77368D - McVickers

► ._
0 CAMA / DREDGE & FILL No. 74368 A B
GENERAL PERMIT Previous permit# 11V� O
)� New Modification Complete Reissue _Partial Reissue Date previous permit issued'
As authorized by the State of North Carolina, Department of Environmental Quality 1(1 1��
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC r`
` ❑Rules a
Applicant Name \)' �k U v vt U����JL1 J - Project Location: County \/\,L'ir)V\JttU
Address '•. • i + Street Address/State Road/Lot#(s)
City V_ k b/V\ State ',mil n SIP (94, 1 t �- LoL.6/•115VYI ��`L -G1 ST--
Phone##1'10) — 5(E-Mail Subdivision c/
Authorized Agent ^�k ` `j L.V4,_ Q City \\V VA_ ZIP a b Lla
❑CW C W A ❑ES ❑PTS Phone # ( ) River Basin_Lk vy`�,-iA/
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A �I ^
AEC(s): Adj.Wtr. Body S w (nat man /unkn)
❑ PWS:
ORW: yes (n� PNA yes(no Closest Maj.Wtr. Body. - -
Type of Project/Activity . Ni\VIA, _f\V IAA; \s1 L C U(� i
i (Scale: `j t )
Pier(dock)length ��� --
O ` ' . MP I ,.
Fixed Platform(s) RIa c
,,
f �`
Floating Platform(s) `
Finger pier(s) I V ►`A I \'
Groin length . ` 1`V I
number
Bulkhead/Riprap length MI=EMI
' M: iLMIIIIMIIIIIIIMMIN IIIII'
avg distance offshore 1 111111■fill minoillillIM
max distance offshor
Basin,channel
r
cubic yards V II N
Boat ramp
•
Boathouse/Boatli J ' '
_,- 1111
ev � .. \
Beach Bulldozi : t
Other
Shoreline Length kI_ J v I , V
SAY: not sure yes t � '1_U -. .rrrja lr
Moratorium: n/a yes1111
Photos: yes .
Waiver Attached: y no '' L I
A buildingpermit required b : fl\ANV1()V\ i[ .V�. I I See note on back regarding River Basin rules.ma be YYt .
(Note Local Planning Jurisdiction)
Notes/Special Conditions ., wS% .(j,:1/Vi/) `l V\.1A j 'tom LAri. \c,W)t 1,i\'N_<t---"
f') Ade.* 6-' , --� �� j
�C
nt or Applicant Printed Name Permit° icer s Printed N
\,.....)
�--- ' nature Please read compliance statement on back of permit** Signatu ' iC
Application Fee(s) Check# Issuing Dat Expirati 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 (252-946-648I) 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 252-946-6481
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

I,,/-----',..„......,_ 1..CAMA / DREDGE E. FILL • A B C (J
GENERAL PERMIT Previouspermd . I.
Jew Mod,j,c t::• _ -e Reissue F►rtc,f ReissueDate previous permit issued__--
La authorized by the State et? c.'$ Ca,- • Dcoar-r,ei,t of E••.-:r•rr.ts.Q,.l.,t. 7rl f ( v
and the Coastal P.rsaui-ces Crvnrr•tst r•v' i•t•i of enY..on-.e•• -�t.ti t,. ei'yrs•,ant to 156 tmc:.0 ' I
r.
Applicant Name { l:3 CAI _1 t!t ` V.C , Z `
I� I. Protect location County I J.".
Address I „ [. \ ri 1I Street Address State Road Lot tits,
City `t•Lr., statt: i'-',... ZIP 11 ';Li 71, L c Ll- t-- -'-t' i i/._ }.c/ 1---.-
Phone
z , y
i • -{'� f1 S(1' F r.••. • 1 I.-,t_*.lkca )�. •.lI L' Suhdrfs,on
Authorized Agent \.- _'. f,-,: •`• •r•: { City t. tl'bii- ZIP ) 'I r •
CW Ew River Basin L4 .i• { -Affected
PTA Es PTS Phone# .............../.
AECIsr OEA .+Hf IH UBA N A
Pw5 Ad1 Wtr Body irlin,l.`' a� •''1,
ORW .• �.s t• , , PNA .ns r(....:s.,1 Closest Mai Wtr Body Al 1,"tJ
Type of Project Activity -< — I
s! !'! tit; , t?u', 7,_�`L " •.,..,��_..�ti .✓� ��C/T. k."'`: /.:../,J�
Pr-, avt n,;, `t .T 7 - __ -- - --- ----- _._ C(Scale: `' - .�,r_ )
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Wa„cr Attached +es No i-C,-.i.rcr- > i..4.1
rt
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A building permit may be reou.red by %Ai' ,--''t-L G.A.��'./ See note on back regarding River Basin rules.
I Note Local Ptann.ng jurisdictions j
Notes Special Conditions '1 c v 1 t'S c - 7[I !2- -1, l tic.tt �\, [ti-01 I—i 11
/ retied a -,liiret,t
Ad0.r, orient et-A Rrtlllc_
(Ai
gen;or���Pr«,ted Name PO 's Pry4d Name
1
Signature •"Please read compliance statemerton back ofpmit" Signature
permit"'
d6(). w -t.IV10 - 9 j9/aoao I�9 07•l
ApplicationFee(s) Check! Issuing Da a Expi aeon Date

AGENT AUTHORIZATION f pR CAMA.PERitlrrwPR1 tFt;T4AN
Name of Property Qwner Requerltfig Parmif, T►s "kVtckers
P c5l Mailing Uw
1. r} L Parktan,NC 28571
Phone Number: , 910-308-3951
4- -: Email Adcreps, • tllttcVic'kereC�glnail:com
certify the( h ,ave authorized' ag MsirtneCo rstra ion bq Aiiarn'Gset Greene �'�
z T` AgentlContra�tor
" -;te aot on my behalf,for the purpose of applying for and obtaining all LAMA permits
td kxT if, ,
pe� .New Pier and Floating Dock
cepsaryforthg following prepared development ., .
_„ 4t,my property located at
393 Lockwood Folly Rd.SE.
f: , �$ ,
r in` Brunswick County.
,- x
,,11, I furrhermotr c'etiffy that I'aril autf{otlzede to grant end.dio In fact g permission to
' *: 'Division of Coastal: nagement-staff,',theLocal f rtnit OlfJber aunt lw ganfs to enter
�� P on the aforementioned lands In connection with`evaluoung Jnformatfonretatgd to this
.. '` permit application.
Property Owner information:
$fgnetu
1e,iAScGt mUVi� tars
Print or Type Nemo ..
n.�R opt
at
p -1
's valid through
3f1 p 4 2, '
This cerdflcalcart°t -
, .,,-� , x �a3 �t�Tea

r,
C NT R PARIAH P
i hereby certify chat 1 own P�R OW �R TAT NI
`' erty adjacent to The McVickers
PrVerty located at 393 Lockwood f Folly s
y Rd ,c tNams of Property owner)_.
op 1CW (Adress Lot Dtock R
` (w'atarbody)
jn� 13ativia QBd,et )
f CttyiTown andtor County) N C.
The applicant has described to me,as shown below,the development
t have no o 'e proposed at the above tocatian.
b1 ction to this proposal.
I have objections to this proposal.
DESCRIPTtt)N ANUIOR DRAWING CIF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse,lift,or groin must be set back a
minimum distance of 15' rrom my area of riparian access unless waived by me. (If you wish to waive
the setback,you must initial the appropriate blank below.)
r---. I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement,
(fir Owner Information)
' operty Owner In
f®rmati:3d}
Lf
r�
�F �taltre r--_
Si � V � 9fn
ttt'L'
556t., or T T r-
Print or Type Name t �iS
P.p;B ox 5 - M J g ddress
�ill�r��dr28371 � ��
aron, city le I t, �c�•
Cit /Slate2ip �rr
/0 .�'�� retool) e ®ther
Teleptiu e Numb
_ r Date i.
Date (Revised 6118/2012)
i

r f
F 5
''::fl ' -- -r: s
° eby certify that own FR 7sr .T
�.6 e
s ° Yjevent to The McYickers
,y PrOPe located at 393 Lockwood Folly Rd.SE (Nar of PropartY°voter)
(Address,Lot,lalock,Road,sic,)
0/Vater y} vi N.C.
CitYITOWn anillor County)
applicant has des
cribed to me,as shown below,the devekapmerlt prod 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 dratrhrgl
WAIVER SECTION
I understand that a pier. dock, mooring pilings, breakwater, boathouse,lift,or grout must be set back ea
rninirrrum 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.)
icil
41 I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement
weer Afor ton)rty (Adjacent Propert Own rinformation)
./044,/a.,
rj
iature °'a R.'`d d v 1 G%t�""'Si��n tttr . � �!U
,;SSA c V tc. �Y'S
Print or Type Name Pant dr i °e!�'a e/,r 1
P.O.Box 511 �,� I �C�..lv� I"8
Ad r s Malang ddress
rsilt . .t
Miff 6283;�1
lStafe�n GstylSlat . z
ta,�r, _ 0 JNw7ther -'lam'
Tetspio a Nu rer _ ` _—
Dato
pale
(Revised 611 012)
w �s'�'•�"�,{ ' (' r @ rvif :„ "s ue
�Y4i.';,,,y 9"` 4 L .' A W2 fir.
{' yl a»..x' '- { n u.i7 .+ate +,� ' �.�
� e

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to The McVickers .s
393 Lockwood FollyRd. SE (Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on ICW , in Bolivia , 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)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or grain must be get 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.)
1:1a do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property
y,Owner Information)
��� (Adjacent Property Owner Information)
(/-/et!C/1, ,t rI
. `(/�I 54,t rnVV I
nSignature t l� Si lure
/YJ,%Gl t Sit' f c.� i i c.k Peres e Gi s-�11 hot t)
Print or Type Name Print or ype Name
P.O. Box 511 -3q--j W 6//y
Mailiog Addre s Mailing Address
Parkton,N 28371 A f C
City/State/Zip City/State ip
910 - 3o5s - 3 9,S/ yl f1 —4-7l -- -3_ 3
Telephone Number Telephone Number
-37- 212-1 2/
Mile Date
(Revised 6/18/2012)

Check
Dab RecaWod Date Daposnod Check From(Noma) Name of Permit Holder Vendor 1 f/ amount Permit Number/Comments Receipt or Reund/Reallocated
Co mun Column2 Column3 Cokonn4 Columnb ColenwM _Column7 Column8 Coiumn9
2/9/2021 Allied Marine Contractors LLC Laura Olsen FCB 9832 $ 400.00 GP t77742D JD rct.12387
2l9/20211 Allied Marine Contractors LLC !Nancy and Bob Carr FCB 9831 $ 400.00 GP*77743D JD rct.12386
2f9/2021 Allied Marine Contractors LLC Robert and Sarah Clark 'FCB 9758 $ 200.00 GP t77766D JD rct.13622
2/9/2021 Sea Dog Marine Construction,LLC Donald McVickers First Bank 1230 $ 200.00 GP#74368D Tmac rct.13592 _
__2i9/2021 Sea Dog Marine Construction,LLC Christine Cichan First Bank _; 1233 $ 200.00 GP#77804D Tmac rct.13595•
_
2/9/2021 Sea Dog Marine Construction•
,LLC Edwin and Wanda Turlington First Bank 104 $ 400.00,,GP#77540D _ ___ Tmac rct.13594 __--
2/9/2021 Coastal Marine Piers Bulkheads LLC Mark Sirgo _ Wells Fargo 23717 $ 200.00 OP#76182D PA rct.11583
2/9/2021 Coastal Marine Piers Bulkheads LLC !Douglas Home Wells Fargo 23718 $ 400.00 GP#76178D PA rct.11584