76168D - Scallion

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CAMA/ 11 DREDGE & FILL No. 76168
GENERAL PERMIT Previous permit# A B C e)
)C ®New ❑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 15A NCAC 1 7 ff, /200 .
❑Rules attached.
Applicant Name 1.ISU Sit ill 0'1 Project Location: County )kw Hr,t a.••(,"
Address 630 I ySPU Mist (a v/t Street Address/State Road/Lot#(s)
City WivVIAlyG"1. State N.C ZIP a$4oct c ass.
Phone#( ) E-Mail Subdivision (e / /,Sfc-id NO din
Authorized Agent C./laic t Jotri/(n is /43 al'J /I j (rfrqziqy City — ZIP
Affected CW iNEW E PTA INES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body 4` 'OK f7//41 9074 C^PP l( (nat /man /unkn)
❑ PWS:
ORW: yes / PNA es / no Closest Maj.Wtr. Body A/yvN/
Type of Project/Activity !'tIrSJ ID (Qy7 *y{(7 pdazziic e p' In'ii1 ,e,,v4 A/4..cf✓�7� 7k.,
(Scale: NTS )
Pier(dock)length 300 x b ' r _.
Fixed Platform(s) 5'h IA 1 CQ
Floating Platform(s) --• -try rN Pelf 14
'
Finger pier(s) --- •rp I
Groin length ""' 1fQ ,
number — • s �ot4
•
Bulkhead/Riprap length — rr
avg distance offshore
� INes • j i •
max distance offshore
Basin,channel — j ,
cubic yards — i
Boat ramp _ ��. V a MJ ,
x
Boathouse/Boatlift— d
ati-fr
Beach Bulldozing -- j 5
Other — -- �/
Y 1
Shoreline Length I 70 {' /�
SAV: not sure yes e° t' Y
Moratorium: n/a yes Ci _,��' t
Photos: yes 0 �01 1
��tq i �0 I Se i yr � . 1 6305 Waiver Attached: yes � /' 6
A building permit may be required by: / PN/ /DYII/ 6ksiiv6 4citaillt.arhri See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Q/
Notes/Special Conditions tilt `I,* 4/1/ ArSleS '7 541 0 7� 1;06 rl lS7h'/ .C7T!/
. 'll-lyre c torn r/ ,yty,,i i I°rzC fr., 1 ey'?!-t V!�,�!6 E CAA I/nd end Sit r / 6 t
V/
?a t-rl(I I Aiwa)
Agent or Applicant Printed Name PermitOfficer's Printed Name
/4441
Signature **Please read compliance statement on back of permit** Signature
200- 1456 Ii/3063010 V3o/a 0..z#
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 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 (252-946-648I) 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 252-946-6481
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: (--' S`,
Mailing Address: 0 , c>I )c�•�,�}- CA_
Phone Number:
Email Address:
I certify that I have authorized ck`-
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Iti e -1 ,I rt.
at my property located at c3 I
in Nc--'^ov,.,i- County.
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:
Calk-
Signature
L:Sz-. :C6-,.t 1
Print or Type Name
tt Title
t 0 i ,C I 7-0Z.©
Date
This certification is valid through / /

ADJACENT RIPARIAN PROPERTY OWNER ' A. NT
I hereby certify that I own property adjacent to Ls
`-. SC4-I1,Ur.
property located at CD.;0CAM t C� (Name of Property OW 's
)
on l (War C erbo�v� (Address, Lot, Stock, •Road; etc.) ---
tdy) ' in .� 1-ten r Pov, _y
(City/Town and/or County) N.0
The ap. "cant has described to me, as shown below, the development proposed at the above
)'r"�� — (
\ ) E!)�
I have nb location.
pbjection to this proposal.
________ I have objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual propos g development must fill in description below or attach a site drawing)
I
WAIVER SECTION
I understand that a pier, dock, mooring pilings breakwater boathouse, lift, or
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.) groin must be set back a
I do wish to waive the 15'setback requirement.
,,` "`- ' I do not wish to waive t'�``�'� he 15' setback requirement.
(Property Owner Information)
p'� (Ad}ac Pr perty caner Information)
Lttit/' r.
Signature
L.,Ss Sc..11 '--
Sigma e ��!� `
Print or Type Name
coo\ ,,,_,, )- 0' Prrn T pe Name
!Wailing Address i )17°` L
U \ ,.;1 + Mailin ress Li)M e�V `
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City/Stateiz a
City/State
Telephone Number / 7t f
Telephone Nunn r
Dar"_,___-. `
Date
(Revised 6/18/20121

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,' i'CAMA I DREDGE & FILL \, 76 1 0e A B C (�
GENERAL PERMIT Previous permit #
'Nc. Modificat:c:; Ccrri.):te Reissue Partial Reissue Date previous permit issued
=s aun'o•-zed by the State of North Caroi•na,Departmznt of Environmental Quality �
and the Cauca!Resources Comrtsssion in an area of environmental ccr.er n pursuant to I SA NCAC__/7(J, 1,ZOC1
_ IL
Rues attach?d
Applicant Name I A . Ceti , I.) Protect Location: County krav'!*' '-(,, . _
Address 6.3C I 5r°tt mi sf- a ,r t Street Address!State Road'Lot ?e(s) _ .. _ .
City_W4IMr\4,k . State NC ZIP R44�/ C'�,A.ti
+ L
Phone#( )
1 E-Mail _ Subdivision (dal,
I.5(�R tl �:i"_�'c
Authorized Agent Ct k jgr' �'js rt jr s Jlf- ,kJ �l'tirfrc3 y City. — ZIP
Affected lirCw A EW "PTA a(ES PTS Phone# i ) .. River Basin
OEA HHF tH .,URA N,A
AEC(si: Fi 1(IT►r I
Pw5 Adj.Wtr.Body _ A '+14 C/PQ k treat man .unkn)
ORW yes PNA ��' i:a Closest Mal.Wtr.Body Ai Will .
Type of Protect Activity T'GiT50.-(CD:
TO 414_5h'(t.7 ApdQ ,: 1v:/11 ,i-!/ '+1[`e0-+9r.,:eit 'iw•`,�,..
--_ —,---------- (Scale: �t/r S )
er tdock i is ge $:0 t l r
oxAeRarurms; 5`a la' J fi�f Srll>X�iCQI�EL
�trigPreziot-, s. — az,vn7tr 1Fd -�-re AL4'S7
o.tnrY
::get piers! -- ,i'
aron length ^ J 0.c 14.,,, i _
number �-- t-v
��.a y� A
Bulkhead,R;prap length —r pyar. Nils „� r••n •.
avg,distance offshore --- ` --Ti -teh_�
max distance offshore"
Basin.channel
cubic yards —
Boar ramp —
Boathcus Boawhft—
;�.. C k/ Y/
Beach Bulldozing G5
Other �" I (, IITIV I
Sir orel:ne Length Il 7 r'
SAY not sure yes o Y `` ! ^ l
Moratorium ma yes �� �( l la
Photos yes u /
Warier Attached yes C) _ J.c��L .. �3V( SG�I/1"�s)r` 63, S
A building permit may be required by jijW raref 64lM{t'/6 J r J / /�r1K See note on back regarding River Basin rules
f Note Local Planning Jurisdiction)`qr.� il
- ip� f
Notes/Special Conditions tfi(.( ii , i f�g S. 4ftrtf Q' 12�; 1AYI!,c1 itc/Tf
C of', c4 is19444e,47 mt fritZ c 'la`'`ty6 and .Mall so)-1-
1 Nile tfn vl hr).,
(N-,.. tic.... `� }ytr4U
Agent or icant Pnnred N PermitOfficer s Printed Name
Signatu e " Crd eadcomplianceswtementonbackof permit'` Signature
200-- it4 eln,-
14 ab It/30%toM) :/30/2aa t
Application Feels) Checks Issuing Date Expiration Date

Chock
Date Received Date Deposited Check from(Name) BRIM or Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated 0
•
Column', Column2 Column3 Column. Column5 Column' Colu n7 Column8 Column➢
12/72020 12/8/2020 Allied Marine Contractors LLC Randall Leeseberq FCB 9633'$ 200.00 GP1i73588D JD rd.12376
1212/7/2020 12/8/2020.Southern NC Marine LLC William Ormond First Bank 1349 $ 200.00 GP 1/77514D JD rot.11727 __
12/72020 12I812020 Harbor Marina Construction,Inc Erol Varinca Bank of America 1151 $ 200.00 GP f77518D JD rct.11729
12/72020. 12/8/2020 Jerry Ennett Tyler Redinger Coastal Bank and Trust 3483 $ 200.00 gpi77515D �JD rct.11728
12/72020i 12/8/2020 Land to Sea Construction,LLC Frank Miner FCB 350 $ 800.00 OP•77503D IKE%L 12422
12/72020 12/8/2020 Richard Penny Construction,LLC Matthew Wood NAVY Federal CU 1176 $ 200.00 GP 15775170 JD rot.11730
12/7/2020 12/8/2020'Coastal Marine Piers Bulkheads LLC Harvey Allison Wells Fargo 23618 $ 200.00 GP*78189D PArct.11568
12/7/2020 12/8/20201 RueAnn Ormand&Mark Beesley same Wells Fargo 5029 $ 200.00 OP 076165D PA rct.11557
72l72020 12I820201 Carolous Building Company Lisa Scallion iFlrat Bank 1458 S 200.00 lGP#178188D PA rot.11567