76183D - Johnson

0 CAMA / gDREDGE & FILL No. 76183
GENERAL PERMIT Previous permit # A B C t�
9
>•' New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized 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 0 7 n 1�/� •
Rules attached.
Applicant Name 41 J viserri Project Location: County L%r,Gt//koirw7
Address 1SX .5(//l1Q# Al Street Address/State Road/ Lot# s
City [4(m ^�.�� State i ZIP _
Phone# (��) E-Mail ?dada P X a v (f Subdivision
Authorized Agent tISM (/o /(6✓ ,/ ,..f. City ZIPg �a �i� .yt
9 �
Affected ❑Cw ❑EW ❑PTA DES WPTS Phone # ( River Basin 0' 4' k
❑OEA ❑HHF ❑IH ❑UBA ❑N/A !A/',/
AEC(s): Adj.Wtr. Body . k�'V ��
❑ PWS: ( // y .iman unkn
/
� Closest Maj.Wtr. Body /yv. / f 40,r r,, ,.T
ORW: yes / PNA C / no
Type of Project/ActivityFe/r31/ + /�0 �ti(� J4(//(h4tW
/1 S / 77)7 1
(Scale: ,A5 )
Pier(dock)length,.._.
14/1 i
• •
Fixed Platform(s) ' i
Floating Platform l� 041iiii+
Finger pier(s) { , ,401.9
11441
Groin length /�
number bh
6the�Q/Riprap en ( .( r n 1 �'a/� r
�� 1,/�/ 1' 1 1L�, •
avg distance offshore .
max distance offshore 0-, I y f jl V
4Basin,channel i � ( Q
cubic yard 1/ f t 0
t. teN ' / .
Boat ram Ili7
‘)P• I ,
Boathouse/Boatift e/ •
" / tlk t ,
/� 4 —
Beach Bulldozing '
Other d Y\f l J 1 I . .
(-.....1
- , k: ( / i
(47_,.
' , - /ti/ /., 1 .
Shoreline Length " 1
��SAV: not sure yes rsjA ' z'''
9 ./ ,y7 �
Moratorium: n/a yes (/ ,G/,O `ir// t cbt 4114"S "I' �
Photos: yes Qf 3i,veyTT i
/ i I
Waiver Attached: yes chi I ,
A building permit may be required by: kee r�Vf' ,6/ U See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ��� �y� , // r
Notes/Special Conditions ��,{/T 4 4$ /t /4 6 7//, f! � Abiefferifie4ced Lt'f°/ //i-itcj
is TIT/iray /Liv siv.7/1 /C 1ti .v E) ,)7
Agent or Applicant Printed Name Permit174'./C7r1
fic 's P •nted ame
Signature **Please read compliance statement on back ofpermit*�` Signature C,/�'``�NJ
g 400" - —Li)* 3 P /a 10e11 Ili/ 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 0-796-7215)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

i
EAvTA I i ''DREDGE&Fit i. il,
GENERAL :PERMIT', - P ►ous per #.
. New' `i4todification ' .:Cotnpfete Reissue 'MParual.Rpt' w - Date previous permit issued
As auhorizedt t to of North Caeotina,Department of Emnronmetital Ouaiity: j
a..., Coastal roes, emmissorfiinanareaofenvlronment I:concern• {ursuarkr.to•:_ s.-_• ,_-A.,..
AG a ry `•
•;' RrrCe:attae d'
s ,.A pI emit Name. ' '_: " Project Locattoig Covnty •
v . ._,L.. ,_r
Address. t s w Street'A drssFSrat,Rad{Lat s . -
Phone `'(Z PVt•).. M' ail.pd.d4 y _,� 'Subdivisiont .. . :. _f
• Autnorrzed 1 ekit G ....E V' 1 4 s -it' ZIP •, . - .`
Afi--_f .,,EW ::PTA s k PT fsiiOne# (_ _ Rjvor Basic; ,k 4e f..,;,-
-AEC s,_ QEA f HHf e'lit �.s ORA ri tslik Ad-,Wtr B T Puri
.
a
o�vvt yes .• P[vA no _ . . . . , .. ... . z , .
Clot st t"!•a;.i+'�tr Body � "-� � .
A.
Type of Pro Activit •
y -if-'r It(' '6 I �` J; 1i.
5Ca
i .i Pfltrorr-04,, /}'j` �j�t� ;.,_.-..Y s. ` .. ^.. _
OXS1tS& .- t .
'k P.*Orril ,s /}:- z. r. ..erg v�,. - f y. v-.,..—� t
5 r c r 7, �.
Finger p'er(sI�>,.,,... a : rr ,- ' k-- f ., • ,
ber x iY a f �3 � --.. r
r
3VgCt:Circe-.)fti cr'e t.,,. >_y-. }. ,., _ -r - r r 'r,. }. i , _ .� ..
� p ?nix dat nceotfi ore .U" i„,.,-,,,,. _ z. . .., i
M".6241[10 I.- r -s !ti#.t. ..;...., )) ._.,, - ��r7hr c S 4.. - 3 .
c{tbtC yard g k ) t � ` �,, TTtt``__ f- b,a 3 _ ,;y
�(�_ c f
r1Gdt t �.,_.{�� � A + i
'p1. iK"Frrf'r a. .-{ l�- 4 .- t.'-• f{ ,
1
• flearh auirdour+g;: i•-.",. ' -4. 1 - i S ` A' } ...__.
r�trer:: _.._.... .�.. .„{' i , ,... . } [ ..
zrtept
il
ShorHilrie Len tlJ�.L'-' i .. .. - f�t ...._...... .. ,� - t 1
`'"g� Y /-fir
SAY; • norsuca yes: t, # - L •• ✓ jF' 1,.
f
Mocatgnunr rtta }es ( t j >�` ��
Preotos yes �}$ 7 H, 4, , + fr * •t'. ' 2
Nla?-.. .ched:" ke3'. F~ r R . r • '.. ..
A bull lingpertnit maybe required b} r :_See note oti back regarding River Basin'rules
(Note Luca!Pintinrr> jurisdrepon).
td- sr1 1.` 1/. AJ 1 .,... �r�L I
,Notes/Spaulaf Candreons j: ���` `
„ _
L:a r, • • ,
Aa-Vtor APpl.cam',P.rited;Name t ', • . Permit. file ,s.F rue a .r
Srgna readcomptranresiatemenror back ofpermit'R" Signature,
ApAt!auonFcets}. Clock ing:Dat . Ex tationOate -
Is`su e

,7
•
CA I . .
A e C
GENERAL . PERM!` ": Pre•viou•s pe it- . - L. .
. XNew CM• od catlarl. C Cflrsiplete R sue :ZPartiaf'Refssue' T atepr lots permit issued ,
E auihiortzed by the S tte•of North
eCar el a Dep artmeoEnvignrneta Qu
" 07/1fOaptthteeoataf R yrces'Ctppsutsin n aaofti meml:0ceriz pumuant;al'15ANCC 1n
Apphc,ctt Name �; `0-tit 5 ._. Pro•ject Loca ion Cotitzr.X ' ` .. •
Address: j_( t -t Stcect Address/St<tte-Road!`Lot; so)- —_._..—
��,rr1J
CtLzi 41ty ? State lP 8
t� " dn Phone#9 ).a ,:6DJ F 1ati{ Ems t u6iv►s,a _ -.-
re n 1 �i �17A ;11 �M4Cty Atthozd e l C - - - SIP
Affected
c -EW tea cgs P1-s Phone# ( : River Bas,n F �.
AEC(s} 'd `'irHi•1F Alt#; t1BA -}N[A Adj:'Mr..•Btrdy..�,„d/Jfij _ lman totem.
Pti6, _
:ow -ys t P A o r t1� Closest t"MaJG, lXL;Borax.. �l :E ..
•Type of Project�l Activity • ems' <.l -4 A'441 4I L; k . - t' _ .fl#
.
.. (Scaf .
Pter.(dc langch M . :' -,-, s c
, r �'.. t o • a.a •
potted'._.- =rr+}s .:_ ..., _ _� "` ;, Ly F._ f y f.._ , , _ ; j
-\\
eating sj ;f t • t � #;}k t t-: . .b r fl _
Gmtn Tern e s.
n •:,; Bede`!WO. .... r • --IF '.t i.
avg dcstuicc b,.,_;�y2 ;"y- ( ` i. TT €:
iifax taaice 9Pshos4 f • .>,k
a
RI•CfI�JInCI ti c ' - Y-k 4 t
- GtlbiC .�f'it,4{S .- [ ,} `£ f � i p �`� _ S ' � �. s ii1
} { t
3aathc reI8att... i ' • 3 t { Y /• • ' S E ,
r I t �. - . _y l a Y S r
Beach Bulldozing{; �..__ u , r 1.-/./ r + t r > .: - t 4.� ` E .
, O.... i=,�-�r pY :-f.. ",, p'" i. - •._F f...•-.+`rr_.j,.. 1 ti-k E_ ,..s
y 1. ' d t; Lr f, f
t
Sttocetuie Length.N _ _` —ttr fit_ is
_pp k AAV' not sure yeS .,.. . s S+L .., ,• _
Monitonurn P?r`a Yes Z' r r • t flu. ! rt �z t{ 'C� I:x+ !.
f a JV ( (�1� F11 Z r f— o
Pbatoi Yes ,t i r 1 $
�3NP.r AttaCt]C{f yCs 7 Jf - . .
Mb-tiding permit•maybe required"by / ., 9ezet/' a"'•rt_back rexdrd.. :-,.ver Basin-ales
--See',note
(Note.Lo l PEatit„ng Juosd,rnon) / f /
F4otesfSpecial Conditions 1 fly. s O 7 �/ . 5t 1 , k ,t +� /ll .
�'• - .
0.c�et e-,K �✓ti ,• tra
Na
Agent or;Appiicant Panted me PeneitOuikers Panted Name
Sign u-~ 6 — °rim* tatementon back ofpermit ignature (
tit r _ __ — •— �' _ _ 1xt1 l2`x$
App rto�Fee(s}. Checicr Isst ngDate. Evil:anonDate t-

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Pa.- \ bn5d✓)
Mailing Address: 1�j0U �c�� J 1 W t\nl tto r1
f�JU,2C39D61
Phone Number: 10- 7q9 - 755 t
Email Address: /I�r%i L e 'i ')d jd 0�� 01)- C o✓�-N
I certify that I have authorized 7.6k-Cfh 'r AY1
gent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Ue u t20, V 1 tY
1�A1�Jd 1 t SA-mP �oo4 pi,ti. f
at my property located at 1500 yr()ell'
in tJp' -1"{ '.7 l County.
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:
ignature
Pafr '& .Il . 4-o1f1Son
Print or Type Name
Title
ti 1 IX I
Date
This certification is valid through O I 0 r / Zap

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to YD�-- J ,' $n ti S
(Name of Property Owner)
property located at 1530 t rv-P.tt- 4
(Address, Lot, Block, Road,etc.)
on I4,)( ) , in Ueti' 0Ve , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
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)
Iiui V % n 1 StetwaA t or, 30 A -lac l' G mun .
oac.
k- scx.me-
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 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner Information) (A 'acent Property Owner Information)
ALA./ALL-. 9-11A, A
Signature Si tune
t n5 0" A '
Print or Type Name Print or Typ.ame
15o0 1J( 4t S�31/4•1 t' r '' ( •
Mailing Address Mailing Address
W Zay°Q 'v..-)Am
City/StateYZip City/State/lip
q
qtn- -� ct- 1554 )1k<.3 - Pr -l3yu
Telephone Number Telephone Number
al h - i -
Date Date
(Revised 6/18/2012)

Aekij()J
I{i1/
r
f
tip! DACv
5ek -y
15a't 1500 "aur"eTt
1`ilU 13 ur.,et J
JKlltYleA LLC
Z04.4,41 r,etv‘ea�
J `.,�,, �, G1►Imp NG Z8ta9
huts-s 1500 $

CERTIFIED MAIL® RECEIPT
i Domestic Mail Only
For delivery information,visit our website at www.usps.com'.
Fugtttq 211e'.NC 283Q6 •
&McPhail Foe 0401
iS 1
Extra Sere..aFeel Psalm..aek.4Frisito
I ❑Return arotlptlr.rdaoPY) $
0 Mrs wr.ytt$11mbo lre $ $0 00 Po.Vrrerk
parr.ewrwaa.eMary $ $0.00 Here
' EJAirtfltprrt..limbed $ $0.00
pnarttfkalli ai..rwaowr.rt$
Postage $0.55
• Total Postage and Foos 01/19/2021
$6.95
trisKrit.\ ofiLso:tionc e
� `- �t 11e , �-
PS Fora 4800,April 2015 tea,;5J 1-, -OUbe.i. See Reverse for Instructions

Chock
Data RaoeNed Date Deposited Cheek From(Name) Neme of Pemrk Holder Vendor Check number amount Permit Numbw/Commonn Receipt or Refund/Reallocated
Column, Columned Column3 CalumM Colunn6 Columned Column7 Columns Column!)
3/5/2021 3/9/2021 North End Builders NC LLC Nick Nicholson SunTrust 1038 S 400 00 GP#761840 ,PA rot.11593
3/5/2021 3/9/2021 j North End Builders NC LLC Pat Johnson SunTrust 1039 $ 400.00 GP#781830 TP rd.10319
3/5/2021. 3/9/2021Lighthouse Marine Construction,Inc. Chns Mewbom Coastal Bank and Trust 3656 $ 400,00 GP#083760 JD rd.12390
37572021 3/9/2021'RG Marine Contracting/Ronnie George Teresa Jackson _ Bank of America 1062 $ 200.00'GP#78498D _ PA rct.11592
3/82021 3/9/2021!Topsail Offshore,Inc. _ Forest Sound HOA _ Coastal Bank and Trust 1329 $ _400.00 GP066375D _ JD rot.12389
3/520211 3/9/2 1 Castle Home Builders _ Mena and Sal Milian _ PNC - 4805 $ 100.00 GP#80111 D(1 of 2) JD rot.13568
00 GP#8 _._
3152021'_ 3/9/2021:Castle Home Builders Maria and Sal Milian _ PNC 4797 $ 500.00 GP#80111D(2 or 21 JD rct.13568 __
3/52021 3/92021 James C York same __. NAVY federal CU 8562 5 200.00 GP#80109D - JD rd.13570
3/5/2021 3/92021 W Cad Bazemore same United Bank 1030 $ 200.00 GP#77600D BB rd.12927
3/5/2021 3/9/2021 Land to Sea Construction,LLC Felice and Richard Brenner FCB 414 $ 200.00 GP#778970 KE rd.12731
3/5/2021 3/912021 Gregory Holden Elsie Cure United Bank 5510 $ 200.00:GP#77783D BB rot.12929
3/5/2021 3/9/2021 Gregory Holden Milton Howard United Bank 5509 $ 200.00 GP#77785D BB rct 12930
3/512021 3/9/2021 Gregory Holden Jeff and Catherine Tucker United Bank 5508 $ 800.00 GP#77784D BB rot.12928
3/5/2021 3/9/2021.Gregory Holden Richeerd Mendenhall 'United Bank 5511 S 400.00 GP#777860 BB rct 12931
3/5/2021 3/9/2021 McMullan Partners.LLC same First Bank 72357 $ 400.00 GP#77599D BB rot.12926
3/5/2021, 319/2021 Danny Ray Britt Jr. same Edward Jones 1714 5 200.00 GP#80117D _ _ BB rd.12932
3/5/2021 3/9/2021 David Anthony same BBBT 2562 $ 200.00 GP#75821D Triaerti 13531
3/52021 3/9/2021 Clark Environmental Sennces,PC John Payne Select Bank and Trust 6511 $ 200.00 GP#777050 1 of 2 Tmac rd.13532
3/5/2021 3/9/2021,Clark Environmental Services.PC John Payne Select Bank and Trust 6514 $ 400.00 GP#777705D 2 of 2 Tmac rd.13535
3/5/2021 3/9/2021 James R Burns Revocable Trust James Bums Walls Fargo 11321$ 400.00 GP#80131D - KE rd.12730
3/9/2021 Dr Mona Faye Black same Bank of America 9828 S 948.00 NOV$21.03D/Permit$4001 Penney$400/Invest 548 OnCo JD rd.13572
3/9/2021 Custom Island Homes by Ken Kiser Scott Blankenship United Bank 1734 $ 432.00 NOV 921.10Db/Permit$200/Penalty$200!Invest$32 BRCo iTP fct.10320 _
i Major fee.123 8 127 Island Bridge Way,Wilmington NHCO NO
3/92021 Logan Marine,LLC River Island HOA BB&T 7112 $ 250.00 split PA rot.11590
3/9/2021 S.Bailey Paul and Shed Bailey State Employees CU 1848.$ _400.00 GP#77541D _ BH rct.12701
3/9/2021 Charles Eames same BBBT _ 4993 $ 400.00 jGP#77542D BH rot.12702
3/92021 Aaron Lange same Allegacy 2071 S 200.00 GP#77543D BH rct 12703
3/9/2021 Steven R Smith same First National Bank 1447 $ 600.00 GP071814D __ Tmac rd..13534 _
3/912021 Permit Pals Todd Sunalt CresCom Bank _3496,$ 100.00 Minor fee 205 Caswell Beach Rd BrCo !Tmac rot 13533 3/92021 Camden Pender LLC sane FCB 10871 S 200.00 IOP#801101J JD rd.13569 _