80125D - Odom

-CAMA/ _..DREDGE & FILL0
No. 80125 A B C
GENERAL PERMIT Previous permit#
Yam= 4,New Modification CComplete Reissue III 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 I 5A NCAC A.\ 000 .
Rules attached.
Applicant Name I\ \t k ' A,, AA.4_ ,,.� Project Location: County Vjf ^- --\C\C -
Address (41 (1.oCV.-\-, K` (-A Street Address/State Road/Lot#(s) L(2� --pO14?h4 n
I City {�,,.,v,tc.,. State NL ZIP29 1 ( -'' -
Phone#(AIL) L1 () it 4O E-Mail Subdivision
fit r"
Authorized Agent (Al cA- c. C`t .LA, City . '.i•Nr_t Sk �Qc.r ZIP ZFSiIo8
❑CW ❑EW ❑PTA ,ES ❑PTS Phone# ( ) River Basin I v«-bn-✓
Affected ❑OEA Li HHF ❑IH ❑UBA ❑N/A AEC(s): Adj.Wtr. Body ('N."is-1\ (nari /unkn)
❑ PWS:
ORW: yes I. no PNA yes / no Closest Maj.Wtr. Body ,--\(,L C S
Type of Project/Activity -41\i.c,� .,<<<.\r...•-r.cL ; •, e Y 1 c. (-, c-ti r --p, '� ,r. .. . v A.[1 (pc.SVt` 1.o.c\I. 1 (Scale: —t S )
Pier(dock)length i I I i i ? ,� 1 \ 1 I
Fixed Platforms 1
Floating Platform(s) f / +
•
Finger pier(s) .\'....41_C —_
Groin length t ._.I
1
number i ,-- - _ _- i - _
Bulkhead/ftiprap length J"U' loi 7 •• ‘``A
I #
avg distance offshore r ,c` ,
j ��i 4
max distance offshore W► 1 0 ` �S
1
Gw
Basin,channel { — '/ ; ♦ V .
cubic yards a " I *1NW " 1 1
Boat ramp t f l
q , 1
Boathouse/Boatlift "- --_-'�+
Beach Bulldozingr° ' i
1
�
� j i l
Other ± i i I
.1 _
— } _i;` 1 1
C v� 5 ? I ' t - c \jot {'t,'H 1
Shoreline Length 50 f^ i 2QN� 0'14 , l L
SAV: not sure yes Q , . L I ��
} I _ ,itorlln-
,
Moratorium: n/a yes .
Photos: yes tp I... 1 i
Waiver Attached: yes 0T
A building permit may be required by: S,^Z‘'.- at"\A . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction {{
Notes/Special Conditions C) ok k�c. U.;t k` A 4 P 1„,cv or.cA , ^+b (,a c \ �t k�G,. a S
Agent or Applicant Printed Nance PermitOffi Printed Name
Signat re Please read compliance statement on back of permit Signature
lyyI(vre 11Lolk 2`` n.i
Issuin DateEx ira�on Date
App410(3°
n Fee(s) Check# $ p

•
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(910-796-72 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 252-946-648 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

• AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ai_ "9049/LA
Mailing Address: / R© I Rd •
// V-fZ-A gust s Afe_ 87*
Phone Number:
Email Address: -1 zc4tR7hL/,t1 •
I certify that I have authorized C P45A-)
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development; g. P ,—/ ki
S /3-4 i-4-14611--b 7tbs- /44_4 ZA81-/u 1974%
at my property located at '/27 2QL pi S ; - -� ?-i
)
in .&k.cl 0"4eounty,
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
D1Vlelon of Coastal Management staff, the Local Permit Officer and their agents to inter
on the aforementioned lands in connection with evaluating In101Mation related b this
permit application.
Property Owns f Cation;
Signature
,t 00
Prim or Type Nemo -
Title
/8 20 z/
Date
This certification is valid through c6 W �h� n

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A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. LISPS®-postmarked Certified Mail receipt tO thi
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service— -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
'nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mails,Frst-Class Package Services, available at retail).
or Priority Mails service. -Adult signature restricted delivery service,whicl
Certified Mail service is not available for requires the signee to be at least 21 years of ac
international mail. and provides delivery to the addressee specitiei
Insurance coverage is not available for purchase by name,or to the addressee's authorized ages
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear
certain Priority Mail items. LISPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt,'attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

-ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Si•`at.e
• Print your name and address on the reverse x ZO ID Agent
so that we can return the card to you. arm.�► ❑Addresse
• Attach this card to the back of the mailpiece, B. --•eived by(Printed Name) C. Date of Deliver
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
Q_c r`
If YES,enter delivery address below: Ill No
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IIIII I I II I I I I I I III Service Type ❑Priority Mail Express®
0 Adult Signature ID Registered Mail*"
0 Adult Signature Restricted Delivery ❑Registered Mail Restrict
9590 9402 5492 9249 3667 17 -- ertified Mail® Delivery
O Certified Mail Restricted Delivery '"!8eturn Receipt for
❑Collect on Delivery Merchandise
2 n�;�io ni n,hcr/Transfer from service label) 0 Collect on Delivery Restricted Delivery ❑Signature Confirmation,
n 1.,..,,.e,1 ne,ii 0 Signature Confirmation
7017 0660 0000 7486 8761 Restricted Delivery Restricted Delivery
PS Prom RR11 .Irdv 9M.F Pcty 74an-n9-nnn_anca Domestic Return Receio

USPS TRACKING#
First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
9590 9402 5492 9249 3667 17
United States •Sender:Please print your name,address,and ZIP+4"'in this box•
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469

1. . •os a ervice
CERTIFIED MAIL® RECEIPT
3 Domestic Mail Only
3 For delivery information,visit our website at www.usps.como
'.
ChOrkOkVaC.T.Cj 2f21:13
3 Certified Mail Fee
$ .60 0470
$ $2 11
Extra Services&Fees(check box,add fee/firritirfifi)
3 Return Receipt(hardcopy)
3 0 Return Receipt(electronic) $ 1A.AA Postmark
3 0 Certified Mail Restricted Delivery $ $ CU) Here
Adult Signature Required $ $0.00
D Adult Signature Restricted Delivery$
3 Postage
$0.55
o $ 02/17/2021
3 Total Postage and Fees
$7.rJe
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„ enmea ma►►service proviues me-Following oenenis:
I A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
IA unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt•to thr
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service” -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
mportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail,First-Class Package Services, available at retail).
or Priority MaiR service. -Adult signature restricted delivery service,whicl
i Certified Mail service is not available for requires the signee to be at least 21 years of ag
international mail. and provides delivery to the addressee specifier
Insurance coverage is not available for purchase by name,or to the addressee's authorized agen
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear r
certain Priority Mail dems. LISPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mall receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy retum receipt, I
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIANn PROPERTY OWNER NOTIFICATIONNYAIVER FORM
Name of Property Owner: C\\\t b t1c rlfl
Address of Property: , �Ph► ��e-.' S c 3c. ck.&N
(Lot or Street#, Street or Road, City& County)
Agent's Name#:GT CItR5 UCA:I Mailing Address:( t 1 tech Dr-
Agent's phone#:`\10-5-1G (AV* C (1I51Q (\ N( Ztotiq
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this "I* has described to me as shown on the attached rawi the development__7( they are proposing.
a�ulira• I have objections to this proposal.
0, lY you have objections to what is being proposed, you must notify the Di of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Cor ' should bt
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM repress r also be
contacted at(910) 790-7215. No response Is considered the same as no objection been
C notified by Certified Mall.
WAIVER SECTION
Vi I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
i� minimum distance of 15'frommy_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 o n ' irement.
I
(Property Owner Information) (Adjacent Property Owner In .,atton)
N)3 (.1)2,c.1)Cs3
Signature Signature
Qrn, c' ernbe-- •
G�vt� O M
Print or Type Name •
Print or Type Name
Po zbr, Th59 5\- tee 4cA
Mailing Address Mailing Address
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ity/State/ZipClty/Stete/Zi
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Telephone Number Tel hone N mber
Dare. Date
Revised 6/1 8/2012

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Chock
Data Received Date Dapuahod Chock From(Nrny Nam*of Permit Nokia. Vendor Chock number amount Permit Nnmber/Commanta Recolpt or Refund/Reallocated
Columnf Column2 Cakarnr Cotumn! Cakmn! Callum!! Cokarn7 Column! Column9
3/16/2021 Southern NC Marine LLC(1 0 2) 'William and Tonya Roberson First Bank 1390 $ 200.00 GP#80103D JD rct.13573 _
3/16/2021. Southern NC Marine LLC(2 of2) tWlliam and Tonya Roberson First Bank_ 1386 $ 200.00 GP#801030 JD rct.13573
3/16/2021 Steve Woodard same _PNC Bank 2572 $ 200.00'GP#76187D PA rct.11591
3/16/2021 John J Strobel(1 of 2) same BBBT 1622 $ 200.00 GP#80186D BB rct,12944
3/16/2021 _- John J Strobel(2 of 2) same - BUT _ 1626 $ 200.00 GP#80186D BB rct.12944
3/16/2021 Kenneth Billings same -_ SunTrust 1144 $ 200.00 GP*801880 BB rct.12710
3/16/2021 Thomas J Rumsey same USAA Federal SayiniABank 7001 $ 200.00 GP$801220 BB rct.12950
3/16/2021 Tom and Holly Rumsey same United Bank 1531$ 400.00 GP#80122D BB rct.12937
3/16/2021 Backwater Marine of NC LLC Tony and Stephanie Hill BBBT - 1264 $ 400.00 GP#80185D BB rct,12943
3/16/2021 Ted Hudler same BB&T 10915 $ 200.00 GP#80118D BB rct.12940 _
3/16/2021 Grice Construction of Brunswick County In Alvin and Annette Odom BB&T 14496 $ 400.00 GP#801250 BB rct.12945
3/16/2021 Grice Construction of Brunswick County In Walter and Jennifer Fielding BB&T 14497 $ 200.00 GP#80130D BB rct.12946 _
3/16/2021. Grice Construction of Brunswick County In Edward and Patricia Murray BB&T 14498 $ 200.00 GP#77562D BB rct.12947
3/16/2021 Kenneth Gregory K and Louise Gregory Coastal Credit Union 3655 $ 200.00 GP#80187D BB rct.12948
3/16/2021 Basil Kushner Basil and Melissa Kushner NAVY Federal CU 829 $ 400.00 GP#80192D BB rct.12949
3/16/2021 Grice Construction of Brunswick County In Town of Sunset Beach BB&T 14499 $ 400 00 GP#80132D •BB rct.12976
_3/16/2021 .Grice Construction of Brunswick County In Donna Doudican BB&T 14502 $ 400.00 GP#801270 BB rct.12977
3/16/2021 Structural Concrete&Millworks,Inc. Darry Hargrove Southern Bank 41602 $ 600.00 GP#775500 BH rct.12714
3/16/2021 Allied Marine Contractors LLC Allen J Warren FCB 9937 $ 200.00 GP#801750 BM rct.12713
3/16/2021 •Allied Marine Contractors LLC Jane Autry FCB 9938 $ 200.00 GP#801740 BH rct.12712
3/16/2021 Charles Duckworth Money Order Chris and Mary Batten I Wells Fargo 17-7680536f $ 200.00 GP#801240 BB rct.12941