76497D - Mozeley

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er ©CAMA / El DREDGE & FILL N° 76497 A B C 0
GENERAL PERMIT Previous permit #
)� ='New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality //��-7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f/ ` h • ,III[/0 .
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❑Rules attached.
Applicant Name S . M o le,If u/ Project Location: County N(UV Ha h cw1,47
Address t0 1 Co VIJ Dr Art Street Address/State Road/Lot#(s)
City avbliou P U14 State 'VC. ZIP 94aT. L)GL''
Phone # (3_04) 44 I-cp-49 E-Mail S .- rmD �, Subdivision pi
Authorized Agent RG / t V' i City "-- ZIP //,,AA-- -. _
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cw EW I$'PTA ❑ES ❑PTS Phone # ( ) River Basin W�'4e a
Affected OEA HHF ❑IH ❑UBA El WA
AEC(s): Adj. Wtr. Body �ii(0Ii17G /,lt,4( /l/f BliSillnatip /unkn)
PWS:
ORW: yes / no PNA yes i no ) Closest Maj.Wtr. Body SYl UW& (f f't` A 1 l'U iv
Type of Project/Activity /itt:i:,, -,,,), ,-, /i Gl'(t / /; /}- 14: i !j 0Jrlidy7C' Sip
,� (Scale: An 5 )
Pier(dock)length
I I. I I � I
Fixed Platform(s) I�
.. .._._
Floating Platform(s) 4 C A� rie • 4._ S` /-
Finger pier(s) _ i I 1"�/LTP"'4•�S
Groin length i 4
number • I - __...._.._..._.
Bulkhead/Riprap length — - i —�� —`
WNW/ —T _ _
avg distance offshore I i I
max distance offshore ---
i Basin,channel i- - { ,
l
cubic yards I �� • +
j 1 p I
Boat ramp C� 1 f F.1� �-
Boathous_ j /6 x/5 ...._. .. --+- -•—a-- -- __t O 1
A IV - ....___ir
..
Beach Bulldozing r
Other I
rat } . J
Shoreline Length _ __ 1 I ` _ 'Tr
--I j I' w _
SAV: not sure yes "� I I I - *--- - j
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Moratorium: n/a yes ® I Photos: yes -'-- -.
Waiver Attached:;i (79 no �
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A building permit may be required by: TO1170 ..i ca�dwa'gr./X i See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) I � /J / / / n
Notes/Special Conditions f/ � /A '� ' 74',ei�7 / ` , f 76 ' �t i e- k,if '-1
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Agent or Applicant Printed Name PermitOfficer's Printed Name
�y W'
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Signature ' Please read compliance statement on back of permit as ignature
v:Q d -- 106 a l)/( /Ra0 0/Aeat
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(910-796-7215)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

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�''AGENT'AUTHORIZATION.FOR CAMA.PER _MITAPPLICATION -.
Name of Property Owner-Requesting Prmit e Q
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Mailing Address rY ---7- 1 }`more' l `,COS .
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Email address; •
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I=certify.that I:have,authorized �: . , t'c�►e, .. 9;A
x AgentrI Contractor
iMA"" tona' ' toactonmybehalf-forthepurpoe of applying-falobtnngalt-CApermis n = , ,.
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necessa for=the followin ro sed_development .: .p .
ry 9P PQ .k.j - t•
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'at my propert ocaled at
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1`furthermore-ce►tify'that ! am:authorized to grant, and:do4 m-fact grant permission fo- '
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, Divisionrert Coastal=Management staffy the` bcal Perrnct Officer-and,their agents,to eater ,
on;the aforementioned lands rn$cont ectionr* hwevaluating information related to this
;pennrt application - h : z.j
-_ : Property Oh Owner Information ,. t,
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F "}. , b rvd•I uiY / ;1 - . _
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' . , Signature .„ - _
` '`� -1Pnnt or:TypeName � ~°. . :f r
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d. 4 Y h Title,, y > t" ) 4 ,; g. "'' '
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This certification is valtdthrough'` 7./. =
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertify that I own property , ' l?Cu'1C�-1 6 _•s adjacent to
(Name of Property Owner)
property located at 1
(Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
v 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)
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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.) ;-t ;LIVED
I do wish to waive the 15'setback requirement
-----X-- NOV 2 4 2020
I do not wish to waive the 15'setback requirement
_ . :: r"'GTON, NC
(Property Owner Information) (Adjacent Property Owner information)
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Pnnt or Type Name Pn'nt or Type
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Mailing AddressM i A {�.�s
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City/State/Zip City/State/Zip
C-6(-l' - gotIci &I C, z)xY1a 3 (- -56C, 1 v
Telephone Number Telephone Number _
OW '7 QaL g7 1 ►- 12- 20
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Date Irate
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(Revised 6/18 Q12)

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)CAMA/--DREDGE&FILL .\;'? (ii(I7 • A 'B C
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GENERAL PERMIT Previous permit#
New Modification Complete Reissue _Partial Reissue Date previous permit issued.
As authonzed by the State of North Carolina,Department of Envrronmeotal Quaky /� I
and the Coastal Resources Comnussion in an area of emeronmental concern pursuant to 15A NCAC 0 !�7 Il•'1•/IIO 0 •
J/��L,.,,Rulesmtsched-
Applicanc Name feirli OTZe-kt'I -. _. _ Project Location:County_nelzi—INf Oi --
Address
-301&Otte Dial. Street Address/Stare Road/Lot#(s)--- —--
City Cat'I,ii a ii,_ _ StateAVC. ZIP `litfag' SG/J11V--. ----._.._. - -
Phone#(3Q4)_ICI I-1 j igg E-Mall6)1102d /Iaill[ft'10* Subdivision_N4_ _ — ,------ _ —
Authorized Agent(�G At1.-�r1�t- _ — f D_. Gty
Affected %IN ?t�AES "� Phone •#(- _) _ •River Basin l i f•fit____J__ — .
AEC(s): L.P4 S. -HHF _IH _UBA N/A Ad'.Wtr. /�"-�..r� ��77a���� �rlllf.�,m—y{na ./enin)
ORW: yes/ PNA yes 1 no n , n Closest Maj.Wtr.Body criVirS_alt_IlLn'MI --
Type of Project/Activity j? i 5-,, -h 1)/S&P'/Ah-k,t 4 // z4.)/4Y}A// (24-n-de .c/p '
t2
(Scale:NT 5 )
Per(dock)length__-- _ _
Feed Pl dorm(e)
FbaonsPlatform(s)— p { 7-f - r.,S,v •
F�g�pe(a)_' ✓�: G�fd <r/js1ztst ; Ckr•�:
" 'Groat length-- - - M.e tJ rr,-4—' •--- --- _'__.--— —
mmber _ . if�
. . Bue.hcay% :. -
PnP�g•h__—._
avg distance Offshore'— • •
mudaonoa Onshore— .
— -
-8isn.,duviel —. - _. __. ___-- -_-. _--_ _ __—_. --
atMcyards_—_ -'--I^ o ! :�./ _
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[sod.BWhloamg __ ^ - -I_
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-:_. --ji;. ---- I — -- 1
_— • 11_ ' ( ,
Shoreline Length-S-0 _ - i t
SAV: nor sum Yes .I I�Y �i-�')- `y--.—
Moratonum: -Na yes s. • y1 i -1
Photos: Y� t ,-I'! I- �,n I •.a• - ..
WannrAttached.:t, tK - /'-1 ---,N __ 'TG1.C.th.- 4• ____.._ :_5"d f nsZ .___io�LC-r.
A buildng permit may be required by:/e77 r+d'I'•%!%',r' 'fif.:• 1 t `Sec note on bath regarding River Basin rules.
(Note Local Planning Jurisdiction) /,z Y,1/ /tr ii
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Nooes/Sperial Conditions, /)'l' •6j. 1 fl%( G7/.�^•%"� �e`/ •� !-� lC%_
Aviv orAp font Punted Na . PamrtOlfeers Prm¢d Name ...— _ _
Sgnat •a Pleasereadcmnphancestatementonbackofpennit'• true .
•Apphcao Feet) • Check Issuing 6epoation Date
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Check
Data Received Data Deposited Check From(Nero) Nam o1 Permit Molder Vendor 11/ amount Permit Number/Commonta Receipt or Refund/Reallocated
Column1 column2 Column3 Cokimn1 Calumnd Columns Column? Columns Column➢
12/18/2020 RG Marine Contracting/Ronnie George_ ;Steven Mozely Bank of America_ _ 1060 $ 200.00 GP#76497D PA rct.11574
12/18/2020 Southern NC Marine LLC Phillip Mills First Bank 1354 $ 200.00 GP#73590D JD rct.12380
12/18/2020 Rhonda Curies McCall ;Ray Lyles Bank of America - 1082 $ 200.00 GP#77568D BB rct.13633
12/18/2020 AMW Docks&Marine Const./Rick West Robert Corey BB&T _ 6059 $ 400.00 GP#77536D BB rct.13626 _
12/18/2020 AMW Docks and Marine Construction LLC Richard Lockwood BB&T 6066 $ 200.00 GP#775630 BB rct.13632
12/18/2020 Sea Dog Marine Construction,LLC Judy Garst First Bank 1187 $ 200.00 GP#775740 BB rct.13636
12/18/2020 •B&K Menne Costruction Jacqueline Smith BB&T 1655,$ 200.00 GP#77569D 88 rct.13634
12/18/2020 H5 ConstructionLLC Robert&Lois Lineberger BB&T i 2532 $ 200.00 GP#77570D i BB rct.13637
12/18/2020. Coastal Marine Piers Bulkheads LLC Roger Edwards&Sarah Tippett_ Wets Fargo 23624 $ 400.00 GP#77507D KE rct.13656
12/18/20201 Brendan Shany same `Chase Bank 80651$ 200.00 1GP#77509D KE rct.13657