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41CAMA/ ❑DREDGE & FILL No 77624 A B C
GENERAL PERMIT Previous permit# c>5t%„G.
Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued -,/2 /Zo/S
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 I 5A NCAC 2 oL
❑Rules attached.
Applicant Name 1tr• u�� f o e-1` , Project Location: County '3,v tiv"(1,w►(IC
Address i 1)"` ' Dr A u L Street Address/Stat�eRoad/Lot#(s)
City �rC Stater ZIP 2.:
rYl�j }
), -i ( 1"r✓I Ecve s j- Dr,Ve_
Phone#( E-Mail ( 7'`- r .'' ,J. '. Subdivision \ & -c
Authorized Agent 6E ht 4- OLoi a tAcl y City Dt.l 1cyr 1- ZIP a g iko I
❑Cw 1W X.CTA ❑ES ❑PTS Phone# ( _...—)-----"" River Basin r fie,„
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body J{ l- frki na /man /unkn
❑ PWS:
ORW: yes / o PNA yes no Closest Maj.Wtr. Body W t�
Type of Project/Activity c- G,\ e-(G a4i k7 pi 'a+4r M-JF� pock)
i ,. . (Scale: I" , 1' ) )
Pier(dock)length
l 1
Fixed Platform(s) 1 '
IC) Z - i
Floating Platform(s) ` , -_
, ,
Finger pier(s)
Groin length ; ; ll ':i : '
number _.. ..... _.__. �...._...
Bulkhead/Riprap length l _�■_ illi -- �� ►• U !I� o A
avg distance offs.. a ��.11 _,_ , �1�_IPiro_rarim-
� Mr..
�UI
�� was:, r 111m- ,-..i, „ii,,tirm,�..•
max distance�ffshore •
/ os � wi auu•
Basin,channel �5�� iiiii ' 1 1
cubic yards !���
11111UI pli — ...� .......
Boat ram Ti
Pm iliall i
Boatho /Boatlift __.. ,__, F.._--
, iiiii •, ! , ,
' " IlingliNIMI- -'r. 1 ...111 I ---11-Hi—H-'1'
Beach Bulldozin
t IIIIIiiIIINII1IlIIIIIl
Other \�
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MIIIIIIIIENIIIIII I n1111111111■4ii( rl i111111 ■111111111
Shoreline Length - ID° MI IVRIIIII
Mfgplia mu
f 1 1 ov 1 ,,, '
SAY: not sure yes n• >
._..._
IIM 4 as - i # --
Moratorium: ` yes n•
C11)
1
Photos: yes 1I.-645.'� _.._. MI PS !! ! !.._...... t't
Waiver Attached: yes Or/�� I1111 ' c'‘)A building permit may be required by: Sit•`"\Gti4"eS// 'tAr c.,,,,` (° ` I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ,(�
Notes/Special Conditions At\ r tA\R r Cr 7N. I7C-) j6C_4'7 S)0PC1 (�hd - I` r4/ re 14 is L'64n c
PP ,1
Fes" le_.
Agent or Applicant Printed Name ; PermitOfficer's Printed Name
N' 1„.i rl- .j '' i
Signature **Please read compliance statement on back of permit** Signature
( O' 0D -Il yo ►o/z7/zozo )-/a 7/tea-/
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 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 252-946-648 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

Fr .
AGENT AU FHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _ �\ r
Mailing AddressI
Phone Number:
• Email Address:
I certify that I have authorized
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
.4.
f1
at my property located at
in County.
l 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
Print or Type Name
Title
/ . I
Date
This certification is valid through / I

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to ,s
(Name of Property Owner)
property located at
(Address, Lot, Block, Road,etc.)
on• , , N.C.
-------
(Waterbody) (City/Town andfor County)
The applicant has deserted to me, as shown below, the development proposed at the above location.
Kon e- 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 drawing)
•
WAIVER SECTION
I understand that a pier, dock, mooring pitngs. breakwater, boathouse, ift or groin must be set back a
110 minimum distance of 15 from my area of riparian access unless waived by me (If you wish to wake
the setback, you must Initial the appropriate blank below.)
LJ-- NPiletZe.tek-rt.5
kft_I— I do wish to waive the 15'setback requirement
5tiovz wri,1164-
gAG,,a1io *we-
I do not wish to waive the 15'setback requirement
OW (Property Owner Information) (Adjacent Property OwnrInformation)
1
//'
Signature Signature
Print or Type Name Print or Type Name
oc
Mailing Address (41.Z.M C.Ac C -e #4.8
Maibrig Address
6.1.)t-pi VA 21°
City/StateiZip CrfOlatell, , 7
(103) P4,_c
Telephone Number Telesphpne Number
tliZt 120
Date Dale
(Rewsed 608/2012)
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https://mail.google.com/mail/u/0/#inbox?projector=1

•
Check
MO Recolwd Dad Deposited Check From(Name) Name of Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Res/Mcated
Cobet1 Colima Cabanm3 ColumM CoWnm5 Columns Column7 Column8 Column9
Minor Modification Fee$47-87,Kinder Morgan NC Ports,
11/4/20201. 11/5/2020 Matthew Mooney Kinder Morgan for NC Ports Wells Fargo 230,$ 100.00 Wilmington NHCO KE rct.12409
11/3/2020 11/5/2020 Robert Man same Coastal Federal Credit Union 8263 $ 200.00 OP#77840D PA rd.11554 _
11/3/2020 11/5/2020 EZ Docks Plus LLC Elwood Petchel BB&T 1140 $ 200.00 OP#77624D Ben rct.11723
11/3/2020. 11/5/2020 Jerry Ennett Molly Bland I Coastal Bank and Trust 3426 $ 200.00 GP#77668D _ JD rct 11764 _
11/3/2020_ 11/5/2020 Andrew Barnes Susan Brady/Andrew Barnes Chase Bank _ 376 $ 200.00 GP#735850 JD rct.11657
11/3/2020— 11/5/2020 Carolina BluewaterConstruction,Inc. Angus Wang BB&T _ 23124 $ 600.00 'GP#776830 BB rct.12430
11/3/2020 11/5/2020 AMW Docks and Marine Construction LLC Tracey Watkins&Kelly Webb BUT 6039 $ 400.00 GP#77681D BB rct.12499
11/3/2020 11/5/2020 Grice Construction of Brunswick County In Brenda and Bany Hooks iBB&T 14211 $ 400.00 GP#77684D BB rct.12431
11/3/2020 11/5/2020 B and B Marine Construction Jay Plummer Wells Fargo + 1514 $ 400.00 GP#77688D BB rct.12433 __
11/3/2020, 11/5/2020 PFL Construction LLC Robin Timmons Nacy ed era/CU 1927'$ 200.00 GP#77676D i JD rct.11658_
11/3/2020 11/5/2020 Clements Marine Construction Edgewater HOA FCB 5572 $ 200.00 GP#77891D KE rct.12412
11/3/2020 11/5/2020 B and B Marine Construction Harold Fowler Wells Fargo 1515 $ 400.00 GP#77886D BB rd.12434
11/3/2020 11/5/2020 Timothy Powell James Jackson First Bank 9206 $ 200.00 GP#77868D BB rct.12495 _
11/3/2020 11/5/2020 B and B Marine Construction Wiliam and Noreen Moody Wells Fargo 1516 $ 400.00 GP#77887D BB rd.12435 _
11/3/2020 11/5/2020 Spencer and Carol Rogers Channel Haven Property Owners State Employees CU 6792 $ 100.00 Minor Mod Fee,#141-90,Wilmington NHCO IPA rot.11558