80240D - Newton

0 r!CAMA/ DREDGE & FILL N . 80240 A B C,,z4,E5
GENERAL PERMIT Previous permit# -xz...
New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ..') I ( 2 £c)
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �'11
,^�11- ,�,•• `\, ''�y, ❑Rule�s�attach�ed.
Applicant Name J O i\A 1 v' l,t t v i` Project Location: County _ V tv (i 5 _
Address _ 9 D I l .-0 [1.4 ✓) 1-)ik — Street Address/State Road!Lot#(s) '
l i
City ''l/( Ni ( 0 lam' State ZIP �S "272.K 1)V` 1\' • �"'
Phone#� ft. )6(`( D r Mail Subdi/visip ...3.,,e
Authorized Agent � r/"z) City IE�� �" ZIP
❑cW (11,gW FIATA ❑ES ❑PTS Phone # ( River Basin Y " ' D '
Affected ❑OEA ❑HHF IH ❑UBA ❑N/A '�p, L A`L
AEC(s): Adj.Wtr. Body Zp'1N(�-? /vE 'o/man /unkn)
❑ PWS: 1— /SA. t1 >OJ
ORW: yes /(nno9 PNA ryes / Closest Maj.W>rr�Body �(�J11 J
Type of Project/Activity ` lir(IAAI, ` C - 6 1'vt1 .
.
1 , (Scale: ` ,_ )
Pier(dock)length ID F-i Q
x
Fixed Platform(s) lik '� ! I � ;;'AA�� '' 1 � � ,,, c' i =
Floating Platform(s) �a �"�iJ V--5 C/IF <t INS
1
Finger pier(s) ii
i _._._.
I i 1
Groin length ,
t.
1
number — —._. I I_ r-+ —..._ i I
i I
Bulkhead/Riprap length . ` 1b 1 r
avg distance offshore `� / �i
} I•--7 I
max distance offshore I - `/ ,
�*--+� ., ✓
Basin,channel 'L
cubic yards 4tA14 I
ramp f 1. .� I
Boat q I
;
Boathouse/Boatlift �_.
----._� .�..._.._-�._..._......._.—..-.-..
-
--r r It Cigi Beach Bulldozing
I
i i I
Other I
i '
i i
i j i
i
Shoreline Length IN) "�'.....
SAV: not sure yes j i
Moratorium: n/a yes ; I I
Photos: yes o - ; i j
Waiver Attached: ye tir 1 ':
o *' _ . 1 •...;��-^'�
A building permit may be required by: . ❑See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions
1, r i D"�k I'
J `
Agent Kant Printed Name Permit0 Icer' Pried N �--
Signature **Please read compliance statement on back offs r it�`"' Signatur //'/r
. 00 -- 1t)54- � lei . z1 7, (9, 21
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 (252-946-648 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 252-946-6481
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 9I0-796-7215
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 •
•
Jo
Name of Property Owner Requesting Permit:
k If d �rS 1Ie
Grr
Mailing Address: ) Co k.o o- Qr1 v�
G \x.kU\ , rL c 12 32Z
Phone Number: q 1 l.� i �q 0 ` 5� "7
Email Address: 4-6 t V �Li2,C r7t
c al
I
certify that I have authorized 6..32I (\ PrtA4 .l►-J 'L�. dZ.i A DOCK A61
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ge�fr4?cr
at my property located at � f j)if4 j iv ,& 11,0 7 7 f) L&
in PG' /it- 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 Infor tion:-
Signature
fr
..,. M3 (V eITYN
•
Print or Type Name •
Or\-Cr`(
' Title
-1 , 261 -i
Date
RECEIVED
This certification is valid through / /
MAR 19 2021
DCM WILMINGTON, NC

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•
ADJACENT RIPARIAN PROPERTY OWNE„g STATEMENT
I hereby certify that I own property adjacent to 'Tom r- �, New ion s
•
located at // D6 rSov, (.Na. a of Property Owner)
property oca ed CQ
(Address,Lot,Block,Road,etc.)
on FanVS 11v,2l ,in 1-6 Ile:oxc. 4 vvke�.C;�:,N.C:
(Waterbody) (Cityfrown and/or County)
The applicant has described to me, as shown below,the development proposed at the above location.
•
h/cC I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND1OR DRAWING OF PROPOSED.DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
t -ts 61\°J
•
•
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.)
f t C I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement
(Prope Owner Information) (Adjacent Property Owner Information)
ArkvidZieti,
S.gnature S: tor
J � Dfr N am cid e 41t.4 CatilAT�Prin t or Type Name , P nt oY T Name
Ve ' COAAt2.� `) J . VO lox Itl
Mailing Address e � �Z Mailing Address
��
�' vsa� a � 1\ C Z$(-0,
CitvIStateiZip City/State/Zip
/ ) 99O59z °lio-7.$4-011-1 • .
Telepho a Mier Telephone Number
//Z ) Date
(S`�-Z.1
Date
(Revised 6/18/2012)

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
•
•
I hereby certify that I own property adjacent to l '�111 r 's
A. (Nam of P party Owner)
property located at', ." 1 . P O. V)- i�h M I I vet. .
i (Address,Loot,Block,Roadd etc.)
on kpSh II $ N A S C ho1, ,In I p sa , l ( Q4 C L - , N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me,as shown below,the development proposed at the above locatirn.
I have no objection to this proposal.
. I have objections to this proposal. •
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must frli in description below or attach a site drawing;
. . .:,
tiG
4v1 .
•
WAIVER SECTION
I understand that a pier,dock, mooring pilings, breakwater, boathouse, lift, or groin must be set hick a
minimum distance of 15'from my area of riparian access unless waived by me. (If you wish h:to w hive
the setback, you must initial the appropriate blank below.) • •
.I1iri I do wish to waive the 15'setback requirement
.1 do not wish to waive the 15'setback.requirement .
(Prope Owner Inform on) ( cent Property Owner Information)
•
P-.
Si fur „A Slgnatur
d
rri �c is .
Prlrt0o Tgeme Ve 0 floR. - Print.or Type Na
Mfiling A dress t,.ir MallIn dress
c teT1l G� City/State/Zip R r9- a $411(e
����_i� `�i�� Telephone Number
Tate o�fne Number fll 4RC o?O a(
13-
O �"�. Date
te
(Revised 6/18f2019)
•

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
.
I hereby certify that I own prope (A,-
rtyadj cent to � `zcNvilN 4rr`°�'� N ma's
N ` .L Arkff< sn f.P opjerty caner)
�
property located at O Q ()� l
) l (Addr s, Lot, Block,Ro ,etc.)
on 16 SA t t - v',i pG�- I:�S �l.s a I 1 2.�1G�f1 , M.C.
(Waterbody) (1p\M� w (City/Town and/or County)
The app'6ant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal. .
)6 I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
1 } \4.."(
0" iiraW 1\Nj a q C1 %
,,_
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum !stance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setb. ck, you must initial the appropriate blank below.)
( I do wish to waive the 15'setback requirement.
4 I do not wish to waive the 15' setback requirement.
(Props Owner Information) (Adjace ro.erty Owner Information)
. ' 1 ON It S / 7 .ii
a - -eoe
-4(l(!' T ko 'S \-0 C \ . 'ra` =-^0';S'i Ile, Ore Lc
Pr t or T e, ame Pr or,,Typie, ame
i1,
M 'lig drs r* r11123two) N6a8677g ress�, , ,r& . C .
C it6terz4g4v, 9a 4,
CI /'po i 0 .. cg 21
TelTd1hynie
ilur,r Tele eN el
...„), 1l Date Date
(Revised 6/18/2012)

Check
Date Received Date Deposited Check From{Hama) Name of Pamir Nokia, Vendor Check number amount Permit Number/Command Receipt or Rerund/Reeik.eered
Column1 Columns Column3 Column4 ColumM Columns Column7 ColumM I Column9
3/22/2021 3/25/2021 Woodall Holding Co LLC Seth Woodall First National Bank 4288 $ 200.00 GP#80134D BH rct.12715
3/22/2021 3/25/2021 Jamie J Grifaldo Sr same USAA FederalSavings Bank 2372 $ 200.00 GP#80107D JD rct.13455 ___
3/22/2021 3/25/2021 American Marine Construction,Inc Bill Fitts FCB 89302 $ 200.00 GP#80179D BH rct.12718
3/22/2021 3/25/2021 McPherson Marine Services,LLC Tom and Susan Rabon FCB 4040 $ 200.00 GP#80302D BH rct.12717 _
322J2021, 3/25/2021 Southern NC Marine LLC Ann Todd First Bank 1400 $ 200.00,GP#802410 JD rd.13458 _
3/2220211 3/25/2021 Jerry Ennett Jeff Brown Coastal Bank and Trust ffiEl S 200.00 GP#801080 JD rd.13456
3/22/2021 t 3/25/2021 Carolous Building Company David Ardito _ First Bank EC:El 8 200.00 GP#80105D JD rct.13543
3/22/2021 I 3/25/2021 Delta Dock and Boafllft John Newton FCB 9057 $ 200.00 GP 1180240D JD rct.13457 -