73592D - Spain

-. CAMA / DREDGE & FILL No. 73592 A B C
• GENERAL PERMIT Previous permit #
New Modification Complete Reissue Partial Reissue Date previous permit issued ‘ .*Z\
As authorized by the State of North Carolina. Department of Environmental Quality r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC U) (4 . 1100 ' ' I '2 0 Co
❑Rules attached.
Applicant Name k VN! h AI r� Project Location: County 0 NS L_0
I
Address I 03 j D Venn ✓.2. - -? Street Address/State Road/Lot h #(s) /
City 6tIelS ,-a State/\ C ZIP 27C30 U�t �D S
Phone # d 1 1)9 z 0—
4'- 7S E-Mail Subdivi,n U
Authorized Agent 1)Ot v 'r W) I r n City ,ti'1�� (/i (/ ZIP Z 7 1 Cf c
Affected D CW W RTA ElWS Phone # ( `) '( _ River Basin w , 0 ,
AEC(s): ❑OEA ❑HHF ❑IH ❑USA ❑P/A Adj.Wtr. Body C A ✓`H �S OFs� , (nat
❑PWS. unkn)
ORW: yes kto J PNA yes CO
Closest Maj.Wtr. Body �U OnSo v v� 0
Type of Project/Activity v\54 CO\ C! 0(AC•, �,�" l�1 ILk
J (Scale: l r: � )
Pier(dock)length r p 3 �✓
Fixed Platform(s) 11 �ZQ{ i
Floating Platform(s j
Finger pier(s)
Groin length
�• i t�f
number ' " p ?.....
� i
ulkhead[Ripraplength j .
avg distance offshore I
.
max distance offshore
Basin,channel \ I
r
�}^1
cubic yards ` I 2(J 4" I�{� (a
Boat ramp I r j. H - "�
Boathouse/Boatlift A�1 /` 1.7j r' �, Zt,i� • 1 �+-�). di t
'W.
Beach Bulldozin I.
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Other f (iv- a V , -
Shoreline Length 1-t'-- GS ' ' . -----teall 4 —_
SAV: not sure yesf j '
Moratorium: n/a yes . tr.—f I , A- i l I AMIA44,
Photos: yes o +
I
Waiver Attached: yes �� Lpp' / �
A building permit may be required by: 1) ( `.- v�.--t V . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
-9(A Y V tV, c''r fk. ) 's6)Y1 .11\(1
Agent or Applicant Printed Name PermitOfficer';Printed Name
?() I, .„, "r.- \\ ( r\. \\/\
Signature **Please read compliance statement on back of permit** Signat
(,6> .- 5 5 l z . 1 Z- ' 4 if, . z Z .ZI
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(9 I 0-796-7215)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.ncden r.org/web/cm/dcm-home
Revised 7/06/17

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AGENT AUTHORIZATION FOR CA'' 'A PERMIT APPLICATION
Name of Property Owner Requesting Permit: ?ôbh1 T Ljv1J s ',\l _
Mailing Address: / 0 3 Sohn _
&c) Ic/6boro \LC .
Phone Number: 91Q—
Email Address: 46110NAiC'obbTa ti ��0 �►C l,m
I certify that I have authorized �,� k4L fr _ 0 'I
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:_ pi i .L -
at my property located at U2.0'W C:olm
in County.
I 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 caner Inform 'on:
,L,1 S .4ture
Print or Type Name
Title
I /
Date
This certification is valid through / /

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I.hereby certifythat I own property adJacent to � ,/ (�
//- /sA �� 's
(Name of Property Owner) •
property located at . dD 4'' S/-.
• (Address, Lot, Block, Road, etc.)
on atAiy. G ti4/ , in SfiksfCei yy / ti4e. ..2S*4' , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
PAIL— 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) .
•
•
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.)
9/0- 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)
Ze.Z ' . ___.
•
afore Suture •
Print ocype Ne Print or Type Name
10 5c01-0(. b-e 42.re_ Y' GO 2 6 6-Pti 56z .
Mailing Address Mailing Address
l d__SYYYCO i N C C . a-'7S:O crvie=C,ver / ../L):, ‘,2yy.5 •
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Ci y/State/Zip City/State/Zip
q/g-g2n- &/VF.-Si viy- li —/
Telephone Number Telephone Number
/49A,1420-,10
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
. j114 `S rat
° • • l hereby certify that I own property adjacent to Den✓c/IM.(...11 irl 4,,,-;��-Gt 1CCP,���gg,,,..0„c Iv.14"!s i
(Name of Property Owrier)
property located at.. I'r051O _.:5 i dt S1, ,r,- C.t, k1 C;�4 445
(Address, Lot, BIo , Ro d, etc.)
on , in ,5uc' ct. A/c. i "N s , N.C.
, (Waterbody) . (City . own and/or County)
The applicant has described to me, as shown below,.the development proposed at the above location.
1 ,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) •
•
•
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.) •
Pyi---- I'do wish to waive.the 15' setback requirement. 0
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
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gnature . Signature. 11—y nn 'S c n 6 qw-r Zc. /iw't/act eAt4 M/(myc.ouch
tint or pe Name Print or Ty e Wire 'In. U
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Mailing Address Mailing A dress
rr�1 ci$,bvrO . f Q ��.5.3(] alt ric. 1-Vy ti4•
City/State/Zip City/State/Zip
q1v— riolv fU
. Telephone Number Telephone Number.
Date ]oI11Z6Lo
Date
(Revised 6/18/2012)

Check
Date Received Date Deposited Chock From(Nan.) Name of P.nnit Holder Vendor 11/ amount Permit Numaet/Comments Receipt or Refund/Reallocated
Columnl Cokonn2 Column.? Columml Cotnmn5 Column6 Column? Columns Column!?
__ 12/30/2020. _ Oyerbeck Marine ConsLIDaniel Shiley 'Bill Edwards Sunlrust ' 5387 $ 200.00 GP#77589D KE rct.13659
12/30/2020 F and S Marine Contractors,Inc. Julie Smith PNC 8955 $ 200.00 GP#77575D KE rot 13655
—1. s..--_ Hueber....... .. ....._—
12I30/2020' ,F and S Marine Contractors Inc. Franz Hueber PNC Bank 8954 $ 200.00 GP f77508D KE rct.13658
12/30/2020 8 and B Manne Construction Town of OIB Wells Fargo _ 1544 $_ 400.00 GP#77586D BB rct 13639
12/30/2020 _ AMW Dodos and Manne Construction LLC Patrick Lomansney_ BEET 6074 $ 200.00.GP$077580D BB rot.13638
12/30/2020 _ _ 'Lighthouse Marine Construction Robby and Lynn Spain Coastal Bank and Trust 3555 $ 000.00 GP 4735920 JD rct.12382
12/3012020 _Robert C Orr Robin Orr Bank of America 67751$ 200.00 GP$73591D _ JD rot.12381
12/302020 .H5 Construction,LLC Jonathan Warren BB&T 2533 $ 200.00 GP l77632D Ben rcl.12472
12/30/2020 B and B Marine Construction- Kerry and Rachel Vachon Walla Fargo 1541'$ 400.00 IGP#77653D Ben rcl.12473
12/30/2020 ncwrc same Electronic Payment_ 128354 $ 200.00 flGP#77579D none-taken by Patrick Amico _
12/30/2020 Delta Dock and Boallift Michael Ellington FCB 9021 $ 200.00 GP#775210 JD rd.11743