80175D - Warren

0 CAMA / DREDGE & FILL N° 80175 A B C D
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 -..- � ,-
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC —( •
ii (C i Rules attached.
Applicant Name 1.'•"\1 ,fc\ ��`-) G x� Project Location: County ,`f'i'\tom.
Address •-•`7 C Lc CS,C-E C4 • Street Address/State Road/Lot#(s) {ZC(.o Ca,c\ '' PNra
City . � %\k\\c'c CT' State N)C ZIP ZUL(j'
Phone# (' //' ) m,14- (C6. t'.j
E-Mail _ Subdivision Authorized Agent r A.\ 1"c:,j In,,c<< City iclr`c,o\ ,> C) ZIP 2-fG LL-1+
5
cw DEW 16PTA ❑ES ❑PTS Phone # ( ) River Basin II'4 C CA &.
Affected OEA [IIHHF ❑1H ❑UBA ❑N/A - "
AEC(s): Adj.Wtr. Body Kii-(11Lc CteRi+,1-�` (nat /man /unkn)
Pws: y4-r , 1.'•i-k--\
ORW: yes / no PNA yes no Closest Maj. Wtr. Body
Type of Project/Activity S
r ,<,'I i c.:( k (Scale: )
Pier(dock)length P I_
I I �
Fixed Platform(s)— A'
Floating Platform(s) i
1
Finger pier(s) ' I —{
Groin length
Ii I
numberI ! t
... _
Bulkhead/Riprap length c `t' d I
1-7
avg distance offshore i'Y '�1 r I I
� i
max distance offshore7 f
Basin,channel `' 4 i ' ` (
cubic yards i I I'' 1
Boat ramp
Boathouse/Boatlift ■ I ■!'■ b
Beach Bulldozing L.H I - i IHI !1Il i
g
Other .• `= rnuiiuuuidnuuiiiiu
4 i I
, CI n1c.c.I ....c, +rt i�
i
M _____r____i I 11111
41I
Shoreline Length -
SAV: not sure yes no IIIII ±. I
Moratorium: n/a yes no rill NNE - u 1Iri�� .Photos: yes (no ,. I 1.11Il :E M i I. _ ��� U j
■uuauau■ •.�■ i
Waiver Attached: yes no ---- — - ----
A building permit may be required by: ')C.kI ' tf,€IA( V\ . El See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions ^�.1 CLC \C' "(\: r R�`IN ,----IN. ! • '
I, . -;-2eak
'4Y— \W -------:‘,\ALe-i/W-6 --_ '\ .)14\I N.) " k -.46 i L
Agent otA plicant Primed Name Permit Officer's Print Name
- -- 1 �,CC
Signature *Please read compliance statement on back of permit se Signature (
( tic ]2 I
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 (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-7215)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

. _
''44116H fiCCAPjiA/ I:1—Di:iDGE it;Filii... , ,.. - - :', •. . • '..-.. 1\10. -80- I 15: -: ,,.. A, .-- B c
GENERAL PERMIT:- _
. . . .; - Previons permit#
7-"---- ?New- '',11Meidifidation 0 ConaPlete Reissue Pa rtial Reissue -. '; ' ' ••'Date previous permit issued
, • ,
As authorized by the State of North Carolina,Department of Environmental:Quality-
-4+1 ROC
and the Coastal Resources Cornmisilon in an area of environmental concern:pyrsuzint to 15A NCAC (4) _ . • . -- , .
,
- ,
. •
- • • '...nr es attached. -
I ,-
Appliant.Natne Ai l`ty_1__- -*---- Ick.- --. -Crei-V\ - . • 'Project Location: County_ ____::::___
Aiidiless2 2-60 t_c6„.02.k. S-C-- : •- - - -- Street Address/State Road!Lot 0) 12,0(4. 6014.
._ --
cityktfx&iws.k,t7". ...state 1\--\t-- ZIP 2- 3it
. ,
PhOne#(CUP) '5L11-6(161-1E-m ajj '_ . . ' Subdivision _..., , ___„-_,_•________________7__________-__
Authorized AgentLA.-1 Cen2-tme-k"\,_ _.„-.. __..,.. - . ity i C __.. t• ----; -C -FeeLC.-1^- - - .' ZIP_
. -
CW WEw 'ISPTA [20 F,PTS- 11146'
- Phone# (_____:.)______ _ ______,niVer'Basin 1.4211e11
Affected
30E4% nfil-IF C11H. . 13 UBA iiNfIV ' ' '
AEC(s): Adj.Wtr.Body 1:S401-4-A_C.412g.,q4_,_, (nat_kgPlunkti)
• 1:3 PWS:" - - - ,
, - - '' Closest Mai.Wtr.Body: 1.A-- .1-:"--)
011W: yes /(E) . PNA yes /& ,, , .
„
t..,
, .
Typo of Project/Activity - 2 ONO('riNA- I liYt \ Li ' f i
,(25)'\ f_.1(iiiiY1 -clock.+PrI;) Oka?, (
...
Scale: I = 60 )
P* clock)length : - , , R ,,,It.c ClApoutt.4
• =•'
Axe* latform(s)_____.,„;-...........-.....--, :. "4 * , ' ' ' -( ,.- ,* '*0* •-: * '
,.. . . .
Floating •tform(s) _ i • , : 4 4* :
• 1
Groin length : - t___'‘ .:__ .. .' ' 1.
Bulkhead/It• * -nins '.- :---. - . - tv) :,.5.,mot4,v"). `. I'
avg distance•ishere -.. ,• : , ?aiwyt rt
- .
.
-.0,-54,,,,,, ?itc.-.
cubic yards -
, .
,Boat rarnii,, . I=
. .
Boathouse/Boatidt_, -.____ ____,• • . ,,.
i•
, - , • - i
- li! . .
Beach Butidazing .,_,,,*,,,_„.,
.. .
, -
Other,..12_YtAt..Nor-in Vail•N.y:' "," " .- " :. -- .1' - - =:------ 1,.--- - . , -. •
- N
f itf.t.d6h1"5 ‘iinr- , . ' - • , ' * .- ' '-.- : . 11 - 4 , ,
. . .
. I . 4 _ •
_ .,_ -__ .____ • .\- '. ,
Shor'eline Length.-45_02 G s-,-- - :' -- ,• - 1 - - • L '.\„3,4-cv_,_31-. _-._
.-
,SAY:: not sure yes, 6, i -, . . . : „ i , . ..., , ,
„IA,.7\ .1 -
Moratorium n/a yes iSil ' * 116(0!,,C.:0,(4:711.1‘..t.t:2(4. - . (-4- s. \'') ' '
. . • , : . , . 4
Photos: yes .. , T . "`? .- ...... - ' . ,.....:_j-
_
Waiver Attached: g„49 no - - . - • _.. _ __ - ___. .._.... ._ i
"---7------1 ,‘ f7F)e.
A building permit may be required by: laWkl I
See note on back regarding River Basin rules.
,
(Note Local Planning jurisdiction) ..• le-, /
Notes/Special,Conditions 1'1.0.0-0- Y10+ .e_jAc_.„ce.9 ckcl", crv•„, L-D
...
. . P\-30 •• -e-aci)ouAtoy\. 0„-rko-f-izeA• .
, . . .. ,
. .
. . .
," ,tt•ei.o...._ - • e---a,,,,,, 4,,,,,_.. _
A i rit Pri ante . - - •- PermitOfficer's Print Name _ .
. .
• .
igi itpro "Please readcompliancestatamenton back of permit*4 , Signature - t
..,z r.
. . .
Applicacion feet's) Check# Issuing Date * • -----*'.---- --txpiration LJate
- .
. .
„. ' . ' , , _ __ . , . .„ _ • . r ,
, .
. ,

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
MAR 1 0 2021
a -
Name of Property Owner Requesting Permit:
Mailing Address:
c /c.' ; 7 r lc
Phone Number:
Email Address:
I certify that I have authorized ` 4 1 r 6 71t-•.�
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
/
j
at my property located at
in - - 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
Print or Type Name
Title
i 2a ! - r ON 'NOlONIvnIAA
Date
IZOZ 0 I j.. I
This certification is valid through / 2 1 3/ / Z7 a3A1303b'

RECEIVED
MAR 1 0 2021 • I
DCM WILM NGTON, NC -
• •Ary
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v I a ► 2
Taioel
9 tr
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t4f.A)-X:71 "21190
t a
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1)11joj 90t l
l� t o /i '2e -7- 1 )14 J 4 }-ro luny r V 1
� and '`.�.� 1, � = �y �, , `2�
'/t-1P 9,07 o3 z � viegAw
Pmpiw I/a JJ b -91 1P-91#

•
• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ,) U `7 1%} Q Art- -AI!
's
(Name of Property Owner)
property located at /2,e)
(Lot,Block,Road,etc.)
on `7c1 ,in 5 -c� .C.
(Waterbody) (Town and/or County)
Applicant's phone#: S 471,65Y Mailing Address: Z S (��"�'� 5-71
He has described to me,as shown below,the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
/,"4y
Mailing Address , Signature
City/State/Zip Print or Type Name
Telephone Number Telephone Number
3,71 d / RECEIVED
Signature Date Date
MAR 1 0 20?1
DCM WILMINGTON, NC

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 1'ti's
{{ (Name of roperty Owner)
property located at t 2 C
(Lot,Block,Road,etc.)
on S , in ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: LZ sef Mailing Address: L`NV
IA), l 2 jf f
He has described to me, as shown below, the development he is proposing at that location,and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
2 iff(zela t-
Mailing Address Signature
/hwI nl? eV3 Aber-b_ _ Gxce
City/State/Zip Print or Type Name
g/0 3/ 1`cc is--�t� Sq - t5 (0
Telephone Number Telephone Number
//vL./ 3-- L1 -2C21 RECEIVED
Signature Date te_
MAR 1 � "-
DCM WILMINGTON, NC

Chock
Data Received Date Deposited Check From(Marra/ Nam*or Permit Nok.r Vendor Cheek numbw amount Permit Numbor/Commrrb Receipt or Refund/Reallocated
Column) CoNmn2 Column! Column) Column!! Worm{ 0.eminl Column!' Column{
_3/16/2021 Southern NC Marine LLC it 0 2) William and Tonya Roberson First Bank 1390 $ 200.00:GP#80103D JD rct.13573
3/16/2021 Southern NC Marine LLCpof2) William and Tonya Roberson First Bank _- 1386 $ 200.00 GP#80103D JD rct.13573
3/16/2021 Steve Woodard same PNC Bank 1.1.11EN3$ 200.00 GP#76187D PA rct.11591
_3/16/2021 John J Strobel(1 of 2) same BB 622 ET 1 $ 200.00 GP#80186D BB rd 12944
3/16/2021 John J Strobel(2 of 2) same BB&T 1.111.110$ 200.00 GP#80186D BB rd.12944 _
3/16/2021 Kenneth Billings same SunTrust 1144 $ 200.00 OP#80188D BB rd.12710
3/16/2021 Thomas J Rumsey same USAA Federal Savings Bank 7001 $ 200.00 LOP#80122D ,BB rot.12950
3/16/2021 Tom and Holly Rumsey same United Bank - - 153 $ 400.00 GP#80122D B8 rct.12937
3/16/2021 Backwater Marine 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 Grice Construction of Brunswick County In Alvin and Annette Odom BB&T 14498 $ 400.00 GP#80125D BB rct.12945
3/18/2021 Once Construction of Brunswick I Walter and Jennifer Fielding BB&T 14497 $ 200.00 GP#80130D BB rot.12946 _-
3/16/20211 Once Construction of Brunswick 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 rd.12949
-3/16/2021 Once Construction of Brunswick County In Town of Sunset Beach ••BB&T 14498 $ 400.00 GP#80132D BB rct.12976 •—
-3/16/2021 Once Construction of Brunswick County In Donna Doudican BB&T 14502 $ 400.00 GP#80127D BB rct.12977
3/16/2021 Structural Concrete&Millworks,Inc. Darry Hargrove Southern Bank 41802 $ 600.00 GP#775500 BH rot.12714
3/16/2021 Allied Marine Contractors LLC Allen J Warren •FCB 9937 $ 200.00 GP#801750 .__ BH rot.12713
3/16/2021 Allied Marine Contractors LLC Jane Autry FCB 9938 $ 200.00 GP#80174D _ BH rd.12712_
3/16/2021, Charles Duckworth Money Order Chris and Mary Batten i Wells Fargo ',17-7 $ 200.00 GP#80124D 8B rct.12941 _