77719D - Severs

• CAMA / DREDGE & F'LL
N9 77719 A B C
GENERAL PERMIT Previous permit#
> New -Modification Complete Reissue EPartial Reissue Date previous permit issued
As aut torized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ��f�ii
1 VC .
s attached.
Applicant Name)O(u... ( Iv-*a Q\) e.f S - Project Location: County /�0•S(.--.c�
Address L 0 c., \ �1 S ►"1 Street Address/State R d/Lot# s 110 s S i t S k
1 S S � ( )
City SQ n 5 c A (x,e 4, State lit ZIP 2- 4 t. - +_
Phone#2-0 ) 7 83 q 09 LI E-Mail CJC(%)t r 1 ei r,r..,145 n. Subdivision Q
Authorized Agent W(r n G"� C7:,c e.- City �-)Ac\.c� 'c--c k- ZIP 2 SLIt,�
❑CW alEW %PTA El ES OPTS Phone # ( _) River Basin LI-A-be --
Affected ❑OEA ❑HHF ❑IH ❑USA ❑N/A
AEC(s): Adj.Wtr. Body C��-"1 t (na /unkn)
❑PWS: i,
ORW: yes / no PNA yes / Closest Maj. Wtr. Body s��A'6' `-r
`t'-��
Type of Project/Activity \vS\-z\\ ("New � \t\-e..c-c u. L• -' , ukt(-v s-,
,. M,.�, wG•�,•' (Scale: N l
c
)
Pier(dock)length .
I ! I i
Fixed Platform(s) 1\--
.Aid-_
Floating Platform(s) i , j
Finger pier(s) I i I
Groin length . . . CA ,_\
number _.__ ._+---... --._... .._.._ \. i
Bulkhead/Riprap length "-,U 1 . . ' . , .
avg distance offshore ^L 1
max distance offshore Z i { i i
Basin,channel i I
cubic yards 1 I : : ilk if
Boat ramp - ,___ irckucYvSSR� • ' 0 Agra MA'af.
Boathouse/Boatlift (`
i
Beach Bulldozing , I •• -b S Avv,e. t
Other arm ,. � _ . Ninar. .
I L -� Peb1-
St `` \ 3 ;� L� $.2' � t d t_ P.e I e & \ciL
Shoreline Length JU L r
�U5 c•,�1'i5
SAV: not sure yes no (
__. ; i T
Moratorium: n/a yes no i i i
r —' -- _�.._..— ............. .._._.-_.._ _.... r I
Photos: es _.. I � — I_;._ I �...
Waiver Attached: (yey "'TTTfffo
A building permit maybe required by: SJnS(k- &C Ck [l.See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) \\ 1
Notes/Special Conditions IS vA\4-\--e_cC` �c:%..\ 1,...‘\\ Q..\� `oF. .S f c` c ..) 2 f )( .
,•1 __ ),•..\t, 1t 1 , I C�,C�4.-^ 1JrbCk ---
Agent or Applicant Printed Name PermitCC ' ' ted Name
Signature tilt,p
lease read com a statement on back of permit** Signature
2\Lit?.02.1 (o i 14 202-1
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 (252-946-6481) 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 252-946-648 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

ENDER: COMPLETE THIS SECTION A COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. in.i.
• vv tur1e '
• Print your name and address on the reverse , / El Agent
so that we can return the card to you. _! 1--- .._ ❑Addresse
■ Attach this card to the back of the mailpiece, • .ed byii
ted ame C. Date of Deliver
or on the front if space permits. l 1f\6( V J J
1. Article Addressed to: D. Is delivery add ass diffetier14 from item 1? ❑Yes
\lvl S e c -VN r %.e5 If YES,enter delivery address below: 0 No
\v ck ri`r r- -\ L'1\k (c.pr �C 9�,C�c_ lC 2�5 \\ —CO\ti N �^,tip 0
I III' III II I II I III I I I I(III I I I I 3. Service Type ❑Priority Mail Express®
❑Adult Signature D Registered MaiP'
❑Adult Signature Restricted Delivery 0 Registered Mail Restrict
9590 9402 5492 9249 3659 32 certified Mail® Delivery
❑Certified Mail Restricted Delivery Agleturn Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation'
0 Insured Mail 0 Signature Confirmation
7017 0660 0000 7487 1310 stricted Delivery Restricted Delivery
PS Farm 3811..luly 2015 PSN 7530-02-000-9053 Domestic Return R .

USPS TRACKING#
11 First-Class Mail
;iI 'I„ I !F
I Postage&Fees Paid
II II �I II II I I USPS
Pe
rmit No.G-10
� . I�� Ila , � ., , 6L
9590 9402 5492 9249 3659 32
United States •Sender: Please print your name,address,and ZIP+49 in this box•
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469
III1,Ill,i'lull,Itlllllilrll�It�.�'Illitl''I',IIIijl�I,III„Illl

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION }
Name of Property Owner Requesting Permit: O e ���25
Mailing.Address: 31 A)fZw.eufu i AveNtx
A, 5 y VAS C>1.4- -(v
}
Phone Number: 2.01-758-q0
Email Address: e cyyNcLI. Low
l certify that I have authorized C oNSVR.v�t tc
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining ail LAMA permits
necessary for the following proposed development: SE.P WA PLACEAWEAT
at my property located at405 SAit-P IS Ste• SUNSET 1 ERC INC.. 2 (
in ORoNs lc.. , County.
. i
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:
bJAVitra/
gnature
owe e ve—
Print or Type Name
?P,oP e..2--r)( b w;<iZe.._
Title
OA 2g12.02i
Date
This certification is valid through c \fW
• f

CERTIFIEO MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 4V,C\ Sty�� .T-._
Address of Property: IA c�-t‘ S‘S\-1 \.,/ SA,.. f28. V�x.bC- _.__-_—
{0. _,../.__
(Lot or Street#, Street or Road, City & County)
Agent's Name#:G r►ck_ Or v\ kr 1.(,r1-lvc) Mailing Address:104 t-�1� 1. \Dt-
Agent's phone#:`\\Ds-S✓(G-qUQ5 — OP,Sd;,1r'T6tQ 111W6A N( Z1.S96(1
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this •=rmit has described to me as shown on the attached clrawin, the development they are proposing.
. ..':1 1 (.,,. ., .•.d,;.1 ,,i11:1„ kil 41 -i• ..! i i i) rl.. :1 ... l !°.II
afiraiipilimmikeimingis I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Div! •n of Coastal
Management(DCM) in writing within 10 days of receipt of this notice, Correa. •.*, should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3846. DCM represe . ,'' • A also be
contacted at(910) 796-7215. No response is considered the same as no objection le ''`h srbeen
notified by Certified Mail.
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.)
1 .AA ,_\_.._... yo
'. I do not wish to waive the 15' setback requirement.
(Property Owner Information) (A acent Property Owner Information
.‘. 3/11k11..1 i\k'id). (9(51-iA) 14
Signature Signature
t1 4/b6 c e t,.1 .4Lx,Rr 4 / -o x , LYt_
Print or Type Name Print or Type Name
y6` ; 1f, 1_5 • 9 7 _.5 sN sr-1361-1-
Mailing Address Mailing Address
City/State/Zip City/State/Zip
.avl _'11Sci5" _11(-) -?, 33 4 ?7/- //ram
Telephone Number Telephone Number
/ /( /24 . . _.
Daly D le
=• 6118/2012

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CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner1, Q�l1 C\ SRN R,r.�Address of Property: -1 Jc+%`T%S\-N actr...\-\ —_ ---
(Lot or Street#, Street or Road, City & County)
Agent's Name#: n�('is �h5\r�1.(,.�I ('� Mailing Address:W�+U actch
Agent's phone#: `\\D 5✓1°1-ClUCA 1� ,1r Q 6\ Z wt jG4
- .... ..
I hereby certify that I own property t�djacent to the above referenced property• The individual applying for
this permit has described to me as shown on the attached $rawin• the development they are proposing.
. . .? : � !+[ ;, `
i ro osal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Div .on n of Coastal
Management(DCM) In writing within 10 days of receipt of this notice. Cor : • •• should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represe - • also be
contacted at(910) 798-7215. No response Is considered the same as no objection been
notified by Certified Mali. , .
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, must Ipitial the appropriate blank below.)
ve a se ac
"" I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Infor
C(15011'\)
Signature .Si'nal ure
I t� Vogtt PRoPbiZ1 S L UC
�Qy c l AD6C eS S•q.X•e CY f'T1rr,4- VD{ -
Print or Type Name Print or Type Name M b-y
Ll(5 5 t log 12-..n riske_ L_Nl
Mailing Address Mailing Address
R- --y
2.75
City/State/Zip City/State/Zip
Telephone Number Telephone Number
\ l1-76--.I
Date vale
Revised 6/18/2012

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Check
Data Rocalvad Data DapomNod Check From(Nan.) Name or Permit Maidar Vendor 11/ amount Permit Number/Comnwnta Racelpt or Rotund/Reallocated
Columnl Column2 Cofumn3 Column) Columns Column. Column7 Column. Calumn9
2/15/2021 _ !Cerolus Building Company 'Jlm Finley First Bank 1482 $ 200.00 GP#77770D JD rd.13555
2/1Q/2021 Fire Mechanical Scott McCaffrey Wells Fargo 2073 $ 400.00 GP#776380 Tmac rct.12910 _
2/15/2021 DuLac Property LLC James and Hollis Mertens PNC Bank 1034 3 400.00 GP#718700 Tmac rct.12901
2/15/2021 ,Durral Gilbert Same Bank of America 1556'5 400.00 GP#778160 Tmac rct.12902
2/15/2021 Durral Gilbert ___ Jonathan Kruger Bank of America 1554 $ 400.00 GP#778190 Tmac rct.12906
2/15/2021 Duval Gilbert _ Lawrenece Krynski Bank of America 1559 $ 400 00 GP#77817D Tmac rct.12903 _
2/152021 Nancy Simpson Stephen and Nancy Simpson USAA Federal Savings Bank _,___ 1866 $ 400.00 GP#77811D _ Tmac rct.13600
21152021 It Parsun,LLC same -Capital Bank 1580 $ 400.00 GP#71861D Tmac rct.13599
2/15/2021 Durral Gilbert Frances McLean Bank of America - 1553 $ _400.00.GP#i70140 Tmac ret.12904
2/15/2021 iDurral Gilbert Allison Timperio Bank of America 1558 $ 400.00 OP#78710 Tmac rot.12905
2/15/2021 _.Durral Gilbert Wave Properlies,LLC Bank of America 1555 $ 400.00 OP0742810 Tmac rct.13598
2/15/2021 Leslie Jacobson same First American Bank 6094 $ 400.00 OP#74280D Tmac rot.13597
2/15/2021 Durral Gilbert Elizabeth Yonntz Bank of America _ 1560 $ 400.00 GP#718630 - Tmac rct.12909 _
2/152021 Duval Gilbert Frank and Caron Spatola Bank of America _ 1557 $ 400.00 GP#776160 Trnac rcL 12907 _
2/15/2021 Brian Shugart same First Horizon 5797 $ 200.00 GP#776340 Tmac rd.13593
2/15/2021 JJ,LLC _ same Firs)Bank - 1387 $ 200.00 1GP#777891) _ BB rctr.12962
-------.
2/15/2021 Carolina Bluewatar Construction.Inc. Patrick Byrnes BBBT _ 24059 S 600.00 GP#77716D BB rd.13522 _
2/152021 William Pugs/ same UBS Financial Services ___ _ __ _ 1247 $ 200.00 GP#775350 _BB rct.12447 _
2/15/2021 B&J Construction of NC,LLC Stamie Taylor BEST ' 2312 $ 200.00 GP#77572D BB net.12952 _
2/15/2021 Once Construction of Brunswick County Inc John Gray BB&T 14412 $ 200.00,GP#77717D BB rot.12953 _
2115/2021. 'Grice Construction of Brunswick County Inc Kevin Dunlap BB&T - 14410 $ 200 00,GP#777180 BB rot.12954
2/152021 Grke Construction of Brunswick County Inc Doreen and Favid Severs BB&T - 14413.$ 400.00 GP#77719D BB rct.12955
2/15/2021 Brandon Grimes Money Order Town of 018 Walls Fargo 19-088347336 $ 400.00 GP#777870 BE rctr.13523 _
_ 2/15/2021 Grice Construction of Brunswick County Inc Naden Lindsey B8&T 14411 3 200.00 GP#777200_ BE rot.12956 __
2/15/2021 AMW Docks and Marine Construction LLC Jerry Browning BEST - 61301$ 200.00 GP#T75640 BB rot.12957
2/15/2021 Daniel Allyn The Allyn Living Trust USAA Federal Savings Bank 554 $ 200.00.GP#77779D BE rct.12958 _
2/15/2021 B&J Construction of NC,LLC James Allred BB&T 2311 $_ 400.00 GP#77791❑ BB rct.12959
2/15/2021 Parkers Pointe HOA Same Wells farqo 71466799 $ 200.00 GP#777770 BB rat 12960 -_
2/15/2021 B&J Construction of NC,LLC Glenn Lee Snack BB&T 2310 $ 200.00 GP#777900 _ BB rot.12961
2/15/2021, Jerry Ennen C-Breeze Prop..LLC Coastal Bank and Trust 3634 $ 200.00 GP#801020 JD rct 13558
2/15/2021 Southeastern Coastal Construction Co. Alan Solana South State Bank _ _ _ 12082 5 200.00 GP#801150 _JD roL 13559 _
2/15/2021 .Jerry Ennelt C-Breeze Prop.,LLC Coastal Bank and Trust 3635 5 200.00'GP#80101D JD mt.13557 _
2/15/2021 Town of Wnghtsville Beach same FCB 1 118040 $ 200.00 GP#77577D KE rot.13671