77507D - Edwards

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0 7 CAMA/ DREDGE & FILL N° 77507 A B c Dg
GENERAL PERMIT Previous permit# _+_ 15Y
>' LI New ❑Modification ❑Complete Reissue CPartial Reissue Date previous permit issued 1 mina
As authorized by the State of North Carolina, Department of Environmental Quality 1,OU
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC - .
❑Rules attached.
Applicant Name (OC\f V CC V''c- S f SG v 11 Tt Project Location: County t%,1 CIA.' ffG V1 J'✓C.V
Address = O A- Li)\LAV k eAN D✓ Street Address/State Road/Lot#(s)
City 1LA Ie1CAh State N L- ZIP -Ds' .$01 -I `: G v\b,.! 1"0 1y\-t
Phone# (Ili ) 1D J a - 33,93 E-Mail Subdivision
Authorized Agent J1 yv\vr'•1 �,OV *V 1 City , Ark kYk ZIP 34S1-0
Affected ❑C\N E EW ❑PTA j ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑OEA ❑HHF ❑tH 0 UBA ❑N/A Adj.Wtr. Body ►JCS S C kG N wk. at)/man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body M 0C`(e S6U I^C(
Type of Project/Activity OV\S+VU Lk. 01 yu.A.4 in\ K-Y,e G,c 'G•ino WA VC"( 64- C Oa c- \ w Y4(A►ndr
(Scale: ` a"0 )
Pier(dock)length-
Fixed Platform(s) j 1 (' \t, I w 1
FloatingPlatforms j `l..�� Cl - 1�j
() i ( i# ti NEL.{ .T
Finger pier(s) i ; i I
Groin length I. - i I I
number r 1 i-a.. -1._._ _..._._— . ..
_ulkhead Riprap length`'- 10 O( ' — I—
avg distance offshore '3 ! ,
max distance offshore Y,
R? ;I '
Basin,channel `� 1 I l a Aliff�
I2 , i
r� 1 ! ' t O
cubic yards /, ' ("
ii
-4,
Boat J I
Boathouse/Boatlift ; 1 C p d S-1-F ` '� , 3
� L#- c\
Beach Bulldozing - ' ~ - N
i ~ i P. �.� }
Other S Ltl L N� s
o r I , ..,INI"si I d—A
-- 2 j r
Shoreline Length+/- I AA l I I
no -iif- t P : ' 4 SAV: not sure yes
1��H - u i
fi
Moratorium: n/a yes k h� t L-.. wi
Photos: e no . .$1.0 V\al ‘M+ I 1
Waiver Attached: yes no '
I `r.l f YET-' •
A building permit may be required by: 1( avt 6C^Y�' \5\O'1^v Pk ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) J1
Notes/Special Conditions 1 - p LMJ OIU 1'L -j-c9 Gl\k<. yrt. 4 S nG \ V,OT b .
C oY1S4-ru ck ed \MA IN WC C! orr C o a S+U V\1 Q-O k 4S ov 0 lAi A t t 0()%k � S- +e
v-6 -Fedvj-c.l vu(e t ai)�� - j
Agent or Applicant Printed Name Permit Officer's Printed Name
/ ck..w jh9- ' 0
Signature ''"Please read compliance statement on back of permit'" Signature
41-0J- " oZ3isa`1 1a- 1I51a0 3I S I 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 (252-946-6481) 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 252-946-648 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 910-796-72I5
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (D
1 -
Mailing Address: j
0
Phone Number: C� �
r � r
Email Address: S
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: `\._.C'Y
16Y�
at my property located at 1 "Dri R\S- `1\ \ir)(
v �J
in N\ t,3 mettiounty.
I furthermore certify that 1 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.
Prop y Owner Infor ation:
r,
Signature
04- 77-
rent or Type Name
CuOr\e}c
) 41
Title
T little�
Date
This certification is valid through / /

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SENDER: COMPLETE THIS EC T1ON
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PS Form 3811,July 291.5 PSN 753042400-9053.- DOrneStic-.Return Receipt i1
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Date Received Data Deposited Cheek From(Nemo) Name of Permit Hour Vendor 11/ amount Pined Number/Comments Receipt or Ralund/Realloosted
Column', Column? Column] Columne Column6 Column. Column? Colu n& Column9
12/18/2020 RG Marine Contracting/RonnieGeorge Steven Mozely Bank of America 1060•$ 200.00 GP S764970 PA rd.11574
12/18/2020 Southern NC Marine LLC Phillip Mills First Bank 1354 $ 200.00 GP 073590D JD rd.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 077563D BB rct.13632
12/18/2020 Sea Dog Marine Construction,LLC Judy Garst First Bank 1187 $ 200.00 GP#775740 BB rot.13636
12/18/2020 B&K Marine Costruction Jacqueline Smith BB&T 1655 $ 200.00 GP#775890 BB rd.13634
12/18/2020 H5 Construction,LLC Robert&Lois Lineberger 8B8T 2532 $ 200.00 GP#77570D _ BB rd.13637
12/18/2020 Coastal Marine Piers Bulkheads LLC Roger Edwards&Sarah Tippett Web Fargo 23624 $ 400.00 GP#77507D ,KE rd.13656
12/18/2020 Brendan Sherry same Chase Bank 8065 $ 200.00 GP#775090 I KE mL 13657