77649D - H5

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eXCAIVIA / J DREDGE & FILL y N° 77649 A B C OP
GENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality (ZOO
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l//��)1 . 1 ZOO .
Rules attached.
Applicant Name 1AS (f),A ;„t '10n LL C C%0 Mai YAuhn Project Location: County 6 , As.,„ .c...k.....
Address 24 V(i Rc L Opt kc A K. 1 Street Address/State Road/Lot#(s) 3541Z,
City `-le l4 State 1J c ZIP 2 S'-t La- V (A�` (? ce-v �-/'
Phone#(kg) 1 69(,(4, E-Mail lY1,.Afteks-r„„ ',ct(f) tLc..t,,Subdivision
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Authorized Agent City J,)1,nt`C))`(J�t1 ZIP 2 y LZ
rlrCW .EW IF,PTA ❑ES ❑PTS Phone# ( ) v River Basin L A^LjA.,---
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A 4/ (J
AEC(s): Adj.Wtr. Body Ske"- t CST. IC k Jet-d man /unkn)
❑ PWS: I 1 _
ORW: yes /�i/=' PNA yes�no6 Closest Maj.Wtr. Body 5k���kc lT i u
, ,
Type of Project/Activity st i new A oc.lC. n c k j LA...),h^ D\Xe c j`'SiC-`r'")
CA n hoal 1•if
C
� TJ_ � (Scale: N )
Pier(dock)length (94
x l iO' J
Fixed Platform(s) `241<1cgi j A� �� ;�'
Floating Platform(s
) � 'yZ V, ,' A I
Finger pier(s) M 1 MSV i
_._ I'.' I.;I• ;-"MIMMI
Q —... tr
•
NITI
Groin length — 1_ .
number .............._..._._ - ....
Bulkhead/Riprap length — -} ■II Mill ! - n
avg distance offshore I • llMilli I
max distance offshore t ' I Z
Basin,channel }
k.r,' 4-5 5 w il-tj-t A Sl.t p
cubic yards I t1
{
Boat ramp I
Boathouse/�oatlift)t S, X t'j t _.... .....�__.... �— —
Beach Bulldozing
®�I —441111111111111111111111 !, ! iiiipipo , 1 _���
: .
Other
iir it. i
Shoreline Length 941'
I .4trI r ■■
SAV: not sure yes pp • —
Moratorium: n/a yes o t sac �. �d,,,F
1 1
Photos: yes o O1+..0c €
Waiver Attached: yes / I I I - A'
A building permit may be required by: (14(vinS,0,4 k c(L Ca.,„-k H See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 011-\ M004,.w..r 01 2 Fir,..a\ 19UCA St.PS fh'.-i44-tek CD i.)(-Kjc'-"j Cev'(tVO w't1
Nis 4$C.R2.c e_yaS(-)J et(., k.co.6 1„Nc 61 trcrt,a[l.. ,..,kt (.1, o.0 CkAnnek .
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e Pe(( C , t (-e A 0../\ f oc\C....,
Agent or Applicant Printed Name Permit r s 'nted N
"— ,..n. \ —_
Signature **Please read compliance statement on back of permit'* Signature —.or,
,,4200dO G2L',t'6 10 )2 I ZotO 1110 b.0L I
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 (252-946-648 I) 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

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- •---J►`tQw.. t•Ater.�.r"►as•.' -1-6
hey*certify thetcramprapertyadjacentto H5 Construction
property boated at
3542 Van Buren °of y
Shattotte River Viddifoolk tld 4 Rand.alto) ,
fitallerbody) (Citelbratt maw Counly)
The applicant has described to me,ss shown below,the dwielop anent proposed at the above iocalfon.
. i heve no object to this proposal.
t have objections to this proposal.
DESCRIPTION Alma Dwane OF PRCPOSED DEVELOPMENT
ENT
eadtviduat proposing dscataparent mist Mt In desorption below or sited)a site drawbg)
See attached
I understand that a pier,dodgy mooring plingi,bresriiitaitec boa Beane,lilt or groin=it be met beck a
rrdr>imum distance of 15'from my aces of riparian scones unless Waived by me. (tf you ham to wive
the 7,you Hurst Initial the appropr ele black below.)
t do wish to waive the 16 imbed(requirement. •
t do not wish to waive the 15 setback requirement.
(Property OMrrur Ldaran lion) (AdiscoeiThrovejity Omer boa)
1L?V-10tX1°S/11,4964.4,er-
onstruction/Matt Hon MT Nib kietizereX 2
Ittg ,ftineach Rd. 7E7M6ee/$
'M m. 28462 A�do6�r ,/l/I/�
Oi[y/5tate 910-88D-5231 ��
Tatfifielarber relephonetiffineer
Date Day
(Revised 8/1 2

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hCCAMA/ ❑DREDGE & FILL
ENERAL PERMIT Previous permit#
'XNJew. ❑Modification ❑Complete Reissue ❑Partial Reissue N°. 77649 A B G
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 11 O Rules
Applicant Name
N vv' Project Location: County____.' �� c
'35�17
Address'
ddress qe I / � , � el Street Address/State Road/Lot#(s)�,__•--
City kali( ` w` State N c ZIP `2 5`t t,tl. \j A i �y(P �4
( +k-,C 9(4 E-mailt'4,�L.S..,5�'�,LhtkiaA,.eaS,ubdivision
Phone# O z1P ?� �E,�----
City 5.,fi
Authorized Agent River Basin l- '�
3''CW w 7q PTA DES D PTS Phone# ( - ) yy
Affected C- (L, r man unkn
AEC(s): of A Li NHF o IN D USA D WAt A.,r:-vhog v` AdI•Wtr.Body ��no��l D
Ti Pws:
•.'";4'n a 7,)! Km 2,-.., Closest Maj.Wu.Body Atc_I
ORW: yes 1 6;/ PNA yes no
Type of Project/Activity A. rA. d 1c+ tl
` (Scale: N T� )
G,n el0•.�1,1 cUck.. .
Pier(dock)length kas st 10. K1--
j I j ����.
Fixed Platforms) `�sXf�, jjjj,again 0 KA ■��1.111111111M1111111111
iiiiiiiii■
FloatingPtatform(s) 1Z�72U� � � . ( � .
Finger pier(s) 1*`-
Groin length _ . - ��
numberI - -
Bulkhead/Riprap length �-...ilw. -ig-
1:
�� _ 11111
1
avg distance offshore � I � •• 1
max distance offshore I Ix �,
Basin,channel ± 1 I sts+ T A SW
T NM
cubic yards IIIIM11111111111111111111111
Boat ramp tfv4'S�+,1e1. Ile' el■ I
tlih
Boathouse) tj'1IV . . }
ity!.:1)1P1' ,..1 1!
Beach Bulldozing V !� ro I
Ocher V� '.."ir
Shoreline length
t _ 1 ill
� .
^' 94 --v- � >v
0.SAV: not sure yes Q 44f _�� -.---��-yyy
Moratorium: n/a yes o ^~ _y --sr.'lly � . 9 I. i . r
+mil_Photos: yes ° ' I - ft
Waiver Attached: yes
A building permit may be required by: v.Sw%4At.,_ (aim ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) v
Notes/Special Conditions LJ'R� re4).`6t'r` ," Cif Z cr,..a\ 100c-A S :,_es (oaf_. It...s .0' .,.o\t
c d u ✓ c .0 o c 1.4.4•n
(O(\k0.n I_:roc.
Aae iior scant r nted ame Permit r s • ted N me
signature •,Please read compliance statement on back of permit e' Signature ( 1_
'49Q.a 42tt3 lb lz 7_0.0 OnYLaL I
ii, Application Fee(s)
Check# Issuing Date Expiration Date
Scanned with CamScanner

NC Division of Coastal Management 12 4 8 9 A B CC�
Cashier's Official Receipt
Date: 20ZO
Received From: e\-ce..\+- V`n $ /...J.
JO GO
Permit No.: -1-1 (D G\ Check No.:
Applicant's Name: 6-\\"l do H S +�^�t�`c f�v‘ �'�L County: 'O CL"."S
Project Address: � � i S-c)c\
V
Please retain receipt for your records as proof of payment for permit issued.
11 Signature of Agent or Applicant: Date:
Signature of Field Representative:(-^•\\"--__�-'^- Date:
Scanned with CamScanner

Cheek
Date Received Date Deposited Check From(Name) Name of Permit Molder Vendor Cheek Numb*, amount Permit Number/Comments Receipt or Refund/Reallocated
Column? Colomn2 Column., Column/ Columns Column' Column) Column., Column9 •
10/23/2020 Timothy Powell same First Bank _ 9205 $400.00 GP#77869d bb RTC.12494
10/23/2020 AMW Docks and Marine Constructior Chris Zuleba BB&T 8027 $200.00 .GP#778500 BB rct.12491
10/23/2020 H5 Construction,LLC same BB&T 2443 $200.00 GP#77649D BB rct.12489
10/23/2020 Gilmore Dean Harris same Ca ital Bank 1825 $200.00 GP#77848D _ BB rct.12496
10/23/2020 Olin J Furr same FCB 8756 $200.00 GP#76489D PA rct.11552
10/23/2020 RG Marine Contracting/Ronnie Georg Joe Starks Bank of America 1059 $200.00 GP#77839D ,PA rct.11553
10/23/2020 Masonboro Landing Homeowners same BB&T _ 444 $400.00 GP#77660 'PA rct. 10275
10/23/2020 Maritech,LLC Middle Point at Sloop Point HC Bank of America 2428 $400.00 GP#77667D JD rct.11761
10/23/2020 Jerry Ennett Scott Dunn Coastal Bank and Trust 3399 $200.00 GP#77670D JD rct. 11762
10/23/2020 Delta Dock and Boatlift Ed Pietrolaj FCB 8969 $200.00 GP#77669D JD rct.11763 __
10/23/2020 Sawyer Real Estate LLC i Mark and Lisa Holmes I Wells Fargo 6785 $200.00 GP#77666D JD rct.11785