71860D - Coy

0 _ CAMA/(7 DREDGE & FILL No 71860 A BCD
ENERAL PERMIT Previous permit#
ram—" ew EModification 7Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality (5\--)
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
/. Rules attached.
Applicant Name \ t` Project Location: County (v_ ..
Address 30 u L.
1--(A"`^ �� Street Address/State Road/Lot# )
City Q of StateIR ZIP in b 0� (C1 (M \rJ 'Phone# ( ) ^'t,1
/E 'I Subdivision' C �
Authorized Agent //1,t/y(J - City( �k (I/IN-NJ ZIP
cw ❑EW ❑PTA DES ❑PTS Phone# ( __) River Basin - 144
Affected , OEA ❑HHF ❑IH ❑UBA ❑N/A /
AEC(s): Adj.Wtr. Body YL man /unkn)
PWS: j2t (
ORW: yes / no PNA yes / no II
� Closest Maj.Wtr. Body
Type of Project/Activity , y U 14)._A /L4i l�/ i u i j1e,i i.l(, 1 (�A(Y�1 V �.{�� 1
•V u�n U\L t �1/Li' /1J1(__ V (Scale: 441-S )
Pier(dock)length
Fixed Platform(s)_
Floating Platform(s)
Y\C" ti
Finger pier(s) _AAlt' n�
Groin length Nkt kk-
(� ,
i number
Bulkhead/Riprap len mg-
avg distance offshore MEft +
max distance offshore ro
Basin,channel /
cubic s .
Boat ramp i -1 '
J
Boathous Boatlift ,^ r
.—
Beach Bulldozing • . 1)' '' ' ) 11
Other jeirk V
Shoreline Length 1lJ 1
SAV: not sure yesk V.,
Moratorium: nia yes ( L
Photos: yes I`. 1
Waiver Attached: yes — -M-.
A building permit may be required by: ( V\ Q (UV I bh.- E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1
Notes/Special Conditions `. ti (7 '0 C•i(X 64 ( -V N 60
hi
iv J 1 `fi]JI,V tA ti
Agent or Appll.- 1r ed e PermitOfficer s Printed N e
\6/1
Si ature **Please read compliance statement on back of pe it'".,', Si na u~rrri i ._
il 44 ft) 16Q \GI-0 e . . 1?) k I 1 p I '—)/1 14-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(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 252-946-648 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

VCAMA/ l DREDGE&FILL 91VT() 7 860
A B C l
ENERAL PERMIT Previous permit#ew ❑Modification ❑Complete Reissue OPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality 1 ►-} • �rN
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC ��, 111 l ( •
L1Rules attached.
• Applicant Name D'.1 Project Location: County_ '/ bL,f40 VC -
---
Address fl L LK, `, Street Address/StateSt Road/Lot#() _
City-___IiV L Statel _ZIP b�9- LoL L�1 V\} YYnn
Phone#�l'.) 93 I Subdi •sion_
Authorised Agent t� 1714),.. Gty j,1L__L.af Y ZIP _ I7
r ❑CW ❑EW ❑PTA ❑ES OPTS Phone# (_) River Basin_ _
Affected J EA 0 HHF 0 1H 0 UBA ❑N/AAEC(s): Adj.Wtr.Body �� L L
man ukn
❑PW d
Closest Maj.Wtr.Body yes/ PNA ye /
Type of Project/Activity
L`v W4.A 1) ,I 111� .. (Scale: N )
Pier(dock)length
I ; 1_1:___ _L }.._ I . 1 i ' i{ i ' I -- -
Fixed Piatferm(s) i I 1 _ _i_ ,I_L_. — i- ' �(__I i__1 _.- -_._1____—
m .�
• Floating Platform(s) I i .1 J ' �_t_—V f�!'1 r .- — i —4--—-i-..r ` --}—._
5! ' t
_d— --�j` �- I i i- -1i-1, L _.I._ — i_ -i • [--t ( -' --- , ,--
,
( 1 '— IS '—• , ' I—
,",...".. 1. I ___:,-1—__ iCPO,
Bulkhea _1--_i- - i--.�1_..-.-t._-� • :-I ;• - r' _I i f—
avg distance of ore ' ' - Li_ _I_ . 1 i i I '_ I i I . __ 7 • U I
!J i I 177 1 ; 1—� 1 I 1 I '''
max distance ((shore i I '�i
Basin,channel 1 I i ' - i I I I '�i 1 I _i — 1_, —
1- 1f r
cubic ds I t i _ ( 1 —.�1 —_. 1 '1--1-
Beatramp ` i t 1 19-4--r , 11 I ' ) i i-'I I .1 1 . L\., I I I ``l i I -
Boathous Boadift 1 i 1 j ! j I l_ 1-- I -- _',____; I,_t 1!_L_
i 1 II ` 1 l i_ _1 I I 1 i . I
Beat Ildozin I I I �-1_� _i JI ' —r ' — ' I ! F ' 'I-
Oche /�i �� I :, r— ! �� � -
_� X x46 "l 1 7 -�I" ' _ 1 t,1 ( I VD I c&..7Y/DT ' i 6Ye� :I 1 �1 il
__�_ftY:_I._i - _ 1 �-,--i 1_6 Il
Shoreline Length JD I---- i. i I.� I .�I---:j -i j 1 i 1 I jt ' . 1 , 1^ --
(� 1---_j 1 f 1 I I I l i
SAV: not sure YeT �pi-1——! I 1 I I_-_ l_ j s _ I _ _\ ; i
Moratorium: rtfa yes Cf7 'i. —I i �-i—— L.— _ __L_ j ' —I- I �':_�`JO�__i—:_i1
Photos: s •®—i . I I I .—i-1 , j ._I_— —� j--
Wa;verAttached: ;yes •, 1n (j\a.,a Nat
i 1 I I I I I i I I —I 1 i
A building permit may be required by: {U Y1i Y\ 04 Lt Mt Nat ` • ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction 1 1 ink
/�
Notes/Special Conditions • Ian pA L`�ANvJ
1
T JL9 `,c hvQ j (le. is , ^1i5
MA. f1Yf1�11(�q{�itv
e Permit 01ficerYFrinted-Nis e
u lease read compliance statement on back ofoermir" (] Signa urE
rilWV l°l-0rODh itI/tb Iss 10IDI /16-la)
Application Fee(s) Expiration

iO �T /
OVCAMA/) 1 DREDGE & FILL No 71860 A B C
ENERAL. PERMIT Previous permit#
>' ew *DModification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ON
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ulefs�attachhed..
Applicant Name l Project Location: County 4 ItUA,O /�
Address O 140v4 A! t4 "` c Street Address/State Road/Lot# )
_ t p �! (ran
/�
City . State ZIP fl Ti (V lt11 - �
Phone#V. ) s gl E ' it SubdiKision
Authorized AgentKi9 City Ly=( —LC �"r�i' ZIP (-PG-
Affected ❑cW ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin /^
AEC(s): XDEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body O L� o'�� ($a man /unkn)
❑ PWS: it J
ORW: yes / no PNA yes / Closest Maj.Wtr. Body
Type of Project/Activity , •
Y 4 +
(Scale: 1 )
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) _
Finger pier(s) r
Groin length �`�
number �
_.__.:_
Bulkhead/Riprap'env
avg distance of%hore �t ti
max distance•ffshore
Basin,channel �.
cubic y. ds 7 \l ✓ �� ., „. I
Boat ramp if , ,-: r '
� C
)). i _ P
Boathous_ Boatlift
j
._ i
Beac Ildozin `
Othe `'
f m x t Ii(---. i /} -r D km) ____ Dc2st i7
Tr_p,„1-
Shoreline Length'`7l%' 1
SAV: not sure yes 111111111.1 n. ��
Moratorium:° n/a yes I
s
Photos: yes n s: , I I,
Waiver Attached: .•yes no, ® /J� CI
permitmay requiredy , IY W\.Y\ t� 1 U L L.� . n See note on back regarding River Basin rules.
A building be b
(Note Local Planning Jurisdiction
Notes/Special Conditions -.( � '" ji) ,
Q I
�%.vl�YUI Y1/O
> -
ry I'� s5--I l 1
1
ent or Applic t ted e o Permi?Mx er's Printed Na e
Signature **Pleasereadcompliancestatementonbackofpermit-! Signa ur
il TO rn - 4i i 1�i DA , i
L
ApplicationFee(s) Check# Issui Date ExpirationID-1
ate

•
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
landowners). - -
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:
n 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 (252-946-648 I) 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 252-946-648 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
40I S. Griffin St. I27 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845 '
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: 9 I 0-395-3964 -
Fax: [phone] (Serves:Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, - Onslow-South of-New River Inlet- -
Dare,Gate ,Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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SANDBAG REMOVAL NOTICE
TO WHOM IT MAY CONCERN:
I, el-•Ly , give permission to
VflLIiE (t.NS1-1t-J,f-T-16(J to act as
my agent in my behalf in obtaining a CAMA General Permit to place
sandbags as a temporary erosion control structure in front of my
property at 4, 11 EST o c_ .
,
I2 e-&-t1 have read the
specifications in 15A NCAC 7H-0308(a)(2) and understand that the sand
bags may remain in place for up to years after the date of permit
approval. :I understand that I will be responsible for removing the
sandbags within 30 days after that date or at any time that they are
determined by DCM staff or its agent to be unnecessary due to
relocation or removal of the structure. I will also be responsible for
removing atki damaged sandbags during the period they are authorized
to be in plade.
I also understand that the removal of the sandbags shall not be
required if at the specified date for removal they are determined by
DCM staff io be covered by dunes with vegetation sufficient to be
considered stable and natural.
AUTHORItED SIGNATURE.
•
DATE:

•
y _ • G '' yr y .
.. /r TiON FOR LAMA� PUCA�!$ON - L, -
fcrty .Requestrng•Pen t _t
:.
. Maiiing:Mcress , vrTl a
,
;� �-
. - - .Phone.Ntim , ., = lz - -` .
'
s,. _
.
, , , Email 11ddress f'� L i.D ., " `/ DC.,Gi4ift - -- , - _ ,, , ..f ¢ 3 � ( xfftSTDv Erian` l l'certy2ati keu#honzed r* t
'
, 1 k i.,C
r i; • „ _ ,e
22
To act my ehatr for the purpose of applying-for and obtanmg'a-CC is '
" • Necessary for"the followindeve t:
9 proposed development
at my pro located.at '7 1�:1, :°�C S T. , 1 -z tl-C ,.I.
in u ssw 4t< , County , - ., .
1.furthe ore eifify thaf..l am}authoa•zed.to gram, and do-in, fact grant penmen to -
: • Division'of Coastal Managetnent-staff,.the Local Permit-Officer and their agents toenter -
on the aforementioned lands-.11t cornet QI!'with eva!/a 'information related'to fhis
pem�ft application. = . .- _ ,
7 Property! ` + Ormation: "
It
ratu
/ "EL
ant or Name . -
,
Y
r
. �. .
n ,` t 'om
Date
1 . This certificaf is valid through l 1

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to KQ, \U 'S
am of Property ner)
property located at l Q ] k Q � © r-,‘
f (Addres , Block,Road, ete.j
on 'p9-\Qy IC'� r , in c f k...:0 , N.C.
(Waterbody City own and County)
The 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, boat ramp, 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.)
I do wish to waive the 15'setback requirement.
�do not wish to waive the 15'setback requirement.
(Property Owner Information) face roperty Owner Information)
51�12Rtt�2 v f'hi__
Print or/Type Name t Typ m
N• iLi h_ Srd E r �1l
Mailing Address Mailing Address
T�,^.L` I-litL�r t L17iij7
City/State/Zip Ci /StfJe ip
:fli-2 r -4 S t f? R tt- 4 ts-i L C'i-13L .'. %1 Lf/O- ',f /
Telephone Number/email address Telepho a Num r/email address
1 CI
Date t D'jle
(Revised Aug.2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to \kIi1` L 's
(Name WI Property Owner)
property located at t.0—I 1 Ct 1 1)4 S-k f Q b cirm,
(Address, Lot, Block, Road, eta.)
on- F-��"� t. y in ?jc �, SL' ty) N.C.
City/Town and/or oun
The applica has described to me, as shown below, the development proposed at the above
loca • .
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, boat ramp, 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.)
I do wish to waive the 15'setback requirement
do not wish to waive the 15' sethack requirement.
(Property Owner Information) (Adjacent Property Owner Information)
t.
I4tLQ. /1)
Signal Signature*
c-c<</ (VI
Print op Type Name Pnnt or Type Name,
r N ; Sr,!tEI atal
Mailing Addres Mailing Address �!J
Te,= ' i4/4 0( l Mgr47R'67 r t+r+ Q ram- Q( o.4
City/State/Zip State/Zip
Sit )Y • 4+5l E' 1 .��y(.--�I t_ (',i L L:-e1 rty
Telephone Number/email address Telephone Number/email address
lal ,'II Oil 091
Date Dar *
(Revised Aug 2014)
'Valid for one calendar year after signature'

Date Received Date Deposited Chock From(Name) Name o1 Permit Holder VwrMw 11/ amtnett Permit Number/Comments Receipt or R.Iund/Reatbcated
Column) Column2 • Column3 Column) Columns Column. Column? Column. Column#
1/252021 1/26/2021 Elizabeth Edmunson Robbie Edmunson State Employees CU 5021 $ 400.00 GP*77738D _ JD rot 13605
1/25/2021 1/26/2021 Holden Docks and Bulkheads Cathy Louden CresCom Bank _ 3850 $ 400.00 GP#77726D BB rct.13505
1/25/2021 126/2021 Allied Manna Contractors LLC Janet Friday FCB 9757 $ _ 200.00 GP#777370 JD rct 13606
125/2021 1/26/2021 Brandon Gnmes Money Order Barry and Seena Gudelsky Wells Fargo Bank 19-088347337 $ 400.00 GP#776520 BB rct.13581
_1f25/2021 1/26/2021 Brandon Grimes Money Order �Kelly Coy Wells Fargo Bank 19-088347328 $ 400.00,GP#718600 I BB rot.13579
_1/25/2021 1/26/2021 CLTMC.Inc. Paul Watson FCB 1156.$ 600.00'GP#77539D Ben rt.12456 _ _
__ 1/25/2021_ 1l26/2021 Allied Manna Contractors LLC Barry Sheppard FCB 9737 S 200.00 GP#74282D Tmac rot.13582
1/25/2021 1/26/2021 Allied Marine Contractors LLC Paul Dobranski FCB 9738 $ 600.00 GP#77704D _ _ ,Tmac rct.13583
1/25/2021 1/26/2021 Jerry Ennett David Moore Coastal Bank and Trust - 3580 $ 200.00 GP#77527D JD rct.13608
1/25/2021 1/26/2021 Rainwater Coastal Construction Herbert and Michelle Siner First Bank 358 S 200.00 GP#71864D Tmac rcl 13585
1/25/2021 1/26/2021 Kevin Morse same BB&T 2696 $ 200.00 GP#77841D_ PA rct.11579
125/2021 1/262021 Overbeck Manna Const./Daniel Shirley Carrie Fales Suntrust 5388 S 400.00 GP#76172D PA rct.11580
125/2021 1/26/2021 Phyllis Smith money order same BOKF,NA -20944282475 $ 200.00 GP#77590D _ KE rct.13665
1252021 1l262021 Roger Davis Roger and Perry Davis B88T 5446 S 400.00 GP#78493D PA rct.11581
•
•