77672D - Wade

eir LAMA / DREDGE & FILL Plinliti N • 77672
A B C al
GENERAL PERMIT Previous permit#
>C ).New ❑Modification iComplete Reissue ❑Partial Reissue Date previous permit issued ``^
As authorized by the State of North Carolina,Department of Environmental Quality h /p ( ,•
and the Coastal Resou ces Commission in an area of environmental concern pursuant to 15A NCAC LI
AA,�,^^ � ❑Ryles atta ed.
Applicant Name M ( VJ � Project Location: County `D II, c( 0
Address La t AA 14 Van I C.4 ' id. ' ii(...„4.- Street Address/State Road/LPt#
City V N V State NC—ZIP 77 1 b 4-W V
Phone# 1 7°-413 I° E-Mail Subdivision
Authorized Agent ]wtrf 77� City 17 C j� ZIP 2'rqL❑Cw �'EW `® ❑ES y PTS Phone# ( --)--- i`
River Basin ' 0 •
Affected ❑OEA L HHF III 0 UBA ❑N/A
AEC(s): Adj.Wtr. Body l:dt/1/f ff `,, G (nat /maan /unkn)
IIIPWS: t/PA / )/OL-/,�.,6
ORW: yes / no PNA yes / no` Closest Maj.Wtr. Body it ---
Type of Project/Activity `,
s,, 1 (Scale: 1c.212 )
Pier(dock)length
Fixed Platform(s) / ^�,1 1 I
,,,F ,Floating Platforms , - 1."?....„ Xi ,
+ , i
Finger pier(s) j
1�
Groin length ` 7 x b
•
number I ...... ..-.. ___
Bulkhead/.Riprap length i
avg distance offshore I
47r
D
max distance offshore
Basin,channel i I r I
; i , pi mmiolue !
fi2 C4 (/'?1 1 1
cubic yards i
1
Boat ramp }
. (
Boatho
I — Ti I i.71), ' Oil(/ 7 ;
Beach Bulldozin
,\ . I
Other f . i 1 G
i
' WP I 1 i
iSBNkIrr - - 1(-
ShorelineLength illf514116— , _
: I
± I
SAV: not sure yes no I t .---I---, I----- _ ......_.<—._ i
:
Moratorium: n/a yes n f ti........_ —
1 — I
Photos: yes no ---..._.1 — - 1
L _ I
Waiver Attached: .yes '
A building permit may be required by: j U le'p- i/ ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
Agent or Applicant nted Name Pe Office 's Printed Name
A
Signature **Please read compliance statement on back of e it** Signatur: ' Z.
nc. 2(
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 (252-946-6481) 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 9I0-796-7215
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
NT
I hereby certify that I own property adjacent to dance cF 1 I�hre 's
(Name of Property Owner)
property located at /() ti(P 15TL 5-}-Yee
(Address, Lot, Block, Road, etc.)
on Caiia I , in St -( Cray , N.C.
(Waterbody) (City/Towh and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
1/ 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)
ft 5-)exilcb i 64_ 3
,____ .
4
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_____ _,,
AD
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/ WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
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.)
S I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property er Information)
% . (It,
Si.#73ature Si it r
VIA Ate 1.)d e pD !02, s.. mA
—lk
Print or Type Name Pr. or Typ ame
a,\ Milway ntA,1 S�, ►2,,c -D - , ACC
Mailing Address lieAd r Ss
tti11
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City/State/Zip City/State/Zip
qiq-AZ(7- S310 (P.V,i5-G8.3147e
Telephone Number eleph ne umber
S-as- aD brf Zak
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'Ian cr .r 7)ei i _ /Vao e_ 's
(Name of Property Owner)
property located at ID (p fr* 54-veed-
(Address, Lot, Block, Road etc.)
C a vta on ( , in fir,,,^ Ci'4y , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
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)
l%
Art O
o°1( ad
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of Z,f— 7777„. - X. ,) V ;..
30 I / L
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
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.)
/e'B/!j I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature
Vahce 1'v ,(e iP.e iY/ //7 /r ',VA J
Print or Type Name Print or JType Name
1l1 AiLimy f-`le.-.t t 1i /eT /yd/".e 2/7.1su-
-
Mailing Address Mailingdre s s
-Duel /i 3 3 V & / .�
T L e,Zer /'/l 7-
's©
City/State/Zip C r
919-8 20- q 310 ri/Sta>/f) zi,- 354 jL
Telephone Number Telephone Number
S-aS-Zv -- 32,' ode
Date Date
(Revised 6/18/2012)

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AGENT UTHIORIZ, TION FOR CA' A PERMIT APPLICATION
1/
Name of Property Owner Requesting Permit: , a4e L� e
Mailing Address: r2 )I AA �wc.0 �ews Sc421
�r
uov, il/C_ 2 33
Phone Number: • 1 19 - - 31
Email Address: wade Vi DO fir.) vc,two .r a•�
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:. 0o Uk .3 e,4+ I C•+
at my property located at /tD9 / Stveef Sure �. , I\tr Nc . 1V
in C J'v1 5 ioLd County.
1 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:
-A"--"Za,
Signaature
1/20te 1,1/0,c1e . .
Print or Type Name
�)w✓l e•
Title
6 I q 1 c90
Date
This certification is valid through / I

Check
Data Received Date Deposited Check Frain(Name) Name of Permit Holder Vendor Check Number amount Permit Number/CommenN Receipt or Refund/Reallocated
r
Column1 Column2 Column3 Colummt Columns Column6 Column? Column!, Gramme
10/27/2020 Lighthouse Marine Construction,Inc. Jeremy and Shelly Norris Coastal Bank and Trust -_ 3445 $ 600.00 GP#77673D _JD rct 11770 _
10/27/2020 Lighthouse Marine Construction,Inc. 1 Vance Wade Coastal Bank and Trust 3444 $ 200.00 GP#77672D JD rct.11769
10272020 Richard Penny Construction,LLC ,Scott Sutton Navy Federal CU 1171 $ 200.00 GP#77671D JD rct.11768
10/27/2020 Land to Sea Construction,LLC Felice&Richard Brenner FCB 317 $ 200.00 GP#77686D KE rct.12406
10/27/2020 VCC,Inc. Scott Ussery BB&T 7919 $ 400.00 GP#77662D Ben mt.11720
10/27/2020 VCC,Inc. Deborah Fish BB&T 7918 $ 200.00 GP#77661D Ben rct.11722
10272020 VCC,Inc. Douglas Keith BB&T 7917 $ 200.00 GP#77663D Ben rct.11721
10/27/2020 Jenv Ennett ,Bruce and Patsy Jones Coastal Bank and Trust 3411 $ 400.00 GP#73582D JD rct.11771