77737d - Friday

,\CAMA
/ -.DREDGE & FILL N9 77737 A B C
,,,,,...?
ClENERAL PERMIT Previous permit#
��-= ew LModification :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 ISA NCAC )-- ' v
A� Rues atta_cd.
Applicant Name /
1 T-` 1 Project Location: County
Q � StateLot# s
Addre-ss�p�t\d�j ��- T- � �-�� Street Address/ GRoad/ ( )
City \,)I NN V l LL' Statc?kZIP f1V2-\ D 1 T fi 0 u I
Phone# -Pt)c6 74^-'(D05 E-Mail _ Subdivision pp �,�!
Authorized Agent R,�t� Y1/\ 1 C� City t, I.)>P5 b `) k- mil ZIP 7 g-4
Affected ❑CW EW I£pTA ❑ES ❑PTS Phone# ( ) River Basin W , 0
❑OEA ❑HHF ❑IH ❑UBA ❑N/A I fj Dr>� T�
AEC(s): Adj.Wtr. Body__-L� ° (na man nkn)
❑PWS:
ORW: yes I.fio� PNA yes �' Closest Maj.Wtr. Body I L- So v P`i>
1
Type of Project/Activity OLC.p 5 (—C1 C.�0rV1 f-A-•---g--- `--t --'''ti\' c P CA `1
(Scale: _ ' )
Pier(dock)length ' -�
�i i I i ' i
Fixed Platform(s) ���( � { i
Floating Platform(s) 1 (7)i 1 - I —
Finger pier(s) T _ _
Groin length r (' T
numb! iu ..._... _..._ ._.._ __..
Bulkhead/Riprap length .a r
avg distance offshore `� j j _ 1 \\
max distance off ore � \\
\ 1 i
Basin,channel ! ' \ j I I i
cubic yards i "
Boat ramp •
_-_- _ C-1P
Boatho Boatl. \2 `3 — — — _ J_.... =�. a
t ,
Beach Bulldozin i I, I I ' 1.i 0�
Other i I I I
! 1 I l
_ fit !
Shoreline Length % l
CSAV: not sure yes �^f'
Moratorium: n/a yes I i I
Photos: yes {
Waiver Attached: yes) `no•. � I� -
A building permit may be required by: --r b 1 S -.1 L 17O i I See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions
Agent or Applicant Printed Name P i O cer's Printed I ame
Si azure *'�Please read compliance statement on back of permit** Si ure
Signature P
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(910-796-72 15)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
252-264-390I 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

, . •:'
. ,
(-- --,- NIA/ DPREDGE&PILL .
, - , ' NO 77737
,._. . . ,,
' - ' GENERAL PERMIT - , ' ,Previous permit JO
ntiodifiriatkm 0Compkte Reissue CJ-Partial Reissue ' Date previous permit issued"
As authorized by the State of North Caroline,Department of Environrnentel Quality
and the Coastal Resources Commission in an area cif environments concern pursuant to I SA NCAC '
kPPlicant Nanle-1: - , Fit_ -In— ' - - Profect ieti:atiOrt: County
-,lib' C1:- -. A t A€.,_
Liciress bb Street Address/State Road/Lot*(s)
. ,
Stat? DP 'f4Nri-it - 31-)-
l'-'' n' ' '
- v 0# W.m hof
rie6t)Cf-,54-740 1 au , . - Sulxiivision . •
_juift ,.
kuthorized Agent _:_ Erk IC.---•,, —\-:12 ‘k 4 -- e;Ci
... -
, city 1.- -__ ,,,,_,, , ZIP_
ZicW Eitt !TA E ES OPTS . Phone# ( ,) _________ River Basin 114 $ 0 $
kffected
? DOE., -Ma IH DUDA CI N/A - . .
EC(s) bre--
Adj."Wtr.Bod)CA,Miae4
' -
0 PWS: ,
Closest Mai.Wtr.Body112_6 ir 1 — 50 0 tt>
)RW: yes/ 5 PHA -its ars -
e - -
e of ProleCti ActivitY
. litritc.:1
1.Pier(dock)knith .
1
yts,,,,,
r r
Flosit, Ing Piatform(s) ___1 0, 1C,A,_. i <- ' --1 : - -
1 ,. - - - . .1 !<,- . , .--,•-.1--J- .- - .1 -. .. - .1 1. i , 1
',. 4--/
. _ ‘ Twrik... .
_ - i "*"1-- . ' t , .' ' ,.
.,---
Bulkhead/ '' length '' - ' ' ' 'IL's'its. 1, f_ti V it , :- 1:),b Wie,jetik ft is$4)
r . i r .1 {
avg distance - shore , -
-—
max&tams o re . ...,_,.. '‘_! ',,,, . • 3—, t i '''''' - 3 77-7."--H . ', • , ,_ _ - •_ 1 .. _ _ ,. .
'- --"-r -- • ; t - - 1 • -,--- , - .• ---- T -l's - - 1
, Basin.channel
. A
,-/- # ',. } • I ' ' '
! cubit yards -
; Boat ramp I ' 1 '
_ _ .1.441:12„*.r._ ....,___;!„._....:11,_-<--1:--f--- ----,--,-----‘ ' li-----:--.:.---,:---,---1--1: .
,
Saab° Berca - 12_1:yt1--_ ! --
.---.--
-,
Beach Buildoz
, , 1 '. I i .A.. k . , ,, : I
_ ,I Other_
- -.-- .
1 ,
.. i ' . - ,. f„ , ' - • -.-1 - . ; : ,
...3:9-0t.. :
:,-Shoreline Length_t , ,...,..._..,.___,....... ......L..1..______, ,
SAV: not SUM , t 1
,
i
Moratorium: via yes -
Photos Yes - - --.%- . - ---_-,,-
WaiverAttached: i !, 2:*.ncr-r1
- '
,,
1A building permit may be required by:
--p i 5k v 1,..-, WAC4------- . - LI See note on back regarding River Basin rules.:
(Note Local Planning jurisdiction)
Notes/Special Conditions• . .' .. : .
c . .
WA:\t or Ap .Printed Name P tcer's Printed am*
,
ignature "Piease read compliance statement on hack of perniit** Si ure
Application Fee(s) . Chock* Issuing Date Expiration Date
- — - - - --- ----

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Att 0k;e. t_VE- Tot' o r 4 w jl U1.-
-peck Qa.4 VAS f!G t i you ea..Ae -Jt c p dauen

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT •
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to J a V * . Y•t d 's
(Name of Property Owner
P �y )
property located at IC t i '01.A Al/=
,((Lot,Block,Road, etc.)
�t
on l O. t D IVY) CS , in 11 �'�l j2 or ' ,N.C.
(W erbody) ' (Town and/or County)
Applicant's phone#: 570 $S1{- l0�� g R,t d8C .---
pp 's Mailing Address: 1 I� ��
rxJLnviIlei FA 17gal
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
/kr ✓ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
91e &( 7(7(1)/d RECEIVED
JAN 1 2 2021
DCM WILMINGT®N, NC
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
06 erx-k-gi cVicti
Mailing Address Signature
taYI vi tip ?E l Aga I e-7;0",/
City/State/Zip I Print or Type Name
576 - ?54 -CpOQg' S.a6 - ?moo YoG
Telephone NvinbAr TelephoneNumber
r # ' 71211200 JO 32�2e
SO ature S Date Date

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I herebycertifythat I own roe to J0- *' t dQ--
property rt3' adjacent � � • � � 's
(Name of Property Owner)
i
property located at IOC( 1 t/t Ave
(Lot,Block,Road, etc.)
on Co. i *Gus
1 3,, ($ ,in l o , 1 ,N.C.
(W tat erbody) Town and/or County)
Applicant's phone#: 573 g'61-i.- 01�Mailing Address: i l 00 'is R%%clge-1:&
1,l.invi[1e, FA ngal
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
au3e) X I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
' i1/G
JAN 12 2021
DCM WILIMIINGTONI, NC
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
IL oo emk-gido,stTian „ye,......o.__ ,,___). c .,42__
Mailing Address p Signature
bvt I/I 46 ?f tilgra` 1.,;ab. GJ� r-d
City/State/Zip Print or Type Name
576 - T54 -CQORg' (clial I tic-a$ r1
Telephone bm N , Telephone Number
%I 1A • # 14 2q 2020
.P-o a 0
S#ature 41 Date Date

• AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: fridait.) U HL
Mailing Address: (U C 0 Roar., eiR,td c
Dax\ ti t l �.Q , �� t 18"a-(
Phone Number: 5 7 0 - F51i ^ Ce O R g
Email Address: t✓�l 1 �/I C c @ mcc t Co1M
I certify that I have authorized {'k i,1 Engle.uvi QM F PT I lid ucuti ai YdC* 5
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining�� all CAMApermits
necessary for the following proposed development: aX d Lt aJVl cf
c,14- M
at my property located at CA ¶VCiJT 7tV`e J 1d ( Gr1 , iC 2g`4'P
in 1PAv K.t,e,r 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:
060A,uktAI,A,,/
Signature g
In et I-4 fill , a_ 1
Print or Type Name
Mcuo elkAkp OCui c uald U-�-
I Title
I ( / 5 120 20
Date RECEIVED
JAN 1 2 2021
This certification is valid through I I Zoo—t DCM WILMINGTON, NC

Check
Date Received Dab DepesMed Check From(Name) Name of Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated
Column} Column2 Columns) Column.. Columns Cohens* Column? Columns Columns
1/25/2021: 1/26/2021 Elizabeth Edmunson Robbie Edmunson _ State Employees CU 5021 $ 400.00 GP#77738D JDrct.13605
1/25/2021 1/26/2021 Holden Docks and Bulkheads Cathy Louden CresCom Bank _ 3850 8 400.00 GP$777260 _BB rot.13505
1/25/2021 1/26/2021.Allied Marine Contractors LLC Janet Friday FCB 9757 $ 200.00 OP#777370 _ JD rcL 13606
1/25/2021 1/26/2021 Brandon Grimes Money Order _ Barry and Seena Gudelsky Wells Fargo Bank 19-088347337 $ 400.00 GP$775520 BB rel.13581 __
1/25/2021_ 1/26/2021 Brandon Grimes Money Order _ Kelly Coy Wells Fargo Bank !19-088347328 $ 400.00 GP#71880D BB rct.13579 ___
1/25/2021 1/26/2021 CLTMC,Inc Paul Watson FCB 1156 $ 600.00 GP177539D Ben not 12456
1/2512021 1/26/2021 Allied Marine Contractors LLC Barry Sheppard FCB 9737 $ 200.00 GP074282D _ Tmacrmt.13582 _
1/25/2021 1/26/2021 Allied Marine Contractors LLC Paul Dobranski •FCB 9738 $ 600.00 GP$777040 _ Imac rd.13583
1/252021. 1/26/2021 Jerry Ennett _ David Moore Coastal Bank and Trust 3580 $ 200.00'GP#77527D JD rot.13808
1/25/2021 1/26/2021 Rainwater Coastal Construction Herbert and Michelle Suter First Bank 358 $ 200.00 GP#718640 Tmac td.1358.5
1/25/2021 1/26/2021 Kevin Morse same BB&T 2696 $ 200.00 GP#778410 •PA rd.11579 _
1/252021 1/26/2021 Overbeck Marine Const./Daniel Shirley Came Fales Suntrusl 5388 $ 400.00 GP#76172D PA rot.11580
125/2021. 1/2612021 Phyllis Smith money order same BOKF,NA 20944262475 $ 200.00 GP#775900 KE rct.13665
1/25/2021 1/26/2021 Roger Davis Roger and Perry Davis BB8T 5446 $ 400.00'GP#76493D PA rot.11581