71900D - Fox

Alph, LCAMA / ❑DREDGE & FILL No 71900
G E N E RAL PERMIT Previous permit# B y C —
' �� • New Modification L Complete Reissue ❑Partial Reissue Date previous permit issued /
As authorized by the State of North Carolina,Department of Environmental Quality / 1 I J I
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (.J U .
El Rules attac'he^d.'/
Applicant Name Y...-1.
V tL x Project Location: County 1/ Al/9 /�X---
Address ,II 3a .f. rh i Street Address/State Road/Lot#(s)
1� �
City 1 i' 1S41 C Yi V,L@ State ZIP619Lo I a- (ti.r�- L --i J l t A ' '.
�� ' I
Phone# ('7` til Subdivisio V cAuthorized Agent �t �h� City 1 U A Cil. ZIP D Lt a •
Affected ❑CW C$W N TA ❑ES ❑PTS Phone# ( ) ,River Basin 1, n_
AEC(s): ElOEA ❑HHF ❑IH ❑UBA ❑NIA Adj.Wtr. Body L,o�, V�!:t 01 (na /man /unkn)
❑ PWS:
ORW: yes / no 1 PNA no Closest Maj.Wtr. Body t j -
Type of Project/Activity ON iNikvbkU COL 4g. .k7
(Scale: I j` )
Pier(dock)length t`i k U Ov
Fixed Platform(s) I ' f
Floating Platform(s) I 1 'f I I
Finger pier(s) I
,
Groin length Lb,(Aof\so ' `v ti r
-4.4
number �,IY
Biilkhead/Riprap length I V J
avg distance offsho ,
max distance offish•re + �'
Basin,channel I \ . (I
-
�.
s
cubic yards 1 AbCp.,101
Boat ramp
%t
Boathou3e/Bo. lift , •
' �l
V��N�vJ� dZ
4.
Beach Bulldozing -� _ `Y — ^ T��+ 1
Other ` _ yJ _ N‘t ��,^ �\
$,_%,1 ,
p
h a
Shoreline Length ; I /\li 1
SAV: not sure yes j Ir N1 -
Moratorium: n/a yes1\ q� Vb
______IMd ' !Photos: yes
Waiver Attached: yes i - -- '>IL
A building permit may be required by: I I See note on back regarding River Basin rules
(Note Local Planning Jurisdiction) /� /�
Notes/Special Conditions U Vim` ; V Ai(A i v , k �511/`1 ,
( /7)( � .
Lec,„.// %;.,jr>ds '1rm
ell
or Applicant Pr'nted Name P 3sP77*mel )
•
re Please read compliance statement on back of permit Signatu u
Application Fee(s) Check# Issuin Date xpiratio 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 252-946-6481
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

•
0®±LAMA/ 11".�D_,REDGE&PILL' .
GENERAL' PERMIT Previous_ permit#
�"� ®N`ew DModifi
cation C]Complete Reissue. DPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of,Environment and Natural Resources wu.
and the Coastal.Resources Commission in an area of environmental.concern pursuant to 15A NCAC > '/ x ,"'.'/`� V�• ,/ ' r " ow'
0
D-Ruies attached. `
Apicant ame .i � 1 e� Project Location: County ..=a, 3,.,-,. � ,'3
� 1 i 1
Address .m � .J OP : Street Address/State Road/Lot°#(s) �''- ° ,
#'hone#4( i3i� �iFaX f } li ��
, Subdivision 'a ' 4 .
Authorized Agents ' .. .
r : "_ city ,r ZIP ._
Affected C1N pfW' ©•PTA DES— OPTS. Phone#-( ) River Basin -4,r,,,,
L OEA El HHF O IH O UBA ❑N/A RAEC s ; Adj.Wtr.Body r- .a A ( 4 z • nat,.lrnan /unkn)
• . :0 PWS: _ - O FC:
- Closest Maj.Wtr. Body a ` `°`°,
/ 'ORW: . yes no � °' PN yeS.>kno Crit:Hab. . yes / no' •
Type,of Project/Activity „e t (r,+'t j tr%° ' •
f, e ,e`°cv. ' - a`e`"•rP(✓� / . ;", ,,^- k , � x, •:fi t z1 x= li
-.V, , fi t,c : Z �v c> ,., , r<,^ 1 x
Pie
Platform(s)s)length ° ° " / s _
_,4e
r {
Finger piers).:. - 1 _ #
Groin length ` t . r"_.-, ,�.
number t -1 '1' «_ } 1 t.„` _[ f f s d s
^`°�° • C.z ° . 1 1 r. , €_„, e _..i. —, S ` r f l re,I q ,./ .;. is €—,,:.._ -; I
- `BulkheadliRiprapJength . i I-t I i = I -
av distance offshorer { r _._„„€ € .. _.__ 1 i t `
' max'distance offshore— I..... Y i L. , .1.. 1 #_ I ._ ,'._ 7 # ..�,
Basin,channel'
._ 3 - t
cubic yards ._ .1, s..,.,..!° ..,,. ., „...� € 5...r. '.....s a...-.:I - 3_ ,....-, $,„,..w..—_..:. F._.....,.._.. 1 .•, 4
d _� I t r - _ '.d } I_ i
Boat ramp p-_-»- .- 1,,,,j___L. -�""` - `�. '= a�� � - --� -�- � -� —�
Pt
Boathouse/Boattift ^ f 1 l e j' 'ti I d
Ez
F
Beach Bulldozing — . .e i.€- - t ,-� _ 4, w ' -i- i _ I_ -; .r'� 1 .r.,.i a
x
,
•
Other , I € i .F r i 1.
•
€€ � ^'m i- '- j
Shoreline Len h i 1 f �£
'SAY /not sure yes : no' r l t r,1,-l r , _,,4 i 4.1, _ r> ,',je € =x I {; €
• .r
;Sandbags not sure yes no •I" ( ''---1".—_ `i f."' "' =t I r .
t _ 1 ° F 1 (.
Moratorium n/a yes _ n L € 1. ( ; j, u 1 I $
Photos z ` ' jT yes- no € � z 1 � � j �` ? � p e
a
s { �.I 3 I I 1 x I i
ttlYaiver Atiached*' �,. Yes . no' - -
A building permit may be required by: .r-p ..--x a. .' �., . ., ' -x . D See note on back regarding River Basin:rules.
Notes/Special Conditions f... d ,%.4/:-, a ,;'Y.`", ,"1, , 4 <" ' r/ , f',.,: M
r _ -'-tea • t . f F0=' , ,. ..
F. • Z. . e�.. . k ' --4, a Nd a`-<°-1. ,,,fi _,; ='; . "" x '' ` - S d° N,w ,e " ;s-fir- �„ - _- -
---> � t _. ..-
.°-:� A #» i p 9 't .fir' 'a
�AgentorApplicantPrinted Nape PermitOtficer's'Signature. 1 N"�- . *'%> `
Ex ation Date Sigat nure ' Pteasereadcom m pliancestateentoinback�fermit� .` ° lssuingDate i p c : ,
Check# Local Plan nmgjunsdretion R eovrFile'4ame
placation (s)._ " ..._._..... . =.

: VW.
SENDER: COMPLETE THIS SECTION COMPLI=TE THIS SECTION ON DELIVERY
■ Complete items 1 , 2, and 3. A. '•j:to _
■ Print your name and address on the reverse X
I 1 .A Agent
so that we can return the card to you. 0 • •dressee
■ Attach this card to the back of the mailpiece,
B ed • i . ted Name) of • ' ery
or on the front if space permits. �, IP / Z0
1. Article Addressed to: D. Is delivery addre • different from itemlate
El Yes
1 ,7*( i/ If YES, enter delivery address below: 0 No
ne,/ng
isii,,
/0-0664‘* --y 6
/74-40/6/Se-
...2 �
3. Service Type O Priority Mail Express®
❑ Adult Signature 0 Registered MailTM
ult Signature Restricted Delivery 0 Registered Mail Restricted
Certified Mail® Delivery
9590 9402 5931 0049 2820 03 O ertified Mail Restricted Delivery O Return Receipt for
O Collect on Delivery Merchandise
2. Artic lP Nt imhcar (Tranefar frnm.wwL.2... 1 ' '-' "• "Ielivery Restricted Delivery 0 Signature ConfirmationTM
7019 16 4 ❑ ❑ 0 ❑ 0 7 6 0 3 2 2 7 7 Signature Confirmation
Restricted Delivery Restricted Delivery
[ (over$500)
: PS Form 3811 , July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
NI Complete items 1 , 2, and 3. A. Signature
■ Print your name and address on the reverse X 0 Agent
so that we can return the card to you. 0 Addressee
• Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. D to of Delivery
or on the front if space permits. ( Z) C-1 1 eh,
1 . Article Addressed to: D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: ❑ No
' kiel/A,‘ 4 )(''
s--3 &' . n 6t MA Arige A
49/ " r /t2 ' 2•gP9z 2
3. Service Type ❑ Priority Mail Express®
O Adult Signature 0 Registered Mar"'I Adult Signature Restricted Delivery 0 Registered Mail Restricted
Certified Mail® Delivery
9590 9402 5931 0049 2819 90 Certified Mail Restricted Delivery 0 Return Receipt for
O Collect on Delivery Merchandise
2. Article Number (Transfer frnm cAniiro /ahAri ❑ Coilcr:t nn Delivery Restricted Delivery 0 Signature ConfirmationrM
lail 0 Signature Confirmation
7019 1640 0000 7603 2260
'ail Restricted Delivery Restricted Delivery
__ -
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PS Form 3811 , July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: i^,' x
Mailing Address: '/ f P/111 C,I
f l c4� �'mvt L1,e1a ; C'hi 7,269R
Phone Number: 3/v-7 -D,3W
Email Address: T k oX PC D)C,Nai-
1
certify that I have authorized '/// 7A0,7GS •
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Piet ant/oler4.j,
Nth, Airy
at my property located at T( f (lift MI* Acx4y /, /vc
in /51'iM soijic:IC County.
2�y2 z
I furthermore certify that l 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
lei f k Fa/
Print or Type Name
Title
IoZ 1 20 / 2oZo
Date
This certification is valid through fig-- / 2 0 / 2� ./

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Cheek
Dan Received Dan Deposited Cheek From(Name) Norm of Permit Holder Vendor 11/ amount Pormlt Number/Comments Receipt or Refund/Reallocated
Columnl Column2 Colunm9 Column, Column6 Cdumn6 Coka n7 Columns _ Corumnil
1/29/2021 Restoration Systems,LLC Howard Malpass Towne Bank 177330 $ 200.00 OP#77764D JD rct.13616
1292021 Restoration Systems,LLC Town of Topsail Beach Towne Bank 17329 $ 200.00 GP#77531D JD rd.13615
_ 1292021 Christopher Reid 1005 Ocean Boulevard LLC The Bank of New York Mellon 1038 E 100.00 minor fee,1005 Ocean Boulevard,Topsail Beach. JD rct.13614
1/29/2021 Eddie Wood same BUT _ 1819 $ 200.00 OP#77739D _ JD rot 12383
129/2021 Shelby Lawrence James Lawrence Wells Fargo 6087 $ 200.00 GP#77529D JD rct.13613
1/27/2021 B and B Construction Money Order Mclendon Beach House LLC Wells Fargo ;19-088347331 $ 400.00 GP#77858D (mac rct.13587 _
1/27/2021 Della Dock and Boatlift Jason Johnson FCB _ 9015 $ 200.00 GP#73588D JD rct.12378 ,_
__127/2021 Mantime Coastal Construction.LLC Kirk Fox CresCom Bank 3329 $ 200.00 GP#71900D tmac rct.13586 __
1/27/2021 B and B Construction Money Order ;Robert and Julianne Hurst Wells Fargo 19-0138347338 $ 400.00 GP#77651D -_ tmac rct.13580 __
1/27/2021, Backwater Marine of NC LLC David Brady BBBT _ _1214 $ 200.00 OP#7757113 ___ BB rot.13514 _
1/27/2021 Della Dock and Boatlift John and Pamela Hultin FCB 9028•$ 200.00 GP#77738D JD rct.13611 _
1/27/2021 Sound Side Marine Construiction LLC Guy&Ann Forrest FCB 103 $ 200.00 GP#77753D BB rot 13506 _
1/27/2021 Steven Michael Greif same Piedmont Advantage CU 445 $ 200.00 GP#77762D __. BB rct.13512
1/27/2021 Welborne White 8 Schmidt Dentistry PartnershipManin and Shannon White FCB 29232 $ 200.00 GP#777600 BB rct.13511
1272021 _ J Banks Garrison Jr. Banks and Susan Garrison Wells Fargo 13700 $ 600.00 GP#77761D 8B rct.13510 __
1/27/2021 Gregory Gage Grey&Alita Gage Wells Fargo 4262 $_, 200.00 GP#77752D BB.rct.13513 __
1/27/2021 J Holden Docks and Bulkheads Tracie Hams Rice CresCom Bank 3651 $ 400.00 GP#77723D .BB rot.13507
127/2021: Holden Docks and Bulkheads Gracie and Daniel Harris CresCom Bank 3649.$ 400 00 GP#77727D BB rot.13504
12720211 Landon Funsten same Bank of Amenca 1569 $ 200.00 GP#777510 BB rct 13509
1/272021: B and B Marine Construction Money Order Sand Dwellers II,UOA Wells Fargo 19-088347330 $ 400.00 GP#777500 BB rct 13508
1/27/2021i Bledsoe Enterprises Inc. Ocean Dunes HOA BEAT 20023 $ 400.00 GP#76181 D PA rct 11577