77801D - Jones

0 CAMA / DREDGE & FILL No 77801 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 n U V and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
L E Rules attached.
\Applicant Name. \ L A IN\fAi \k./U ,A Project Location: County kilA0 WVOif
Address f \i ,,,\(/- 0/'Q 1 Street Address/State Road/Lot#(s)
City t►`Jt! v(')V)tV1) State ZIP Al LA 01 Vc' G 1 \-11 V/LLB
Phone #(l?j 1.,6 �.�-.N . 6 'E-Mail Subdivision ff,, f'^, ^� � �' r'
Authorized Agent 1 -6\, y �k ( v) A \ VA City Lot t LL&. ZIP �Y
Affected ❑cw ❑EW ❑PTA ❑ES D PTS Phone# ( ) I",,_ River Basin L A-iAk e/✓
( ) ?PEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body L&.v 'i �(natl/man /unkn)
CI PWS
AEC s : �
ORw: yes / no PNA yes / Closest Maj.Wtr. Body 1MA lUA 0 QQ.LL&IV1.
Type of Project/Activity V) CMA\. , Viiil K ) �'D \MU (5f l'VIA Y1�\ly1G,f(k-i'1'�
(J tauvv_L J\. 1) -- ' kAL.1\J (Scale: I1�. �I!l)
Pier(dock)length •
' I i - I I I I
Fixed Platform(s) _ i I I I
Floating Platform(s) ' y�
Finger pier(s)s V�`
g P O TWZ fiVA —
Groin length I I I 1
____: ' . ill I
number --._...-------._-. -...-.-... _. i......._......._.__T.._ —.—. _..�._.._.._.._L. -.__._.
Bulkhead/Riprap lengt 1
avg distance offpl ore
I i i
max distance 'ffshore i n ti
Basin,channel , 1 �. �+" f
I , iIt
I
cubic yar s
f
Boat ramp - .. l�
!
Boathouse/ oatlift i { �— 1 .Vimaiiiiii60' ,ALAd V I.
� I
o
Beach Bull zing - iv gri:hito 1, 2/, i 1
Y I X , V— j
, , ! •
= - -- o
I
..
1 � I
I
� r , , , i �1
Shoreline Length ' ` •t!iIN!1 _
���i_�
_ �' 1
IQ wow-
SAV: not sure yes ,
cil 4
Moratorium: n/a p ;
Photos: yes (ad` � k , j —�{ ��
Waiver Attached: yes l� 1 ' -1 ( ,
A building permit may be required by: 1t/`,,\ V &.14 ` L(Af\...c' . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
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Signature *Please read compliance statement on back of pe i *"« Signature :plc
7.s:xi
Application Fee(s) Check# Issuing to Expiratio Date

•
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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(910-796-7215)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

, ap4AMA/ liREDGE & FILL fro 7780 I A B C lJ
TeNERAL PERMIT Previous permit#
) Gw Modification I.Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality ^ {
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC ` ` La)
Rules attached
11 t l
Applicant Name, MA '�\l� L_ a � , Project Location: County 1 4'1f\v') V /\' .
Address- C406
'D _A.Ak vu �.(w_ I Street Address/State Road/Lot#(s) __ ___ .__ _
Cic Y, ,yY�_�_ Y.v _ State ZIP Al _ �-1%9 _L\i' . 1 .1.G 1 )'\_ _ . -
Phone#y�.M - E-Mad Subdivision_ _( 1_ I C..^ �_
Authorized Agent 1; - \'.1 UA,ut, ti _C_�fv') ln�-111/y l City-_( dt?. t( lik_..\)` ZIP �, `A ktL
Affected CW -EW -PTA _ ES PTS Phone# ( _ ) - ______ - ___ River Basin_L_(,.4 �✓
EA _ HHF _ IH UBA NIA
AECs: I
AEC(s):
pwS. Ad).Wtr.Body .lk,abe ckt.. , _ narJfman-/utkn)
ORW: yes ! PNA yes ! Closest Maj.Wtr. Body l l lL4 L�t, t.t•'ry.
Type of Project/Activity kO ,`A.C.U� 1, -) � Vb-\,c C T 1}rl;\111\111fi-A_AL0)
`t` \VQ vLA.0(t %`V (Uv . (Scale: I ji Vl )
Pier(deck)length - --------- - - - ----
Fixed Platforrrr(s)_____ . -FloatingPlatform(s) lAk\[7��\i V`
Finger pier(s) -__- I 1 5
Gran length -- ---- - . - I - .__. , —
number __
_ -"
Bulkhead!Riprap!en gt IN
avg distance off re_
max distance ffshore___ _ _
Basin.channel -ma c Tie.)
cubic yar.s _
Boat ramp _______ ---- ---- _- s. (�' ti'.'.i\ .-._ . _ -
t'-'1:.-\--:-
Boathouse) oatlik 11:1111\UC-n '✓ !c.:N< {�
' (1-{)k; -: .
Beach Bull zing____._ -- :t\ �� thTi
'1'
• Shoreline Leng Eh -- — - — .; ..� .. .
SAV. • not sure yes .-�—' / V
Moratorium n!a ey \' V I I b�C,� ' ,-z ��,t-
�W a
Photos- YeS D - i (� ��
Waiver Attached: yes n -� ',—� _lA ��� ' f_� 1 ) \j.�_�/
� rrt C.�
A building permit may be required by: v1 t•;� �4� 1.�G� , .Sec note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
a. .7cv4 v fit,, —11(:-7 1
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1A -.Avg.I W♦p*;cant'ri:�!` am,e Permit Officer's Pr t Name ff _ -_ - --
—. ___ . .-.1r1,11,1:_) 7 t l'.?
!nature •=.,•nu.nei . . .ackofpe i., ' Signature
Ill
— -_ Check# Issuing to Ex iratio Date
fil,' plicacon Fcc(s) P

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property.Owner Requesting Permit: Chuck and Mary Jones
Mailing Address: 210 Irving Place
Greensboro, NC 27408
Phone Number: 336-339-3337.
Email Address: [e-mail]
I certify that I have authorized B&B. Marine Construction
Agent/Contractor
To act on my behalf, for the. purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development: Sand Bag Placement
at my property located at 6329 W Beach Dr
in Brunswick County.
I 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:
Mary. ,ones(Jan 28,202109.02 EST)
Signature
Mary G Jones
Print or.Type Name
Owner
Title
J a n 2/8,2021
Date
This certification is valid through I . /

SANDBAG REMOVAL NOTICE
TO WHOM IT MAY CONCERN:
I, Mary Jones , give permission to
B&B Marine Construction to act as
my agent in my behalf in obtaining a CAMA General Permit to place
sandbags as .a temporary erosion control structure in front of my
property at' 6329 W Beach Dr
I, Mary Jones , have read the
specifications in 15A NCAC 7H-0308(a)(2) and understand that the sand
bags may remain in place for up to 8 years after the date of permit
approval. I understand that I will be responsible for removing the
sandbags within 30 days after that date or at any time that they are
determined by DCM staff or its agent to be unnecessary due to
relocation or removal of the structure. I will also be responsible for
removing any damaged sandbags during the period they are authorized
to be in place.
I also understand that the removal of the sandbags shall not be
required if at the specified date for removal they are determined by
DCM staff to be covered by dunes with vegetation sufficient to be
considered stable and natural.
AUTHORIZED SIGNATURE: Aitt„....
DATE: Jan 28,2021

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mary Jones
(Name Of Property Owner)
property located at 6329 w Beach Dr
(Address, Lot, Block, Road, etc.)
on Atlantic Ocean in Brunswick County N.C.
(Waterbody) (City/Town and/or County)
• The applicant has described to me, as shown below,'the development proposed at the above
location.
I have no objection to this proposal.
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)
•
•
Sand Bag Placement
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)
(Sk/J9 SifrO
Sk+a_r..aq(Jan 28.2021 14 CO EST)
Signature Sign ature*
��G( ept-,ci C Skip Smart
Print or Tfrpe Name Print or Type Name
a Roy L."Skip"Smart RI
• Railing Address J Mailing Address
lNr e ft."SbOC n ,fs.IC .3-1 y0Q 2039 Queens Rd East Charlotte NC 28207
City/State/Zip V City/State/Zip .
[e-mail],cam [e-mail] .
Telephone Number/email address Telephone Number email address
Jan28,2021 - Jan 28,2021
Date • Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature"

ADJACENT RIPARIAN PROPERTY OWNER.STATEMENT
I hereby certify that I own property adjacent to Mary Jones 's
(Name of Property Owner).
property located at 6329 W Beach Dr
(Address, Lot, Block,.Road, etc.)
on Atlantic Ocean , in Brunswick County , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
>c I have no objection to this proposal.
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)
Sand Bag Placement
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) (�;jac; t Property Owner Information)
Signaturet(i
1'1•r .tore
'M ar c�e��S P r�rC
Print or Tj'pe Name Prin or Type Name
Z to 1rkittex - ke,c .. A P wiVtAt-tik
atltng Address oar �A (ekin%pnr -3`]4 )�
City/State/Zip /�51!a'te/Zi
Y P h' P
mjone p @triad.rr.com /ti �y+ L9rticeo,„:Tele hone Number/email address lTel h"ione ema i address
Jan 28,2021 �Q 'I .
Date pat
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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Check
Dab Received Date Deposited Check From(Name) Name of Permit Holder Vendor 11/ amount Permit Number/Commanta Receipt or Refund/Reallocated
Colleen.' Cokrmn2 Cognnn3 Commnl Cdumn6 Column6 Cokann7 CoWmn# Co1umn9
2/4/2021. 2/9/2021 Harbor Marine Construction,Inc. Bob Hale Bank of America 1156 $ 200.00 GP#77773D JD rot.13621
2/4/2021 2/9/2021,Conrad Fe_y same Bank of New York Mellon 1084 $ 200.00 GP#777760 KE rd.13668
2/4/2021 2/9/2021 Lighthouse Marine Construction Inc. Vincent Garofano Coastal Bank and Trust 3609 $ 000.00 GP#777410 _JD tot.12385
2/4/2021 2/9/2021 Lighthouse Marine Construction Inc. Douglas West Coastal Bank and Trust 3608 $ 400.00 GP#777400 JD rd.12384 __
2/4/2021 2/9/2021 B and B Manna Construction Money Order Chuck and Mary Jones Wells Fargo _19-088347329 $ 400.00 GP#77601D. _ Tmfe rd.13591 _
2/4/2021 2/9/2021 Permit Pals Charles West CresCom Bank 37313 E 200.00 GP#77754D Be rd.13519 __
2f4l2021 2/9/2021 Jason M.Lech Lach Revocable Trust First Palmetto Bank 1839 $ 200.00 OP#77756D BBB rd.13521 _
2/4/2021. 2/9/2021 Permit Pals Gerard Russell CresCom Bank 3737.$ 200.00 GP#77755D :BB rd.13520
2/4/2021 2/9/2021 Joel E Brown same Fidelity Bank _ __ 4440 $ 200.00 GP#777590 BB rd.13518
2/4/2021 2/9/2021 Grice Construction of Brunswick County Inc John Dwane BBBT __� _14385 $ 200.00;GP#777290 BB rct 13516
2/4/2021 2/9/2021 Gnce Construction of Brunswick County Inc Marshall Newton BBBT 1 14384 $ 200.00',GP#777280 BB rct.13515