77754D - West

a :CAMA / DREDGE & FILL N9 77754 A B C a
r GENERAL PERMIT Previous permit#
>' �:New _-Modification OComplete Reissue .Partial Reissue Date previous permit issued /
As authbrized by the State of North Carolina,Department of Environmental Quality �7 O
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC d t-r ‘Z''0
t l` ?pules attached.
CApplicant Name tk G !t 5 LI( St Project Location: County 1,/-'n L‘-.. •C I L
Address 'U O J (Ye..^3,c._ A- Street Address/State Road/Lot#(s) ) I CA
City IC:1)J ^/ State NL ZIP -2.5'11`i Mc"r( kA rDr.
Phone#(11 t) 2 q ( 2 G g'9 E-Mail] C..1 c C'' X ' Q 'o i ..tor..
4 Subdi1vi`sionll n
Authorized Agent ec,‘.)`, nQ YSt/�1((1i1 City Au%dte._-. t`jts c \ - ZIP 2iC`lIt2-
Affected91CfEW LTA DES ❑PTS Phone# ( ) /� River Basin LLI f- b(At
--
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C .G."4 at /_m /unkn)
❑PWS: /�
ORW: yes / no PNA yes I no t Closest Maj.Wtr. Body A\W w
Type of Project/Activity .1 C-\ n"-N,1 e..-.) c Lc L n( rr.c ,(. t.+.. •tin ?x( 2 f("<k C-f 0....
i:)u,-1-{ -rr- (Scale: l' S )
Pier(dock)length X(2...t
}Fixed Platform(s) SX 5 ,
Floating Platform(s) X(Z ., IIIIIMIGEgaill i .`....,-
Finger pier(s)
Groin length '��WM+—
number_ [�j
Bulkhead/Riprap length les......i c.
avg distance offshore t I
max distance offshore i .. _ _
Basin,channel / i
I i f ,I •d412'
cubic yards 1
Boat ramp <h� - -�-� ` id( i 5
Boathouse/ i (Z�(2 �" i` IN
ir
.l
Beach Bulldozing I.. 4 Mk C �''
Otherle. r t I I Aft.
P/C L
Shoreline Length 504 WtSo-- c!� I r
t s. i /
SAV: not sure yes no �P re i � �,,L-tT‘
Moratorium: n/a yes 1 tActit j._-.-__�, — .__.._ '/1 b ,........
T
Photos: yes I
--
1
Waiver Attached: no _
A building permit may be rrequired by: IA 4ccte^ ()C�C.(^ n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions � k.-.cj 4 c0(e �� t(( r k �tC e{ i- v-e_c-X `g^—L
S-12A._ ISr4Z-CL-51 \CC re\Ck. C...---,. \2 r oc L
Agent or Applicant Printed Name Permit is ' " ed Name
r‘ --__ t-----.. .., 0 Ct../
Si attire ""Please read compliance statement on back of permit'"" II-- Signatuf e
ZUC>° ��'��Y /�, 2 < </2 4/Z I
Ap tion 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(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 252-946-648 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

AMA/0 DREDGEFILL N9 77754 A B C d
` GENERAL &PERMIT Previous permit#
Jew ❑Modification DComplete Reissue ❑Partial Reissue Date previous permit issued
As auth rrsed by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Cl�-i-v ( '' 0
++W`, ►es attached.
it(k Applicant Name t r Ls c Si- Project Location: County i-"c -.s C,t.-
Address 10 0 S Ore".^1.t A-vie- Street Address/State Road/Lot#(s) )( q _
City 1:2 ,NA %tate N C..-Zip - S-131 tA&r(k n rpr.
Phone#(CM)2 4( 2-0€1 E_Mail 414 c-tof•4 j.P.-S B1►ejinaiaKSubdi'vi`sion` n
Authorized Agent eau 1 a n� ,teen Cry RO1 elf.,r. g to c tA ZIP 2 fr''.1�� _
Affected
• CIA
—1�EW (,PTA ❑ES OPTS - Phone# ( ) /� River Basin Lv r-�bi"r
AEC(s): CIA ❑HHF ❑IH ❑USA ❑N/A Adj.Wtr.Bodyt (
❑PWS: rGn� a[ /unkn
ORW: yes/ t� PNA yes ! no ' • Closest Maj:Wtr.Body 'A i W W
Type of Project/Activityrr 1J e_ cLlt:,.., • c t k¢'' IA,,1 N t(2 a ddesr 0.•.
Tl'}- _���+ t- • (Scale: J' t )
Pier(dock)length (o'•c(Z'Fixed 1
Flatting Platform(s)() S1F S l T { t�-' it -u_
F.I 1 I I (iiIF�P�(s) ` �xlZ 7 ._'—_'•_ I I` I I► I ' 1 , 5 f-6 r I j ; JI
I I I
L. _' 'i I I .I
Bulkhead/Riprap length I `` I' 1 1 :- I
avg distance offshore ( I r + �--
max distance offshore. I ,V `�1-It 1—IFT I- I 1 { 1 , i
Basin.channel ( I 1 `
I.1 I n- I l i t i I I I I 1
cubic yards I •j I I j
Boat ramp 1 -141-Tk --I•---I-.. AxAf F•. ' I_'
BoathoksrJ:.,. 1 1Z>Ft2' " -{-t„' I. - ___ 1 _ 1_'i� i
RI _� 1 _ _ i� 1..
=- !�i i ,
Beach Bulldozing - '.1 I i II I •1 j A N 1 _� " --�-1 `. L 1 iv:`
Other
r � il ' I I I .1 i - I tII '
I
WI_
--��_ ((__
Shoreline Length 50
1 l l I~ , ( Wl ' T O , I I
( I
SAV: not sure yes 45 �-•—`.�P-:,, re S i L
�sk --1.__!• �.�1 /.+ _ __ -� I is
W Attached: no Photos: Yes - - ---- -- ----- . -I._-
�� I
A building permit may •, required by: 1"16��� ��(..C�� El note on back regarding River Basin rules.
(Note Local Planning jurisdiction)
Notes/Special Conditions (Ca••r . -.Ctif k g, 4- . - Lz.--e_... .
I sk i' i G.txNNl>1,� •yr•(,J+i- .S ce.Vr.
/�O /,,� , Z.7101& �-� G. ` roeAgent or�lipll , Pri Name Permit rc ed Name
c
si tare e•Pleasereadco&I&5.i(L
ementonbackofpermitN Signatu - ��`
200°° 3�-3�P �z
Ap don Fees) Checlk# Issui g Date Z Q L
Ex ratio at-
Scanned with CamScanner

� f
41 If To vrtr)
I , 1Ptv 11 I y. ,
:w-c6 •
5.,xG 1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ( (0 r (er-, (A)Q 1-4
Mailing Address: '�� n caA Ave
`DLLcc ( C ;"3R
Phone Number: QI P cf J' '
Email Address: 1::+ VC b h_4m u t , C ()Nev
I certify that I have authorized —) cc ' , s /P6.4.LI,
Age t/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAN A permits
necessary for the following proposed development:
X l 4-Z.frtP c:-(\ A Xfrq or_ 4- 6046 )i
at my property located at I` 1 MA( 1 ti. rl )
in rt,uNP7v vic County.
1 furthermore certify that i am authorized to grant, and do in fact,gnen1 permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to,enter
on the aforementioned lands In connection with evaluating inlbrmallon related to this •
permit application.
Property Owner information:
Signature
PRA (lib \A/P A
Print or Type Name
OWr\Q.�
Title
I I Ia1
Date
This certification Is valid through � I CS i at

CERTIFIED MAIL..RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. b
Address of Property: II9 /inn()
(Lot or
Street#,Street or Road,City&County)
Agent's Name#:
, a lngAddress: x 1 oq 666 tt¢S "ec" '
Agent's phone#: n1;
0?0O0 I`6�b Supply N1 6v.,:i
.1 hereby certify that I own property adjacent to the above referenced property, The Individual
Epp►Ying for this permit has described to mo qs shown on the abashed drawing the devetopnrant
they are proposing.A descrlptlor,or drawlna'with dlri,enslons meet be provided with this tatter„
__ I have no objections to this proposal. I have objections to this proposal.
WYou hsyseNectione to whelk being proposed,you mustnattfy the dtvhton W Coastsiblanstriism fr(DCbtt In
vatting wean 10 days.of receipt c1 this need. Convapondense shobtd le MOO le 127 Cardlnel bible that,
Wilmington,.NC,Z C5 3tfld .DCM representatives can•aho bo contacted at(010)7a&721 d.No roeitOnso h
canalderod the same as no dafeotron:it you'have bean notified by Cer61fed`N011.
• WAVER 8E TION
I under tend that a pler,dock,mooring pilings,breakwater,boathouse,lift,or groin must be sat
back a minimum.distance of 15'from my area of riparian access unless waived by me.(If you
wish to waive the setback,you roust initla(the r)pproprlete blank.below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement
(Property Owner Information) (A ja ant Property Owner Information)
Signaturn SiSl tape nn
Printer Type Name Print or Type.Neme
3O-6 S. OIrQ,1 , 4e- 11i.2 orCa,PAO✓e_
Melling Address Orl Melling Address
h,E4 Nt1 e?$33 ra' 44e � N� 01cab5
mp Clly/S
(�=il61 ' t - 613 9,0 .3'2-2- 07/
Telephoner Number Telephone Number
Dote
Mat
Revised 6118/2012

CERTIFIED MAIL ' RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
' ADJACENT RIPARIAN PROPERTY OWNER.NOTIFICATION/WAIVER FORM
Name of Property Owner: (i(1 j, ( i_.-) '1(\/c'.-- *-
Address of Property: I) 1 '► )6/I i , 1.3 r.
(Lot or Street#,Street or Road,City&County)
•
Agent's Name#: I,L2nrl\iS 55)1�'G,../1r:,e6,!i1r,,., Mailing Address: t9ILrJ► ;'c.:./ait" A c -,c+
Agent's phone*: 910 ,260 sLr p.fi).\/ A)L ,9?;41 c
I hereby cert that I own property adjacent to the above referenced property. The individual
applying for . permit has described to me as shown on the attached drawing the development
they are pro••.Ing.A description or drawing,with dimensions, must be provided with this letter.
vil o objections to this proposal. I have objections to this proposal.
If you have objections ft'what Is being proposed,you mustnotify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this.notice. Correspondence should be mailed to 127 Cardinal Drive E,tt.,
Wilmington,NC, 284054846, DCM,represenraUvos can also be contacted at pi iv 798-7215.No response Is-
considered the same as no objection if you have been notified by Certified Mall.
WAIVER SECTION
I understand that a % = dock, mooring pilings, breakwater,boathouse,lift,or groin must be set
back a minim t m di. - esof 15'from my area of riparian access unless waived by me. (If you
wish to wwaaiiv; a 9, ,ack,you must initial the appropriate blank below.)
\ A i• .-sh to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Ad cent Prope or Information)
Signature Sign e
C1 c/ let wet+ /-)y,.,_-.! (,.-::1 fig. .1 e.e rl iNci
Print or Type Name Print or Type Name
:3o C. 0 n > rh% ('leis iJ o r~ �4.
Mailing Address M,Iling Address
bt,on, AJC &--6. 33L1 icil_.a lc !, p c. ,, --76,c,.3.
City/State21p City/State2V
Tel9H)29c - cSc:1 qHH. 3Ll°(. 0( 61,3
ephone Number Telephone Number
Ili 124 JAL, I �) , ----e) a-1
Date Date
Revised 6118/2012

Check
Data Received Data Deposited Check From(Name) Nana of Permit Holder vendor 11l *mount Pawner NumbarICommants Receipt or Refund/Reallocated
Column Column2 Columns Column4 Columns Columns [alumni _ Column° Columns
2/4/2021 2/9/2021 Harbor Marine Construction,Inc. Bob Hale 'Bank of America 1156 $ 200.00 GP#777730 JD rel.13621 _
2/4/2021 2/912021 Conrad Fey same Bank of New York Mellon 1084 $ 200.00 GP#777760 ._ KE rct.13668 _
2/4/2021 2/9/2021 Lighthouse Marine Construction Inc. Vincent Garofano Coastal Bank and Trust _ 3609 $ 800.00 GP#77741D JD r_ct.12385 __-
_ 2/4/2021 2/9/2021 Lighthouse Marine Construction Inc. Douglas West Coastal Bank and Trust__. I 3608 $ 400.00'GP#77740D 'JD rct.12384
___ 2/4/2021 2/9/2021 B and B Marine Construction Money Order Chuck and Mary Jones Wells Fargo _ 1119-088347329 $ 400.00 GP#77801D Tmac rct.13591
2/4/2021 2/9/2021 Permit Pals Charles West CresCom Bank _ I 3736 $ 200.00 OP#777540 BB rct.13519
214/2021 2192021 Jason M.Inch Lach Revocable Trust First Palmetto Bank 1839 $ 200.00 GP#777560 BB rct.13521 __
2/4/2021. 219t2021I Perna Pals Gerard Russell CresCom Bank 3737 $ 200.00 GP#77755D B8 rct.13520
2/4/2021 2/9/2021 Joel E Brown same Fidelity Bank 4440'$ 200.00 GP#77759D BB rct.13518 _
2/4/2021 2/9/2021 Once Construction of Brunswick County Inc John Dwelle BB&T 14385 S 200.00 GP#77729D BB rct.13516 ___
214/2021 2/92021 Grins Construction of Brunswick County Inc Marshall Newton B88T 14384 i$ 200.00 GP#777280 8B rct.13515