77798D - Armstrong

0 _ CAMA / DREDGE & FILL N9 77798 A B C ' :52
GENERAL PERMIT Previous permit#
> ;- New Modification Complete Reissue ❑Partial Reissue Date previous permit issued /
As aut orized by the State of North Carolina, Department of Environmental Quality {` °C)
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 0�"1 1 1"v v
` El Rules attach
Applicant Name z t JA-i�(o.. _ Project Location: County Uf-."`S, ., c
Address QO V o y ZTh (v Street Addreisy,State Road/Lot#(s) l.ii. bS
City `b\qSi.,--.-bo •u State )J C ZIP 2 S.'.. 2CD r4941.2eAC re',
Phone# ( l0 ) (1 4(1, 4 E-Mail 6,4--.�‘"fb-, ( ? tpec.re c,,, Subdivision (�
Authorized Agent a c. 0/, Gr. City L .\4 1,Cac ZIP "2 "`((o `1.
Affected cw K1 EW PTA ❑ES ❑PTS Phone # ( )_- A River Basin l ,...L✓
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑WA A�
Adj.Wtr. Body w`-`i /man /unkn)
❑ PWS:
ORW: yes / i J PNA yes ' no Closest Maj.Wtr. Body A��`�`,
Type of Project/Activity ,,, (--n( \t
(Scale: *.' t - )
Pier(dock)length 1)( (20
Fixed Platform(s) t 1 I (i` �� ) \t } 1 ,1 ' 1
a V� VV
Floating Platform(s) V II to j +-
Finger pier(s) ___;\ 1 r 21 }— t-7 — VSW otJl�
Aft�y
Groin length } c"
number — — �_�_ li... _.. -.._1_G�.. .._.._ _.. ___
Bulkhead/Riprap length �, -- • ;tv-
avg distance offshore " , i (t�
P) 1 -
max distance offshor I
Basin,channel H
cubic yards I 1 Y j ' _c:ii...-_i
•
�1 Boat ramp ' f I {
Boathouse/ lr 1 i
Beach Bulldozing
Other I I -
�W 1A(, I I c� `
Shoreline Length 0 ( ^ i for c. 0
SAV: not sure yes Sm� �r/rl ( C. i
Moratorium: n/a yes o —' I ' '.H' j•
Photos: yes o — �C(b brl w< .. l I:.. '...._. ( 1 �S -/V1k P I!p.� 1 ,
Waiver Attached: yes no 2 +_
1/'
A building permit may be required by: OCQ.ci- l-s`.c .- 60e 4 C - . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ` cA, {
Notes/Special Conditions i 1 �C.<�t' -* c r,'t F L•t" n c4V` elk(o,e A u SA CT C n 0 c r_kk)•,r,,I
\)Q(V,X c \JC1 r 1 fl n(�C.� \�
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Agent or Applicant Pnnted ill
a Permitfioarted Name
Signatur `Please read compliance statement on back of permit" Signature
?a�.,� - �c.lc{Lid- 2 251�Wz*t Zs�Zo2.I
lica ion Fees Check# Issuing f to Ex pi tion Date
APP () 8 P

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(910-796-72 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 252-946-648 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

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AGENT-AUTHORIZATION FOR CAMAPERMIT APPLICATION
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Name of Property Owner Requesting Permit: T 0 ‘,..-17. i?i. e.-I-1cm sq-lpoil 1 :;•,
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Mailing Address: P;a -13.a x 214, • . li
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Phone:.NUrrihOr; , C910) 87G ,461 7 ,..
EooliAddpass: ariPs.-francy.-.?a le c,„ Yr: Co
I certify that have authorized Lifek.AAct. (jr.4.c _
Atitaathi
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to act onnly behalf,for 0.1(pOse.uf applying for and obtaining all(AMA permits;
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necessary for the f011outifing•prOpOted development re rat.,fr• 2vi
r e .(Jiiii id :1 ete clat led it
at my property located at 638'6 ila- e 1;.1 e ito.:11 GM
:in 13 yofris wick, County.
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1 Agtherprore Certify that 1 On aothor LT 0 cl,to grant and do in fact:graitt pentrission:10. $.:
Division Of COaatatiManagementtiaff, the tekal-PeiMit:9ificer aoctopir agents to enter !i
on the aforementioneri lands in connection with evaluating information ielated to:this
57 •
permit application
Property OtvinerinfOmplion:
Raeo?-: P A-4-4,71-4 .7 if;
Signature
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;Pitt or Tweltfame. I i
Title' P
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Thjatelification is valid through'36\r /
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CERTIFIED m IL • RETURN BEC]:IPT REDUPJ D
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: c�Uq r ar m SAA"-O'‘y
Address of Property: (sai5 mck- e`\-2 ��R�1 S� �A �- `_1
(Lot or Street#, Street or Road, Citl&County)---
Agent's Name#:&r ICE. er• TN5A U.C.klv() Mailing Address:(0M i - DC"
Agent's phone#: ��" SICk"C`Oq5 rl16t12 t
I hereby certify that I own property adjacent to the above referenced property. The Individual applying for
this it has described to me as Shown on the attached rawin the development they are proposing.
Cr
I. objections to this proposal.
if you have objections to what is being proposed, you must notify the Di n of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Co should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM rep roa also be
contacted at(910)796-7215. No response Is considered the sama as no objection been
notified by Certified Mall.
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 ust Initila(the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
(Proplrty Owner InformaCcoedIA
ion) (A acent Property Owner Information
(1Aic �
Signature Signature
Brmt5fro 2 De L a r) /(1, r7
Print or Type Name • - Print or Type Name
P i 8 x 23 c .6 4 Ma-r)
Mailing Address Mailing Address
a)0CIen }orb /VC 2g3 a- /6'/e___ 13C-- c9(
City/State/Zip City/State/Zip
9/� - 6/7— J� _ ,ccr
Telephone Number Telephone Number
Date Date
Revised

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Cheer
Dab Received Mile Deposited Check From(Kane) Name of Permit Holder Vendor f1/ amount Permit Number/Comments Receipt orRNund/ReauocatoJ
Colentnl Ceimn2 Column3 Column,' Columnb Column! Cekmn7 Cofumnb Coumnnp
3/2/2021 _ Grice Construction of Brunswick Cott y In Robert Armstrong BUT _ 14447 $ 200.00 GP#77798D_ BB rct.12966
3/2/2021 ,Kim Loucks Kim and Carolyn Loucks ;Security Savings Bank 807 $ 400.00 GP#77598D i BB rct.12975
3/2/2021 Backwater Marine of NC LLC David and Beverly Delaney BB&T 1249 $ 200.00 GP#80120D BB rd.12974
3/2/2021 Overbeck Marine Const./Daniel Shirley Robed Boyette Suntrust 5402 $ 200.0_0 GP#80121D KE rct.12729
3/2/2021 Lighthouse Marine Construction Nett and Leslie Benson Coastal Bank and Trust 3642i$ 200.00 iGP#77744D LJD rd.13567