80120D - Delaney

eCAMA /
DREDGE & FILL N° 80120 B C
GENERAL PERMIT Previous permit# rT sag
�� New Modification _ Complete Reissue Partial Reissue Date previous permit issued 7 l /Zol e
As authorized by the State of North Carolina, Department of Environmental Quality 0/'1 1 2.O J�
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC `� 1 t V
j ❑Rules attached.
Applicant Name v t %I \ >tJ -,j 0L,e_.nt3._ Project Location: County k)✓•-•.As.-.c
Address -}-1p0) ( ``) ` S 1tc* Oc-Li. Lc,--,....., Street Address/State Road/Lot#(s) 09 Z 2.
City (S1{ ee 4, State ?JC ZIP 7 5--k bcl 1.. .; t p S r�^S � v�"�
Phone # (7(5) `I' J7 (�(r.( C)E-Mail \cv.,, -�^ a-tee s Subdivision J
Authorized Agent ,.e..,... k-,- i'-'-<I M S City:-)Levin- I S�� t ._, ZIP 2 1(v t
W TA ❑ES ❑PTS • Phone # (J ) r-(`13 4 Yy "-'River Basin L`�Affectedgcw
j, IOEA ❑HHF ❑1H ❑UBA ❑N/A
AEC(s): Adj. Wtr. Body A\."`'` 1 man /unkn)
❑ PWS:
Closest Maj.Wtr. Body A( ''J `"-'
ORW: yes / no PNA at no ��
Type of Project/Activity V\`� \\ n t --- c ‘�. --' . -,, i '. L,.. k f i'1 -��c, In
s u t ,�. ( � (Scale: \ )
Pier(dock)length tlf,
'f09- . , , 1 1 :
Fixed Platform(s)it:I go i Mid ) N f . ,
Floating Platform(s) 0 X(k, l
/ i 1 I
Finger pier(s) '{+//_ I
Groin length , i 2
number — 1 r \71 �}
Bulkhead/Riprap length ! i-± '
II
avg distance offshore J I (�
max distance offshore ‘
' W
Pit 06.
Basin,channel '_
cubic yards 44'`t ,
Boat ramp i
Boathouse/Boatlift (1VO't — t - "-) .y.- -r-
Beach Bulldozing '�
Other I !
f
i
Shoreline Length ~ � ' P�NSW
` � i + f - ,1
I i
SAV: not sure yes no I I
� 1 I
Moratorium: n/a yes no / t .J ACC
Photos: yes 4. i ' `'.64,a..{
Waiver Attached: no ` t —
A building permit may be required by:0 \j\.e- 0"2_,,ck .. E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1 1 ( L l
Notes/Special Conditions -i``) �Gk,1 ^ -.L c , \ { L....)k\\ A O T k c-4-4)' e Sfe,t('j 1, S l't{-
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I (66.31
4 . tt c h,t. (C� CM G... A,,,,:.<+ O C t.--
Agent or Applicant rinted Name Permit O ted Ire
--.._ \ -....._‘V'.........--
Signature *Please read compliance statement on back of permit** Signature
Z Q CJ t \'2`A i L\261 2 0-2.( - �1 2-6 12.021
Application Fee(s) Check# Issuing Date ` Expira ion 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 0-796-7215)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

GAMA/0 DREDGE&FILL N° 80120 D B C
ENERAL P . _ MIT Previouspemth#
ONew OModification mplete Reissue OPartlal Reissue Date previous permit issued d���
As authorized by the State of North na,Department of En*onmental Quality
and the Coastal Resources Commission In an area of errvironmental concern pursuant to I5A NCAC 0 t 1200 •
r Rules attached.
Applicant Name v t C ; c3 A^ �U 4/►� Project Location: County• a✓-n.S••.c-(C- •
•
Address (-Hob sv%S k
('}-H 040 Lc.--t- Cr Street Address/State Road/Lot#(s) (O6(2 Z '
cityOc4.... ts$4,-,..c.h StatetJC C ob
_ZIP 7 1r 1V d 1 S �S�ra--
L
Phone#an) it 07 O(p(,O E.Matl'C'Gwk t.-a n 4...lacy OAS? Subdivision
Authorized Agent Jtn...1-v tt cLM.S - .(•City 1 S to R L..cA ZIP 21r'1 G,I
Affected tfav syw A DES ❑PTS Phone# (g) Li Y 3 4 84River Basin to.^"1,4-r
AEg)s: CEA ❑HHF ❑1H ❑UBA ❑WA
❑Fvvs Adj.Wtr.Body A�u+‘./ n/uniat)
ORW: yes/ PNA no Closest Maj.Wtr.Body 'A t t,q`"'
Type of Project/A/cthrit�r ‘‘ Ac-- n 1.'�-
acc_IA- ) x,�. '1 (Sale: N S S )
Pier(dock)length % VI a- `I
FbcedPiatfonn(=)jtein, AIf.liliegr` LI
• Boning Ptoforns) 3 mot b N' / fA lef
IFinger WMs)
-
'Gran length • �
number . lo j
Bulkhead/ It I 1 it,
max distance offshore ;
Basin.channel l . .
I1IIi ti um
cubic yards -•
Boathouse/ 11
Boat ramp ' 111111011
BeatRit l y lyi i - , `
$f.wIlll All;
Beach Bulldozing
Other
Shoreline Length "1'J 1 , _
SAY: not sere yes no -
Moratortutc Ws yes ..,... 1Il.•• .........
Photos ye. •.,.i ... ... •.. ...„.
Waiver Attached: rro r_ - - - _
A building permit may be/ I eel by:O c fr%. t S1�+ .+R..G.C1'1 . ❑See note on back regarding River Basin rules.c,-
(Note Loral Planning Jurisd--•. S r`\�IAC.t,. -, ..l t 4s l`` A.....4...
' - .e.kc.e.,� e4m1p l.SLc.ci
Notes/Spedal Conditions `` ` x
D,Nit ei tine -4- ? itrt Mane (\ at~,. rutrl "
orApP `i jpPeL
V.,....,\P----
Please read w n on pens* Sig�wre
•d t (14 . 2- (+ Z61Zoe.j
APP OmF -s) Check', Issuing Date Expire nDate
Scanned with CamScahner

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ADJACENT RIPARIAN_PROPERTY.OINNERSTATEMENT
I hereby certify that I own property adjacent to vl 7 + E C if r2L9 Driconl 's
.(Nape of Property Owner) q
property located at t)q a L001 S pri icr S (4 t� 1) !. &C 2$'4 1
(Address, Lot,Block, Road etc.)
on 1-nli`Ei COa-51-J Watt-1 t)��'} , in r) ( 81 run, ic_f< , N.C.
(Waterbody) ) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
0 I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/ORDRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in-description below or attach a site drawing)
i -
WAIVER SECTION
I understand that a pier, dock, mooring pilings;,boat ramp, 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 do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
BE,,,Le, a-D., _ (-..A.,,A;,,,44,, Ag_ _'---1.;,----',...., 1,i -
mature St 71atUY *J.
15ev z�► e-t C hr lef Allf,01uritJer Print.or Typ Name P rit or Typ Narne (die' C���-iOflill� G �
Wirt Coo{ `5erncqs6+SvJ 7qP. 60c /A. pew".ems`ed3e«�� -
Mailing Address ili g Address Z8y
01_R i\/C Zgy45! ublirr N _ -lir6.32-
City/State/Zip City/State!Zip
`63 '-I>e3., Oo p 'tA1 _PN?_G€v&illsO.c�.n �R1ole7/Q=ylal ehrj1-}tt✓rileLO�122@tjri {
Telephone Number/email address Telephone Number/email address
2-7 1- Zoz1 2-L2- 2v21 '
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

2/26/2021 Mail-Brock,Brendan 0-Outlook
JACE 1*RIP RIAN PRoPEtrY WNER ST TrtftENT
r.,, .... an 's •
,i hereby certify that I own property adjacent to Avi I '4 ..• r....,...49....1-
(Nagle of Prope Owner) 4‘9,
C.÷..
..property located at a Coo 5 -->
(Address,Lot,Stook,RoarLetor)
it (-) .A 1
cpwa,,,,,, i .. if*: ruikrt el-)ic...‹,
(Waterbody) , (CityfTown andlor County)
The applicant has described to me, as shown below, the development proposed at the above
10,a
I- ' ,,A;or •I have no objection to this proposal.
I have objections to this proposal.
fit
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DSCRiPTiONelNDi0RDRAWlNGOrPROPO?EDDeVELOPME7;inciduair osin9devopmeatmustrtinoescriptiobeloworattaehasite drawng,
'4 '
'4
1 .
11 '
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WAIVER SECTION
1---- I understand that a pier, dock': mooring pilings, boat Tamp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15 from my area of riparian access unless waived bv
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
, A '
„z, 411111061414' iir I do wish to waive the 15' setback requirement.
A.
..•dr;wittr'
TR C p , I do not wish to waive the 15' setback requirement.
(Property Owner information) (Ad acent Property Owner information)
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ature . Signature
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Clint or-Typ Name.' . ,_. print or TypsiName
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Mall/fig Address 1 Mailing Addnese
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City/Slate/Aa , . PitY/Statel21P , . ,
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Telephone Number i email atitItess
,-- Telephorte Number/env/1 address
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https://outlook.office365.com/maiVinbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yy1hNzQ4LThiOWM2NWZhNjc5YwAQAGKKqz%2BNLxxCi9GU7EQ... 2/3

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Cheek
Dan Received Dan Deposited Check From(Name) Name of Permit Nokia, Vendor 11/ mown' Permit Number/Comments Receipt or Refund/Rwttoc.t.d
Column1 Column2 Column3 Column/ Columns Column! CoMmt117 , Columne Column9
3/2/2021 Grice Construction of Brunswick County In Robert Armstrong B8&T 14447 S 200.00 GP#77798D BB rct.12966
3/2/2021 Kim Loucks Kim and Carolyn Loucks Security Savings Bank 807 $ 400.00 GP#77598D BB rct.12975 _
3/2/2021 Backwater Marine of NC LLC David and Beverly Delaney BB&T 1249 S 200.00 GP#80120D BB rct.12974 _
3/2/2021 Overbeck Marine Const.fDaniel Shirley Robert Boyette Suntrust ' _ 5402 $ 200.00 GP#80121 D KE rct.12729
3/2/2021 Lighthouse Marine Construction Jeff and Leslie Benson Coastal Bank and Trust 3642 $ 200.00 GP#77744D JD rot.13567