80107D - Grifaldo

0 __CAMA / 7 DREDGE & FILL N9 80107 A B C
GENERAL PERMIT Previous permit#
>G ..New ...Modification IiComplete Reissue El Partial Reissue Date previous permit issued ...
As authorized by the State of North Carolina,Department of Environmental Quality 67 '` /�and the Coastal Resources Commission in an area of env'ronmen21 concern pursuant to 15A NCAC fI Cl)"[J .
Li Rul attached.
Applicant Name ( b , �'(' Project Location: County /7-6.4A l..
Address 'o( Ai irii 1 ' Street Address/State i.oad/Lot#(s •
City 1-f C,VcoN ) I (/L State NC--ZIP ZKJ4 j U to (J (AAA - / V
Phone#'(j I d) I -''`f- l LIE-Mail Subdivisio / �
Authorized Agent N / A-' City SW 5(1 4 `--I ZIP L
cw VEIN ,PTA ❑ES ❑PTS Phone# ( —) _ River Basin w• 0 •
Affected OEA HHF ❑IH ❑UBA ❑N/A
AEC(s): Pws. Adj.Wtr. Body V.V `l 9.( 1,/:iirr/man /unkn)
ORW: yes / no PNA / no Closest Maj.Wtr. Body Y r u I' a
Type of Project/Activity 7 Cl1Y,11-1• ,
(Scale: )
1� )
Pier(dock)length _ i I --_- i I I I I I
Fixed Platform(s) {
, , I I I ! li
_I I I -- 4_
Floating Platform(s) ; ; rN
i t
Finger pier(s. \ I / I
— iJ (/
number _._.._.�_ __...—.. —.._.. ' ,':--
Groin length . .
Bulkhead/Riprap length T'—` �„ Jam. frn r;NW"'
1
avg distance offshore ... C ' (I Gn(•� L�fYv
O
max distance offshore 1 1
Basin,channel I ± - (vcf1eI?/4/ /' q _,
1 I
cubic yards i .j
Boat ramp t • r 1�,'7/""r fT t?V�i n"
Boathouse/Boatlift7 N( 17, -- — t--t -r- ` } }
Beach Bulldozing "Y__i ['rI�
Other ,
—1
I
iI
,{- / - • i /1tJ • I
Shoreline Length I /—lj 0 j -ili I
yesfry ....._} 1
SAV: not sure
Moratorium: n/a yes6,2 __ I _
Photos: yes
0 I i
Waiver Attached: yes /
A building permit may be required by: P����1^i.( /c1��� L-(77 . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
1 W W Ir[ 6-14f ' --
77 or Applicant Printed Name ,Permit icer's Printed N o4 _
C_
Signature 4*Please read compliance statement on back of permit Sig re q /
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 (252-946-6481) 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 252-946-6481
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

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ENERAL PERMIT _ a. L......., , , .
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As;authirtzedbythe":State*NOrth,Carollita,Department of Environmental Quality
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Notes/tpecial Cciiiditions:
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Application Fed(): Check-# litiiiiii Date- Ekpleatiiiii-bite,'
..„ _ ,..

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• 'I-hereby certify that I own property adjacent to J vl i e Or, fa/a/o 's
(Name of Property Owner)
property located'at, .70 4 go land A V
• (Address,Lot,Block,Road,etc.)
on. eveek Cl c wel a in .5or4 Ci--y, iUC N.C.
;(Waterbody) (CttyITown and/or County)
•
The applicant has described to me,as shown below,the development proposed at the above iodation. •
•
I have no objection to this proposal: •
• •
I have objections to this pro •
posal. .
•
DESCRIPTION AND/OR DRAWING.OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
5e.e a H-aeliecl Crain ,
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� ==. - - . RECEIVE
t MAR 19.2021
3 �` nU..t ; •
•• -• - , _'DCM WILMINGTO• .1�11•; N'C
:L„L ), a ..r; ,,.,. (`S. `:.•- _
� '° r t a , (x' °:• WAIVER SECTION -
�JS S' '' y ,._SLR ic` .s.:rd•5,,• r: t .
; 'l Y ''"sdt1"1-11'1e t"af}d Fj`- ii i"ie cock,mooring pilings;b ial "der, boathouse,hit_--or groin must be setback-a• .
,. .-' �s _ ��YV. - L ao'l,� cif jJ �ror ,•.my area of rlparia access'unre waived by me (If you wish`to lve
:,._ � '1 _1. ` e;eeJ °°�Q`; Atiat initial tIte_appropriate bl ic[b loly/�• . .••• '.,.- ' -
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RECEIVED
MAR 1 9 2021
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _kw;e 6c, 41042 s
n (Name of Property Owner)
property located at 70(0 /�o laid A ti e
(Address,Lot, Block,Road,etc.)
on CveeK CL,�. �l , in 5u,-c (-;-y, )C ,NC.
(Waterbody) (CityfTown and/or County)
The applicant has described to me, as shown below,the development proposed at the above location.
I have no objection to this proposal
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)
gee a itaCI^ed Cy:a„,r�
I�i;71 I 9
DCM WILMINGTON, r�
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.)
1 do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner information) (Adjacent Prope er Information)
ignot a / Signsj�e/
,�a»7 r f C,Li/�T' //C,
Pnnt or Ty Name Print Type Name /
10/ f �+c i i r r r`/ o 11 u Cc 7
M4tling Address M Address
jacksor% Ile /vc 2$syo Y 2J)-e ,kic. 2- 3
City/Steteaip City/Stataaip
FLO - .TV -`179Y /o 3,2 S 5 9
Telephone Number Telephone Number
n'Ia•-cil 17, 2 0 2[ 3 17 — /
Dale Dare
(Revised fit1812012)
tip,

.,7050h bc,)
l 2-7 Card j 4I O ri ve �d-
t e� (04;45-1t,,-) ,NC ZV-foc- 3s�/$

Cheek
Data Received Doto Deposited Check From(Nome) Noma o/Permit HO/der Vendor Cheek number amount Permit Number/Comments Rooelpt or Rotundmloalkmand
Column.? Column2 CeMmJ Colummt Columns Coumn6 Column7 Columol 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 Federal Savings Bank 2372 $ 200.00 GP#80107D JD rot.13455 _
3/22/2021 3/25/2021 American Marine Construction,Inc .Bill Fitts FCB 89302 $ 200.00 GP#80179D BH nct.12718
3/22/2021 3/25/2021 McPherson Marine Services,LLC Torn and Susan Rabon FCB 4040 $ 200.00 GP#80302D BH rct.12717
3/22/2021 3/25/2021 Southern NC Marine LLC Mn Todd First Bank 1400 $ 200.00 GP#80241 D JD rct.13458
3/22/2021 3/25/2021 Jerry Ennett Jeff Brown Coastal Bank and Trust 3721 $ 200.00 GP#80108D JD rd.13456 _
3/22/2021 3/25/2021 Carolous Building Company David Ardlto First Bank 1467 $ 200.00 GP#80105D JD rd.13543 ._
3/22/2021 3/25/2021 Delta Dock and Boatlift John Newton FCB 9057 $ 200.00 1GP#80240D JD rd.13457