66376D - Mewborn

OVCAMA / DREDGE & FILL A B C
GENERAL PERMIT Previous permit# ,
-JNew' Modification Complete Reissue .Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources [�
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC .37/�'
/� / // ❑Rules attached.
Applicant Name (..�f't r f fe Gam'_ / y`I'LitsJflr%'`I'' Project Location: County ,e,i.l C(�iL-
Address / Z ti /Vet /`-(i� L.,i • Street Address/State Road/ Lot#(s)
Cityj G ( 5-6/vi !r/X. State i <_ ZIP!.1 > 1(0 );() iD/lli1A ,/ f'Y-e •
Phone # (f .5 0 —7 c 'f`/E-Mail - Subdivision �1,/
Authorized Agent �lr y, d/ #' City ) i'..'"i'..'" //�'7' £ 1t ZIP G is-4--< -
_
Affected ElCW pEW XI PTA IVES ❑PTS Phone # ( _1 River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A /,,
AEC(s): Adj.Wtr. Body Wit/i' '/`1.4 S k9 ,7at /man /unkn)
❑ PWS:
ORW: yes / PNA / no Closest Maj.Wtr. Body Me' S v"1'n -Carip 4
Type of Project/Activity (4-C�-- " 4� / ( i e� 1? !1/i
(Scale: / _a )
Pier(dock)length -
—�
Fixed Platforms\ I i
Floating Platform(s) s \„ �
Fingerpier(s) I G w,�—A.��'
Groin length 1 1
number
Bul d/Riprap length +f y� — -r } f E/�N 5 j - w( .l i 19 V V
i
max distance offshore I { Ft xei ,
Basin,channel
I`
i t— ---------.__.._TA... _ -
cubic yards i i I j
I
Boat ramp { iy or(I , f} i
Boathouse/Boatlift_ 'tip — — -1'Z C� f2(� fi � ! �'ry � I
II
14,
Beach Bulldozing i
{
Other_ _ ,
ni
Shoreline Length c j 1
j i
SAV: not sure yes no { j .
Moratorium: n/a yes no { t
a n ,- j —Photos: yes no
Waiver Attached: yes no ' .
A building permit may be required by: 7l' F 61T U See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions
, k\....I ---'..--Th '---i i\--fr rim- ix._
__, ,
Agent or Applicant Printed Name I PerriiitOfficer's Printed Name
-Dit✓IaI►'1t,A _
Signature **Please read compliance statement on back of permit*'� wv____
t
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(910-796-7215)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 252-946-6481
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
1367 U.S. 17 South 127 Cardinal Drive Ext.
Elizabeth City, NC 27909 Wilmington, NC 28405-3845
252-264-3901 910-796-7215
Fax: [phone] Fax: [phone]
(Serves:Camden, Chowan, Currituck, (Serves: Brunswick, New Hanover,
Dare,Gates, Pasquotank and Perquimans Onslow-South of New River Inlet-
Counties) and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/14

•
AGENT AUTGh©,<BZATB®N FOR CNRIA PEG31l lT APB LBC Ti®r •
•
• Name of Property Owner Requesting Permit: as 44)&12"J
Mailing Address: /2 Lf . 1e2Li
'FA,tk sot*u.l!-e Me_ Z331°0
Phone Number: - • Flo -330.-es 7 9 •
•
• Email Address: . •Cf/466,402AJ e .,4rytA14.4":GZ—
•
I certify that I have authorized is fate ece.- :e • 9
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all.CAMA permits
.necessary for the following proposed development:. fL�le e k 1/ICA d
.at my property located at 7Zc I /a„oQ ieiae,.it:e $c/ C$ +Qs.
• in gi,de/t County. . .
I furthermore certify that 1 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 connebtion with evaluating information related to this
permit application.
Property Owner Information: • .
•
• Signature • •
. 'cc., geed tofiNi
rint or Type Name
Title
Date • •
•
This certification is valid through / I

ADJACENT RIPARIAN.PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to e hr,s . T;linva ew6irn 's
(Name of Property Owner)
property located at . 724 Rakir A A ye.
(Address, Lot, Block, Road, etc.)
on , in Sur(` C rty , 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)
4.9/Ace- -HCAect-ct
•
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 the15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (A " cent Prope wner Information)
Si atu
Si `are A/ ,o)land4 L( �. . 74. e s
Print or Type Name lint or T e Name
m y
12q Tiede,',h zoute p® p 7 2.0
Mailing Addre s Ma' g Addre
�Acicsdh�.l��� �C z-gsTo c, r�,r1�� ./, d?c
Cr /State/Zip City/ ate/Zip
�d- 33v -2�9� l�
Telephone Number Telephone Number.
2-Z-�7_2 I a/J ���
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C- riS 4 Tanyyn Mt.w'nnrn . 's
(Name of Property Owner)
property located at . 720 P,l,,v4 A v e.
(Address, Lot, Block, Rqad, etc.)
on , in )r-C (icky , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described tome, 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)
Pep IA. h,J)c ess-c-( .
•
•
•
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) -(Adjacent Property Owner I rmation
vV(/41/
Signapure Signature
v4t,
04.s
Print or Tye Name Print or Type me
iv( t Lak-e t'eMtie�y
Mailing s Addre /
Mailing Address2S
`'�i. tkstr,,..ile. N c 2sS`tfo � �f�elU� `�/P-,ye
City/State/Zip Cy'4r//tat rZip ,e_
71 o:33v-zs-y S F�1{^ j �C �
Telephone Number Telephone Number
2-27.z / ZLZ/2
Date Date
(Revised 6/18/2012)

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Cheek
Date Receive _ Oat.O.pw/t.d Check From(Name) Name of Permit Holder Vendor Ctrdt oerav amount Permit Number/Commonts Receipt or ReMM/Reeirocate
Cokunnl Column2 Column? _ ColumnI Cdumn6 Cesium# Coiumn7 Column!: ColumnD
3/5/2021 3/9/2021 North End Builders NC LLC Nick Nicholson _ SunTrust __ 1038 $ 400.00 GP_#76184D _ PA rct.11593 __
3/5/2021 3/9/2021 North End Builders NC LLC Pat Johnson SunTrust _ - 1039 $ 400.00,GP 878183D _ TP rot.10319_ __
__ 3/5/2021 3/9/2021 Lighthouse Marine Construction.Inc. Chris Mewbom Coastal Bank and Trust _ _ 3656;$ _ 400.00 GP#86376D _ JD rot.12390 _ _
3/5/2021 3/9/2021 RG Marine Contracting/Ronnie George Teresa Jackson Bank of America - 1062 $ 200.00',GP#76498D PA rct 11592 —
F 3/5/2021 3/9/2021 Topsail Offshore.Inc. Forest Sound HOA Coastal Bank and Trust 1329 $ 400.00 GP#66375D JD rct 12389 __
3/5/2021 319/2021 Castle Home Builders Maria and Sal Miliare PNC 4805 $ 100.00 GP#80111D(1 0f 2) JD rct 13568
_—
_ 3/5/2021 3/920T1'Castle Home Builders Mana and Sal Miliara PNC 4797 $ 500.00 GP#80111D(2 Of 2) JD rot.13568 _
3/5/2021 3/9/2021 James C York same NAVY federal CU 8562 $ 200.00 GP#801090 'JD rot.13570
315/2021 3/92021 W Carl Bazemore same _ United Bank 1030 $ 200.00 GP#77600D _ _ -BB rot.12927
_ 3/5/2021 3/92024Land to Sea Construction LLC Felice and Richard Brenner .FCB 414 $ 200.00 GP#778970 ICE rot.12731
3/5/2021 3/9/2021 Gregory Holden Elsie Currie .United Bank 5510 $ 200.00 GP#777831) Be rot.12929
3/5/2021 3/9/2021 Gregory Holden Milton Howard United Bank 5509 $ 200.00 GP877785D B8rct.12930 _
3/5/2021 3/9/2021 Gregory Holden Jeff and Catherine Tucker United Bank 5508 $ 600.00 GP#777840 ;BB rct.12928
-- - '-B-_ ..
3I52021 3/9/2021 Gregory Holden Richaerd Mendenhall United Bank 5511 $ 400.00 GP#777880 BB rot.12931 _
3/5/2021 3/9/2021 McMullan Partners.LLC same First Bank 72357 $ 400.00 GP#77599D BB rct.12926
3/52021 3/9/2021 Denny Ray Britt Jr same Edward Jones 1714 $ 200.00 i GP#80117D BB rot.12932
3/5/2021 3/9/2021 David Anthony same BB&T _ 2582 $ 200.00 GP175821D Tmac rct 13531
3/5/2021 3/9/2021 Clark Environmental Services,PC John Payne _ Select Bank and Trust 6511-$ 200.00 GP#777050 1 of 2 Tmac rct.13532
3/5/2021 3/9/2021 Clark Environmental Services,PC John Payne Select Bank and That 6514 $ 400.00 GP#77705D 2 of 2 Tmac rota 13535
3/512021 3/9/2021 James R Burris Revocable Trust James Bums Wells Fargo 1132 $ 400.00 GP#80131D _ ICE rot.12730
3/9/2021 Dr.Mona Faye Black same Bank of America 9828 $ 648.00 NOV R21-03D/Permit$400/Penalty$400/Invest$48 OnCo JD rot.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 rct.10320
Major fee.123 8 127 Island Bridge Way.Wilmington NHCO NO
3/9/2021 Logan Marine.LLC Rrver laland HOA BB8T 7112 $ 250.00 split PA rct 11590 _
3/9/2021 S.Bailey Paul and Sheri Bailey State Employees CU _ 1848 400.00 GP*77541 D BH rot.12701
3/9/2021 .Charles Eames same BEET 4993 $ 400.00-GP#17542D BH rd.12702
3/9/2021 Aaron Lange same Allegany 2071 $_. 200.00 GP#77543D BH rot.12703
3/912021 Stevan R.Smith same First National Bank 1447 E- 600 00•GP#71814D Tmac rct,.13534
3/9/2021 Permit Pals Todd Sonnet? CresCom Bank 3496 $ 100 00 Minor fee,205 Caswell Beach Rd,BrCo Tmac rot.13533
3/92021 Camden Pander LLC same FCB 1067 $ 200 00 GP 0801100 JD rct.13569