73586D - Leeseberg

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CAMA/ -DREDGE & FILL No. 73586
GENERAL PERMIT Previous permit# A B C (6')
A ew . ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality V\
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (J
❑Rul attached.
Applicant Name `^ C(�i I I �"�G,���^ Project Location: County
Address I b v`L , 3 l I Z �I Street Address/State Road/Lot#(s)
City 5 0.4 I r3..f.AotA. State/ X--- ZIP .z `-4-5 1 I VIA 1 t t) (C> f L,k- '
Phone# ) G r ` - ail Subdivision
Authorized Agent 1 --3 )5 - City `o 16j C /22ZIP 2r ws-
Affected ❑CW ,fW *rut DES ❑PTS Phone# ( ��. -( iver Basin IA C) ,
AEC(s): E OEA ❑HHF ❑IH III UBA ❑WA Adj.Wtr. Body TT/AAtC-� C U ✓`�`Al /man / nkn)
❑ PWS:
ORW: yes / -. PNA yes Q•� Closest Maj.Wtr. BodyecC���� '' h
Type of Project/Activity '[� (/�CJ2--, e
� �/V T 4 �/f'L r"--.f �.�1
'V (Scale: ? ( i I, ( )
Pier(dock)length L r x 2tt '1 "----i -�
Fixed Platform(s) 9 X ZS
Floating Platforms) xlt I I— 1-- /Li'
Finger pier(s) 2� )r, o I I ,
I
Groin len:h x; ket I �— 'rL D • LIS-- 5o li(/C.-..
numb.r ` .
Bulkhead/Ri.rap length j ' kk-Fn 1_11"t� 4�"'if Co .
avg dis • ce offshore I
max di ce offshore
-� 1
Basin,channel `w I i ;
A ,r
�� ,, •
cubic yards 1 \ I
Boat ramp
Boathouse/Boatlift ,
Beach Bulldozing -
N4 . , ,
Other •
Shoreline Length t —SC)
SAV: not sure yes no
Moratorium: n/a yes no y '\‘' \ 4) ;
Photos: yes no �-
Waiver Attached: yes no LAM _ tk ._t ��.y*� 6 +' r`'"
A building permit may be required by: V 1(5 p.,kk___- e) P O . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions -
nt or Appli t P ted Name Pe it icer' Pri Name
Signature **Please read compliance statement on back of permit** Sign e
2.-0 d— tb , 12 - 1 —�L-e_> 4-- 1 --ZI
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 I 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(910-796-72 15)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 252-946-648 I
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 City District 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

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• AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Pavadi i_rfseia
Mailing Address: P s 0 • / ?< I3 QZ
To pati( 1kc NC ,)28or - mg'
Phone Number: Cr ID '9 _ 6 i 7
Email Address: ee5e scfe &two ' com
I certify that I have authorized f l(I`el e Loitiym40 1 1-L-L
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: go(ace lez,k
at my property located at 115(o /14n-n Rod AVE
in ( er,9e,c County.
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:
Q1A1429-Q -e-Me-a,
Signature
ZVICO‘A\ )._c_e_sekmik6-
Print or Type Name
J)vieK
Title
!( lift I
Date
This certification is valid through ' Z / 3 ( / Z

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Randy Leeseberg 's
(Name of Property Owner)
property located at 1156 Monroe Lane
(Lot, Block,Road, etc.)
on Sound Topsail Beach
m N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: [phone] Mailing Address: 92 Harold Ct
Hampstead NC 28443
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
Guy Guthrie
City/State/Zip Print or Type Name
910-290-4107
Telephone Number Telephone Number
11/30/20
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to !4 ( /&' 's
(Name of Proper*Owner)
property located at IK(0 /I'10 fo&4 e/
(Lot, Block, Road, etc.)
on t)v 42 . in 1--Opsti I 66tok- , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 10 3(o'1 02 C51 Mailing Address: q I bilk.,ot C4
,►�p�(-4.,x N-e, ze qK 3
He has described to me, as shown below, the development he is proposing at that location, and. I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Po Box 3cq a-- ,
Mailing Address I Signature
op,a`( 8e Arc- fi-ls
City/State/Zip Print or Type Name
c10 g81 - 6c4g'7 02°: —«
Telephone Number Telephone Number
-
Signature Date Date

Check
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor 11/ amount Permit Number/Comments Raceipt or RNunMtwaocated
Columnl Column2 Column3 Cokrmn4 Columns Cdumne Column? Co/umna Cdumna
12/7/2020 12/8/2020 Allied Marine Contractors LLC 'Randall Leeseberg FCB 9633 $ 200.00'GP 973588D JD rd.12378
12/7/2020 12/8/2020 Southern NC Marine LLC 'William Ormond First Bank 1349 $ 200.00 GP877514D JD rd.11727
12/7/2020 12/8/2020 Harbor Marine Construction,Inc. lErol Varinca Bank of America -1151 $ 200.00 GPa<77S16D JD rd.11729
12/7/2020 12/8/2020 Jerry Ennett *Tyler Redinger Coastal Bank and Trust 3483 $ 200 00gp 1K77515D JD rd.11728 _
12/7/2020 12/8/2020 Land to Sea Construction,LLC Frank Miner FCB 350 $ 800.00 OP#77503D KE rtt 12422
12172020 12/8/2020 Richard Penny Construction,LLC Matthew Wood NAVY Federal CU 1176 $ 200.00 GP 977517D JD rtt 11730
12/7/2020 12/8/2020 Coastal Marine Piers Bulkheads LLC Harvey Allison Wells Fargo _ _236181-$ 200.00 GP#76169D PA rd.11588
12/7/2020 12/8/2020.RueAnn Ormand&Mark Beesley "same Wells Fargo 5029!$ 200.00 GP t76165D _ PA rel 11557
12/72020 12/8/2020 I Carolous Building Company ,Lisa Scallion First Bank - 14561-$ 200,00 GP#781680 PA rd.11587