77632D - Warren

0 CAMA/ 71 DREDGE & FILL N° 77632 A B C �D
GENERAL PERMIT Previous permit# /
>( s Jew -Modification Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /1 (�-/nO
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /- (
f�� ❑Rules attached.
Applicant Name ��� Q ` a �,/Cat rr Q,� Project Location: County r(All rW,C
Address , u3 1 I I I.rizy4VI Li . Street Address/State Road/Lot#(s)
City ( uye fife.t 1 I (C State A/(ZI P (�// -C tt -O b 6 t e c.ln c lc ro ' 4
Phone#(q/d) liq'q //!1 E-Mail )l-Arr a(n26tA.4 L.(da. Subdivision
coN" " -/I_
Authorized Agent al City l-1U(01 P.►'\ --4 6 1 ZIP g Z
Affected ❑CW T W �A AES ❑PT Phone# (�)` it y' I111 River Basin ;.
AEC(s): ❑O� ❑HHF ❑IN ❑ ❑N/AAdj.Wtr. Body h O( I ,P' i, (nat /unkn)
CI PWS: Q1- �/ W
ORW: yes / o ; PNA yes / no Closest Maj.Wtr. Body U-
)
Type of Project/Activity p1ace, - ,X2Q' deck "f'1 r'_XI J hQal-rrr —
/ �iG�Q Lrp01''1-- ��c/('�i hg L[Iq'��y��4��)(Scale: I 0� )
Pier(dock)length - i
I/ t i II - - l l I i � ;
1�,
Fixed Platform(s) X i i
vvv1 .
opku I -
Floating Platform(s) `�, 1\ ,
Finger pier(s) I ,Ia r i �. .�..._._..._ —
Groin length At. (,�X }
1
1
number r -- — - .i.___. _._ _- 4 E - -i
Bulkhead/Riprap length "—` 1 � x`lh T j
{
avg distance offshore i Ito I 19;KUo i , , ! j
i � = :
max distance offshore i I 1 I
{
Basin,channels
O I t
cubic yards '�" i
Boat ramp r %kW1 j
Boathouse!Boatlift / --re 01 .._: A..... --v..,--r-fi
yol
1\/ .71'\OL 4.r‘tict f ock 019 ,a ;kilt
Beach Bulldozing - +•(% R �V l 1 I I
Other F
pxft
' l` S Jx � d`t`y"�
i , ,
Shoreline Length 5 0 _._. .... _ -.~_- .L... ..._ .. f
N '
i
, ,
SAV: not sure yes o ' --- I
\ I l rotf i I+
Photdrlum: n/a yes I i dye)" ; ; i�
os: yes .._.._._ ,-_+
Waiver Attached: 'es
�( notila" . ' '
A building permit may b€Pef fired by: / QCA . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /7 /IJi
/` , ,,�a 1 /
Notes/Special Conditions ill( p-ud�5 61 7/ /Zo b /° a`, S , it, 7 ' P a'( io Li l et�oil r
Qfy! •
;;A VI 7 HD ,\. S !`ter►vl L-
Agent or Applicant Printed Name Pe r7!� Officer's Pri ame
Signature *Please read compliance statement on back of permit** Signature
VDU-CV 9-533 12/18/2bz ) ' 'V zJ
Application Fee(s) Check# Issuing Dat txpiration 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 910-796-7215
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

AGENT AUTHORIZATION FOR CANA PERMIT APPLICATION
Name of Pro Owner Requesting Rermit:
MinM : 711473 EcLIAEowl---TEA„
//9-veaviiire 4F.34
Phone Nurnber. 9/0 . 9,/ Jill
Erna dress: A.17,,diAppite p„zpujivuow (4919
I certify that Ihave authorized a54/2,S7rfUl4.77D17
Agent"Contract:sr
to,act on rny behalf,for the purpose of applying-for and obtaining all CANA permits
necessary for the following proposed development:
bezit' /?6-PAzia-- zetvia,
at my property located at 249 D 467kree?‘c Aor-1) S.
County.
Tfurithennois Jost*that jar:authotized o-grant,and do In %award perinon to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands it connection with evaluating infomration felated to this
permit applicattorri.
Owner informaton:
.9-
Signature
Printer Type Mame
I I
Date
This cerfiffcation is valid through I

%...r-• ;.:, • ! ;;•
ADJACENT RIPARIAWPROPEkTY OWNEFt8-TATENNENT \ I ';-
, .
•sii Illereby,certify,th4!town probertyi,adjacentio li i i i s.,..-- iii,ii,, :- - 1 o .P*;iiu.ir7 ; • 1 ' A
(Name of Property Owner)
'
-; PrPPO17.01k)clitotti at 70" Ofee41-4010 61:. • • ,., 2
.. . • . . • .
Cele ) ; . •• •...(Addreso,Los,11100kAgoat4ZO.- -to
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. in 1/0 IP pt.'
•- .,VNtitelb0-0)-• ICity/TOWnandforCo.unty).: • ; :
The applicani has;,(lesotibedlo ni‘e*-shown below, the development proposed at the!above: . • 1 i ii:
-..1.1odaty.
thaveno:objeCtionlaihisproposal. ; •
: - t-have objections tothis,propoiaL
; - 'DESCRIOTKINAND/OltilitAVVING-:OF PROPOSEMDEVEWPIVIENT- ;
(Intilliklualpropoiing development must tiff*,descrlOilen below or attach a Site drawing), . • if
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I.understand:that a pier, Oack..mgoring:pilings,ibbet_.r.amp,....reakwater,:b±lattipp$0,; lift,.orgroinr -: , ,,•
must tweet back a:minimum distance of 1 ',front,my area of rip,ariartaCCestc-unlessswaiveci by
me.(If you. tOvia...lve-the,Eietbacis you must initial-the.approgriate'biankflzelOwl; -.' • •
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i.do wish to waive the 15'setback requirement. 1 i
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litiomoic*PA Ao-vralVe-ihel-V-Setbatkiequirernerit.
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(Property Owner information) - • . - :(A4jacent,ei,..oparty:-Ovinerinformation)
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, - ADJACENT R1PARIANIPROPERTY:OWNER:STATEMENT :
. .
I.herebycertify that i,own,property adjacant;ta. 'ihiflc 60etZ-t Jarath?ki 110weift5 :
,
(Name of Property Owner)
property located at ?Oa alfea*.boto. 9-
. -: •(Address,Lot,.1319ck ;..aad,q;ta.) pc3 _ r. •
i-,i,1 awl in -41,1404 / -€ 1‘r: . 0, 0' : -44/06/ONe.
IIIVaterbody) (CI y/Town and/or County)
Tile Applicant.has;described:to-me, as shown below, the:development proposed at the above'
latiy .
lhavemo.objettion to this proposal.
, . .
( have;Objections to this proposal. 1 ,,
DESCRIPTION,AND/OR DRAWING OF PROPOSED DEVELOPMENT
.. .- .,-'Individual proposing development must in description:below or attach a;Itisti,drowine
.
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i;-understand that a pier, dock, mooring pilings,:boat ramp; breakwater,boathouse, lift,or groin
:„.must be set back a minirnOM.distanpapf 1,4rfrarn.my area of,riparian access unless waived by
"rile IV : u wish to WalVethe;;;;,setbiak YociM4st initial:*:?PPropriata:alankbeiow4
Ado wish Ifxwaive the 15.-sethack;:requirement.
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I-do not wish to waive the t5' etbebk requirement.
(Property Owner Information) (Adjacent Property Owner information)'
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Chock
Date Received Oct.Deposited Check From(Name) Nam o1 Permit Holder Vendor 11/ amount Permit Number/Comments _ Receipt or Rehmd/Realloeahrd
Cokrmnl Columns Coumn3 Cokrmn4 Column6 Column6 Colcmn7 Column!, Column?12/30/2020 Overbeck Marine Const./Daniel Shirley Bill Edwards SunTrust 5387 $ 20000 GPi77589D 'KE rct.13859
12/30/2020 F and S Marine Contractors.Inc Julie Smith PNC 8955 $ 200.00 GP 977575D KE rd.13655 __
12/30/2020 F and S Marine Contractors Inc. Franz Hueber PNC Bank 8954 $ 200.00 GP 9775080 KE rotrct.13639
13658
12/30/2020 B and B Marine Construction Town of 093 Wells Fargo 1544 $ 400.00•GP 86D „_ BE _
12/30/2020 AMW Docks and Marine Construction LLC Patrick Lomansney B88T _ _ 6074.$ 200.00_ 9775_GP#18580D BB rot.13638
12/30/2020 Lighthouse Marine Construction Robby and Lynn Spain Coastal Bank and Trust 3555 $ 600.00 GP 973592D_ _ JD rct.12382 __
12/30/2020 RobertC Orr Robin Orr Bank of America __ 6775.$ 200.00 GP973591D _ JDrd.12381 _
12/302020 jt5 Construction,LLC Jonathan Warren BBBT 2533 $ 200.00'GP#776320 _ ___ ._Ben rot.12472
12/30/2020 B and B Manne Construction Kerry and Rachel Vachon Wells Fargo 1541 r$. 400.00'GP 177653D Ben rot.12473 _
12/30/2020 ncwrc same Electronic Payment 128354 $ 200.00 GP#77579D none-taken by Patrick Amino _
12/30/2020 Della Dock and Boatlift Michael Ellington FCB 9021 $ 200.00 GP R77521D JD rd.11743