77724D - Wachsmuth

0 CAMA / DREDGE & FILL No 77724 ABCD
GENERAL PERMIT Previous permit# 722 a-
)----, __ New C,Modification (Complete Reissue Partial Reissue Date previous permit issued i/15l I%'
•
As authorize!by the State of North Carolina, Department of Environmental Quality /
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC Q T�-' ( .
(, I y� Rules attached.
Applicant Name ` G�� 1�C. 5'`�v��' \ Project Location: County (J'-'r-)�,. i\
Address G. =-) c`Ve v C✓c.e k- CreSS I Street Address/State Road/Lot#(s) 39ZZ Ur
( g `�t'
City r\kATAv.^. State '-)/% ZIP _SO i9 5 U - r cji Y '11 � •
Phone # ( ,)) �y'( 9glo E-Mail Subdivision
Authorized Agent PA'k A-j be,--i S City 0-.-.Ie t 5 IG... ZIP 2 1-(6 S
❑CW [MEW ,PTA ❑ES ❑PTS Phone # ( ) River Basin
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A j (/
AEC(s): Adj.Wtr. Body_ Jtixi jo J(u u;I man /unkn)
❑PWS: J ORW: yes +C / PNA yes /� Closest Maj.Wtr. Body Al!f f I'
r L n
Type of Project/ActivityV...QL,...; tt a�4.n-o .C' ‘ /r i a,-,k \ r i SO (0 X( (o C 0`.4
\� V.. lJ e f, c•� k n Styes
Scale:
( J )
Pier(dock)length 1 V`
Fixed Platform s 1 St - .-
Floating Platform(s) f0.V 1(a. •• US �� � 0l►G( .
Finger pier(s) I
,
Groin length _, 4-
_
number — - r -
t
Bulkhead/Riprap length �"' n "- i
avg distance offshore I
‘ i
max distance offshore ! i
I j I
Basin,channel • i 1 j i.,
,.X III r`.4.4%1IN d S.
cubic yards I �e 1
Boat ramp ,` � r-�—'
Boathouse/' oa ' t 2. Y 1 2 _._....•...-__.---- _ t
r .,._
r I
Beach Bulldozing
Other ti". Nl A 4
p I I ,
I j f
. 5,, } , ,
Shoreline Length
i
SAV: not sure yes 40 . "y �ro L _ SlAu + 1 "'(fh�.hlti� J!
17r er ����,
r a`"�_eike lj ��Z W- T�`11 t -'�q a o try' nl��r L
Moratorium: n/a yes Ro I
Photos: y o + } —.
Waiver Attached: no ! 1 - i I _
�L ( r
A building permit may be required by: 0IC I S14/, F.See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) ;� ( _
Notes/Special Conditions ( 'J \-.o C k-s A c t 1`t-n v-t t r-` 1V ' Lam.- (1'« c� l ‘ "sz. u A
I`^ ., 1 2 ky,\ S(, e S r4-,..tln ce r;'Xs c�
.Se c_ A-017 c 1 (e r.C\G.-^ r\ coc
Agent or Applicant Printed Name PermitOffic .. t
77
Signature " lease read corn liance tement on b ck of permit*"' Signature
2 a Z1-3 Vy ZoZ sjI`1JZvz-tApplication F ) : Check# Issuingo Expion Pate

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 0-796-72 1 5)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

MtCAMA/ ❑DREDGE& FILL N 9 77724 A B C D ,
ENERAL PERMIT Previous permit# i2
ew OModification LlComplete Reissue ❑Partial Reissue Date previous permit Issued 1 � i •
As aut orized by the State of North Carolina,Department of Environmental Quality '1 I �^�
and the Coastal Resources Commission In an area of environmental concern pursuant to ISA NCAC © ['__ ,--�
(� 7Rules attached,
Applicant Name Pau. WetOk srv.lAk.:h , Project Location: County iv":
Address 'd•'"• • t • tvZirulc- C'YOt Sin n' ""
• ' "' ' Street Address/State Road/Lot#(s) 3q2� e.• '
r ,_
City State h ZIPOj415 ,, (0n(f f tt.t
•
Phone#(:gyp),Stiff' 9,7,J E-Mall •I.*• • • .. • • •• •.Subdivision ; • •1r•
.:•. . ••
Author{zed Agent_AV'IC • •City.'(%dC" i'SIG•..A, 1 ' ' • "ZIP. 5)°'t$: —
Affected 0 eW i4EW pPTA ©ES . OPTS Phone# (_) River Basin if,.
OHHF OIH DUSA ON/A AEC(s): /
O PW:` ' , •^Y 1' r• Adj,Wtr.Body" P.Av yd - loci a�man unkn)
ORW: -.• i , ., .• ''.... 1 .►; Closest Maj.Wtr,Body U' ' /
yes rPNA yes I n -- _
Type of Project/Activity s ` wT• ' iM ' " V 6 k . II
1
h� ., 'tJCc t�,, totta.�� . '1.0exl.ti. , . . .-t i•r•! ,. •ti• -(Scaw 07
Pier(dock)leggth
v •
•
Fixed Platforms)_at Kf 2•• • _ % " 'Flotfor10 (:at --— p , ■1 • 111PIL0 ig •-jaFingerpler(s) ���■■■ ■ ■�,�
Fingerength . . . . .,, ...: ®®■■■■®■■ �'�®u lg� 11 tti t 1 •• ._,§ ■.C:ja••
number' ., ����� �������� ,, t �� ®
lmd® 111.1...1.1.11. 1
Bulkhead/Ripraplength ' ■■■ ■:■ ■■■■■■■■■
avg distance ofishore j� ji!■jjjl�ji�j��■ I
maxdistanceofishore ill' nilHi lIllplllllill
Basin,rhannel ■■■ ■■■■�
cubic yards ■■■■� ..„ ■ 1 ii,,,"�„"�' .
.■■■EECC■OC■.■■ C■■■■ .
Boat ramp . ■■■® ■■■ ■■■U �.• e:tta�i., p_�■i
:::! t
2liIiiiiIiiIil
llhliliIIllfliillIiiI
Other �, PM- �1��, 11EN1
^-51• ...., Iu ■u■■■■■■■CCiiiuiau 11a111 's■
.... ■■ ®M®■■■■
Shoreline Length ■■jjjjj
SAV: not sure yes •} • 11 4 R .Moratorium+ n/a yes +�, Uy 1 ►Photos: y� f/yr") 1 1 1,.. iiiir .,„,
11
Waiver Attached: no .
r J t . . : n .,wi,•
A building permit mayql.
equired by: Oak- t Si G•n( . .,. ❑See note on back regarding River Basin rules,
(Note Local Planning Jurisdiction) • ^� /� �+ (�.'Z�
Special Conditions C tit7 oGdc-tAs 1cct1s��t:,.ti` ' r`V�'•CXC.c-e-� Q'•c-''1^•e.-�& �'�� J
Notes/SA .. . l
lt�r~tCt rv,��"1 2_ tU/,,,,.-\ c +e S 'l i u��. .i7Ct--1 r� .• . . •
• r , . ,
__,:i p j a,,„6. PCsi3Fri- ____ \ .
, \ (e,r‘.Ac,., r-004—
,...--\--c ,,,..(...._..
�oot or App11 t Prfnte Name PermitOHice d Name
/77
• e read com Banco tatementon b ckof permit ie Signature
Signature lease ��$
'ZQU d t2'v3 —p� 2aZ t V11112,---.. ...
- ---iCheck# Issuing to Expne L.
Application Fe )
Scanned with CamScanner

•
NC Division of Coastal Management
Cashier's Official Receipt 13650 n B CIF
err•` Data: '/!y 2ll?
( ,ZOO a�
Received From: Pa v l Jet G�S.t v g
Penult No: 1-1,2� Check Now
I (�
Applicant's Name: 1 a��� ��JCR�k(j�« f_ j r County: lJr�‘`t�L
Project Address: 79 Vv* 't.�O�PYt•t.. IG
•
Pleaso retain r
ec
eip
t for your records as roof of payment for permit issued.
Signature of Agent or Applicant: Date:
Signature of Field Representative: ,r, t'" " Date:n/f rr/?'a?
Scanned with CamScanner

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• ADJACENT RIPARIAN PROPERTY OWNER^J
STATEMENT
I hereby certify that I own property adjacent to ?o.0 L / c.t!, j 4%. 's
�4 ,72 c'ophih of �perty Owner)
property located at �.G
(Address, Lot, Block, Road etc.) •
on M1451-10, 6141ey Si LA , in 04� Road.,
70 , N.C.
(Water ody) (City/Town and/or County)
• The applicant has described to me, as shown below, the development proposed at the above
•, location
�/Vt� I have no objection to this proposal.
ri�
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)Dtie`'4 1ft
°te.10
a- .
feAc41-
, (
Cil . 0 pr" - ,
P
. 1 _
WAIVER SECTION
I understa
nd 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.) •
„711"r1q` I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Informa i�h) J V (Adjacent Property Owner Information) '
---e. �,/
sure
L u e 0
go.7e.../. l
G am 4 s 4 00.( ,' PI - p r .
M "mg Address Ma'h Address
K atscc �u N�• tar
k ,ZJe:ig19 Ne, ArKr
City/State/Zip�
,,/ .�y� �9�� V city/s e ip
Teiepho,e ���e�ii address Teiep��N�b/gr��address
Date Date* dJ
(Revised Aug. 2014)
*Valid for one calendar year after signature*

•
•
• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ?ac.iL. ')NQC ,'t,u4 's
n .1 ,� ` 41tae of operty Owner)
property located at 3 9 04.4 i- tdil i n 'la I-.
Mon(
(Address, Lot, Block, Road,etc.) •
on oMorp dlt) , in ()Fick x�Gw).1,62 . , N.C.
iVaterbody) (CityITown and/or County)
• The applicant has described to me, as shown below, the development proposed at the above
��i� location:
��, e' Ihave no objection to this proposal.
•
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individc a( •roposing deve o•meet must fill in description below or attach a site drawing) •
413°a r • t:f,
•
164
4 ficsect"
.it. 4--.��,; ..
A._..9s..t. ...,
L., ilia . 1 . .
•
•
WAIVER SECTION
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.)
•
—77(41l L Ca_ I do wish to waive the 15'setback requirement.
>47
I do not wish to waive the 15'setback requirement. ,'
(Property Owner In orm o, (Adjacent Property Owner Information) '
gor''LIEJ06)7-11,..) ;
Si atur� 1 ur,*
u Sec8tv4+1i Ella,
C. r hd,nar
• Pitt!'Z2 or Tye Name / Pry' t or Type Name
etYvvt /19/4 Dr z,89Y ha.rbtood.C)Jich rel•
M ltng Address M fling Address
0 ri '#
k M5nuD AlCe ast fir y,for.D •Ns. .27 -Z
Clt t /Z� CI /StatelZip
' � W�� - 4.� aje0 - yopq — 1e.3/
Telephone Number/ m Il address TelephoneNum dr/email address
Dale Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Appl in for Permit: ¶QL/L- iJ � klv -
Mailing address: ccQr _0 e64 D31cp Litt, 0-.
CDA& .�'LAnn it-LC aev r
Phone Number: ?0 — E i g— qc?Z,
I certify that I have authorized 977a rk I !€XL+
. Agent/Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of c90. (> 4't CI ntO
p Re11qcir
at my property located at 3 [ 33Q.S' 04:1,tf ,' Drli ,
in bY Un,f)4iC, County.
This certification is valid through / 2//2t'2 0-2 /
to
(Property Owner Information
.L .
Signature
auL .z' i
Print or Type Name
DO nor
•
Title
/2// 6 (20
Date
• Phone Number
Email Address

Check
Can Reovived Date Capon/tad Chock From(Nero) Name of Permit Ho/der Vendor 111 amount Prrno Number/Comments ReoNpf or RWundiRsallocated
Column., Column2 COlumn3 Columm4 CCWmm6 Column!, Column7 Column8 Cdumn9
1/20/2021 Coleman Building Company. __ _LLC Wade Coleman First Bank 3122 S 200.00 GP 877725D 88 rot 13503 __
1/202021 115 Construction.LLC Byron Walsh BB6T __�__ 2535:$ 200 00 GP 6777470 BB rct 13648 _
1/20/2021 RG Malmo Contractny m Rone George Robert Hair Jr. me Bank of Arica 1061 E 200 00 GP 977714D BB rct 13847
1/90/2021 Paul R Wachsmuth same _ BUT 1237 S 200 00 GP*777240 BB rct_13950_
1202021' Brandon Grimes Money Order Carpenter Rentals LLC _ Wells Faroe�ftic 7.9-068347323 $ 400 00 GP p775550 'BB rot 13849
1/20/2021 _ _ __ Brandon Grimes Money Order Town o1GIB _Wells FargoBellk 19-0 88 34 7 3 24 $ 400 00 GP 0777220 BB fd.13502
1 20/2021 Jet and James Kenley same State EinM2rosia CU _ 7788 $ _200.00 GP*777120 138 fq.13043
1202021 Clements Marine Construction Edd Gunther _ FCB 5835 3 _ 400.00 GP s777490 'IKE nut 13884
1/202021 LloMhouse Marine Construction Delmar Polled Coastal Bank and Ttuft 3577 $ 000.00 GP s777350 'JD rat 19604 _
120/2021 .Vance Vance Morgan III Money Order Jack Morgan BOKF,NA 20983003/34 $ 200.00 GP s775380 Tmao rot.19678 _
112012021_ McPherson Marine Services.LLC James Banks _ FCB 3867 $ 200.00 GP a776260 Tmae rat 13677
2012
1021 McPherson Marine Sernces LLC Jacob Sulovski FCB 3868 $ 400.00 GP 877627D Tome rot 19678
1/20/2031 _ Moose Construction Edward Dail 8B8T 1771.E 200.00 GP 177732D JD rct._11760
12072021i Bune Sni6 Money Order Doodles Gay Wells Faroo Bank _ _ 5918722580 $ 200.00 GP i777330 JO rct.13002
120/021 Aaron Burleson Money Order ,same PNC Bank 779189 6 200.00 GP 877731D JD rct.131501 _
1/1IV2021' .Marilyn F Dav .Brian Day Citizens Bank and Trust _ 4424_$ 200.00 GP 8777480 BB rot.1364E
120r2021, nos S 200 Jerry Ennett Jason Draon Coastal Bank and TrustzoomlGP t77734D JD rct 13803