77736D - Edmundson

er • LAMA / DREDGE & FILL N9 77736 A B C Dj
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 / ' `OD I oD
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC J I7 0 ,
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❑Rules attached.
Applicant Name f O f 2&16- c"(){M II N P50/0 Project Location: County fbliaerie •
Address l Dq'Z 11^ k LAltio /*If oft - Street Address/State Road/Lot# s)
City �5t� State Alt ZIP 11-4.�- 12- '144 4 ,a ///
Phone # ( -/D) b `35 ,/ E-Mail Subdivision � ✓� Y3
Authorized Agent /�/ City .�'/f -6 -f't. ZIP P /
Affected ❑CW •EW v PTA )10fS ❑PTS Phone # ( -j River Basin l,(✓ , 0 •
AEC(s): ❑OEA HHF ElIH ❑UBA ❑N/A Adj.Wtr. Body /it//I (�44/1/....- (nattif an nkn)
❑PWS:
ORW: yes / PNA yes no Closest Maj.Wtr. Body - A / WYv/TC��iAce. cNp
Type of Project/Activity /./bl 5 t ,/� i v G �� Ct71 • (47.410
-.2)/ (Scale: 1 (f. f )
Pier(dock)length ,mf� s ,• .
/ ' I
Fixed Platform
(s) x 1
FloatingPlatform(s) c')(ZS I
Finger pier(s) ! : i 1• i
_ i
Groin length I 1 ,, 4 '
*mo
T[•C
number , ft —• I I .._ ��
Bulkhead/Riprap gth t/� Li , t __— �f'��,�L( -
i / r
Tir
avg distance offshore i I �/�/
max distance offshore T.. I - i I I
Basin,channel I
Pri
cubic 1/119;..esit.;:
°lip" I
•_____pI :\l
Boat ramp.
Boathouse/Boatlift
- N 1Ir - iI � ,,�PA _ `
Beach Bulldozing a
I 11311 I , i
Other 4.1
Ililffir
.'i:4 ii =�.. .;i j�� 1D�( t=•!i��Y + ' --
y/ I
Shoreline Length "t (-'�DII , V ! i 1
SAV: not sure yes , /� 1
- •�,i — evil(vu DSorJ ■
Moratorium: nla yes j 1 ■
Photos: yes n _____.__
irkWaiver Attached: yes•.�ffo % 4 1 1 I I I i
A building permit may be required by: n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �i / • / 431.e / // J� f,�/ p�� /J Notes/Special Conditions I ; 4 fp/ $/ *( /4"'D -�`v`�"` %5 , -
M rnil'f' el- wh k400 . -- '4'i 7 b -4-91 o , -�-6....
jG p- o Sf e j -e d k�. irf {--)A G c -z •
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(111!)k^fli -- TV�1cant Printed Name Pe it ice s Printed Name
Signature 'i'"'Please read compliance statement on back of permit** e
Pa )74 • ) - o - 2i - - —21
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 (252-946-648 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
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 9I0-796-7215
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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i. ,AGENT AUTHORIZA'1 tON FOR CAMA PERMIS APPl1CAT1ON
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Re uesting'Permit a
Name.of Property,Qwner 4._ _ p� (�
'Melting Address: ` t/
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Phone Number' >. } r
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►asw►Q c e6u.tidtY. etwt • .f
Email Address z y
certify that I have;authorized Nls�lk
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to act on my behalf,for the purpose of applying far and obtatntng;all CAMA permits
necessary for the following,proposed development
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atom roe located at- �a�Z F '
Y P P rhl
in I; G County -
I:furtherinore certify that l am authorized fo grant,.and da,;in fact;grant permission fo', ' !,
1' Division of Coastal'-Management staff,`the;Lacat Permit Offcerand their agents to_enter. :
on the,aforementioned lands in:connection with evaluating information'related to:tF ii-
permit application; - - '
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Property Owner infor ation: '
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j. ignature -
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[266 bte ��,dtNunw.(�5
.. Print'or Type Name: '
Tile -
Date' •
This certificationis valid through . F -'_l:
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ADJ CE P' AN PRO ER .OWNE STATEMENT_ 1
• _i
- tier by cocuff thatl own properPrppetii edfac ent(o 'All,: Mq :s
1 Napp of Prope weer} 1
• , ` - e apertylocatedat I -..'i a,j a'tc - KM ;
.; .(Addrass"Lot,B1j�ori¢¢�Ro (tc;j ,1
on in laP . N C.
.(Waferboi(y) (Cl t ownandiarCountyp ,1
The applicant-has descnt ad io niei.akairmth below the'de retopntar t oroocted-a§he above bcstioii,
K _ f have dat#b ectwn to`/tit prappent
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f have objections to this proposal., C .
- D'DESCRIPTION ANDIOR RAWING OF PROPOSED DEVELOPMENT -
.a' •••(Indlvlduat proposing development mns fl/l in cie,serlptfott belox er'altaah a alto dratilnc)
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WAIVER SECTIOty
I uridersfand that a pie r,dock mooripg pufrt$s breakaaler;,boathouse;1It,or grow must be Set 4ackra •.
' nummum distance of 15Y'from my''area of riparian access:untess viafvrd'by me.i(Ifyou vfsfrld`\vaive • .
the etback;you muat Initial.'the apptopciate_blank below;); -
- .I cia wish toWaive the 1etb
5 sack requtreyt'ent.
.
Edo nouns a naive ine f5'setbac) regiliresnent
' (Property owrterinforinatlon): ,(Ad ant Property' or Information)' - -
' ip:owe ilgnrui^ - •
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN.PRrOPERTY OWNER NOTIFICATION/WAIVER` � ,� FORM
T� Jut��l E . Liz mtmsc `�
Name of PropertyOwner. ��,{ /,���,� �Q
Address of Property f 072 ii Vh�' � ��r t A4M0 0 q.;
(Lot or Street#,Street or Road,City&County)
Agent's Name#: Mailing Address:
Agent's phone#:
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•
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 pro osing.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 Mall.
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 o waiv the setback,you must initial the appropriate blank below.)
. .s
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
caner f at' ) (Adjac roperty Own In ormation)
.
nature gtralure
6 ;4- E414.04 1st, DA-1,0,1uu Print or Type Name Print or Type Nae •
W144.40 & ab N4f4 LifiwAlA p4D
Mailing Address I Mailing Address
gibmPs-VD zetikp) RePrvailtIA "734.(q)
City/State/Zip • City/State/Zip
•
gtcj ° Z2 Vz3-1 - 2&56.
Telephone Number Telephone Number
G '21) - Z°Z° •
Dale Date
Revised 6/18/2012

Liz
From: Robbie Edmundson <[e-mail]>
Sent: Friday, January 8, 2021 7:24 AM RECEIVE
To: [e-mail] R
Subject: Fwd: 1072 Mallard Bay Rd. Edmundson 2021
Attachments: dock docs_000627.pdf IAN 1 1
Yv ,
,v6i7k5 cY\
Sent from my iPhone -
Begin forwarded message: l
From: Robbie Edmundson<[e-mail]>
Date:January 6, 2021 at 5:12:24 PM EST
To:Jason Dail <[e-mail]>
Subject: 1072 Mallard Bay Rd. Edmundson
Jason
Hope all is well. We are ready to move forward with our dock.We are employing Ennett Marine
Construction to remove existing pole, and set new 30' poles.We will not be dredging at this time, as it is
not necessary to accomplish work. I will be installing the 10'x15' deck and ramp,also installing the rip
rap/fabric. Ennett is working down the road at Tyler Redinger's. Can I drop off the$400.00 ($200 for
Floater/deck and $200 for rip rap wall)or mail it in. I have included Susan Cains(1060 Mallard Bay
Rd.)paperwork and you have Danny Whaleys (1082 Mallard Bay Rd) paperwork.Thank you for your
assistance.
Robbie Edmundson
DAE Building
General Superintendent
910-899-3551
Sent from 'Pad
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• 'M DEiL 77736 - I yj%0G FL • BC r
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GENERAL PERMIT Prevlbus permit# ,
Y reilees erml issued
New `LIModlflcation i3Complete Reissue 'l_Partlal Reissue Date;p p.
6'
= c- As authorized hy.ttte,5tata cif North Cazolima,Depa14ttlentof Environmental Quaiky - l�•<1'jl, t ���_� r�'�p
and_the;Coastal Resources Commission.in:ariareaofenvi pt.tentalconcern,pursuantto ISA•NCAC- tt!fl
" DRutesattiched,
Applicant:Name I-ot)P/4 , fj w►✓/ tD5PiA- . Project Locations County' 1
Address__ l D 't 1 ="•-- . Street:Address/5tskte Road!Lot#s) i
.City State Pf, ZIP
Phone,#', —3W Maii
+�// r//fit �-5u6divisi IP 1 '_ ' -
ZIP ["
Authorized Agent' / � Gty :r i
0 cw-. PTA iel hi ;Phone# (�; River Basin ,�,U .0 't
Affected t
AEC; OOEA QHHF•,'DIN OUEiA IJNIA ,Adj.Wt Bod}€ + net nkn
• _- , . . `` Closest Mal Wft Body,'-- —r---t�: i
ORW-- yes/nl >, • PNA yes-. na }
type of ittroject!Activity. . ' �'f. ,�
1i , :
: n � Y . • rct (SCS18.� � ( • �..
Pie((dock)ten/gth' Tw i x { ! ( t 1 )
FntedP.faHotm(s) l -. I .r ii -.±4L. ^^r_Z^ t, t • -t Its ' r I } r
FloatingPladorrtr. ...� __ • rP- i , ' l .4 Yr --.-1;, `—�—' -J tC' ,
_ Firrger.P,ler{s) Il......,�5.{• j ' --- -'J - y` '�" r) ��� � ��
GrolrtSlettgth { i., t• t 1,2 + J `t t :/ • ti " ...-L, t-
`ntantwr i :1 -j t „ j' —�(-;'` ' , s .1' \ _ E
bulk tpraPt_ fi f•i^ tt y, I - l j ,2 b ®._j- q t_ --I.•�L I
aUgdlStance'offshore t t j € ( /lY , F t,1
• max dtstance offshore 4 1 1: / a.l •t ( i -f r y•
fiasio,channel. .i—r. i- ^' 4 �.4 .` ; 1_ 1 ( I I _. 1
t { r 4`. i t:_i k f .-� t-- , r ri I t-
-cable _ i 1 1 ' -,t, _ ,,, .C.1,4" 1 -.. 4 I } 1
• sF + i • ( t 4` 1 li �j b I k
Boat ram � ,+
Btiathous 8oadifc I -Tit t � { � + � 4 i , .,- 1_4_ - t
1. � ' "Beach:Bulldozing - G I{ "� i } w !
3kj ( _``` L • .1—.y
other- r - d ���,
t r v: a• I ��
eifna rr ▪: t I,
VShor Length t� �" t� r '`( i/� } I i t
� Gt ,�t��� t t( �
SAv: notwre • Yes : --4 :i' t .i ` G Is. ,- ii 'f 4 ► ..... , !. L t '
Moratorium:. ,n a ,yesi . . t L ,`• i t { r f- 11 { I o i l, _ .t
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Phdtos:. yes .n : ., ..4 ,- 1 t. ,±-,-- _(., t R-- s S , . .*--. {}--- --t--
WaNertAttache'd: /y� o _' s--�-:, t ... )" i;- 1 �...I t.._L_. I._ r i i_ t 4 { 1 -1
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A building permit may`be'required bjr _ l�Sae'note on back, in;Bluer tiasi{rrules.
regard g
Note Local Planning Jurisdiccfon) f a ` t
Nots/Spada!Confdi�tfpotts' j j• ,
t/t' ... 6 .WTI., i. °° . f'�'irAsLf-e 014`- =.�' 4� 6 ' /t•tctr
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z,gnatura re •co-il Mesta••----'. �f -' �] l
licatlonFees - - "Eheck# IssuingDate ', Expiration Date
APE O
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t

Check
Date Received Dae Deposited Check From(Name) Name of Permit Herder Vender 11/ amount Pamir Number/Commwrb R voeipt or Ra/und/ReMkrcated
Columnl Column2 Cakrmn2 ColumM Cokrmne Coamrre Colwell Columns Goldstone
125/2021' ---"- _1/282021,Elixabelh Edmunson Robbie Edmunson State Employees CU 5021 $ 400.00 GP#77736D JD rd.13605
1Q5/2021 1/26/2021 Holden Docks and Bulkheads Cathy Louden CresCom Bank _ 3650 $ 400.00 GP#777260 BE rd.13505
1/25/2021 1/26/2021 Allied Marine Contractors LLC Janet Friday FCB 9757 I 200.00 GP#77737D JD rct.13606
1252021 1/26/2021 Brandon Grimes Money Order Barry and Seena Gudelsky _ Wells Fargo Bank 419-088347337 $ 400.00 GP#77652D BB rct.13581
125/20211 1/26/2021 Brandon Grimes Money Order Kelly Coy _ Wells Fargo Bank +19-08834.7328 § 400.00 GP#71860D BB rct.13579
1/25/2021_ 126/2021;CLTMC,Inc. Paul Watson FCB 1156 $ 600.00'!GP#77539D Ben rct 12456 _
1/25/2021 1282021 Allied Marine Contractors LLC Barry Sheppard FCB 9737 $ 200.00 GP#74282D Tmac rct.13582
1/25/2021 1262021 Allied Marine Contractors LLC Paul Dobranski FCB _ 9738 $ 600.00.GP#77704D Tmac rot 13583
12512021 1282021 Jerry Ennett David Moore - Coastal Bank and Trust 3580 $ 200.00 rGP#775270 JD rct.13608
1252021 _1/26/2021 Rainwater Coastal Construction Herbert and Michelle Siner First Bank 358 $ 200.00 GP#718640 Tmac rd.13585
1/25/2021 1262021 Kevin Morse same 8B&T 2896 $ 200.00 GP#77841 0 PA rct.11579
125/2021 1/26/2021 Overbeck Marine Const./Daniel Shirley Came Fales Sunlrust 5388.$ 400.00 GP#76172D PA Clr .11580
1252021 1/26/2021 Phyllis Smith money order same BOKF.NA 20.944262475'$ 200.00 GP#77590D KE rd.13685 _
1125/2021 1/26/2021 Roger Davis Roger and Perry Davis .8B&T , 5446 $ 400.00 GP#764930 PA rd.11581
•