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0 CAMA / DREDGE & FILL N9 77888 q_ ( g C D
GENERAL PERMIT Previous permit# S C(
��-= New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 5 IS-
As authorized by the State of North Carolina,Department of Environmental Quality IT
�J I ( -\2,^
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC (� JCJ
( El Rules attached.
Applicant Name \"2.,c(A.,, `�`\ t `� S Project Location: County �J.J, A. ......it&—
Address 2 0 ( orhivn W,l\ 1` V Street Address/State Road/Lot#(s) L1
City \.\Ql,,, N\1k, State Cr ZIP 0�-ritg �e �✓ S{
Phone# (la) Z S((i jt (gip Sit E-Mail b k S((C end.(O Subdivision 1
Authorized Agent `2 c<<-- J f City 0 Ce..6 . \S�.c.. (2." C`C k ZIP 2 L94
Affected ❑ Qf .CW EW PTA DES ❑PTS Phone# ( ) River Basin N-6.W
❑OEA /❑HHF 0 IH 0 UBA ❑N/A -�
AEC(s): Adj.Wtr. Body ^' (nat an�unkn)
❑ PWS:
ORW: yes / PNA yes /6? Closest Maj.Wtr. Body Ack tJ
Type of Project/Activity ,,� CAi O \IC2.0 cG4Ttc
(Scale: T S )
Pier(dock)length /
i l
Fixed Platform(s) 1 '
Floating Platform(s) � � Ni ......:1- , , ,
I
Finger pier(s) _. -....._.....___ �_ ._..-.__ I
Groin length �1� T .
1 I I
number _.....-......._......_............... — ;
Bulkhead/Riprap length ' —'
avg distance offshore
I i
max distance offshor ti
Basin,channel ' I A.
t P 2 • C t? i t
cubic yards 1,-
o cyi,%II.j bd4\ K
Boat ramp / / ` lJ" f '"'� -?N' hZ`f IN
J
Boathouse/Boatlift - �L‘ .. � _.__41•.............. --............,--.-4 _
1 ; 4- I
Beach Bulldozing , k a ,i I
Other f
�j� - i ( I
/I {
Shoreline Length I 50 �C� ' L
SAV: not sure yes el (� ��/` 1 i« y�, _�l
Moratorium: n/a yes ?�e - . , V —
vNhA
Photos: yes _._
Q .
Waiver Attached: es no L iT. {
A building permit may be a wired by: C›,6,A C, tS Q GC" . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions C(-t•t) G.CA ".,A A tA. Ei.(2.41cot t f i...cA 1 %
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Ic-V I, >�Sri' �e� , roG�
Agent or Applicant Printed Name / Permit Off s nn N e
\ � -�— ��,—Vs....,
Signature 'lease read compliance statement on back of permit*'* Signature
'' 2�C[� (L0 't 9 2 ;34-#0 2
Application F- '2s) Check# Issuing to on Dice

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(9 I 0-796-72 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
'acent to‹....-X /L Z J~
I hereby certify that I own property adjacent /Inc.(Name of operty 's
er)
property located at -4 PeA''cle*-- ` `)"1 C) 'fib
(Address, Lot, Block oad, etc.)
' in rS , N.C.
on C�.v��S C�G�J ( ityR�, and/or County)
(Waterbody)
. pli• t has described to me, as shown below, the development proposed at the above
I.' ' p�ASg-- p,ct/16-ti6-
r / I have no objection to this proposal.
I have objections to this proposal. rr
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
r_____---D i,x
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set sack a minimum distance of 15' from my area of riparian access unless waived by
me I • ' sh to waive the setback, you must initial the appropriate blank below.) ��
I p p ,
� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. ''---//mot'' el
(Pro Owner Information) (Adjacent roperty Owner Information) -
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Print or Type Name r Print or Ty, a Name
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Mailing Address Mailing Address
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City/State/Zip City/State/Zip —02,3�/
Telephone Number/email address Telephone Number/email address
Date Date' �'t_L (Revised Aug. 2014)
'Valid for one calendar year after signature`

U.S. Postal Service" b
CERTIFIED MAIL® RECEIPT U.S. Postal Service_
o D rmr stic Mail Only
7 CERTIFIED MAID' RECEIPT
rn For doiivery information,visit our website at www.lisps.com' „p Domestic Mail Only
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-- rn For dcsivery i^k,rmation,visit our website at www.usps.eom°.
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See Rev!Yse for (I` --( -_-_.r�� � _— ._..._»_...__»..
P5 t-or,r 3800,April 2015- t5))oz oco-ao+% iTJt)S 3`Iaie .. Sc,0 9 6 7 L.
fI2 PS'r,,rn 3800,April m:in 7'03 ' 1.147 See Ri:.::.":P for Inslruc..
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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, ,and 3. A. one
• Print your name and, ddress on the reverse X /.�/, ` •
so that we can return the card to you. CI Acidressee
■ Attach this ' to the back of the maliplece, • C.Date of Delivery
or on the if apace permits.
1. Article 10 D. Is delivery address different from Item 1? 0 Yes
A- A' G_'l 4 S 11.-1—e— . If YES,enter delivery address belay: CI No
31 c'7 f�'_i}q/e.svr r oar- 1,-,
. A4-4-0.,iA A/C. 4QDSG
111111111111111111111111111111{III 0S D� Prixtty Mad Expels*Registered Mat,.
9590 9402 4859 9032 1735 19 Sed Mae
o Certified Mal Restricted oew.ry a Return Receipt for
0 Cox on Delivery Meichandtee
2. Article Number(Transfer from service label) 0 Cones on Delivery Restricted Ddvery l7 S6Inallure CorAkmatbn^"
tag aSignature c«
7020 0090 0001 5634 2340 toil Restricted Deasy Delivery
: PS Form 3811,July 2015 PSN 7530-02-000-9O53 Dornestic Return Receipt

....---
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (1 CAW()IYd t `�L1 .S
Mailing Address: ab LA Co'rm \ \ \\ c
!VW 1Mf1►- Dvd cT aG7Tt
Phone Number: 7n7- Z16 - 'Ss
Email Address: rb V6rn c,( sac:1 • G1Jm
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I certify that I have authorized V1I Ag 4flhfhI1' ,
t Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: tr l Mr 1 )(:)C2-4eAC
at my property located at 4 ender , 0$$ NC,C, 2-' bq
in 'RYYV`AS 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
kg 6 ----- "k'I U i 0
' tetet 4 liiiiit Glivi6i OM '
Signature /
k 1_00 Vb a i lit N.6111
Print or Type Name 111111
Tittle
_Pi ! 4°X)
Date
This certification is valid through I I

Check e
DIM ReoWad Dare Deposited Check From(Name) Name of Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated
Colu m7 Column2 Column.) Column Column5 Columnk Column7 Column! Column9
11/4/2020 Duncan Marine Contractors,Inc. Tim and Tom Conley Branch Banking and Trust 8357 $ 100.00 Minor Mod Fee#124-17,Wrightsville Beach NHCO KE rot 12411
11/10/2020 Paul Maki same Bank of America - 3006.$ 100.00 minor fee,88 Waterfront Cir Dr,Hampstead PNCO TP rct.10309
11/10/2020 James Moore_ same State Employees CU 6006;$ 200.00 GP#77885D
BB rct.12437
11/10/2020 AMW Docks and11/10/2020 AMW Docks Marine Construction LLC Richard Billings BB&� BOOS $ 200.00 GP#77885D BB rct.12436
_ $ 200.00 GP#776940 BB rct.12436
11/10/2020 Wilton Eskridge Rev Trnd ust
Construction LLC same Craig Cox for 168 W 3rd street H B del ty 1033 $ 400.00 GP#776910 BB rct.12432
11/10/2020 Wilton Eskridge Rev Trust same Fidel' 1033
- _ g $ 400.00 GP#77690D BB rct.12432
11/10/2020 Bradley Creek Boatominium Inc. same FCB 3556 S 200.00 GP#77893D BB rot.12413 _
11/10/2020 CMTMC,Inc Thomas Adkins FCB 1152 $ 400.00 GP#77628D Ben rct.12454
11/10/2020 Bryan Cassetta same Truist Bank 985054 S 400.00 1GP#77603D Ben rct.12462
11/10/2020 Mitchell and Beverly Rowell same FCB 3561 $ 400.00 GP#77625D Ben rct.12458
11/10/2020 River Run Plantation POA,Inc. same North State Bank 15981$ 200.00 GP#77700D Ben rct.12451
11/10/2020 H5 Construction,LLC Michael Kelly BB&T 2452!$ 400.00 GP#77633D Ben rct.12453
11/10/2020 .Willie Clarence Richardson/Richardson Cc Wade Coleman BB&T 78241$ 200.00 GP#71893D Ben rct.11724
11/10/2020 CLTMC,Inc. Spencer Stiles FCB _ 1153j$ 400.00 GP#77630D Ben rct.77630
11/10/2020 _ Sayan Construction,Inc. Steven Hershey Coastal Bank and Trust __ 9233'$ 100.00 Minor fee,217 S Anderson.Topsail Beach PNCO JD rct.11773
11/10/2020. F and S Marine Contractors Inc John Mack PNC Bank 8928 $ 200.00 GP#77878D KE rct.12414
11/10/2020 Back to Normal Errol Mcgillewie BB&T _ 5470 $ 200.00 GP#77695D BB rct.12440
11/10/2020 John Tammaro II Parker Real Property LLC Aquesta Bank 1562 $ 400.00 GP#77693D 'BB rct 12439
11/10/2020 Henry McEachem same Bank of America 4054 $ 200.00 GP#77675D 'JD rct.11774
11/10/2020 B and B Marine Construction William Brantley Wells Fargo 1525 $ 400.00 GP#77697D BB rct.12442
11/10/2020 'B and B Manne Construction Edwards Family Living Trust Wells Fargo 1524 $ 400.00 GP#77696D BB rct.12441
major fee,404 N Shore Dr W,Sunset Beach BrCo SPLIT
11/10/2020 Ned Danieley same Suntrust — 1001. $ 400.00 60/40 BB rct.12443