80127D - Davidson

CAMA / I.7 DREDGE & FILL N° 80127 A B C D
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 I 5A NCAC o7 I'1 I I
00 .
❑Rules attached.
Applicant Name c 6 ,n"ti .. \ " Project Location: County / s
Address ► hU c J 1,..)s.(.<' Street Address/State Road/Lot#(s)!! Li _
City i A J{(e (, \-AState- ZI �q 5�(D � ,i J1
Phone # 643)lci 1 .?Z E-Mail, A61S44-41o,,a,cc....ne?m„,l Subdivision _
Authorized Agent W�^ ct i C(i , City ( _ _ r• \S\ 12ecC h ZIP Z g`i(pct
Affected ❑CW ,DEW DI PTA AUS ❑PTS Phone # ( ) River Basin 1 V. ✓-
❑OEA 0 HHF 0 IH 0 UBA ❑N/A
AEC(s): Adj.Wtr. Body Ca.— ( (nat /02unkn)
❑ PWS: Al UJW
ORW: yes / i�,oy- PNA yes /
Closest Maj.Wtr. Body
Type of Project/Activity K-<-0\6,c CO J( i. z 1 -•\ e S 11 . ►'r,-.
} (Scale: N T S— )
Pier(dock)length -
I I I I l
Fixed Platform(s) i{ II
Floating Platform(s)
Finger pier(s) i
Groin length i a r" r
number -'- - �---_ - -�}
Bulkhead/Riprap length `jU '
avg distance offshore „�I
max distance offshore Ak ^�:i i i I ���,y� ,
Basin,channel �a / l
cubic yards t., i..
Boat ramp 4 ` � � ' f V't ` \\ . —�_�
Boathouse/Boatlift o/` J ` `
ii . 2i) tit' tk'-. C.,
Beach Bulldozing f J.- r i
Other . • 04 /ip A.A.. ' f t I. '
. ...St 1.442.e k)f,i) - . _ _..- .
_ _ _. , .
, . .. L... .
1 1••••-.17 1 i _
Shoreline Length 5 ! ,+ /A.". \1rgti^
SAV: not sure yes no I. r1 1-6 - (�
_. I.__ (�,p(.wy�t 1 t (-4c T.G‘I r.
Moratorium: n/a yeses i !
Photos: yes — . _.� —.._.__
Waiver Attached: yes no I I
A building permit may be required by: 002-("1-- \ ‘Q Q6( P See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes/Special Conditions J -)\ CV ea ( �..1,\� r v� t h c r uc.r'1.- ., c a� \ `",�1,--^ a c r
-ice- ` i�L���1..-c,. C T]a 4.�A( c.,.(- Pk,0--,�,3 l.v e.\\
_.)CA(\a\C{ r 1 L \ ter C ^ {ic. ` t u C 1C,
nt or Applicant Printed e Permit Office Printed Name
Signature "Please read compliance statement on back of permit"" Signature
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Applicaeels) Check# Issuing 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(9 I 0-796-72 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

AGENt AUTHORIZATION FOR CAMViA PERMIT APPLICATION:..
Name of Property:c7wher Requesting Permit - )0Yifl'1 DO(AdICCIIII.
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Mailing Address: +9- S':y"1 a� .�o5s Loy p
MLAYreIS .,SC 141
Phone Number.: . '_
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Email.Address: d.4 i1"ra l:$C C 610(Ad.t Cal ,
i certifythat I have authorizedrso
Agent/Contractor`
to act on My behalf, for the purpose of applying°for and obtaining;ail LAMA permits
necessary for the following proposed development: Se a`a
at my property located"at L 3 ". rA I/1/!_O Y)f - .S e
S tAilYi tour ty
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l 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
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Print"or-Type ltlatire
(� Title
Date
This certification:is valid through, C 2 i3
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•Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
■A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal1111.11
Service Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
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N. O tportant Reminders: -Adult signature service,which requires the
i�' ' 'ou may purchase Certified Mail service with signee to be at least 21 years of age(not
' N N 9 G rat Class Mail®,First-Class Package Service®, available at retail).
T' ID y y ,% Priority Mail*service. -Adult signature restricted delivery service,which
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1" Z N CU mail. and provides delivery to the addressee specified
i-4 1S nte coverage is not available for purchase byname,or to the addressee's authorized agent
G :ertified Mail service.However,the purchase (not available at retail).
ill ified Mail service does not change the •To ensure that your Certified Mail receipt is
It, ce coverage automatically included with accepted as legal proof of mailing,It should bear a
/ 'rionty Mail items. USPS postmark.If you would like a postmark on
m t 'ditional fee,and with a proper this Certified Mail receipt,please present your
.� i ent on the mailpiece,you may request Certified Mail Item at a Post Office' for
.9 7.1 ng services: postmarking.If you don't need a postmark on this
ceipt service,which provides a record Certified Mail receipt,detach the barcoded portion
(including the recipient's signature). of this label,affix it to the mailpiece,apply
quest a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
•ersion.For a hardcopy return receipt,
N O 1 Form 3811,Domestic Return
mat � 9 ch PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
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CE$IIFIED MAIL • RETURN RECEIPT REQUE8TgD
DIVISION OP COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 10d'n 'CO n
Address of Prop
erty: 33 ck 1 c- M6 n 5 UCQ cl^ 6Clec(61
(Lot or Street#, Street or'oad, City &County)
Agent's Name#:G r iQt ei5: '�tt'u( t Mailing Address:(04}1g 32(01 DC-- 3•
Agent's phone#:"AID"57C-31'gUg5 Ac1i6Q tcrt I•lc 2ti-Ko
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this rmit has described to me as shown on the attached rawin the development they are proposing.
. 1,. AI
I have objections to this proposal
if you have objections to whet is being proposed, you must notify the DI tj of Coastal
Management(DCM) In writing within 10 days of receipt of this notice. Cor should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3845. DCM reprise also be
contacted at(910) 79Q-7215. No response Is considered the same as no objection teen
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 fhe
setback, you must Initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
(Property Owner information) (Adjacent roperty wner Int a •
Ccei ) s
Signature Si lurela. ,,
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Print or Type Name Prior Type Name
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Date Date
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ENDER: COMPLETE THIS SECTION
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• Print your name and address on the reverse 'o
so that we can return the card to you. 5*l . I El Addressee
• Attach this card to the back of the mailpiece, �� .ame) C. Date of Delivery
or on the front if space permits. c� 0(.1�C i L —4-
1. Article Addressed to: D. a ..,ery address different from item 1? 0 Yes
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2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM
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LISPS TRACKING#
First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
9590 9402 5492 9249 3665 95
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

CMIIFIEP MAIL. • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner 1001\ntl tC>A4i'Ca n
Address of Property: '13 \ Q k r M 6 n I"' ctd1
r (Lot or Street#, Street or'Road, City& County).-"
Agents Name#:V r icy. C -\-ri c c Mailing Address:C061-6 au6'1 1✓r
Agent's phone#:\,C-5-1G-clbg5 n 12 61 NC 2559M
_ i, ___,./._
I hereby certify that I own property Mdjacent to the above referenced property. The individual applying for
this •:rmit has described to me as Shown on the attached ••rawin. the development they are proposing.
C.
I have objections to this proposal.
if 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. Co should bt
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM repres also be
contacted at(910) 790-7215, No response Is considered the same as no objection ✓teen
notified by Certified Mall.
,_y
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift,or groin must be set back s
minimum distance of 15'from_my.area of riparian access unless waived by me. (If you wish to waive fhe
setback, you mutt Initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
* —
(Property Owner Information) (Adjacent Proprrty Owner Information)
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Signature Signature d
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Meiling Address Melling Address 1.1
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Telephone Number Telephone Number
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Date Date
Revised 6/1: •12

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Date Received Dale',tweeted Cheek From(Namel Name of Perml1 Holder Vender Check number amount Permit Number/Commenb Receipt ar RNund/Rwlbcated
Column) Column, Column3 Column) Column! Caumne Column Column! Coiomn9
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) William and Tonya Roberson First Bank 1386 $ 200.00 GP#80103D 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 BB&T 1622 $ 200.00 GP#80186D BB rot,12944
_3/16/2021 John J Strobel(2 of 2) same BB&T 1626 $ 200.00 GP#80186D BB rot.12944
3/16/2021 Kenneth Billings same SunTrust 1144 $ 200.00 GP#80188D BB rot.12710 _
3/16/2021 Thomas J Rumsey same USAA Federal Savings Bank 7001 $ 200.00 GP#80122D BB rct.12950
3/16/2021 Tom and Holly Rumsey same United Bank 153 $ 400.00 GP#80122D BB rct.12937 -_
3/16/2021 Backwater Manne of NC LLC Tony and Stephanie Hill BB&T 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 Once Construction of Brunswick County In Alvin and Annette Odom BB&T 14496 $ 400.00 GP#80125D 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 Gregory1 —_
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 Once Construction of Brunswick County In Town of Sunset Beach BB&T _ 14499 $ 400.00 GP#80132D_ BB rct.12976
3/16/2021 Once Construction of Brunswick County In Donna Doudican BB&T _ 14502 $ 400.00:GP#801270 BB rct.12977
_3/16/2021 Structural Concrete&Millworks,Inc. Derry Hargrove Southern Bank 41602 $ 600.00 GP#77550D BH rot.12714
_3/16/2021 Allied Marine Contractors LLC Allen J Warren FCB 9937 $ 200.00 GP#80175D BH rel.12713
3/16/2021 Allied Marine Contractors LLC Jane Autry FCB 9938 $ 200.00 GP#80174D BH rel.12712
3/16/2021 Charles Duckworth Money Order Chris and Mary Batten :Wells Fargo 17-7680536! $ 200.00 GP#80124D BB rct.12941