77592D - Brown

0 __ CAMA / ❑DREDGE & FILL N9 77592 A B C
GENERAL PERMIT Previous permit#
�C __New ❑Modification ❑Complete Reissue EPartial Reissue Date previous permit issued (
As authorized by the State of North Carolina,Department of Environmental Quality �IA i C)/1
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC u l�
'` t I ❑Rules attached.
Applicant Name J(l�� F1«kkt 6,,,, r,
Project Location: County r•_,)(‘S.)-kC\i•-
Address 10822- 90-k `'� c . Street Address/State Road/Lot#(s) ( S U
City )+(-` ,\(-.....) State (- ZIP q 13 4^ o\\4- 'r•
Phone#chip501 6Z E-Mail . eA. v e A /1 w k J((-- Subdivision
co
Authorized Agent , n r L A{lM c.. ..,,,L.r City (.)\ ., (_ f.Lc\e\ ZIP-n`i 1p 2.
Affected KCW '-EW PTA ❑ES ❑PTS Phone# ( ) River Basin L...�6 t,✓
s ElOEA . HHF lli ❑UBA ❑N/A
AEC : Adj.Wtr. Body t (�1
❑ PWS: n 1
(nat n�ra unkn)
Closest Maj.Wtr. Body fv1w RW: yes / c,.. PNA yes / n2 "
Type of Project/Activity l- , '''`,\ n'c.--a C k ),-" ,ri , do( L._ I, y4 , C ( i
,,\ -.\. t 2 r ..\, 2,_ 3 ` ,e S (Scale:)J 'T S
Pier(dock)length
I
Fixed Platform(s)
\1 i 1
Floating Platform(s) 4-0 �~ I 1 I j
Finger pier(s) I
_i
Groin length I I ��/ q FN
l Y t�+1 _. f
number -1—• .._._.._._....._..._._--_...__..._.__......—.._.. .. _._....._._—_._
Bulkhead/Riprap length I
avg distance offshore I I
max distance offshore I - •,� i 1
Basin,channel • S 1 41�
i , : .
cubic yards l Zs' 1
Boat ramp t r ;
Boathous Bold& r2 x l Z- ` ._..�_ �. �`
t
•
-Ii
• __.v. J 1.... _ ..___(__,:
Beach Bulldozing - -- -_ t 4
Other it ~ j i
A i
I ;
I I ; l
Sot i
Shoreline Length i ! '
SAV: not sure yes no ' \4(L 1 ,3e V,....� f 1 (')
Moratorium: n/a yesg
i `
Photos: y
I
b
Waiver Attached: noI I i
A building permit may be re wired by: R6 AO i` CD.e G(k . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) `
Notes/Special Conditions ( ,) oc •,.-, cr t,t\t t.\ `- \\\ n� -()((,P.,_ ()(, - Lr ' ` t✓�
S-CA— /6r+L C 1- ,_4 "...\.,___31....e. ..". e:-. .--N .1 0( k•k._
Agent or Applicant Printed Name Permit Officer's Printed Name r
S _._\---s--.._ --, \,<--
Signature **Please read compliance statement on back of permit** Signature
c.,)0 t29(r) 2 ( g 1207- k GI312ot ,
Application (s) Check# Issuing Date Expi ion ate

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 1 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(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 252-946-648 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

' CAMA/ El DREDGE & FIL1.. 77592_
__ 'GENERAL P1ERMIT Previous permit#
i s
- p
New OModification 0Cornplete Reissue ElPartial Reissue -
N9 A 13' C ...6
Date previous permit issued
As auti orized 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 - eag
Doukas attached.
Applicant Name (.14\.A 3 VA LAC'. ' '- - • ''. '' Project Location:'County
\ ro...o.e't
.. U - .
Address (0 gi2e2_-9.44,- ft. il - ' Street Addr'essiState Roid/LOt#(s) 'I 50
City U 0,4kal.....3 StatelQ(--0‘ 11:1,...r2.111:3 gc...,. . lb 4c....._ •
Phone#Cliff) 01 Opti.) E-Mail e)oh .) i.k.19.riiht,g.t..• .•Subdivision- ' • -,. _ ,4,, -• ' .
Authorized Agent ' ` 3,,,,;,,,.. L,— (A-tUi.r ' e,,j.,,,....L.....--' City' t.% _ix,: 1.4_(.. - ZIP'LS( t1,22.- -
tecw A EW Affected , TA DES 0 I'TS Phone# ( ) Rhier Basin L./..,••••6 2c,,,,"
0 0 IH El UBA -0 N/A
AEC(s): OEA 0 HHF-- . , -,---. • - , , - , - . .. ..-_: .Adj.Wtr.Body - ,,.; -. - ,,A, - , .,..
ORW: yes / , i nat unk
cf. -.1. 111,4A' t--yes--IQ' '-'.. -‘--- - - ' .' - ---:'"Closest Maj.Wtr2 Body - -•' '' -, t-i. \-d --- . -.
. ,
Type of Project/Activity vk 5.4k \ ..... C a...4'1,i do ..-. to oik (' (- 1
2 a f.....,....‘,?..4._. 21 ,(i s ;,.,: ; . . _ :-(Sc`aleii‘j l'S- )
Pier(dock)length
- I . -- --- ' - ' - . ' I I
Fixed Flatform(s) * , i . -
I
Floating Platform(s) 8 21/420 ' - --....'.\ - •
_
Finger pier(s) I - - 41_ „
Groin length C"`"--/ je----N.„...2...... -1
' res`nier '- ' -"-' • - • [ ' s __.. .L..1....-LL. ._:....i...._\..,' • ' ___ _____._ - 1...._1 ' .._ '
Bulkhead/Riprap length 1 i
avg distance offshore I I I.
max distance offshore ,
• 1
Basin,channel I
, .,. •t"- i - - f- ' .1 I
; , s-t • a . 1
cubic yards .... 1..._
, _ i vo _ i
,.1Boat ramp -
.,I.-, .. i
Boathouse 1 — -.--• . ,rs."..e'. - _
IL
Beach Bulldozing 71 _ , _ - -
i 1 ,
Other . 1 i ; Nvii&f. 1
' 1 _ _Flit" 1 11 - '-,77- =
1— t ___—_— I
Shoreline Length DO - ,-_- - „ , , I
SAY: not sure yes
----.-- -----
C).-21461-(4CLAti aN ' 04 -- -- -3b'-1H. _ __Ij .______ __ _...i..... _... _t:es__
Moratorium: n/a Yes ra_i___ - ----I I- , . ‘ 51-4 -4,7 ' 0\'‘G---1-_-_-[ -t-_, . 77-v- vo-- , ----;*Photos:
Waiver Attached: Yrs no -1--I-1 1 - - ;‘I,' I i I , , .
A building permit may be reed by: R(NiAtt./‘ ().e.6:(c•\''' . , -, 0 See note on back regarding River Basin rules
(Note Local Planning Jurisdiction) , I ,, _..= \ ;q. - -'• - k . - .,
Notes/Special Conditions t ot. i. t%At •./. \ "
1?- 2 ille-Ov5 ‘ VIM
ucki,—
. -
AgerpyRisz::::n> t Printed Name Permit Officer s Printed Name ....,,
Signature *Please reaccl)cLmpliance statement on bac of permit** Signature
• ZO° • 29(0,_____
Check# issuing Dge
APPlicaPr" e(s)

1/22/2021 IMG_0964.jpg
'< '� a $ i r v*�a s4 a" N .4F 'max¢ ;, .,��,"`° ,. i
•
is � � v 5,',--`?-,; • n,r `�; :. c� "° .2.t a'` i r .Z a ,^s 2 `,S� 3
4 AGENT AUTHORIZATION Fd CAMA T A li TIOM s 1 , �4
R PERIVII PP ICA
i
+.. •t. x. i a 4 xF e� kn �' a �� a �' -
Name of Property Owner Requesting Permit o j) ro J n p
8 .tea.-*' 4 4 k 444 - r. ..,�. vE .,, g:.
' ' e �. a € 1 . .] g't< 't: `
Mailing 4t�rrss k . +�+x,,� V • ' 44 l' _ g�(il[(i .7 9,,,. � o-E "ta.
" : °- , 3- `. n k a/��} a+, , ti k F aa` ..Otis
'Phone Numt�er 4 ' . �dli-Ss• 07 0-• t/
d n, q" - .,'- ` sue' a P ". P s t,:' aT' +s -
a' �x 3�
'Emali Address ... 4 a .i 1� t),ft''kkb+"bt�n�}t/Ac ei ram,a -
1 certify#hat I'ba a authorized 13rtck war r . tla ra:�r ,
' �. .4 r a'' �^z''s• .-r -r Agent I Contractor 'v, ` ' ,
rr ;t AMA— t toact onmy betilalfforhe puone ofapplyi gforgnd obtaining al Cit .pemtis ,,4,, p
necessary for trie ltO9Wrrg proposetideuetoprn nt $r$r�t �� �-
tt°a".4 E �W. �hS 3� '�r r" h � sP
` at my prope4y�c ed°at43 ,t..,.- Jktla$ t a tr, $rant, Al 44
�.�, a a - k a&: sY,
in j)RUtagtti Co',nty 3 .�r .a t`
t 4 �a F e , •4 a a" 1' 'aa �.. i.. £ F
r m i `.; e d«R
f furthermore certify that l am"authorized to grant °and do rn6fact grant permission tel
Divisian°of Coastal M nagemerttstaff,.the Locet�Permit Officer and enter
on the a>Torementioned lands m connection with evatua• brig informatton related to•this
� �l Ft cw 4 gym " . a r' .. a�y i
ti z � ,o�t 1 ')Y s s �a a '� :a '�a a�
�,, eat 41 i , .A .,, .& xi
k 4
ei �.� mac ' w ° ,,-\vcY" .. 'a iA iik, i, ��\ 4
.
.; Y t , er g _ Z Y
r pNarnB°� a `�
kh
fiat F.v e N r a'? 4.
Y .kitAktV' *,„,, n.f4 , 'V o Rk s .'+ : ` s .i4" a ep.: d 5 . .g,p A Fa°a \e
4 4 >a„` <a a a °.�• " a ° AZ any a4• N, aK
https://mail.google.com/mail/u/1/?ogbl#inbox?projector=1 1/2

• /.(j 0NO L c A a 1-1 , r3
Q
P.Md tie OL,4 ? i 1 4 'gy m P
1 NS 1'A` t.- F-t 6A TNC D)C)C Ic gl/
c,v5 1/ftL CsAMP L(X) G
..rislAtu O/ I OF
yf ,'"Cr
pf R
V-4 •
1 2o dS?
iii i
y
Fic Ts e.ram& Roil/ iJr4 n
d, t / P / / ' P/ // / // / /,F I r / / ? / / r ♦ I' I rl, r/ , , „

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: - J ph R. D. P)ib n
Address of Property: 1 50 sand 0oar Oa CA
og� (Lot or Street#, Street or Road, City & County)
•
Agent's Name#: ) c e l m Mailing Address: [i c;r am[
Agent's phone#: q - t4 Li 3- Uvict 5001 NC, al' -a
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing.11'114
I have no objections to this proposal. I have objections to this proposal.
iv r` If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
- _, be setback a Millimunidistance 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 do wish to waive the 15' setback requirement.
I,do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature Sign lure L`
-ice iY F l CA J J I S�
Print or Type Name Print or Type Name
I ` I ; � ,-' 1 13 1,1-1 ti►6I4A-U S LAME-
Mailing E. -
Mailing Address J Mailing Address
l� u i - $Ug0 m G Z?155-
City/Sfate/Zip% City/State/Zip
Telephone Number/Email Address Telephone Number/Email Address
a) jZ1b120Z(
Date Date
(Revised Aug. 2014)

,
, .
. „ .
. ,
. ..
. . ,
. .
. .
. . . .
. . .
. .
, . .
. . .
, .
. .
. .
. .
. .
. .
..
.... .
. .
. . .
r
. .
. . .
,
. .
, . ..
. .
. ,
. .
. . .
. .
. .
,
_ _
_ __ _ _
_ __ _ _ .._____ _
,
. ..
. .
. ,
. . .
. .
. .
. .
. . .
. .
.
. . .
,
. _
. .
. . _ _
. ,

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiON/WAiVER FORM
Name of Property Owner: Thn tu=rl
Address of Property: 150 Sr(rlc( P 1 xri�)'1
� (Lot or Street#, Street or Road, City& County)
Agent's Name#: 1�-el ' f-Ifr 5 Mailing Address: 1409 tr bt J (ci.
Agent's phone#: q i C)-4 i.} '`Z g c5uppiy /i Je ag lea_
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. s,-
iiitti4 _27 ti t,/11k-N •
r
IJ I have no objections to this proposal. I have objections to this proposal.
f�"C If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
-, be setback a minimurtdistance of 15'from my area of riparian access unless waived by me. (If
y'ou wish to waive the setback, you must initial the appropriate blank below.)
' -1 i do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
,142
Signature Signature
ldc k
G,
Print or Type Name Print or Type -Name
7-1
l 'lir'ki i l�n_ . Noc) JO�i4sv/( Pall/LA _
Mailing Address Mailing Address
SIoi to ; \J i__- (-k uci(< tUa- a i‘07A
City/Siate/ZipJ City/State/Zip
"11 - HA.3 4 3qq (67s. W q (
Telephone Number/Email Address Telephone Number/Email Address
1 11/2-1 /( -17 2_(
Date Date
(Revised Aug. 2014)

-- - - -- -
•
,
•
-
. ,
_ - -
•
=
. .
. .
-
_ _ _ _ __
..
t

Check
Dare Received Data D.po.Red Check From(Nome) Name of Permit rawer vendor 117 amount Permit Number/Comments Receipt or R.fundrR..racnod
Columnf Colurnn2 _ Column] Cohenn4 Cdumnb cawne Celumn7 caomne caumn9
_2/22/2021 3/2/2021 Mare Simeone Alice Wilder PNC Bank 211 $ 100.00 minor fee 2110 Washington Acres.Hampstead PnCo JD rd.13565
2/22/2021. 3/22021 Overbeck Manne Const/Daniel Shirley Christopher Scorn SunTrusl 5397 $ 200.00 GP#77595D KE rct.13873
222/2021 32/2021 Jennifer J Johnson _ Jason and Jennifer Johnson First National Bank _ _ 2823 8 200.00 GP#77758D B8 rot.12969
_ 2/22/2021 3/2/2021 Anthony Carr Cashier's Check Nick Sarif State Employees CU 101542 $ 200.00 OP#77800D 8B rd.12988 _ _
222/2021 3/2/2021 Backwater Marine of NC LLC John and Heather Brown BB&T 1246 $ 200.00 OP877592D BB rct.12970 _
222/2021 3/2/2021 Grice Construction of Brunswick County Inc •Charles and Shelby Jordan BBBT 14446,E 200.00 GP#77799D BB rct.12967 _
222/2021 - 3/2/2021 Rhonda McCall same Bank of America _ 1084 $ 200.00 GP#77795D BB rct.12951 _
2/22/2021 3/2/2021 CMT3,LLC Carolyn Austin Bank of America - 3017 5 200.00 GP 177780D BB rd.12972
2222021 _ 3/2/2021 Partnot Boat Lift and Dock Maintenance,LLC Allen and Jan Kelly Aquesta Bank 1031 Si 200.00 GP#80113D JD rct.13566 _
2/22/2021 3/2/2021 CLTMC,Inc John Lawson FCB 1166 $ 200.00 GP#77640D Tmac rct.12914
222/2021 3/2/2021 9 8 J Construction of NC.LLC Alma G Oasis Trustee/Rhonda Hatch BB&T _ 2316 $ 200.00 OP#75820D Tmac rct.13530 _
2/22/2021 3/2/2021 Ann E Cordell same PNC Bank _ 1513 5 20000_ GP#748890 Tmac rct.12922 _
227/2021 3/22021!Island Contrac%Inc. David Durack Branch Banking and Trust 37555 $ 200.00 GP#778100 Tmac rct 12908
2/22/2021 3/7/2021 linda Kanov -__ same _- BB&T --- 10043 $ 200.00 GP#75828D Tmac rd.12921
2222021 322021 I Southeastern Coastal Construction Co.(1 of 2) Sean Desmond South State Bank _ 12083 200.00 GP#775/1 D KE rd.12728
2222021 3/22021 LSoutheastem Coastal Construction Co.(2 of 2) Sean Desmond South State Bank 12100 ni 200.00 GP#775110 KE rcL 12728
2/222021 3/2/2021 I Lighthouse Marine Construction Inc Adam Litton Coastal Bank and Trust - 3640 S 800.00 GP#801120 JD rot 12388
222/2021 322021Davey Resource Group Inc. IJared Limn United Bank 2192 $ 400.00 GP#77597D .PA rot 11589