77813D - Woodworth

0 CAMA / DREDGE & FILL N° 77813 A B C D
GENERAL PERMIT Previous permit#
)C New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality -1 `r1 t C11
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1 �`�f
ln,� { , ❑Rul attached.
Applicant Name ) 0 UV�-C V� Project Location: County 1/�►t—
Address `t 1 LA � 1tvVI C. `/\j,./l V Street Address/State Road/Lot#(s)
City6)\"^pe ‘,C State IP /. c2.--7 t;U/ ry - V.Lc(ti'k,
Phone#'( /u) (9'-acjc Mail . Subdivision n /) ,� (/
Authorized Agent _ 4 )i#a ! n t, /'t, L. City ( �1[//fit.t\Q("/ ZIP b"I 1.1)c
Affected ew 'EW rA ❑ES ❑PTS Phone # ( ) River Basin
AEC(s): ElOEA ❑HHF ❑IH ❑UBA ❑W r✓ l A Adj. Wtr. Body a man unkn
❑ PWS: ,
ORW: yes //fio ) PNA yes / no� Closest Maj.Wtr. Body PI
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Type of Project/Activity CA1vGA-k .. ( �,4 � j
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- . ., (Scale: )
Pier(dock)length , k '5'
Fixed Platform(s) XlH
FloatPlforms)
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Finger pier(s) ✓e/ a
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Groin length I, i I 1
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number �.. -,u-�^+ r —_.._. �......._
Bulkhead/Riprap length
avg distance offshore Nr ! fi
max distance offshor f
Basin,channel ! , V ^' ' l
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cubic yards ��
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1 ( '4..4 ‘4
Boat ramp , ( ! ,
Boathou oa=ift ,�f I _ `._.\
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Beach Bulldozing
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Other I �
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Shoreline Length _ 1 V i I
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: n a es no r
Photos: es no �' v
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Waiver Attached: yes no I ri ti..- 13t g:71 9 .0 _e rih,i ,
A buildingpermit maybe required by: N1 6>< Gi.....ii ' C{/ /, r�(JY I I See note on back regarding River Basin rules.
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( Note Local Planning Jurisdiction)
Notes/Special Conditions i A)[J[t 4'0( -jA , 1 1r v\jii7A r c 4 jy Y 0j21 d Qi) rikkA1 1
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( nt or Applicant P�inted Name Zerst,A yAi\tI/A.Nit'
Printed Name
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Signature Please read compliance statement on back of permit Signature /
Application Fee(s) Check# Issui Da Expir tion 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 252-946-6481
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 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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• ADJACENT RIPARIAN PROPERTY OWI ER.STATEMENT
i.hereby certify that'I°own property adjacent to n�1 h� _ JW 'tf1 . _. _ `s " , -
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property Located at d'eo. 1 I xr /erg.. -
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- The`•applrcant has describ.,7e'd to`me,t as shown jbelovi, the:,development proposed at the:above ,}
alocatl X # s E.r" , 'x r. y Y 1 �. k. 4,i. r; r gE a.
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ave no objection to�this proposal v. ,, I
have objectionsiryto"this`proposal. { ,. 4
DESCRIPTION AND/OR bRAWING OF PROP: SED'DEVELOPMENT
'aridividual'proposing development must fill fn`descript►o►tbelow"or',attacf a site drawing) .
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r :;;I'''''''''''''''' ' ,I understand that a pier, dock, mooring pilings, boat ramp,breakwater, boathouse, lift, or'g"roin' _
= must berset back a minimum di•stance of,15';from my area of riparian access unless waived by
me.Y(if you:wish'to waive• the setback, you must,initial the'appro.priater blan• k[below) ;,.;{ -
i,do• wish fo waive the'(5'setb_ ack requirement:,- 7 _
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1 do not wish to waive=the 15' setback requirement.
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(Prop rty�Owner Inform ion) r'(Adiacent Prop Qwner`Information)
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(RevisedSAug, '2014) ' '
`*•Valid for_one calendar year after signature*_ _ :

'iL P z ` r+ . SADJACENTRIARIAN'PROPERTYOWNERSTATEMENT I,hereby certify that l`own r"o a "adjacent`ta na a ` �'
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p• pet.LOocated at lx 7c Cr,a of Prap Owner) I
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( tytrown andtor County)
n, ` ,The▪ a•plicant'has described to me, as"shown:Kbelow,the"development proposed,at.the above „.
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I have,objections to this proposal r- r. 1
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• '`DESCRIPTIONAND/OR,DRAWING OFPROPOSED DEVELOPMENT r F' _irsn' everomu % dei ; ohdwg 4 Ind• ivdualPoAa ycdpmentstfitinscriptonbelowrattacasiterain ) - -
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I understand that°a;pier,tdock, moor ng ilings {boat ram . brea elate : .0a o , l 2 L9 ; p, kw r, iioathouse--..p. , orrgro, ;
must be set back a minimum distance:of'15'from m' area of°ri arian access:unless,waived_b. , _
s me (If` ou wish`to waive the setback,,you must�initial the appropriate blank�below)
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r, str • �;n 4 ® I,do•wishto wa'Nthe15'sett3ack regwrement _
t I do notwish�to waive the 15'setback requirement ,` p
s.:«.rt:.°`ram ,'a?'„ `r";h .4-:,..'..0 '• gi•I 30,x'' , - n+ ,-,,-, . -+n_Y, .aAs -. +_... '-,..7- -' '- }Y.
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AGENT AUTHORIZATION POR LAMA PERMIT APPLICATION .; R
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to.act o'n myhbehelf, for the purpose-of applying for and:obtaining alI LAMA p sermit ,
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t. ` _ Y Divrsronrof Coastal Management staff, the Lace!Permit Officer and<their agents to enter
'` f Fon i-he•afarementoned'lands, n connectionywrth evaluating information, related to;thrs :"
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Check
Date Received DIN Deposited Check From(Name/ Name of Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Cokxnn2 Column3 Colummi Column) Column) Column? Column) Column!?_
1/13/2021 i Allied Marine Contractors LLC Richard Almond FCB 9594,$ 200.00 GP#77702D Tmac rct.11622
1/13/2021 William T Herring Tommy Hemng FCB 168981$ 200.00 GP#77807D Tmac rd.11624
1/13/2021. Allied Marine Contractors LLC Jonathan Woodworth FCB 9593'.$ 200.00 GP#77813D Tmac rct.11621
1/13/2021 Allied Marine Contractors LLC Edward Falcone FCB 9595 $ 200.00 GP#77703D Tmac rct.11623
1/13/2021 Willie Clarence Richardson/Richardson Cc Kouba BB&T 7874 $ 400.00 GP#77713D BB rct.13644
1/13/2021. John Turner same BB&T 2158 $ 200.00 GP#77715D BB rct.13645
1/13/2021 David Grice Money Order Keith Hill Western Union/Wells Fargo -'19-21088401 $ 200.00 GP#77721 D BB rct.13642
1/13/2021 Craig Mergenthaler 'same _ Coastal Bank and Trust 1087 $ 200.00 GP#77524D JD rct.11748
1/13/2021 Harbor Marine Construction.Inc. 'Tommy Hemng Bank of America 1129 $ 200.00 GP#77523D JD rct.11747
1/13/2021 Drew G.Todd Jr. Waters Edge at OIB.LLC Woodforest National Bank 1017 $ 200.00 GP#77587D BB rct.13641 _
1/13/2021 Debra Wilson Ignacio Manno LG FCU 2102 $ 200.00,GP#77561D BB rct.12450 _
1/13/2021 Ignacio Marino same USAA Federal Savings Bank 4033 $ 200.00 GP#77561D _BB rct.12450 _
1/13/2021 John Andrew Tammaro II same _ Aquesta Bank 1579 $ 200.00 GP#77573D BB rct.13635
1/13/2021 McPherson Marine Services,LLC Brown Living Turst FCB 3761 $ 200.00'GP#77559D BB rct.12449