80119D - Dillard

4111) .CAMA / DREDGE & FILL N9 80119 A B C
GENERAL PERMIT Previous permit#
)G• '_ New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality 1-k 1 t U V i 0'1 K V2 OC-)
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑Rules attached.
Applicant Name Gk..._\. ,: %`t 6 �`` Project Location: County /4,S C
Address Z-t" \- i ' " vG,+'el Street Address/State Road/Lot#(s) L 0 4- 8
City 1<1(u-- ;,-)Ae. State 1JC- ZIP 2 tc 8( L\Li( '`y, \,,. '.
Phone# (32 r) 22 s" -31-15 E-Mail Subdivision
Authorized Agent t s�r, AO •&j City �^St y G. ZIP 2n`IU,8
/AlCW AD EW $1 PTA S ❑PTS Phone # ( ) River Basin f✓----k-4-"L"'"-
AEC(s):Affecte ❑OEA ❑HHF ❑IH 0UBA ❑N/A Adj.Wtr. Body t,A"e-A, (nat_/man /unkn)
❑ PWS: 1
no Closest Maj.Wtr. Body v ^‘ CJ
ORW: yes / no-1, PNA yes 1,
Type of Project/Activity f...` , K/ S h^,,,. by 1 kk -,ci , > ^^-4- 'Cv4 or ` + -
J ` ' a i'k t -) ck o t i ,.‘� 'J.',"j..._. (Scale: j\ % .., )
Pier(dock)length f K i LP lI G I
Fixed Platforms) r 6 e�c.t J C-k P„ '�~' .., C pg. G` ram.
Floating Platform(s) i
Finger pier(s) 11 Y N
Groin length , 1
number _—._�__T_ ...— —.. h. + .... ..� _-.T._... .. —._.
Bulkhead/Riprap length -- -i_.t.._-'.._.., e_.._it I !
avg distance offshore j 8 l
max distance offshoreH>K4
{ {
Basin,channel g ,
cubic yards I I ct I ; }
Boat ramp �� r 4.-�'l-G= r • sN ko
Boathou ' Boatl' )r2-Xi.Z _..___._._... e'er-._.__
Beach Bulldozing ; Op Li
Other A. ;
1I
I
I i�%S4.r`.r cC
Shoreline Length 1501 ,.$..� N Rio a i ! {
I J 4. L { t.U f SO i
SAV: not sure yes . t. a + si Z r } t... ' r*
i i
Moratorium: n/a yes
y t _ 1 —Cod `3
Photos: es } 1 — +._ _ ..__..._..—___,
t! �! I i I Waiver Attached: � no
A building permit may be required by: J A Sc.k (10 c,c CIn I i See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions Cil p �.,(t(-C t,t,i-_, �...�t net r1C� to(�14,s-Le c n,_.- L c c, �I..ti
htrfir- kerj \ 4., ,.. ..c..- "c--50.,,ke.....
Agent or Applicant Printed ame Permi cer's Printed Name ,,c1
Signature **Please read compliancgstatement on back of permit** Signature
(gO° {� � � .Ltd 1)111Z-41-, -1-19I20/ I
Application Fe (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
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

CAMA/ DREDQE IL FILL
1N9 80] ]9
ENE L PERMIT lv A B
New OModification OCompletePrevious permit At
Reissue OPartlal Reissue Date previous permit issued
As tout rtred by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in�\an area of environmental concern pursuant to ISA NCAC 6114 1%U V 1 Del- U
It%2O
Applicant Name •�0..,.-k J% l4 v Q und�.d.
_._ Prolecc Location: COUnty /-ewSr b•C�
Address i. V"-# Vti AAA... QAkk Q
l �.� street Addrgy state () 8,
CityPho �-`lu-ru. te. State ►J�- ZIP 21i(o8( td)_ uc's,L t�1 Lo1-
( (-)228 I15 E•Mail Subdivision Authorized Agent '•\1 -ctf1/4.o...e.5 City SnSc4- Q[ach ZIP Zq•1(.8
Affected /CW iO EW tp PTA S ❑PTS Phone# (_) River Basin (v -�•t -
AEC(s): D 0EA El NW ❑IN ❑USA L.]WA
0 PWS: Adj.Wtr.Body 0w.-..t /unkn)
jilV
ORW: yes /0 PNA yes l7 Closest Mal.Wtr.Body_ -3.ntd,S Col
Type ofPro�iActivity cp lsttc_ eK/sti byikk,..d %., s4-M-�. .�„40r,.,f d
ID P4r(dock)length c I
Food Plaforns(s) ra� 1-t '- I J T 1 -I_ 1 1 i
_ -;dam
Floating Pladorm(s) emu. - ■■ .0 --. - _ - . { - •
■.■■
Finger Pkr(s) ifs 5l• 11 Groin length
ill9uadnad/Riprap number
t ■i■i.■11111
11 :■. 1 I _ .` ■ .■■■.. ■■■
svgdistanceo,fhore . . .■ CH.. _ rig_' .o�:C'.. Csii::
max distance offshore ■E.��C■.�...... ..1 ....a.■■HCU......
Basin,channel i �i'�.■. ....R. •r $ii .a.C ■ RP IC:n..o■ .■.■...■..
. ..
cubic Y Mlle ... . .
I � .
!. . .. .. 1I. .'Beath _ --
Hon ' ■.. ..■ ■..
Other
IIIIIIIIII I--- ° inom
.■....■■ Cs L Ir.®� .. ■ 'iRiiii
SAv: not sure yes -{-' f!I N —j .�._ _ ■iN 51 ,_. =' mumMoratorium: nisi Yes ® - ■a -. H
im
Photos: Yes ■ - -' - ! }- - - -
waiver Attadvd: 9 no � I .
A building permitmay be required by: S.lwSLt (1 e.&C\ . El See note on back regarding River Basin rues.
(Note Local Planning Jurisdiction)
Notes/Special Conditions _ O(.(L..- �.�C,l r�.t vI( n n.� �XC P ay.5{„s d �..� �...c� '.,.�_
2 S k` S ta..�h.e�.tor.� y.- l j 1.•S a V r.+.i
. ,-// /f'DA'If'S /
Aie"t°r ant Pointed Name w�mBA 's non.
S..... /C/.3 C.---'
S please read compllan_Ststatement on back of permit" Signature
Coo ,v �y1�.)., �� ZoZ,
Appocatinf (s) Check* issuing Date Expiration Date
Scanned with CamScanner

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ,_/ 6/47'd
Mailing Address: 47h'Pr,t L%-//eq ,
A/1 2.e6g/
Phone Number:
Email Address:
I certify that I have authorized $t/J 71101,10,9
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1O&C/L/n, ki/dies'
a nat e4,//'
at my property located at Li 'f A vets-de- ,Q,t..
9.Y6V
in 1 rultc? #clr 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:
Signature
13 4 Ida Id'
Print or Type Name
•
Title
O? I /Sl a02-1'
Date
This certification is valid through 02

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•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED af 2—
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
PerA I aik,...,
Address of Property: l/d t g!/ ki,veils' k 4, ,cattre li A .;28i'66
, (Lot or Street, �r1#,Street or Road,City&County)
Agent's Name#: fir i . t . ,� �� Mailing Address: 6 3o j t/ls/ext it ,441
�9t Agent's phone#: 1�/ 5� y 24 1 ' '
()bre
II I hereby certify that I own property adjacent to the above referenced property. The individual
' ok applying for this permit has described to me as shown on the attached drawing the development
A
they are proposing. descriptidn or.'dr8Wiiiii w th ditnension5,must be provided,withlthis.letter.
I have no objections to this proposal. . ____I have objections to this proposal,
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanapementnet/web/cm/staff-listinq or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,boat ramp,breakwater,boathouse, or lift must
flo ,i stele 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.
v/ .
(Prope Owner Information) (Rip an Prop y Owner Info mation) 5' 4A ,t,g
Signatw•e Si r •e
fita afrie
Print or Type Name Print or Type
�Name , t
2(,o /Ali U %'ey i/ 'o 5 ,3.--7-3 •
Mailing Address Mailing Address
al)44Oiik- 2 6�'1 /17BGcesvvf/e AT 7--e.Ti/7
City/Stare/Zip City/State/Zip
144gelidei-i‘ 4 /1/1
Telephone Number/Email Address Telephone Number/ mail Address
Date Date
(Revised Aug.2014)

1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own properly adjacent to tG,:�1 r�.�.ji�� r) _ , j'4614 •s
Name of Property Owner),
property located at �� '�f ► t' JQ£ "set-s'j I(,
. (Address, Lot, Block, Road, etc),
(Waterbody) (City/Town and/or County) .
The applicant has described to me, as shown below, the development proposed at the above
Iocati n (�
Pi ' 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 aidacfra-sfte drawing)
I understand that apier, dock, WAIVER SECTION
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.belbw.)
g Cki•ZIJ '1 do wish to waive the 15'setback requirement.
1 do not wish to waive the 15'setback requirement.
(Pro rty Owner information) (Adj c t Property Owner formation)
rrAir \ /
fignantre SA/arr►►v
p c�0 7{ ! I,)r, loll �I bid ri 1 ro,,- f F ti-:5
q Type Name c:��rl i i, I t.L.t✓
,f 1 L ' - ICI.e n \IC �,r r7 } Pin!or Type Name
Mailing A ddressl Mailing Address,,
t:►_y/ tafefllp S rt i iA- �-% V A a �.
cir lSrate/lip ,
Tefaphon Number/email address 2,t zE� L.
TeIep/ ne:_ umber/email address:
Daly
Duce k
'Valid for one calendar year after signature' (Revisedktrg, 0¢)
•

Check
Date Received Dare Deposited Check From(Name) Name of Mnit Helder Vendor area number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Co/umn2 Column3 Column! _ Column5 Celenant CoWnn7 Column# Column,
3/15/2021 CLTMC.Inc. Ron Kattas FCB 1178 8 200.00 GP#77547D :BH rel.12704
3/15/2021 Pippin Marine Construction LLC Nick Avera Wells Fargo _ 5760 $ 800.00 GP#77898D KE mt.12733 _
3/152021 Abed Manne Contractors LLC William Breeden Jr FCB 9794 2W,00 GP#80133D Tmac rct.13536
3/15/2021 ___Michael S 7ullai same BB&T
I 213 $ 200.00 GP#77551D ,Tmac rct.12711 _
J 3/152021_ _ Backwater Manne of NC LLC Barbara Harvell BB&T 1248 $.__400.00 GP#80116D BB rot.12938 _
3/15/2021 Timothy R Johnson same LGFCU 9319 $ 200.00 GP#801230 BB rct.12936
3/15/2021 Carolina Bluewater Construction,Inc George and Heidi Baer BB&T _ 24167 S 400.00 GP#77782D BB rd.12933
3/15/2021 RHC Southeastern Inc Alton and Elizabeth Beasley First Bank _ _ 5025 E 400.00 GP#80148D BB rd.12934
3/15/2021! David Grice Money Order George and Judith Motel FCB Money Order 300298487.E 200.00 GP#777810 BB rct.12973
3115/2021 Maritime Coastal Construction,LLC Paul Dillard CresCom Bank 33401 S 800.007GP#80119D 8B rct 12935