77732D - Dail

eeCAMA / DREDGE & FILL N . 77732 A B C
GENERAL PERMIT Previous permit#
:New Modification Complete Reissue Partial Reissue Date previous permit issued
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 15A NCAC 67 I. , V. e)
\( �/ �Rulelattached.
Applicant Name (7t"�jnlrAA.ci r)al i' Project Location: County / CW-
Address •--' r V � `T/T Street Address/State Road/Lot#(s)
City fi_,c v I 1),Z I State ZIP 2X A-1 i'G /krid,144 77t,'
Phone # (7/0) n -- _mitil I Subdivision f�
Authorized Agent k.: ( ( �1 1 City i d f c7Gt /"' �� ZIP 4/44 5
Affected ❑Cw ' )
EW PTA ❑ES ❑PTS Phone # ( ) - _ .__- River Basin it)• v ,
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj. Wtr. Body 41,401k c G A 114-4-€ nat /man /unkn)
❑ PWS: la e ll/i'L(�
ORW: yes /�io) PNA yes / Closest Maj.Wtr. Body r`
f � / , !
Type of Project/Activity { ' .7 l..i y `sL i `-' �(�.�K G( >✓-1
.0 (Scale: (�L ( / )
Pier(dock)length ��
f ' I �/'�i i
Fixed Platform(s) 1.1- tD I
Floating Platform(s) 1 i
Finger pier(s) i , 1 — —
A
i d)
Groin length
)e-t-ei '''
i I I
number - - Y--------
r�z
Bulkhead/Riprap length i i — !t `'` l
avg distance offshore * ] ,
— i i-,
max distance offshore _ i f
Basin,channel - - -- _ I I
cubic yards —', nn
Boat ramp
I
BoathouBoatli t7 x (�__ ___ _ _ _.-___— _..__.�� ._..�.1......___.i..' .._. __...._._.__. __.._.._�..._.._.._ __
_� .T \ ._ —
T
Beach Build ing (- L . • ,
Other {
- I i k.:1 ,:,-.... ituniumm ,, A/
Shoreline Length 1✓� '� '\ I
� I
SAV: not sure yes *L....g..1!:
, t ____ L 'fr
Moratorium: n/a yesI
Photos: ,l lfo — —Waiver Attached: es. � - - 1 - -- -
A building permit may be required by: ---1 i-' 4PelL / ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
/ 4„ /4-4PAA12 , A ' bkA---------
Agent or plicant Printed Name ermit icer's Printed Name
Signature **Please read compliance statement on back of permit** Sign
70 0 ` —' I-- 13— ZI ` / 3 - z/
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

411„\ACAMA/ DREDGE & FILL N9 77732 A B C n
t ENERAL PERMIT Previous permit#
>�. f 1 ew Modification Complete Reissue -Partial Reissue Date previous permit issued X
As auth•ri ed 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 O7.. I
I • 12&
Rule attached.
Applicant Name_ ��� /�'__ ' _ _- -.12)&( I Project Location: County 4-0 C-
Address ' JO
'1 c_ _ Street Address/State oad/Lot+#(s)
-1\6A/t LIZ 1tate�� 2d S ZIP -JA ` �"�(L__ -i—t��/P L Z2z-
PhoneCity C '#fr/Q_) 1 0_7U/_ _ it Subdivision _
c ,
Authorized Agent OA_ 6-_( g'rl'I-E%' City_ ��/a fill ZIP Zi -it-
O CW ]EW i P A ES PTS Phone# ( _ ) River Basin L
Affected DOEA i HHF / IN UBA 1 N/A L - `U
AEC(s): Adj.Wtr. Body_ ti t man /unkn)
❑PWS: Closest Maj.Wtr. Body /Al TALC
ORW: yes /) PNA yes / ._ --
s Type of Project/Activity ti Q., 1( f� .--.' (d- -yf u
(Scale: 1 t r�1 r )
Pier(dock)length f I
TT
Fixed Platform(s) �� l, tO N
Floating Platform�s - -, - 1 ?2 7J p- /��r
(-461/4141Jel- ,
Finger pier(s) 2(i'_ �& . DI �'I" I o
41
Groin length '/ lt -/(-(,//�
number 1 e I� I_ _
Bulkhead/Riprap length I`.W
i/avg distance offshore -_,..-- 1�
. /
max distance offshore 4
Basin.channel -__
cubic yards
Boat ramp____ / feloo�-e4 (q lq i
Boathou Boatf . 10 •
1
Beach Bul ing
Other •
V i
--"- -\-- \
Shoreline Length--1 O
SAV: not sure yes � t -t't
Moratorium: n/a yes n bfq/L"'" ex.I (( figu-
Photos: yes _,/�� . + V �1l` N YI N
Waiver Attached: a 111:7`�' 1✓ �KnL I
A building permit may be required by: ---\-0 ' j LA_, . See note on back regaNa R siMules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
JAN2I
D M Wll MlNrrflu 1:c
n or t inted Name orgef Kees Print d Name
- -
- ,42'6,k- ---.,.,
'gnat a **Please read compliance statement on back of permit** Sign. e
7-0 0 En- 1 I— ) 3 - r-1-( ‘-3-- / 3 -- —1.1
Application Fee(s) Check# Issuing Date Expiration Date

RECEIVED
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v. AUG 19 2020
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•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Z--- -r _jitlA AL
Mailing Address: 7' L /U.C. iltf 24 CFAs r
K7,04,-)Ji/J."-V-Ct fi - Z y-?c(57
Phone Number: Y/0 - 2S0 ' a307
Email Address:
I certify that I have authorized (i...., 4�Q�-aG- /�- c,„- L��f'a�G�.-b,,,
AgeAgent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 166 Jt 4 +,Jc IK- 0/=Pij-fl f"
12G PO GCMC:N r-, />�,r ti l'r JGL PCi'( (`^0-'
at m property located at 2(Z2—..<140/t-CC.i JL. /Lr,PS/zLdei9af /JC ,
in = : /Z- County.
1 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:
d.-,/04A--%6"
(�
Signature
C.�t s4A B14 L
Print or Type Name
04.)i-)Ca-
Title
I / c I ZcaZ
Date RECEIVED
JAN 11 2021
This certification is valid through / f I i5' / 22 /
DCM WILMINGTON, NC

CERTIFIED MAIL • RETURN RECEIPT REQUESTED •
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
1 Name of Property Owner: • •
• ,
Address of Property: - :• • " ,
(Lot or Street fA, Street or Road, City&County)
• , ,
Agent's Name#: Mailing Address:
Agent's phone#:
•
I hereby,tertify.that I,own Property.,'adjacer# to the,.abOye referenced property..The individual
applying for this permit has described to me as shown on the attached drawing the development
- they-are proposing:A-describtiOn or drawing:with dirbensions,mustbe.provided_with this letter._ _
. -
I have no objections to this proposal. I have objections to this proposal.
•
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice Correspondence should be mailed 0127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can;also be contacted at(9,10) 705-7215,No response is • ,
considered the same as no Objection if yob have been notified by Certified Mail:
, .
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)
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)
Signature Signature
Print or Type Name Print or Type Name
Mailing Address Mailing Address
City/State/Zip City/State/Zip
Telephone Number Telephone Number
, -
Date Date
Revised 6/18/2012

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: JAB I. A-iL
Address of Property: Zi2 -54are r-J .(L 1 f P 4 L &�l, A.)e.- , C� 2
(Lot or Street#, Street or Road, City&County)ot
Agent's Name#: CC /.�2,.4` Mailing Address: 401 Q2VilC $ 4LP
Agent's phone#: 9/0- c7s 7i 'D 54 - &4e//jC Zk/(/
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
iI have no objections to this proposal. _ I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail.
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.) RECEIVED
*Wk-A/ I
do wish to waive the 15' setback requirement. JAN 1 1 2021
I do not wish to waive the 15' setback requirement.
DCM WILMiNGTON, NC
(Property Owner Information) (Adjacent Property Owner Information)
ild-we:,&d, 'cA ' C
Signature Signature
PrintIAL
yP or T e Name , `Print or Type Name
43 ,J L /hi/ 2 �,a 5-re '--k t 0 9- Po-1 CAL Or-,
g
Mailin Address Mailing Address
lec',04,..,f✓ ( pc. Z?mc) (Jarham NC ,1 '1O11
City/State/Zip City/State/Zip
Y/i2- ZSo• o3a7 iia - ;.2S - ?ci '&o
Telephone Number Telephone Number
a/1)�id Lv / t /
- - — --
ad
Date Date
Revised 6/18/2012

1/6/2021 Untitled Page
Untitled Page Munis Self Service
Real Estate
Owner Information
Customer ID 400917081
Name MCLEOD FAMILY LLC ET AL
Name 2 MCCULLEN, KATHEY RENEE
Address 6513 WAKEFALLS DR
City State Zip WAKE FOREST, NC 27587
Request Change of Address
©2021 Tyler Technologies,Inc.
RECEWED
JAN 11 2021
DCM WILMINGTON, NC
https://mss.pendercountync.gov/MSS/citizens/RealEstate/OwnerInformation.aspx 1/1

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: INl,JA20 `�,Q-,-L
Address of Property: 21 Z 2. a fi _)g- ! /40/9.c.4i2- acrc# lc_, Pe",--10 62
(L/oott oar Street#, Street or Road, City&County)
Agent's Name#: /-JLL �e7�'G,.1Lr Mailing Address: (40) 82T066/Lf/✓s-
Agent's phone#: 'i'/'-.f' F3 '0 MP�iq-s-Z. / Gll, c ZYW sr
1
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing.A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail.
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 e the setback, you must initial the appropriate blank below.)
a: ; .j 41- I do wish to waive the 15'setback requirement.
RECEIVED
I do not wish to waive the 15' setback requirement.
JAN 11 2021
(Props caner Id ation) (A'� ent Pre perry Owner Information) 'ILMINGTON NC
W
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Signature Signat�
C.-t)A/L7 UA- L-
Print or Type Name
J Print or Type Name (�
�� A) X,/ 2 1 CA-51-- Zro 7 �A..,>ca-s D.) 'J(2
Mailing Address Mailing Address
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ity/State/Zip City/State/Zip
S/P - tic, - a3v7 cis - yO3 - 2.4/4 z
Telephone Number Telephone Number
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Date Date
Revised 6/18/2012

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Check
Deb Received Deb Deposited Check From(Name) Name of Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated
Column', Column: Column3 Column! Column6 Column!' Cohenn7 Cohrmn8 Column0
1/202021 Coleman Building Company LLC Wade Coleman First Bank 3122 E 26D.00 GP M77725D BB rct 13503
1/20/2021 HS Constructon.LLC B,�ron Walsh BOOT 2535 E 200.00 GP p77747D BB rct 13648 __ _
1202021 RG Manna Contr,otina/Rnnnie George Robert Hag Jr Bank of America 1061 $ 200.00 GP a77714D BB rct.13647
1/20/2021 Paul R Wachsmuth ,same BOOT 1237 5 200.00,GP 0777240 BB rct 13650 _
1/20/2021 Brandon Grimes Money Order Carpenter Rentals LLC Wells Fargo Bank 19-088347323 5 400.00 GP 07755513 88 rct.13649
120/2021 IBrandon Gr mes Money Order Town of 0IB Wells Faroo Bank 19-0.8.8347324 E 400.00 OP 877722D 88 rot.13502
1202021 Jill and James Kenlev same State EmolovaesCU _ 7788� 200.00 OP t777i2O BB rct.13843
1/20/2021 Clements Marine Construction Odd Gunther FCB 5635 $ 400.00 GP1/7749D KE rat.13864
1202021 Lighthouse Manne Constructon Celmar Pollen Coastal Bank and Tent _ i 3677 $ 800.00 GP077735D _.- JD rot_13804
1/202021 Vance Morgan III Money Order Jack Morgan BOKF NA 20983003434 $ 200 00 GP/775380 Tmac rat 13676
1202021 McPherson Marine Services.LLC James Banks FCB 3087 $ 200 00 GP 47762813 J_mac rot 13577
1202021 McPherson Marine Services.LLC Jacob Sulovski FCB _ 3868 E 400 00 GP 1778270 Tmac rrt 19578
1/202021 Moose Construction Edward Dart BOOT --- - 1771 $ 200 00 OP/777320 JD rci 11750 -
1202021. Bane Sniff Money Order Douglas Gay Wells Faro)Bank 5918722E60 E 200.00 OP 1777330 ,JD rct 13602
_ 1202021: Aaron Burleson Money Order same PNC Bank 770189.5,.. 200.00 OP 1777310 JD rat.13801
1/20/2021 Marilyn F Day Brian Day 0,7000s Bank and Trust 4424 $ 200.00 GP 1777400 88 rat.13648
1/20/2021 Jam Ennett Jason Dixon Coastal Bank and Trost 36081 S 20000 OP 177734D IJO rat 13603
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