80123D - Johnson

0 CAMA / DREDGE & FILL N° 80123 A BCD
GENERAL PERMIT Previous permit #
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 I5A NCAC 0---4-11 12 Q o .
p Rules attached.
Applicant Name 1";-v.. ? �� 0.yL Se�w gta.•. Project Location: County CSt-...S-...;.c,\e_
Address \ 0 10 S W Ai 1_A- 6 r Street Address/State Road/Lot#(s) MG,Nroe,
City ,.,.:,IC'v.C;4.`-1� State t- ZIP 2 /S'}-1- St , -
Phone# ('1 I O 1 1 G scp90 E-Mail '�T 1M3 u1A. of 9 r(1(I Subdivision
Authorized Agent City l)C.Z,..1.. (S i< Gk t h ZIP 41(o 4(
PTA ❑ES ❑PTS Phone# ( ) River Basin L'
Affected w PEW /'
AEC(s): ❑OEA ❑HHF CIIH ❑UBA ❑N/A Adj.Wtr. Body ( A ,t� n._it! ),unkn
❑ PWS: ,
ORW: yes f'fi9, PNA yes / no 7 Closest Maj.Wtr. Body '1 11/u
Type of Project/Activity \ c\a C iC n ti I 1 1/4•• \w a— {Y-� --_
.J
Jr C (Scale: J'..J 7 S )
Pier(dock)length h�
1
!
Fixed Platform(s) , j 1,Oo 1
Floating Platform K 111 I s, y I
hvf,±
Finger pier(s) _ ._.__ _ � - !
Groin length �' Ac
number - ,.�� ._. — _
Bulkhead/Riprap length ' !
avg distance offshore — .gym +� ,_r f ,
max distance offshore V-- —
Basin,channel - ..d 1
cubic yards_ , ,,. {I J
Boat ramp i ,r, ci
rII
Boathouse/Boatift — L V f] \_f _._
�t
I Beach Bulldozing_ - _ t. V 1.
OtherI
I I i i
(�4 i 1
R)r
,I, , , , , , ,
1 „ _.
Shoreline Length V 5 _ AIU
h I l r
SAV: not sure yes no `."'t��t f� I r �t i
— —
4
Moratorium: n/a yes �1d1fr-�
Jki —.__
Photos: Yes ® a._ _—._...— f---1— — -- l
Waiver Attached: / no ' I
A building permit may berequired by: Q Lilsn. t Ll t- lJ ilk G' 1 . E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1
Notes/Special Conditions t) ( c LL ^c� AOC(4- .,._ • ,` n 01 O rt u ‘1{ �v (-"t" C tr-G.-C.L4 t.+it ,
\�y[.,,, / h 11p"" '� IAW ( c , f�'✓‘�G� zoc�
mae
Agent or Applicant Printed Name PermitOQerP rinted Name
.......\---,---- '...----V ----•\C......---
Signature 111
Please read corn lian e statement on back of permiit**q Signature
49 ZOO I er 1 l ??'120Z4 q 11"q2,02',1
Check# Issuin Date 1 ExpiratiDate
Application Fee(s) g

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 (252-946-648 I) 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 252-946-648 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

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: ill i .I.,4 I L o L X I e G f
Address of Property: 4 ►tiI or r o c 5 + 0Gc a." :::S(e- "Se,�(_ j-t - /0r-v,,,s tJ:G K
(Lot or Street#, Street or Road, City&County) Cc:N..44 fr
Agent's Name#: ( lot ,(..AS-Q Mailing Address: a M o.,ro , 5--f
Agent's phone#: ci(4- 7 m,-g 4.,-/-o pLeG 5:51�
1« e-I. , I..lc ZBcfL t
AL5v' Iolo 5 We.l u-i 7e2 SM;ff.r;c1A ' '
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,,_must be provided with this letter
have no objections to this proposal. I have objections to this proposal.
If you have objections to what/s being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405.3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mall.
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.) RECEIVED
__ I do wish to waive the 15' setback requirement.
MAR 0 i 2021
I do not wish to waive the 15' setback requirement.
DCM WILMINGTON, NC
(P arty Own r Information) (Adjacent rope Owner Inform
ation)
Signature Si >r'tc7,l:r
r
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Print or Type Name ddlot/ l pf I �� f;' Y
Print or Type Nam r
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y sAld -t`2c--f`A �o�k
Mailing Address Mailing Address ( 3
14G^_ 1s I.- -3„,_L l,le 2Y'69 t/
City/State/Zip City/State/Zip
Telephone Number Telephone Numbe / ' e-11/1 I f
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�►Date ?a,e � e p�^SonV,pfj;1,a„,1 Y^/•a. 1.,- addr,ss 91 IG _ 'Ft. `yI�
IDIo S W cIekvF 72--
SMi-(-L, -z I c1 ,,( . Z7 s" 77

CERTIFIED MAIL • RETURN RECEIPT RE UESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Property Owner: +`ye- &0 0.1
Address of Property: F4. ;ro DA# 5-f. vcc_�0 —5 (4 -3`4
Al
(Lot or Street#, Street or Road, City&County)
run s��%G��
Agent's Name#: f i vM J ell n s.
Mailing Address: Jo! 2- _ lJ w/,_ii !)P-
Agent's phone#: (R-- �6 _
I hereby certify that I own property adjacent to the above referenced property, The individual
applying for this permit has described to me as shown on the attached drawing_the development
they a roposing.A description.or drawincL with dimensions.-mustje_nrravidedWith-this-letter.
�� have no objections to this proposal. I have objections to this proposal.
p P -
Ifyou 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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215.No response is
considered the same as no ob ection if ou have been notified b Certified Mail.
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.)
�G RECEIVED
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement. MAR 02____
2021
rlr'M WILMINGTON, NC
(Property Owner Information) (Adjacent Property Owner Information)
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Print or Type Name Print or Type Name
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Mailing Address Mailing Address
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City/State/ZipCity/StafelZ
Telephone Number
Telephone Number
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Date VI COL__________
Date
Revised 6/18/2012

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Chat*
Dab Received Data Deposited Check From(Name) r Name of Wank Holder Vendor Check number amount Permit Numkor/Commen s Receipt or Refund/Reallocated
Columns CoMeZ Cofumn3 Column) COWmn6 Coumne Column? Column!, Columns
3/15/2021 CLTMC.Inc. Ron Kattas •FCB 1178 $ 200.00 GP#77547D •BH ret.12704 __
3/15/2021 Pippin Marine Construction LLC Nick Avera Wells Fargo _ 5760 $ 600.00 GP#778980 KE tot 12733 _
3/15/2021 Allied Marne Contractors LLC William Breeden Jr. FCB 9794.$ 200.00 GP#801330 Trnac rct.13536 _
3/15/2021 Michael S Tullai same 868T _ 213 $ 200.00 GP#775510 Tmac mt.12711 ___
__3/15/2021 Backwater Marine of NC LLC Barbara Harvell BBBT 1248 $ 400.00 GP#801160 BB ret.12938 _
3/15/2021 Timothy R Johnson same LGFCU 9319 $ 200.00 GP#801230 BB rd.12938 _
-
3l15/2021 Carolina Bluewater Construction.Inc. George and Heidi Baer BEST _ 24167 $ 400.00 GP#77782D BB rd.12933 __
3/15/2021 RHC Southeastern Inc Alton and Elizabeth Beasley First Bank - 5025 $ 400.00 GP#80148D BB rct.12934 __
3/15/2021 David Once Money Order George and Judith Motel FCB Money Order 300298487 $ 200.00 GP#77781 D BB rel.12973 __
3/15/2021 Maritime Coastal Construction LLC Paul Dillard CresCom Bank 3340 3 600.00 GP#80119D BB rct.12935