77774D - Wise

er,_]CAMA / DREDGE & FILL N 9 77774 A B C
GENERAL PERMIT Previous permit#
�� I❑New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 6� ,i- , 12-0 cj
CIRules attached.
Applicant Name -D CNN k \Ai \ Project Location: County Vc N h' E --
Addres `6 b.Ap 44114 A Yqh LV'kot'j Y1 LA Street Address/State Road/Lot#(s)
City I9S State Nc—ZIP 2X44-3 4 Sit"t e-
Phone#1°4 `\b4 ',5 _Mail Subdivision
Authorized Agent 7(ON N o,ZT n City ZIP n ,
Affected ❑CVO+ 11‘. A ❑ES ❑PTS Phone# ( ) River Basin `� V/()
AEC(s): ID HHF 0 IH ❑USA ❑N/A Adj.Wtr. Body I J Y< (t--- CiLti
iggpi an /unkn)
❑ PWS:
� Closest Maj.Wtr. Body To(S.4-i L. So v Al ID
ORW: yes no PNA_f 3 / no J
Type of Project/Activity 1/‘) Cj1 q, ! n I ti, i ti >
1 I /r r
r (Scale: --2.1) )
Pier(dock)length b k��- /
�� Y
Fixed Platform(s) (l j ! j i f i ,
r ;
Floating Platform(s) I
Fingerpier(s) ___.-_ ' t 5A.4..l...----- {��`✓`-,'�� -_._..i.-N! -_
Groin length ! .
number _ !_.._._. ..__�_._j..._.._.i.._... ._
Bulkhead/Riprap length _ _ ? { - __
E
avg ditance offshore I
max di nce offshore ! . I i i
1
Basin,channel { { t I
cubic yards 1
t { i
Boat ramp ! 1 1 I -,, ,+. �_. r! ATeigt
--
Boathouse/Boatlift , -- --- - } -; �--f._. __._.._._.
Beach Bulldozing
- 1r4.111.1
i1
Other i ' - ( \ 1 J► I 1
°_ • 41,4 1
-- /' ,...-i ,� i i
/ 1
Shoreline Length "t/ —'� ! is il
i ` 1 i
SAV: not sure yes ii►+ IIIIIIIII
I —_.
. . . ,
Moratorium: n/a yes '- ..._..._{ �_��_ —' .
Photos: yes � 1_
Waiver Attached: �S ...— • —i---
A building permit may be required by: Q'" [ ' +`1 I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
1I vvkv\iv \\ OICT 1{ ,(,,,,____-.- i)klit
T br Applicant Print Name icer's Printed Name
v
Signal "'"`'Please read compliance statement on back of permit""� Sig t e 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

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``� RECEIVE®
. ..... JAN 2.8 202i
DCM WILMINGTON, NC
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�° h A AUTHORIZATION'FOR-OAMA PERMIT APPLICATION '{ ,W M ,
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' Name of Prape Owner Requesting Permit. —„-- � -- r � {
dy 4 ¢i� a 4 .v# r t"tk
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Mailing Addr �� G • r
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Phone Number _.__ 12 a-;•,,,:,,,,,',_•''.":".„'• :,._ ,, ,,r.,.....- ' ,-,_A-- • ,:,:;;;,,,:::•,.:. : ••:,'"";":',._,•,!;;;,',„,;'•'.,f.,:7-.-,7,..;,,,g,:ii,,i10„,,E::4."1111•.,:..",,,1 •
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emailAddress 5 Pam' ' }
, r 1 certdy;that I have authonzed , - , rr.�z -. t
Menu�C ntracfor *.
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:' . ,to'act onjmy.beha•lf., for.the,purpose of•ap•plying for and o Raining all:C AMA permi#s - p `
L necessar*,y for the following,proposed,deve• lopme• nt. .- , _.. x _- a a-- Yr*14 n
'at;my property locatedi at �'tO Co , 1 c '!ks- / a� r`� w r ¢� 1
r �nI County # , ..a.3 .
`)) ; P furthermore ce that.I amp authorized to rant, and:do In fact � rant ermtsslon a ''',
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w Division of Coastal Management Fstaff .the LFocal Permit.O cer, and t reir�:agents,to .,,e r aw ,
on-the aforementioned lands in:•connection;.with:evaluating information relate•,tfe I is ' t r�
` permit{application 1t� x fA � �
Property Own r Information: , _
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r''T; '�:t� i ,s ; Ai}JAtiCt�l'Rlt'Atiilo►trCrRv► e..x., . ;..m,4c � m��+. br,,� ,Fr '�y,,7 ilk---',It'c (^�) —.,, _ c r : ys '.' _n }9n i
*, �, y certify that I own'property adjacent to Ousiner� . '
M" to �� 4 ame o roperty } � Ya 4a � _
�: rttperfy located_ ,:.; � x°
(Address; Lo,#,':81 ck, Road;;.e , i
In c-. , l�l•Cce � .
P.
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(�ityl7ou+rn andior County) • ��
tllaterbod , {,
e develops e'r8_proposed atithe abtWe loea v�
pplica t flat:door!,.e, f. me, ass awn lielou►?,tEt ,� ti
wt
(:have no.objection to,this proposal, `
s to•this ro osal -��� `
haVe objedon p ,, �{� ��
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- 'ESCRIPTION.ANDi4R DRAWING°OF lR,ROPC� ED,-DEVELfiJPNiEt cT
(Individual.proposing,,,development'm'ust fill;in descnpfion`below ar attach a site drawing} T ,
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WAIVER':SECTION „< y;
I$understand that a pier, dock, mooring pilings,ybreakwater, boathouse, lift, or groin musts. s, ,�'ba k a� *,Yea_,
rt nrtnum'�l stance of 15' t~rom.my area,of.,riparianl,access=unless waived •by :me_ (if you,,wtsh t w tv f {
the setback,tyou`must tnittal.the:appropnate blank below.) . ,
r j • ti is-:At. , x
y I do wish to waive;the 15'setback'requrrement. ��
° x . I dog,not wrs to waive the.1.5'_setback rrequirementi � �4,4 ,,, .� �'
;''(Property Owner l'nfor ation) (Adjacent Property Owner lnformati• t 4 x
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-PERTYDVVNEtz0-1 14 I Cl,fi m
'I'htrrebycertifythat I own'property adjacent to: _,(- a .,t�,
( am,-o property.Ow er)
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dpret tdaeda . (Address, Lot ,81, ck Rvsr'a d}
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on =-' in it -typ .n.a dtor;County)described to:me, as.shown betov►r,,the devetgPOr,2 Propc.sed at the above Iocaton.
� 'The appiica-'t by �z.
• ' `y^ _ . •I have no.objection to this Proposal= . ,
k
'. : I have objections to this proposal: ^
CRIPTION AND/OR DRAWING OF .PROPOSED DEVELOPMENT.
DES
"< ^w(fndiv�dtead propasmg development must ill indescript on,'belowror aftach a site afrawing}
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." ,WAIVER SECTION �`
- ' .r I',understand that a pier: dock,I mooring-pilings, breakwater, boathouse, lift, or groin m she se tbaeka `t+
minimum cliff ance'of 15' from
my `area of,'rip,rian access unless waived by me (If y4� , 3 _
n then setback, you must'initiai the-appropriate blank below.) - .'i }r
ish.fo waive.the 15'tisetback requirement w �.r p ,x ° _
:..ac :a -'. f
I do not wish to waive the 15' setback requirement , , ,
.11' "(Pro)eirty Owner Information) `(Adj cent P t•Qe t O,•.4 .y( €®mm i '; ` ,
k 4' 1, - ;fN ` 4 .+m 4 t �' ,ems'# `i — }
Signature Szgnatu ? , , ,
Pr+ or Type.Name -1 Y Ptinf 6t0: .cyi- 1 t ,k ;•
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Check
Data Received Data Deposited Chock From(Name) Rama of Permit Holder Vendor )1/ amount Parrra Number/Comments Receipt err RefunefP.I)oo tad•
Columnt Column2 Caumn3 Co1/mn4 .._____t_ Colima Column6 Column? Column6 Column9
21212021 Coastal Manna Pare 9ulkMads LLC Greg Oakley I Fmk McYy _ Wells Fargo ' 23715 $ 200.00 GP 077772D JD rot.13619 e
21111021 Coastal Manne Pere Bulkheads LLC Dana Wise _ Wells Fargo _ _ 23716 S 200 00 OP a77774D JD rct 13618
272l202' 1 of2 Roger Woghl _ Weas Fargo 7626 S 10000 GP 1177765D _ JOrc1 13617
22202'1 2 of 2 Prooreseve Land Dee Cooaukant Room Muhl Bank of Narita 11 a3 S 100 00 GP 1177765D JD rot 13617