milt -% 4: 11-CA
(Scale: = 12/ )
Pier(dock)length_
Fixed Platform(s) 1_/
Floating Platform(s) t i !
Finger pier(s) k 2 r), I 1 ! _ f ___.
Groin length )( 7), \ r "+ I '
1 1 I . , 1 1
number j —..�._.. —._....._..- —_— —_ _
Bulkhead/RiKap length —_ -- _ _L -I- -
avg distanceRffshore I PI �' �
max distance o hore
Basin,channel I
cubic yards •
I i
Boat ramp 1 I 1 I .
1 4
Boathouse oatlift Z - I I X — —`
-__ - -r-+ •
--f -
Beach Bulldozing, ./i . ,
Other i ( l t
I
i
tt
Shoreline Length 5 Y L'( '4'/L ' 1'�/`
SAV: not sure yes _.K�-1. 1._ ` �'`t IP --
Moratorium: n/a yes n ; I I I1 j
Photos: yes / 1 _ i I --
Waiver Attached: v 1 1
A building permit may be required by: !T679--
. See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
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Pmwei, A--- ,4-g---
Agent or Applicant Printed Nafl3e PermitOfficer's Printed Name
J \ —
Signature *-Please read compliance statement on back of permit*" Sig'•• re,1
70 6 348r //'/? - 74 3 15 2-1
Application Fee(s) Check# Issuing Date Expiration Date

AGENT Atf"fliQRIZATIQN FORSAMA PERVELIPPUCATION
Mune of Property Owner Requesting Permit: IA.... -1 -
Aifirging Address:
fie
P'hone Number: 4/1_ 21144
Email Address: fkfk CIPA 411
I ceitify that I have authorized fIL*ittij icfMirttse Corns4m4divr4
Agent CurititiOtor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
reessary
for the foilowing proposed development-
Jodi; 136 dig It .6444_,tify 9"/ode k Aiokilfroo,
atrfty property located at ft)71f2 * A
--
64i5i44/ County
I cej1Jy that am authorized to grant and do In fact grant permissionten
DMsion of Coastal Management staff the Local Permit Most,. d their agents
on the aforementioned lands in connection with evaluating infolmahon mated to ,
permit application
Property OW1W information:
.A44,
Signature
Rively aeitother-A
Print Of Type Name
nee
Dab
I rus oettitication is vatic) Ilirougn

AD4ACENT RIPARIAN PROPEETY OWNER STATEMENT
I hereby certify that I own property ad/docent to.46II4_,04,71201kirttorty,Z?Lit
(Name of P Owner)
property located at dolt7,7/49
(Address, 1.:ti,"4,111 nop_pood:;v7,.."4 z,,Aiir , cry t4 C:,
or? -71.,.,43,eAti_____________
(Cityrrown amittew County)
(watereedy)
The ' has desalbed to me, as shown betow, the development proposed at the above lobetion
...,,------ I have no atOection to this proposal
I have objections to this proposal. . .,,,, , .. .....
,...............-.....—.....—.......,—.....—
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
andifidtial proposing developmerri must till In description below or attach a site drawing)
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I understand that a pier. dock, mooring pitings. breakwater, boathouse, titt, or groin must be set a .1
minimum distance of 15' from my area of npanan access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below)
.i.g.A.,..l do wish to waive the 15 setback requirement
__I do not wish to vvarve the 15'setback requirement
(Adjacent Prop,
(Property Owner Information)
rty Owner Information)
Sipanay
,..
or p Name
,___R__1• 24.4...d&ib...__L_____...._c4 .. Signatur
_c_k_otilly_z_...5_,_
Print Tye
Print or Type Name ' 4
/ 4___________, 5,4 _
Address
Maifing Ad:VW
ofKr-
City/Spew '
Tolophope Number
remphiont9 —
vote e_s_,a24,4247
(ReVISed 81182012,.1
1

ADJACENT R(PARIAN PROPERTY OWNER STATEMENT
t hereby certify that I own property ad}a er1 to
et Property Owner)
Property located at '.— d7- $ Road,cite-)
(Addrena, Lot, N.G.
on 46744 s i !'' —• --
ijWst+rrbody9 (G frown antNr County)
The applicant has described to me, as shown below,the development proposed at the above location-
have have no objection to this proposal.
I have objections to this proposal.
DESCRIPTIONAND/OR DRAWING OF PROPOSED(DEVELOPMENT
(Inc vidual proposing development must fill in description below or attach a site drawing)
tr UP1
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of
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WAIVER SECTION
i understand that a pier.dock, mooring pilings, breakwater Oaathcklse, lift, or groin must be set back a
mmnw1um distance of 15' from my area of riparian access unless warred by me. (If you wish to waive
the setback, you must initial the appropriate blank below)
wish to waive the 15 setback requirement
I do not'wish to waive the 15 setback r
equirernent.
(Pr—
Pro Owrxsr lnfcsrmatiort) (Ad cent Pr
operty Owner Information)
Si
Pr#7je OBIT L
tJPnnt or Name
Mailing A Idrt s
2`
Ci5ta N
- 7 Criy�Stel2q�,
r a phcone Number t rt - 'q�► '7 /
gG, Te1ePhone Number 9-3-- .2cAte, - are
tart

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Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor ll/ amount Permit Number/Comments Receipt or Refund/Reallocated
a
Column) Column) Column3 Column) Column9 ColumM Cadem7 Columtt9 Column9
11/16/2020 11/17/2020 Davey Resource Groups Inc. TP1 LLC - United Bank 2107 $ 200.00 GO#7877D KE rct.12410
11/16/2020 11/17/2020 Christian Gibson Chris Gibson Coming FCU 101 $ 400.00 GP#77878D JD rct.11659
11/16/2020— 11/17/2020 American Marine Construction,Inc Bill Fitts FCB 89155 $ 200.00 GP#74851D _ Ben rct.12452
11/16/2020 11/17/2020 Holden Docks and Bulkheads Mark and Crystal Brenner CresCom Bank 3611 $ 200.00 GP#77601D _ Ben rct.12463
11/16/2020 11/17/2020 Kenneth aand Susan Billings same •SunTrust 1123 $ 200.00 GP$77602D Ben rct.12461
11/16/2020 11/17/2020 McPherson Marine Services,LLC Robert and Susan Behr FCB 3680 $ 200.00 GP#77631 D - Ben rct.12464
11/16/2020 11/17/2020 Backwater Marine of NC LLC Wade Brown Jr. BB&T 1164 $ 200.00,GP#77615D Ben rct.11725
11/16/2020 11/17/2020 North End Builders NC LLC John and Maribeth Scanlon SunTrust 1029 $ 200.00 GP#76496D PA rct.11560
11/16/2020 11/17/2020 Brett Gurkin same Bank of America 1252 $ 200.00 GP#76495D PA rctr.11555
11/16/2020 11/17/2020:Kenneth Cavanaugh same First Bank _ 1254 $ 200.00 GP#77677D JD rct.11663 _
11/16/2020 11/17/2020 Lighthouse Marine Construction Ron and Denise Stumpo Coastal Bank and Trust 3484 $ 400.00 GP#77832D JD rct.11662 .
11/16/2020 11/17/2020:Lighthouse Marine Construction Randy Blalock Coastal Bank and Trust 3488 $ 200.00 GP#77833D JD rct.11661
11/16/2020. 11/17/2020 Lighthouse Marine Construction Martin Coastal Bank and Trust 3487 $ 200.00 G#77679D JD rct.11660