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• CAMA/
7 DREDGE & FILL No. 76170 A B C
GENERAL PERMIT Previous permit#
)� LN"IIew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality /7 1 P�,
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC (/ /1�j
II ^^nn ❑Rules attached.
Applicant Name /Vill /rI N NoProject Location: County N(,(,v I-6,It,4,—
Address d)6 friJ I k,Ii i bi,i ve Street Address/State Road/Lot#(s)
City YVI (0114/ State iv(' ZIP 2uQ( rGvvU.L.
Phone#(cfio ) 5(1 GO�tj E Mail/it i ,J t g/ti✓l1a �6 I j4v•/!61i051L1 Subdivision (va?F1( ki,IAI
Authorized Agent T.i1n1 y AI o r4 i City ZIP
Affected ❑ E E Cw W 2 PTA ❑ES ❑PTS Phone# ( ) River Basin \41,-t-e C-G (
❑OEA ❑HHF ❑IH ❑UBA ❑N/A � � �
AEC(s): Adj.Wtr. Body (r'- ""v FG,t1 j ('ec 0 (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body '* A I I/
Type of Project/Activity ,��Z",,' "/o ,1751(
f/ /l-t J') Al'/s-is s 4
(Scale: l: 4 U )
Pier(dock)length -
I
Fixed Platform(s) I !I 1• I�. , / i ��GI B l �+ r
Floating Platform(s) �
Finger pier(s) a23
Groin length -- A I
number
Bulkhead/Riprap length — ' iI - -
avg distance offshore�" • ojs I
max distance offshore
Basin,channel —= I
I 4 jjl..
cubic yards — , l. ,- d _ I I
Boat ramp — 15� �°�Mll+�
Boathouse/ oatli �j a I , >44-
Beach Bulldozing4764
F
i �{
• ji_ I/, M � ,��v
Other ..i ill
I
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I 1 _ m
la s son . z ,I��= .
Shoreline Length '' 100' 1.5 — aassirmrramiloa _, 41111w
SAY: not sure yes (3, El." •
_
Moratorium: n/a yes w' i... i
Photos: yes o 24,
,�j t I
Waiver Attached: yes na QL7, 21z, k. Ti'k-0 f
A building permit may be required by: /J//C I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1
Notes/Special Conditions al &c i (771 /7% -inv1
(-4 ,,h rat 7 N ,� PalG� 'rn
Agent or Applicant Printed Name • Permit0 icer Print Nark
/l%
Signature **Please rea ompliance statement on back of permit** Signature
a0'0 36 ° fJi1f2O 4/Y/2/
Application Fee(s) Check# Issuing Date Expiration Date

R �
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 1 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 (252-946-6481) or the
Wilmington Regional Office(910-796-72 1 5)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

AGENT AUTHORIZATJON FOR LAMA pE,Rwr APPLICATION
Name of FropertyQ11 t,i..... Neques ung Permit• i0/fril �rle/
Marling Address - 1� L-e le- /- " A e
r.;
Phone Number: qio ',cy7 - '7 y _
. Email Address: )
ii,?4,/6/7•eib„,:dt-'i of.../.,;4,..‘ t jj/1/4;/4 dr ,1 Pirt.
. certify that t have authL,rized �--� r r7a�+ (�rz- 4
Vent 1 Col#rac.of
to act on my behalf, for the purpose of applying for and obtaining ail CAMA permits
ry € gR __. _ mr 0 I
" c: s . , or the fotain deveopt
property rl . -L'
.7}'I it:, t,..di,',jw:: t.1 t'.-�.�'3.0Unty.
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- 4 furthermore certify that I am authorized to grant, as=d do in fact grant permission to
►Msiori of Coastal Management staff, the-Local Permit Comer, and their agents to
enter' r; the mentioned lands ill connection with evaIuatrg nforatiOn related L.') th `
pe.7 'it application,
Prop Owner lnfo at n:
lgfai .t
- ` '--.:, Pnnt or Type Name
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ADJACENT RIPARIAN PROPERTY OWKER STATEMENT
•
I hereby certify that I own property a.jarent to pa v r G 1 L,v ,,,.) 's
/ (Name of Property Owner)
property located at__. ' art
La Block,� �
r, ^� f l (Add t, Road, etc.)
on �n fr t"4, 1-4.�;d f , , in 4,)c1r r`n�c ,f..lv 4, N,C.
.. (Waterbody) (CitylTowri and/or County)
The applicant has described to me, as shown below the development proposed at the above tooario
t have no objection to this proposal
t have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing
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WAIVER SECTION
I undiRstand that a pier, tuck, rnoonng pangs, breakwater: boathouse, lift, or groin must be set back a '1;-
minimum distance of 5' from my area of riparian access unless waived by me. tf you,wris#'s to w_tive .:
the sic, yob must Initial tine appropriate blank below.)
i,
} 1 do wish to waive the 1 5' setbaiii.requirement.
'I do not wish to waive the 15' setback requirement .
(Property Owner Information) (Adjacent erg erty Owner Information)
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ADJAC1NT RtPA_ AN ` a.* ' 1 I.►. . E' ST ALAI
I hereby certify that ! own property ad actin' to a u , Ci u el) ro
(Name Props ty awn."lP3cat.ed atr �C` �.... _ rJ �f _ jyt7 t __. �
(Address, Lot, Block, Road. etc.)
on j I r t �, C.C.A.,A I�._ _.. J ►n _ _ Gam)f I c ,' ,�1 '
. '� (Waterbiady) (Cityrfown and/or County) .
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'G The appticant has descr tsed to me, as shown below the devel•. V .
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I have no objection to this proposal.
l have objections to this proposal u
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Inaltviduai proposing development must fill in description below or attach a site drawing)
i
-`. WAIVER SECTION
tir `n, dock. mooring pilings, breakwater, boathouse; 'fft, or groin must be set back a
��� that a pier,
7-;, _. :.in stance of 15' from my area of npanan mess unless waived by me. (if you wish to waive
' . _.'.•atit you must initial the appropriate blare below,)
*4i I do wish to waive the 15' s=tback requirement
'a
i do not w.s-= to waive the 15' setback reouireme.,rtt.
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APJACENT RIPARIAN PROPERTY OWNR STATEMENT
I hereby certify that i own property adjacent to Da Li;CI it Aii ati 'S
(Name of Property Owner)
property located at 0( : &r .1- ip..-
T..,_2.1—±•e -7Q)1 .
(Address, Lot, Block Road, etc./ .,
or Ito/r r t -I, (lIAJA I , in 4.);ir.fin4 sq 4-.0 ,NC ..
- : (Waterbody) (CitylTovm and/or County)
The applicant has described to me as shown below,the development proposed at the above location,
1 have no objection in this . ...i: -. ,,-,'-.-",- . ,. --__ --..„..., - -,- _-........,...-,,,,...,.
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I Pave objections to this proposal
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DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawin.i'
.!,
-.„..v-•::: -
,, ..
,. .,
WAIVER SECTION
. -., I understand that a piei, 10Ck. mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum dIstance of 7,5 from my area of riparian access unies1 waiv . .._,9-9,_. A.,,otott,stl. to vr4iv .,._,
._,
the setback, you must initial the appropriate blank below)
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4, •-• • I idd wish to waive the 15' setback requirement.
. i :....._ _.. ... ., . . ._ ._
do not wish to'Newt the 15' setback requirement.
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Chock
Date Received Date Deposits Check From(Name) Name of Permit Nobler Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated
Column1 Cdumn2 Column Cdamn4 i Columns Cektett Column7 Columme Column
12/10/2020 Jerry Mills Construction Evan Rowe First Bank 2925 $ 400.00 GP#77867D BB mt.12493 __
12/10/2020 AMW Docks and Manne Construction LLC Steven and Aileen Williamson BB&T 8080 $ 400.00 GP#77537D BB nct.13627
12/10/2020 Richard Penny Construction,LLC Randolph Miller Navy Federal CU 1177 $ 200.00 GP#775060 ,KE rot.13651 _
12/10/2020 F and S Manna Contractors Inc. Paul Wiles PNC Bank 8944 $ 200.00 GP#77505D KE rd.12424 __
12/10/2020 F and S Manne Contractors Inc. Tim Clancy PNC Bank 8.948 $ 200.00 GP#77504D KE rct.12423 _
12/102020 Brandon Grimes Sand Dwellers II,UOA Wells Fargo 100 $ 400.00 GP#77556D BB rd.13630
12/10/2020 Permit Pals Sea and Shore Investments Inc. CresCom Bank 3663 $ 200.00 OP#77553D BB mt.13828
12/10/2020 Rhonda Curies McCall • Joshua Johnson Bank of America 1081 $ 200.00 GP#77558D . BB rd.13831
12/10/2020 Jerry Mills Construction Russell Dixon 'First Bank 2932 $ 400.00 GP#775330 !BB rot.12445
12/10/2020, Gregory Lamder same TD Bank 252 $ 200.00 GP#78175D PA rct.11568
12/10/2020 Coastal Marine Piers Bulkheads LLC David Munn Wells Fargo 23630 $ _ 200.00 GP 078170D _ PA rd.11571
12/102020 Richard Penny Construction.LLC Walter Hurnann Navy Federal CU 1178 $ 200.00 GP#77520D JD mt.11735
12/10/2020 Allied Marine Contractors LLC Pamela Warner FCB 9665 $ 200.00.GP#73589D JD rd.12379
_12/10/2020 James J Mahon III same 'Coastal CU 1579 $ 800.00 GP#73587D JD rd.12377
12/10/2020 Lighthouse Manne Construction Inc. Jeffrey Overbaugh Coastal Bank and Trust 34881$ 200.00 GP#77519D JD rct 11734
12/10/2020 Coastal Marine Piers Bulkheads LLC Gregory Culver Wells Fargo 23831 $ 200.00 GP#761710 PA rct 11572