76184D - Nicholson

0 CAMA / -:DREDGE & FILL No. 76184
GENERAL PERMIT Previous permit # A B C ���
_iNew 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 (//y 7!],1/ao .
l !1 I 1 [�El Rules attached.
Applicant Name ,"VieL �`,C 110 I5 Project Location: County l �' ,rimester
Address 150b 12writti koa ti
Street Address/State Road/ Lot#(s)
City Wilriosai4fri State :vZ ZIP J f09 _
Phone # (W ) '73 6i i 7 I E-Mail ,..,ta.:ouMengSkiblif- Subdivision
Authorized Agent, .( T ,rrI%0, j /6/471avd yifk/fib City ZIP
Affected ❑CW ❑EW ❑PTA 'ES ElPTS Phone # ( )_ River Basin Air De- C
❑OEA ❑HHF 0 IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body (8/N j IF/man /unkn)
❑ PWS: ���� A,,
ORW: yes / PNA / no Closest Maj.Wtr. Body OiVit4 'a �'K�'i 'j
Type of Project/Activity n5 /�0 h/,G ' / /4 erre- h "/ ni4
(Scale: V/5 )
Pier(dock)length ___
Fixed Platform(s)
4.
Floating Platform(s)
Finger pier(s) l --A ffl
Groin length ,
R� $ "�
_ number � � J�nlet f
lkhead/,tiprap length t.
'•
avg distance offshore Q j
max distance offshore 0
#4141
Basin,channel
eAS
cubic yardsAff '
d4/)17/'.
Boat ramp i/ i "��Boathouse/Boatliftit �+
-mow
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Beach Bulldozing �( 1
Other VA 1 f SA�Mt�oai}v�k+ Ihi X W l �.fj I �C r. Y
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w _ _ i -r'' �`'-
{____
Shoreline Length cti 1#4.bt
SAV: not sure yes ® _. flsirtAttrook 1.•P/� ,
Moratorium: n/a yes Ate ''• 04
Photos: yes A(t1Ghd+S Waiver Attached: yes lit MittiO'O
A building permit may be required by: /14 4 0 h. . r i See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) ii
Notes/Special Conditions ! S /innQ 7#J/6r Z 4b i kj k' rpA ui N'
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6 � ( 0¢ /��1✓iy1 . �i�S �r�IJrt ct.�S u(:i pCf�idv/ref' ill;r( 1;1j71
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Agent or Applicant Printed Name PermitOfficer's Printed Name
Signature **Please read compliance statement on back of permit** 4ture
A1,6-=�- 1 v.3 8" 5/.; )- ( - /L/a if x I
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(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 252-946-6481
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 CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: N ;r1no\5n✓\
Mailing Address: 1 tCRJ S urine' ' Qs\
i qAo '
Phone Number: )10 - Q 3(Q -- (Q o-] \
Email Address: k i c1k� n i c.In o i 5 0 5 bc, DDctt • tne4
Z -
I certify that I have authorized quln �i r & o \ U
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: K e GJ B D
at my property located at l J Ugh 13 u r ne - 12.d
in 60 11.0,nbJ( 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:
4/( _____
Signature
/`t (1:1{ g t r,a-ZL S r7
Print or Type Name
pGc1
Title
l( I OZ- I 7.�?�
Date
This certification is valid through Wit l 14ZV2-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to the O i cn o1SoYN'S 'S
`� (Name of Property Owner)
property located at t 50 b v r r i- fLot
(Address, Lot, Block, Road, etc.)
on At (A) , in Jigh 1. )eW 14a hove r , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
X • _ 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)
e \a-ce otcl vjood sectwal\ Vn 1 sea V0 \
5 a. h'l f 04- /
P .
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) (4-diivent Property Owner Information)
cc
Signature gity{ ' lure
Print or Type Name, P nt or Type me
150% RoeAe* IS% i-Nc_
Mailing Address Mailing Address - Q /�
W�,rnl'�r�qq i o/1 �C. Zeu 06n 1 ��l ��`C tV�i1 �►S 4�\L. zagc9
City/State.Qip City/State/Zip
310- Ito - (,al 1 11 o -? ': -1340
Telephone Number Telephone Number
i(( rO O
Date Date
(Revised 6/182012)

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CERTIFIED MAIL RECEIPT
Domestic Mail Only
For delivery information,visit our website at www.usps.com'.
Rti*6¢y1 'J tJ 46
Certified Mall Fee $3.55< 0401
Extra Seneca&Fees Mo tbac adi�s 1
❑iwni#wlptpdoopif $
❑Minis Mosipttd..&..J4 $ $0.U0 Postmark
0Orrw Mel eseteoreterm • $000 Her.
❑Adultsiotrt..Rs .d $ $0-00
OA**MgrtnNestrkMdMaly•
Postage $0.55
TtiPoN.yaand 01/19/2 71
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City Slate:243;-
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PS Form 3800,Apri:2015 PSN 753002 000 9047 See Reverse 1cr tnstructrons

Check
Date Received Dap Deposited Check From(Noma) Nam.of PwmH Holder Vendor Check number amount Permit Number/Comment, Receipt or Refund/Reallocated
Columnl Corumn2 Ca/wnn3 Column{ Co/umn6 Column. Cokmn7 Column8 COWmna
3/5/2021 3/9/2021 North End Builders NC LLC Nick Nicholson SunTrust 1038 $ 400.00 GP#78184D PA rct.11593
3/5/2021 3/9/2021 North End Builders NC LLC Pal Johnson SunTrust _ 1039 S 400.00 GP#78183D IP mL 10319
3/5/2021 3/9/2021,Lighthouse Manna Construction.Inc. Ghns Mewbom Coastal Bank and Trust 3656 $ 400.00 GP#88376D _ tJD rot 12390
3/5/2021 3f9/2021 RG Marine Contracting/Ronnie George Teresa Jackson Bank of America _ 1062 $ 200.00 GP#764980 PA rot.11592
3/5/2021 3/9/2021 Topsail Offshore.Inc.___ Forest Sound HOA Coastal Bank and Trust 1329 $ _400.00 GP#663750 IPA
rct.12389
3/5/2021 39/2021 Castle Home Builders Maria and Sal Miliara •PNC __ 4805 S 100.00 GP#80111 D(1 of 2) 'JD rot.13568
3/5/2021 3/9/2021 Castle Home Builders Maria and Sal Miliara PNC 4797 $ 500.00 GP#801110(2 of 21 JD rct.13568
3/5/2021 3/9/2021 James C York same NAVY federal CU _ _{ 8562 $ 200.00 GP#801090 JD rct.13570
315/2021 3/9/2021 W Carl Bazemore same United Ban_k 1030 $ 200.00 GP#776000 BB rot.12927 _
3/5/2021 319/2021 Land to Sea Construction.LLC Felice and Richard Brenner FCB __ 414 $ 200.00 GP#77897D KE rct.12731
3/5f2021 3l912021 Gregory Holden Elsie Currie United Bank 5510 S 200.00 GP#777830 BB rot.12929
3/5/2021 3/9/2021 Gregory Holden Milton Howard United Bank i 5509 $ 200.00 GP#777850 BB rct 12930
3/5/2021 3/9/2021 Gregory Holden Jeff and Catherine Tucker United Bank t 5508 $ 800.00 GP#777840 BB rd.12928
3/5/2021 3/9/2021 Gregory Holden Richaerd Mendenhall United Bank_ _ 5511 $ 400.00 GP#777860 BB rot 12931
3/5/2021 3/9/2021 McMullen Partners,LLC same First Bank 72357 $ 400.00 IGP#775990 BB rct.12926
3/5/2021 3/9;2021 Danny Ray Britt Jr. same Edward Jones ___ 1714 $ 200.00;GP#60117D _BBB rot.12932
3/512021 3/9/2021 David Anthony same BB&T 2582 $ 200.00 GP#75821 D •Tmac rct.13531
3/5/2021 3/9/2021 Clark Environmental Services,PC John Payne Select Bank and Trust 6511 $ 200.00 GP#77705D 1 of 2 Tmac rot.13532
3/5/2021 3/9/2021 Clark Environmental Services PC John Payne Select Bank and Trust 6514.$ 400.00 GP#77705D 2 of 2 Tmac rot.13535
_ 31512021 3/9/2021 James R Burns Revocable Trust James Bums Wells Fargo 1132 S 400.00 GP 4180131D KE rct.12730 _
3/9/2021 Dr.Mona Faye Black same Bank of Amenca 9828 S 848.00 NOV#21-03D/Permit$400/Penally$400/Invest$48 OnCo JD rct.13572
3/9/2021 Custom Island Homes by Ken Kiser Scott Blankenship United Bank 1734 $ 432.00 NOV#21.10Db/Permit$200!Penalty$200/Invest$32 BRCo TP rd.10320
Major fee.123&127 Island Bridge Way.Wilmington NHCO NO
3/9/2021 .Logan Marine.LLC River Island HOA BB&T 7112 $ 250.00 split PA rot.11590 _
3/9/2021 S.Bailey Paul and Sheri Bailey State Employees CU 1848 $ 400.00 GP#77541D BH rct.12701
3/9/2021 Charles Eames same BB&T 4993 $ 400.00 GP#77542D - BH rot.12702
3/9/2021 Aaron Lange same Allegacy 2071 $ 200.00 OP#77543D _ BH rct.12703
3!9/2021 Steven R.Smith same First National Bank 1447 $ 600.00 GP#71814D _ Tmac rd..13534
3/9/2021 Permit Pals Todd Surratt CresCom Bank _3496,$ 100.00 Minor fee,205 Caswell Beach Rd,B _ _-
/Co Tmac rct.13533
3/9/2021 Camden Pender LLC same FCB 1087 $ 200.00 GP#80110D JD rot.13569