77741D - Garofano

0 CAMA /tDREDGE & FILL N9 77741 A B C D�
GENERAL PERMIT Previous permit#
)-% r ;New Modification ❑Complete Reissue Partial Reissue Date previous permit issued \
As authorized by the State of North Carolina, Department of Environmental Quality " I �+ ' t °°
and the Coastal Resources Commission in an area of environr,�ental concern pursuant to I 5A NCAC �JIT' I (OD ( .
1, .�-- ❑'Ryles attached.
Applicant Name ) j `A �Ct i O��'O Project Location: County O r', S t j
Address VI % Street Address/State Road/Lot#(s)
City J(j F CA State!`(--- ZIP Y �„''-_�,.- 4-OYi E ,
Phone # 0 f t p IOb_I112gt E-Mail Subdivision
Authorized Agent Ti NCA} v yty City . f '41t ZIP 26
A+C-
❑CW KJ PTA SES ❑PTS Phone# ( ) __ River Basin Y" ' 0 '
Affected 0 ol_A ❑HHF IH 2 0 UBA El N/A
AEC(s): Adj.Wtr. Body GA N a 14, OF
5 r C ' (nat./ nkn)
❑ PWS:
ORW: yes, no PNA yes / no )
Closest Maj.Wtr. Body ` `�yt So`�''l a_
t I
Type of Project/Activity rJ ,L- ''7A (,4 r
I '
Li (Scale: '}= )
Pier(dock)length
; I I
Fixed Platform(s) A y 27' - ��
Floating Platform(s) f 4 '
Finger pier(s) 7 '( 2(
Groin length 4(516' I
number AN -�- —.._._
Bulkheadd/�prap length fi 6��
avg distance offshore /r. I I j 1
I
max distance offshore I ,
' l
Basin,channel fi 1 \ tl
I I
';- .
i
cubic yards i r (it1Al/N(�i
Boat ramp e iI.
/�Z/` /Z I + _..
Boathouse/Boatlik � -- --�� fi..
Beach Bulldoze /z y' 7 /Sp
1 t .
Other I ' f4 �-
�� I i
Shoreline Length (f/ /0 C. I
SAV: not sure yes „OP 1
Moratorium: n/a yes ' o I
_
Photos: yes 1
o _ I �_....� _— — — — ...— -T a—
Waiver Attached: ifl s-rio!4 I 1 I 1
A building permit may( bee required by: j7rf I) �� E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions /
Age�ft dr 4ppr Pri Iflame P it er's Printed Name
il
Signature PI pliance to ent on back of rmit** Sign
ur
Z, 3 . 2 ( �, 5 . z1
s Check# Issuing Date Expiration Date
Appl �)
t

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(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. I 27 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �1 IN(1.Ni 1 G146P 6
(Name of Property Owner)
property located at 4()11 �`I tiN
(Address, Lot, Block, Road, etc.)
on CANC1L " S�� Cliff , in SRF C ONSu,J CQUN1; , N.C.
(Waterbody) (City/Town and/or County)
The ap.Iicant has described to me, as shown below, the development proposed at the above location.
.4
Ir.v 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)
()NET(.ACgNCr SEA ADD IW)- 1 go* LIFT F1N6-te
DOCK vEN1 Su'? d✓ UNCoku9 DOCK,
SEE A"ftAUCD 9_RWING
RASE CAC( LJ RU-\ U' GJI5TION5' 9)q. 61C. 6Z$fo
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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
AfAiif I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property w er Inf rmation) (Adjacent Property O r I rmation)
Signature ture
INCHme G��k NG �a tivA FIOJQ e
Print or Type Name Print or Type Name r✓
(io'I o-1\A STR.�€t _2O (n ow v5 4oI' I4 ( S
Maili Address Maili Address
s�n�� cl��, NC /UC 01133 /
City/State/Zip City/ tate/Zip •
` 11. gb1. b2B(o 9/c) �3 �a - /306
Telephone Number Tele nor/ NNumb
101Z-0IZU /O ,z�/,70 240
Date Date
(Revised 6/18/2012)

11/05/2020 4:48 PM FAX [phone] WARSAWWELDINGSERVICE a 0001/0001
To; RIII Grady : Page 2 of 3 2020-11-0216.46:22(GMT) From:Stephanie GBrofano
, :
�.At�JxcPNT•RlPAR OliCIPERW•OWNERPATEN/EN".
•`l'hereb certify.that ! i�i is ' ••: PA..a.-" 0 6 .. • . ' .., •_:is:::•' .., • , ,• •,
y rtify h ... own i'. . .. atija cent � , .
' . ,•�- .� .. -# ame of: ,roperty� ei) .. . ._ , . , .
: . . propertjr'located.at .tit"� - 1_ � • _ r' . .. .
..(Ad4r 'LOt,'$1 �i eta cssr�l�r�a•
' •• • '•, : •,• •• •-. erbody) ' -. fy/T ivrs..an dlor•C¢tt ty .• '
• ..'•'''The.- h•,hc nt fi has described to me, as shorn beiow,•'the development:propdsod at the'abases EEcation. •' •
�. • •.,• t:,.: ' .' •�! ;':,. • � ..,.. ..• ... . • . •. . .•. .,. . ... •' .. . .• ,.. � •
;_: :•:��-.: ., ;l!lave no h)e00n toMis,pro sal; ,. • •• ' • „ ..
• '. ' . . i hake objections to this.proposal, . . . .• , • .. • •
-. •••• ' ...•' : . --. " DESCRIPTIONANP1O DRAWING • ' ,.
•" 1.t d ual ro usin t eveIo rest must fll In description,b€lsa
'� ' •"'' ';•:�' - .' ,�", f�-• �'� ' �' . waXa#ac'>tr.a.site'drawiarg •. ,.
• ' '.. E'?(Alt .• 5. CV'• , •A()P (r.. .t .1 t 'tiF�:.' . F N e.e-' .; . .. ... •' ..
.c1, e
' : 'SEE..:: • ' '.: '‘..£ 4
• ''.j xunderstand,that a.pier;'.da ic,'mooring-piii�s,•'breakwater,.boattiouse., lift, or groin must be set back a
- minimum•distance-- 15' from.my,:araa of-riprian.access i.nitess waged,by;m .`tif you•wsh to••waive:'••, •
•-the •a ,' au muet initial.the-appopriate blankleiow.}
:. •
:.. •'.°.•,. �`r:� '. i 4a.wish to waive the 1..5'..setoackrequir ent • : ••- ._ • •;•: • ••
•
• .• • ,. ; .. .•.'• -••• ' 1:do hot wish to waive the:15'setback r'equiremen•t..• ' • . • .. ...
•
`',(Pro ery. o .r inf venatio ' , . •• ' •(Atc 1a: t Prapetl waer l or at,or) • .,,, ' '.
••, ;.Print or Type'Narne • • , :'A or r Nsme �..,•• ••• • ;.
•
•
..•.Meiji•` r'Igoli s ' . .. ; ., .. ;•. .. .• •• ,.. .... .ill 0. �lrldrfl.: . '.
. ...3 ..e/ . . • . ..
.. :.,• •
-Atc. • . .z.v.)
•
•
.. . . . . . .... .,
. . . ,. . . .
.. ... . ,.
• "
-..- . •• • 15.tt.t.".fonkl • ". ." • - •_•••••••. •
• . :..Th!$phoona Numbar,-- • '.: ' ••••••.• • • •, •• •, •• • ?ep me sr. :. ., . . . .
•. •.
••
. . • , , . �1t1i39d,6�1.8/2Q7�j.

AGENT AUTHO'"IZATION FOR CAS,'A PERViT APPLICATION
Name of Property Owner Requesting Permit: V) N 0 ' G'AIZcfAN a
Mailing Address: ClO1 (ow 5 i(LE,1
3v0 NC ZgyyS _
Phone Number: l `t. ()2-6
Email Address: v it L. CLSL I NC.C. Ccon
I certify that I have authorized Li(r N \ )5E1 inn(Z I 1`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:.
at my property located at L10 �TN I I i�
in Ot 5LO W County.
l furthermore certify that 1 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:
ti/i
Signature
VINCEN-i CgGFf9NO
Print or Type Name
OWNEQ
Title
1\ Ia / Zo
Date
This certification is valid through I I

P_I
� -! I �—
1
HII
1
li
/.
to
-
_Ak)
col
171
_ ,
fr
I
•
a { c-. ,-
mill
,.,.] 1
i-- t (
j -,

-- 11114 . - ,
111111111 Ail Imre 1 .1 ... .
11111111111111171111
. 1.111 ... II Tia
b rai
I!!JJ. Iffpi= 11.ii :
NMI I. .41 .. ., , 4:::... 1
ilm • Ilia' 11114111 :Lull
111
N. n p All
I 1 111111111 . iii Ili milV. milit
M 91 111- 1 II mill 1111mill
lam: 11 I- a il 141 lump
mi.m m mtlimummill
---E.,..orip.• iiimpol.N.
pea
!ii1iiIiIIIIiIIkiiIIiIiHIii1iir
. H-
9
_ , . 1
■ "..1 ,..1
•-" ___ = p in_ .-_, _ P - -- - ..---- •--- -1- •
...OFt!!:

Check
Date Received Date Deposited Chock From(Name) Name of Permit Ho/dor Vendor 11/ amount Permit NumbedComme is Receipt or Refund/Reallocated
Cokrmml Column2 Column. ColumM Coiumne Column," Oakum? Column* Columns
2/4/2021' 2/9/2021 Harbor Marine Construction,Inc. Bob Hale Bank of America __ 1156•$ 200.00 GP#77773D JD rct.13621 _
2/4/2021* 2/9/2021 Conrad Fey same Bank of New York Mellon _ 1084 S 200.00 GP#77776D KE rct 13668 _
2/42021 2/9/2021 Lighthouse Manne Construction Inc. Vincent Garofano _Coastal Bank and Trust 3609 $ 600.001GP#777410 _ JD rct.12385
2/4/2021. 2/9/2021.Lighthouse Marine Construction Inc Douglas West Coastal Bank and Trust 3608 $ 400.00 GP#77740D JD rct 12384 _
2/4/2021 2/9/2021 B and 8 Marine Construction Money Order Chuck and Mary Jones Wells Fargo 19088347329 $ 400.00 GP#77801D Tmac rct.13591 _
2/42021 2/92021.Permit Pals Charles West CresCom Bank _ 3736 S 200.00 GP#77754D BB rct 13519
2/4/2021 2/9/2021.Jason M.Lech Loch Revocable Trust First Palmetto Bank 0 GP#77756D BB rct.13521 1839 S _200.0
2/4/2021. 2/92021.Permit Pals Gerard Russell CresCom Bank _ _ 3737 S 200.00 GP#77755D BB 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 Gone Construction of Brunswick County Inc John Dwelle 8B&T _ 14385 $ 200.00 GP#77729D BB rct 13516
2/4/2021 2192021 Grace Construction of Brunswick County Inc Marshall Newton BENT 14384 S 200.00 GP#77728D 88 rct 13515