77576D - Caudle

CAMA / DREDGE & FILL No. 77576 A B C C
GENERAL PERMIT Previous permit # 'iL' V'1
)G New Modification ❑Complete Reissue Partial Reissue Date previous permit issued `I /) -I j?o I(o
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC • c -COD .
❑Rules attached.
Applicant Name G 1 4- Z C au d Project Location: County )i(t,v H DV e v
Address i-01yn+ FtG u Street Address/State Road/Lot#(s) SA V\ E-
City .ivi.Cj -ISV1\1f. State ZIP GfC40
Phone#(1 i(7 ) 2S LI- 3O i`j E-Mail Subdivision _
Authorized Agent jiAiw,�j i\\0 v A lin City ZIP
Affected ❑CW IIEW V(PTA fES ❑PTS Phone # ( _�) `1 1 River Basin Jni- e Oda0C
AEC(s): C]OEA ❑HHF ❑IH ElUBA ❑WA /�Adj.Wtr. Body�'104k S C y lG 0 0 c I, /man /unkn)
❑ PWS: •
ORW: yes I no PNA yes / no Closest Maj.Wtr. Body 6 ',,) 5 C ha vi h-L Type of Project/Activity '0 P P I Gt UL -F .Q \K 1 +0_9 J r 1 '� I i^ SG 1 �/iti l
-� (Scale: ` 1 -3v )
Pier(dock)length 3 S
Fixed Platforms) I V X l to i I C11 i ' wA 01 S 6 ( n,A j r 1 - k4i _1 1 1� "�Ir`'`� `4 Ir
Floating Platform(s) ¶ 'X I LP j .,ie `t~
Finger pier(s) _ ' 1
i
Groin length
number �_ E.. .i.._. d .. __\rktil _._ ___rt. _
Bulkhead/Riprap length, I V j �'�J
`� i I
avg distance offshore t 1 © $ 9)1 `V', , I
+ / I
max distance offshore 4 I + �. ' `
Basin,channel i j — f I
1
it M i
cubic yards - , 1,
Boat ramp i j ,—l� $ ((Q
Boathouse/Boatlift 1 / l
Beach Bulldozing — I I U1 r 'S , j
Other I ' ' I 1 j
I !
j ! j 1 1
j
-2.Y.1 CAN v} , I
Shoreline Length r
i
SAV: not sure yes o i ----1 QH F1au.© '3'Pa Blau. a1, 'J- _.
Moratorium: n/a yes Pi, , ,�
Photos: yes ._S jiQ S ��r!} PLUC tLl< S —_...
Waiver Attached: ye� no 1 ; £ U ID(...E
A building permit may be required by: i 0011" a wl(I JVt t S V l I+€ atiA c-1'1. P See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions i,� \v C. I j S- fr e I C L_C 1-Ce C�tirc ' {U LP S a`o r L '
v_c(icvi teu E. Ik
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
aOv ° d•3loUlL.r la210i 0 31301. .1
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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DEC 18 2020 lej
RECEIVED
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DEC 18 2020
DCM WILMINGTON, NC
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: f 1 T'Z CA UD L. fr.-
-Mailing Address: c tO tN rL—
WR) 6WTSV1LLF I E4CH,.NC 2 VIP
Phone Number: ?/ O ' 2 5-6 -- Of 7
Email Address: D1 •
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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: 1C( /.) /a
' I
3
at my property located at 5' Po 1 r I°L f 2 S'l$O
in /PSG {/ 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 Owner Information:
Signature
Fir2 CI L1DLE
Print or Type Name
Q wit/E,f
Title
( 2 1 1b / 20
Date
RECEIVED,
This certification is valid through I
DEC 182020
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t- urn t s
Pc9,-;1 (Name of Proprty Owner)
property located at Or (-, )
(Address, Lot, Block, Road, etc.)
on. IJG•.)Ls C , in I, )(,; G,`15 �: 114 enc L, , N.C.
(Waterbody) (City/Town and/or County)
The app ant 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)
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.)
tb
V 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)
,�� DD
Signat e Signatur -
-� "-I'll� "-Dat4 i- ct Re-- i ; lip s
Print or Type Name 9 Prin pe Name
4 3 /`l 634 c V is �I: de 40 a i n+
MailingAddres Ma Address
/,1-1, S<to--- Iv.C .3 ki 4+6 J lk:kie a cJ• Iv
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City/State/Zip Ci / e/Zip
9/O -23 /- O.S/`/ &ia 02.E
Telephone Number Telep one umber RECEIVED
o ! // to
Date Date DEC 1 S
(Revised 6/18/2012)
DCM WILMINGTON, iVC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /-- <:. ` :7
) (Name of Property Owner)
property located at . ~`c r.. ''j 12> •
(Address, Lot, Block, Road, etc.)
on. ✓i ,J tt:•s .E.;. in 3. /I. J N.C.
•
(Waterbody) (City/Town and/or County)
•
•
he 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)
•
•
•
•
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
e setbac<, you must initial the appropriate blank below.) •
•
•
e' I do wish to waive the 15' setback requirement. •
•
I do not wish to waive the 15' setback requirement.
•
(Property Dwner Information) (Adjacent P Owner I fo�!•.•)
% ! ,ff I
Signature ,r_ Signatu •
�. w
Print or Type Name Pr' V
t ype N (/� �,p
{ /`- t_„),• }<' rA . :`r`. t: , r Dj r , Pin S
Mailing Address _ l�lain i dd es
j ¢.:-�., J.�,.3r f,a.1.i't•� f l�.,�`,� � ti `f, :., `.
City/State/Z o City/State ip
r f goo
Telephone Number / Telephone
umbe0
1,2 £r ;s. 1I� RECEIVED
Date
Date
(Revised 6/18/2012) DEC 1 8 2020
DCM WILMINGTON, NC

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DEC 18 2020
DCM WILMINGTON, NC
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Chock
Deb Received Date Deposited Cluck From((Name) Name or Permit Holder Vendor 111 amount Permit Number/Comments Receipt or Roland/Reallocated
Columnt Columnl Column3 Corumn4 Colomna Column. Column? Column. Column9
1/11/2021' _ William Theodore Smith Ill William Smith BB&T _ 994'S 400.00 GP 077641D _ Tmac rct.11620
1/11/2021 Vonda Gardner Tommy Herring Coastal Bank and Trust 1576 $ 200.00 GP 077701D Tmac rct.11619
1/11/2021 Coastal Marine Piers Bulkheads LLC Fitz Caudle Wells Fargo 23666 $ 200.00 GP 177578D KE rct.13661