77738D - Hultin

0 CAMA / DREDGE & FILL No 77738 A B C D
GENERAL PERMIT Previous permit#
)'— _N'ew ❑Modification Complete Reissue C Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality ,�-7 ,/ /7 p(.,
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �T
11 pules attached.
Applicant Name )(>AM , C W.V' "ti'l a H V 1 VI Project Location: County rNAC;-
Address ' 4 kD t VA 1 \L 4 Cl ` 'EEI2_ Street Address/State Road/Lot#(s)
City caJ n mot. State NtiziP 2'1 2-9 /0/Z DG/A)/4- 4 dLS ,
Phone# (gig)g'f Z- 112- E-Mail n Subdivision
Authorized Agent e/` t iY44/1 /Ai City -/ ()MA '( /a2CA6 ZIP ' -yL,5
❑CW EW 22CPTA DES OPTS Phone# ( ) River Basin G✓. C� •
Affected OEA HHF ❑1H 0 USA ❑WA -N/CS /unkn)
AEC(s): Adj.Wtr. Body heir 1
❑ PWS. r�t�,4 1(
ORW: yes /�ny PNA yes no Closest Maj.Wtr. Body Sv vN�
Type of Project/Activity / L.1 - _- e_, `7 C�OG��'/ 1i1 �4
( le: / fr )
Pier(dock)length l/' )(V ,
Fixed Platform(s) /Q r i ! 1
Floating Platform(s) '/ V r/s 1 ; I11
Finger ier s I i _.. ._..-- _
Groin length I i
i I
number I ..}.r_ ' .._�.._...-.._.. T T. —._._..._. ..J.. (7I ,.— 1
Bulkhead/Riprap len h 1 l 4 i
f
avg distance offsh e
Ni
max distance offshor _ I ! I
Basin,channel I } f , }
t1ILTf1s a . . 071
cubic yards I �__
f;
Boat ramp r ♦ i i ; .s�— ' ` A
P•i�.7�
I __ ; ._...__ -r-
Boathous�t' X 3 f _._ 5 ....__ _-�
vv V
_�/� _
Beach Bulldozing — ` i f
Other �+���/ '— I j
I Y
/ !�'�• Its '
Shoreline Length��l �0 { 1 f�ri-+4 l ��
SAV: not sure yes no 1
I
Moratorium: n/a yes
� f
Photos: yes --— i
Waiver Attached: 'es ,• ��.��- '\
A building permit may be required by: C.A.l/�r/ f ./P U See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
C -/ ��- 1
• ent or Applican Printed Name Pernd cer's Printed Name
Si re Please re ompliance statement on back of permit*a Signat e
l ZM—" 902-C / - 2_7 • 2- 1 • .• 2 - -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 (252-946-648 I) 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John & Pamela Hultin 's
(Name of Property Owner)
property located at 1012 Carolina Blvd
(Address, Lot, Block, Road, etc.)
on Banks Channel , in Topsail Beach , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
ifftc I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
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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.
AGC- I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature*
John Hultin Gilbert R Chenery
Print or Type Name Print or Type Name
John R.Hultin II Gilbert R Chenery
Mailing Address Mailing Address
146 Whitetail Deer Lane 1213 Carrington Drive
City/State/Zip City/State/Zip
Garner,NC 27529 Raleigh,NC.27615
Telephone Number/email address Telephone Number/email address
Jul 21,2020 Jul 22,2020
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John & Pamela Hultin s
(Name of Property Owner)
property located at 1012 Carolina Blvd
(Address, Lot, Block, Road, etc.)
on Banks Channel , in Topsail Beach , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
"K I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
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w:; ,�

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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
MGhae/L Cl2f4y/&
Signature Signature*
John Hultin Michael L.Chestnutt
Print or Type Name Print or Type Name
John R.Hultin II
Mailing Address Mailing Address
146 Whitetail Deer Lane
City/State/Zip City/State/Zip
Garner,NC 27529
Telephone Number/email address Telephone Number/email address
Jul 21,2020 Jul 22,2020
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

AGENT AUTHORIZATION-FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: .poi J Lene--
Mailing Address: /Y/ GrJ/y7-4_ �,Z
- .2 7s 2 r
Phone Number: 9/, A /Z 3 0
Email Address: dellazT.v 4 ,e1n6'd age e Co W�
I certify that I have authorized cpac ivt,LeT, ,- PQ.47 - , 7-V
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 2)/9(7,4-
at my property located at / /2 �,fr/eL.4)1 1s/J� `�,,?0 , 2d'y�/Sr
in } ( t2,/2 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:
Signature
_0
Pnnt or Type Name •
Title
©/ ID710422 /
Date
This certification is valid through d=l I I

Check
Date Received Date Deporated Chao From(Nam) Name of Permit Hower Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Columnt Column3 Coiumn4 Co e tmn6 Column' Cohan.? Columnd Coh nn9
1/29/2021 Restoration Systems,LLC Howard Mattress Towne Bank 1773301_1 200.00 GP#77764D JD rct.13616
1/29/2021 _ Restoration System!,LLC Town of Topsail Beach Towne Bank 17329'$ 200.00 GP 977531 D JO rct 13615
129/2021 Christopher Reid 1005 Ocean Boulevard LLC The Bank of New York Mellon 1038'$ 100.00 minor fee,1005 Ocean Boulevard.Topsail Beach. JO rot 13614
1292021• 'Eddie Wood _ same _ BB&T 1819 $ 200.00 GP#77739D JD rot 12383
12912021 r Shelby Lawrence James Lawrence Wells Fargo 6087 $ 200.00 GP 977529D JD rct.13613
127/2021 B and B Construction Money Order MUendon Beach House LLC Wells Fargo 19-088347331 $ 400.00 GP#776580 tmac rct.13587
1/27/2021 Delta Dock and Boat/fl Jason Johnson FCB _ 9018 $ 200.00 GP#735880 JD rct.12378 —
1/27/2021 Maritime Coastal Construction.LLC Kirk Fox CresCom Bank 3329 S 200.00 GP#719000 tmac rel.13588
127/2021 B and B Construction Money Order Robert and Julianne Hurst Wells Fargo ,19-088347338I$ 400,00 TOP#77651D tmac rct.13580
1272021 Backwater Menne of NC LLC David Brady BB&T 1214 E 200.00 GP#775710 BB rct 13514 _
1272021 Delta Dock and Boatlift John and Pamela Hultin FCB 9026.$ 200 00 GP#777380 __. JD rd.13611 .-
1/27/2021 Sound Side Marine Construiction LLC Guy&Ann Forrest FCB 103 5 200.00 GP#77753D BB rct 13506 __
1272021 Steven Michael Greif same Piedmont Advantage CU 445 $ 200 00 GP#777620 BB rct.13512 _ _
1272021 Welbome White&Schmidt Dentistry Partnership Martin and Shannon White FCB 29232 $ 200.00 GP#777600 BB rct 13511
1/27/2021 J Banks Gamson Jr. Banks and Susan Garrison Wells Fargo 13700 $ 600.00 GP#77761 D BB rct.13510 __
1272021 Gregory Gage Greg&Alita Gage Wells Fargo _ __4262 S 200.00 GP#777520 _ BB rct.13513 _
1/27/2021 Holden Docks and Bulkheads Tracie Hams Rice CresCom Bank 3851 $ 400.00 GP#777230 _ BB rct.13507 __
1272021 ;Holden Docks and Bulkheads Gracie and Daniel Harris CresCom Bank 3649 $ 400.00 GP#77727D _ BB rct.13504 _
1272021 'Landon Funsten same Bank of America 1589 $ 200.00:GP#777510 BB rd.13509
1272021 ._ B and B Marine Construction Money Order Sand Dwellers II,UOA Wells Fargo 19 086347330 S 400.00 GP 9777500 BB rd.13508 _
127/2021 Bledsoe Enterprises Inc. Ocean Dunes HOA BB&T 20023 $ 400.00 GP#78181D PA rd.11577