77743D - Carr

111 CAMA/ -.DREDGE & FILL N. 77743 A B C D
GENERAL PERMIT Previous permit#
��VNew Modification `-Complete Reissue .-.Partial Reissue Date previous permit issued --
As authorized by the State of North Carolina,Department of Environmental Quality �/# ,//a
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
Rules
Applicant Name i6/t' G!y- `/4 i �rr Project Location: County t--?-44 ALL
O
Address 5v�- i Oh Gt v/ -C 1,2/'p►✓io Street Address/State Road/Lot#(s)
City C f i ✓1 Stat e..- ZIP Z '32-Er _ ::-/ / /' iv . /r/t�ivt Cr.
Phone#`1/0 )4 9.0 q /O E-Mail Subdivision
Authorized Agent G / , ,(/t.4li►a City / 0/5 n''/ /%--e-1�- ZIP_ _ 1 f J
Affected ❑CW ❑PTA El ❑PTS Phone # ( ) -T .. River
Basin he • 0
AEC(s): El HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body_ j4.7..4.1 k r ("4(4 ,44 , 9 ian /unkn)
0 PWS: cc_
d
ORW: yes no PNA yes Closest Maj.Wtr. Body ?,fl , �G'�'
Type of Project/Activity (M5/1 // �//1/AL1�u�?'
p t
(Scale: / L d )
Pier(dock)length
Fixed Platform(s) I ✓
Floating Platfor �� '//� 4114eill ; /v
I I _: 1
Finger pier(s)
Groin length _
number L_
Bulkhead length "t/SS L__i— l `
avg distance offshore x< i y� $ /\� + i �'• #, !!1
max distance offshore '� ! ,� _ "/V
Basin,channel j ,
i I
4 ,
cubic yards H
Boat ram Ili i �'
P
Boathouse,Boatlift iii _.._.. _
.T n !
_ „F., t"✓ f I + -
I
•
f jy
Beach Bulldozing ' L/fy¢D Prl
aJ i f'�
Other G F" i i I l
1 i i 1 1
4.
/
Shoreline Length I /--
SAV: not sure yes
i T
Moratorium: n/e yes &) Li i 1 . -1--
Photos: yes e2 ! ,
Waiver Attached: yes -
A building permit may be requiredf by: UQ�d4.10 h'' -- • 1 !See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction /
Notes/Special Conditions f i?v//1 ke4. '' -Gtrf// 4/ CAN 17 Yd/ /c CHI
/l GU?. /ft-'^t1S / O 1'1 Y.7L7/61.1. ,/ ,e t- b�-P-44 JA 4 41 :.(//G*17../.4 Ai,. 4t ""
%l %c Lc v _il✓r.
I --- /
nt or plicant nted Name P it icer's Printed Name
Signature **Please read compliance statement on back of rmit Sig ' ture
t jM -� of 7 - y- z f l-//, 24
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 (252-946-648I) or the
Wilmington Regional Office(9 1 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: N \Cx f} c, '2) kt('
Mailing Address:. t C o\(0.t i e, V(t \i
Phone Number. tG 69.b: ' 9 g 10
Email Address; n S can(' b 1-•Q. 5N.o..c l.C a ti f�f
I.certify that 1 have authorized P0.\ I"g �e.�(Vl 0.tic/1
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary.for.:the following proposed development: t'PCt:uiC Ut
at my property:located at �' [ i v • A rc\Q C f.%,-, v.k.v o(1j[t�t �. 4ckc 2,14'k5
in ik r C f County.
I furthermore certify that ! am authorized to grant, arid 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:
N10\1\NL CCMj —
Signature
EVA_C.
Flintier Type Name
•
r►ri® .,.
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOAnTL�IFTBOATHOUSE)
I hereby certify that I own property adjacent to i U Cw` " 's
(Name of Property Owner)
property located at I ,
(Lot, Block,Road, etc.)
on 161 , in ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: �'G� Ssid Mailing Address: 73' a C ��-
CC< N� Z8 3 22
He has described to me, as shown below,the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (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.)
K I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for:Permit)
Z 61-ara,e2 cf ,
Mailing Address Signature
#4"7914elle( g
J Uau.0- 0VS0^-
City/State/Zip Print or Type Name
qIog(07213-z? (f)oil c 2°'0 .44-3
Telephone Num r Telephone Number
t I /4/,1
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATL/I�F�TBOATHOUSE) a
I hereby certify that I own property adjacent to ( L r/ /l a 4 C y e"�U f w 's
(Name of Pf operty Uwner)
property located at ` i0Z A'rf �'"`"�5`�` Bra
(Lot, Block, Road, etc.)
Q
on j07.1 , in f 0/0 Y� JL CI ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: qi°5-`q o 9 glo Mailing Address: 7 Co 4a r' e t)T,
C(r1/ N- 026 3 czg
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSES DEVELOPMENT:
(To be filled in by individual proposing development)
5 ors
(Information for Property Owner Applying (Riparian Pr e Owner Information)
for Permit)
Z G�
Mailing Address Signature
6 /i,o AP- 28 1 3 heresc, $Rooks g I iA$
City/State/Zip Print or Type Name
10 37 'us� 9/0 29 — 017 7'
Telephone N ber Telephone Number
Signature Date Date

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Cheat
mantel Data Dapoafted Chock From(Nan* Name o/Parmlt Hordes Vendor If/ amount Permit Number/Comments Receipt or RWund/Reellocnod_.._
pill Column.? Cokrmn3 Cohorts;_ ,.__ Column6 Column6 i Colunn7 Colson,* Column9 _
12021 Nfed Marine Contractors LLC Laura Olsen FCB 9832 $ 400.00 GP#77742D JD rct.12387
12021 Ailed Marine Contractors LLC _Nancy and Bob Carr FCB 9831 $ 400.00 GP#777430 JD rct.12386
2021 Nfed Marine Contractors LLC 1Robert and Sarah Clark FCB 9758 i$ 200.00 GP#77766D JD rct.13622
2021 Sea Dog Marine Construction,LLC Donald McVickers First Bank 1230 $ 200.00 GP#74368D Tmac rct.13592
2021 Sea Dog Marine Construction,LLC _ Christine Cichan First Bank 1233 $ 200.00 GP#77804D Tmac rct.13595 _
12021 Sea Dog Marine Construction,LLC Edwin and Wanda Turlington First Bank I 104 $ 400.00 GP#77540D Tmac rct.1359.4
/2021 Coastal Marine Piers Bulkheads LLC ,Mark Sirgo Wells Fargo 237171$ 200.00 GP876182D 1PA rct.11583
/2021 Coastal Marine Piers Bulkheads LLC •Douglas Home Wells Fargo 23718 $ 400.00 GP#76176D IPA rct.11584