77773D - Hale

0 1._. CAMA / r;)DREDGE & FILL N9 77773 A B C i�D
GENERAL PERMIT Previous permit#
> I'New. LiModification �'�Complete Reissue LPartial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality /1l I.{ , 15b O
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC CJ
1' f /'Cr /L7 0-fa, /' [ , Rules a hed.
Applicant Name U it [ t Project Location: County I- .k
Address \ b7 2- tc� nU?1'(I- - �� • Street Adddress/State oad/Lot#(s)
City/ £L 1LL State N ZIP mac/- Ar6 4 '<( z-.2>
Phone# t)C 4 2"q6 We E-Mail -_ Subdivision �[ n�
Authorized Agent N t( C P ([-M10 City t U() L'" 14ZIP 2 `-6 S
Affected D Cw EW ,14 PTA jES 0 PTS Phone# ( )--�^ River Basin YV ' 0
AEC(s): El OEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body 1 � �� SU V�>f G nat unkn)
0 PWS:
ORW: yes no PNA yes / Closest Maj.Wtr. Body (5�� 5004-
Type of Project/Activity )_-64 't a,Alt 6,----
�, . (Scale: N 1 )
--'f--4) ,
i
Pier(dock)length
i � I-ilk_
/ � �
Fixed Platform(s) _ i 1 i
Floating Platfo' s r01*
Finger pier(s) O ( • I--
Groin length I I i �f U'
i
number —+--.._.._.. .._..�------_—.___ .
Bulkhead/Riprap length ; i
avg distance offshore I 0
max distance pffshore f iV a 1 1
.
f �fccubic yards Y i / � 1i 'i
Vedr eBoat ramp ! ; I
16,
Boathouse oatlift — I ,
— f'T-- ii
Beach Bulldozing ''` I i �� r—
Other
1 I I j " i 1
H 1
Shoreline Len h "1_7�
s� P.--- ,___, ,
V�Q j 7 ./ 1
, i
SAV: not sure yes ( "% ---- i 1
Moratorium: n/a yes no
Photos: yes no —I-1_4 t.._ 1 i 1._ ___ .1 I
Waiver Attached: yes /ffo�j 1
j I ' ! ' (� 1 —
A building permit may be required by: k`{/kCL.L--mot 5-Gl..a(]' /5 - Li See note on back regarding River Basin rules.
Note Local Planning Jurisdiction) r f�
Notes/Special Conditions 11\6 0e ! - 1 A-e-e_ � ! ICJ U A,t -•
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Age or Applicant Printed Name iPermit icer's Printed Name �_--�
afore **Please rea compliance statement on back of per 't** Sign re
771-1 cb Z. 3 - G/ G . • z (
Application 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(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

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that!own property adjacent to A cj e
property located at 40 b tz I of a (Narne of Property Owner)
y �R-s l�rvv
(Address, Lot,Block,R6a etc.)
on Bo1n4S C hotnne,I , in loess' t �.eQ c h,Fey\oleJ-, w.c.
(Waterbody) i (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-4 PROPOSED DEVELOPMENT
ancdividual proposing development.mrrs till in description below or attach a site drawing)
•
WAIVER SECTION
l understand that a pier, dock, mooring pilings, breakwater,boathouse, rift,or groin must be set back a
minimum d`,tance of J5'IVIIkrriy are{?.of riparian a +,as less less waived by me. (If you wish to waive
the setbadyou must Initial the appropriate blank below.)
1/4104/41I do wish to waive the 15'setback requirement.
I do notwish to waive the 15'setback requirement,
(Prope 7wnerinformation.) (Adjacent Property Owner Information)
f 44L
Si nature Signcrtt re
Prriin or Type Print or TypeName eVely
f ;' �� r �. LA Ct ��l¢ CitziOlgef�S A
ltailirt Address . Mawr.Jl Address
Cilyt _ - r�Vic,
Telephone dumber iCityrStatealp
q10 7
•,,, ,� T N ,,, .r Telephone Number . RECEIVED
,_- r - t r -, / J 25- 20� t/ 3f t
Dare Dam
FEB 0 3 2021
{Revised 6/18/20121
DCM WILMINGTON; NC

• a ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to R .e tz-L V. H-4-Gt,
property located
at 4 0—1 i cl t2S pre;
�theme of Property Owner)
an Ch r11(S (Address,Lot,Block,Rio etc.)
C hotnne,1 irk Ipp 1 Olc h I Pb\plea-, N.C.
(Waterbody) �(City/Town and/or County)
The applicant has described to me.as shown t elo r, the development proposed at the above location,
Vitt11)-4 I have no objection to this propcgsal.
I have objections to this propos €,
= DESCRIPTION AND/OR DRAWING OP PROPOSED DEVELOPMENT
(individual proposing development must tpj in description below or attach a site drawing)
. S
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater boathouse, lift,or groin must be set back a
minimum dis ' - • =
�. waived by me. (If you wish to waive
setba you mist initial the appropriate blank v.)
I do wish to waive the 15'setback requirement. -
...__ I do not wish to waive the 16 setback requirement
(Prope er Information.} (Adjacent Property Owner Information)
Si ature
€sir a s . �M 4 :it' '-f( 0-p 401 Evet n Lk"a Punt or Type ame
Platting Addres, - Mail #a
1 _ 3buy I ;
C;ty/Stat�
—'7 — Lee-
la 710 5417
rT�ataip�n�x;iliumber _
, r , , Telephone Number.
Date pis
FEB 0 3 ??i%+
(Revised 611 {)i2)
DCM WILMINGTON, NC

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•
Check
Date Received Date Deposited Check From(Name) Name o1 Permit Holder Vendor 11/ amount Permit Numb./Commwrb Receipt or Refund/Reallocated
Column1 Cotumn2 Column3 Cotumn4 Columns Columna Cakem7 Column8 Cotumn9
2/4/2021• 2/9/2021 Harbor Marine Construction,Inc. Bob Hale Bank of America 1158 $ 200.00 GP/77773D_ 'JD rot.13621
2/42021 2/9/2021 Conrad Fey same Bank of New York Mellon 1084 $__200.00 GP*77778D KE� rct.13668 __
2/42021 2/92021 Lighthouse Marine Construction Inc. Vincent Garofano Coastal Bank and Trust 3609 $ 600.00 GP/77741D JD rct.12385 __
2/4/2021 2/9/2021 Lighthouse Manne Construction Inc. Dou las West Coastal Bank and Trust 3608 $ 400.00 GP$777400 JD rot 12384
.
2/4/2021 2l912021 B and B Marine Construction Money Order Chuck and Mary Jones Wells Fargo - 79-088347329 $ 100.00 GP t77B010 Tunic rcl.13591 __ _
2/4/2021 2/912021 Permit Pals Chuck
West CresCom Bank 3736 $ 200.00 GP>FT77540 _ BB rd.13519 __
2/42021 2/9/2021 Jason M.Lack 'Lath Revocable Trust First Palmetto Bank 1839 $ 200.00 GP877756D BB rot 13521
2/4/2021 2/9/2021 Permit Pals :Gerard Russell CresCom Bank 3737 $ 200.00 GP 177755D BB ret 13520
.
2/4/2021 2/9/2021 Joel E Brown same Fidelity Bank 4440 $ 200.00 GP t777590 'BB rot.13518 __
2/4/2021 2/9/2021:Gnce Construction of Brunswick County Inc John Dwelle BB&T _ 14385 $ 200.00 GP#777290 BB rot,13518
2/4/2021 2/9/2021 Grice Construction of Brunswick County Inc Marshall Newton BB&T 14384 S 200.00 GP/177728D BB rot.13515