80108D - Brown

411) - CAMA / DREDGE & FILL No 80108 A B C vb
GENERAL PERMIT Previous permit#
i_ New 4 Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality . /? OD
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC d 7 •
G ❑Ryles attached.
Applicant Name 3T , 7 -D )A/ Project Location: County c7•04)
Address 1 Ok CI Lt i Street Address/State Road/Lot#(s)
City 5Ue.F U7 - State 1(' ZIP 2y,�4-c L �-
Phone # • /Z 20—yA4 Ma Subdivision
E _
Authorized Agent AN'1f l{il P* / _ City . L/`' ZIP �����
❑CW ,EW bPTA ❑ES OPTS Phone # ( ) rs River Basin '
Affected ❑OEA HHF ❑IH ❑UBA ❑N/A '�/l� � L �M p
AEC(s): Adj. Wtr. Body " l nat , /unkn)
❑ PWS:
ORW: yes / no PNA yes--/ Closest Maj.Wtr. Body �/ SU vp~/Type of Project/Activity ti
/h S-71/ t%,:: rLt_ G4it� 4L.
1 I
I L.) - /9 fc s (Scale: /.40 )
Pier(dock)length
1 �-
Fixed Platforms)
X - 4 !
Floating Platform(s) r�
Finger pier(s) Gt.)
_ i..-..._. -._.._.. _
iI
Groin length ,rj, - j
number -----_..._... —..—
Bulkhead!Riprap length 1 1 1 I i
avg distance offshore __ I i
— j
max distance offshore_ _ 1
Basin,channel \ { i jt I
cubic yards \ I i i 4'
' I . 19.31r/b--F
'O i
Boat ramp \ , ! l I
Boathouse/Boatlift )[ ,�j —� L' , _...... —_._.._..___..
__I_ • 4 I. I --
.._t_._I
I
Beach Bulldozing I
Other \ I I
Shoreline Length - 1- 1—49`7 lO —
SAV: not sure yes • I ,; . --.— i '
r
I _
Moratorium: n/a yes ! —
Photos: yes I I F
Waiver Attached: dap - --al — • 1 I 1 1 1 t 1 i
A building permit may be required by: Vs 1"-- E See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions
1-1/( -----Name
- 1 -
A ent or Applicant Printj�d P Officer's Printed Name
Signature **Please read compliance statement on back of rmit" Sig u
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(910-796-72 1 5)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

4I CAMA/ LI DREDGE &FILL N9 80108 A B C
GENERAL PERMIT Previous permit#
' New ❑Modification ❑Complete Reissue 7 Partial Reissue Date previous permit issued
As aut orized by the State of North Carolina,Department of Environmental Quality iy7 j. , /�0 40
and the Coastal Resources Commission in anw/areas of environmental concern pursuant to ISA NCAC // n/(,,,�Rid/ attached.
Applicant Name lJ;f 'f�- g /?IL0 Q " Project Location: County__.. L4" t/did
Address t n g 2' el S-i. Street Address/State Road/Lot#(s)
City 50 C4 Statei��ZIP tr¢ j 04a
Phone#Ft L 2.87—4 _ Subdivision
E-Mai - ;
Authorized Agent inn AVC-- City_c"/ 1 ZIP 2,
0 CW C)EW )0 PTA DES 0 PTS Phone# ( f.River Basin hi'0 ,
AEC Affected 00EA HHF aIH UBA CIN/A
s() Adj.Wtr.Body 51// W nat /unkp)
0PWS:
,�g Closest Maj.Wtr:Body fa
`�
ORW: yes fv PNA yes-- )
/ helz-
/ ,,p,;/'Type of Project/Activity �r�� %Ks �t/( Ua- A-( %`�
✓ //ZT
-61,4_,IleAgg (Scale: /.�zQ )
Pier(dock)length -----, --- --- -
Fixed Platform(s) ? l. ;
Floating Platform(s) ! I '
f� i Finger pier(s)-� —/ /'
_ ... F
Groin length L v..;---_- I - _1 ._�. __ _._ iI } i._��`
number I _ , l i . . ? t
!
Bulkhead/Riprap length { ! i i __ ._ i. t -•
avg dlstanc offshore ;
max distance (shore .._. ._._______.... 1 .._
Basin,channel I '
: r oksit. 4, 64,....„1
cubic yards - 5 {ifr
ss
Boat ramp i I ' 1- 1 —•- -1- -
Boathouse/Boatlift_ 2. -( r 1 yM' t
Beach Bulldozing t
Other _ I {
-�{ i ^. : ,i i .. .. � �uY
Shoreline Length_ —_ �__ 01-g,_.__ _�_ .___
,. .
SAV: not sure yes i . i
Moratorium: Na yes ! ' ' i .. ... _
Photos: yes � 1 :
Waiver Attached: r. , . . _.. I .,!
A building permit may be required by: 5?/I✓� Cam• (� See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) T
Notes/Special Conditions
c
414-A-------: '
_ __ TAik----
pplicant Prin' d Name P Officer's Printed Name
•ignature "Please ... mpliarice statement on back of ermit�"s Sig ur
© �3 1 __ 3IiRr2-1 `7. 11 - m
Application Fee(s) Check# Issuing Date Expiration Date

,
AGENTAUTHOtitlAtIOPtiF0FiCAMA;PERMITAPPLJçATION -
ft.
N409,...01Propei(y,Ptonot'.40siltiting:Piniiie
MaititIg-Addt-es§: 41)1,A _51itC:4?!_
Phone Number: 4015_
Email
Addras:t: j-t.Obreita:I Lteth41&.:661i
1146rirhe CoAckei4ein.,
— Agent!goir(itaciTtfir
OnmrbehatiJitir ti)a 0.1tOprzo.ciflppyrIgfOr and01.1*#tf§aRtA,MAvatniitt
egiSarytoft!attar*ilg,proposediatitlitvrteht, DO6ki):
tk, t1111.75
rat my property at gel 51ef
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01)116.Lij courrty,,
•
kifthannora,,',cartly that.1:1.3. na authorized to .gran4 and d .ii fact grant pennissititi to
piviOlon of Coastal Management staff, the Local Pennit Offfcer and their agents to enter
-044*-aforarnehtioiiacrlands in connection mlii evaluating IrifOrtnotfOn,*aim/to,ihis
peittiti)Odicotipn.
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$1917011.m,
Plinto r:TyM.NOMEt
Title
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This certification is
v-4441,0t,codt) .

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ADJACENT RIPARIAN PROPERTY OWNER •
..._. ... , . .
i Name B(6' 1
4 hereby certify that ti.viactiopotr ociocerit'io-,,, c.--. !.e.;, : .. - ,.- • ca _. !s
Name of Property- Owner) -
41 iq, el-f4- 4re '.-F - -- .
property located at i..1'- '': - ' '_t'
on , (Addiei ,11Of`Bi-ile7-/c-•c,Road,etc)5t — -
(/---)1/4" . , , 61:.0-:
(Waterbody) (city/T1.9m arkflOF pa'MA1) •
The applicant has described to,tne,:es:41.901,009W, the development proposed at the,above
to _. . .
1 oyonb,0100,....6_,7to This propo!ej,..
I have:tbjebtiotiOisthit proposal. .. ...DESCRIPTION AND/OR'bRAWIN4;OF PROP9SEI:i.DEvacqs-MgNT:
(IndiviekalprciA001fiTdeiielOOthliiinijiffillikerf*iliiiiiin lielitii410:006-04iii4,dia-WriV) ;
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WAIVER tECTION
I,understand that a pier;dock,mooring pilings, boat ramp, breakwater, boathouse i lift, or,groin
must be set t.,,aok:a minimum distance of-15':frgret my area of;riparian Acta-s§:Urilei!e Waived:by
rrie,':(Ifyou wish tcYwaive,:the-w4poR,you must the appropriate blank below.)
...
-.1-4--' I do wish to waive the.15'setback:recjiiirement .
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I do not-Ash to waive the 15'setback requirphient. . . .
.
f2 Pe60, Owner nfor:reation). (Ad ce _ro im ermailon)
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de,- ii rad-n• . - - Liv, -E'-- • E.424( (-7.-/ / t
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print_OrrYpe Name . 'i__ r
l:11'3:Y)- qw-) ttrer Print or TYpe Name i _ :.
52D.7.27artv%lv Dirive_ . ,MailifigA0r6,1s; ,• . „„; ,,_,,p. MeIV-Ati•oss --1,1;,-,
ci---tcp: N C :,e.e 9,9 -) ' tA - tic 2-1790-g
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City/State/Zip ' :City/Sr ,t.., , , 1 ,, . 4 r, . :gl ir o' ' a
- tv9 '7(4-3 —cf,K.ezze dlidce e
Tekotipfv;Nurtitiefl email address ,relephOniONiffp4qr(0 a1 cto'nns
S
Date
Date* '
, -
Valid for one calendar yearafter Signature'''. c.. .1,\ t vii (.: visedt,g,2_014 , •
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ADJACENT PROPERTY.OWNER STATEMENT . .
• ,
I hereby certify
--- - • • that L own proprtyl
. ..: . •-.. .. . .,.. ,
: yOacentio,-.
A -4 .'els*Ii 5rA,•,....- • NOntecit Prititiditii-owne,--' ' pfolieAt located.it, q1.1?‘.--• :-2, ,::. -• ',-:c,t•:_ --, - ,-_--• - - - -- - •: - -. : .:.:-.--,:-,-,-... . --. - .
1 ' (Address, itiiti BioO„k,';Ro: 4;ate)1
a41141. . . , Tiiiii:ITNLir-f" ,'Ct. ':• - - • ' ::61-;'Q.
,. _ ..__ „ - ---- -.--- . ,
(Waterbody) ' ' (cit#T. wvq1.14f01-C.Outit:1),,, -
The AppljcOrit..bas.depoilla.p4' 0.,me, as shownb0liiirir; the development proposed at•11*0*e ,
looatioti!
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AitA :. '‘;'"IX l'h -YE09!ditglcii9-0;lo•-this 0.601-iii,.
' ' .°1'':cit • ' „
''' ':;&.•' • _ I have objodtioh •tittlhi -prppoit
-0EscRiPTICS-A14W0it OF
' ' t/riril,v..i_i*iksi-ii*p4frjfiWjf'ef4Weiif-:$001,tirkte*:ifi*,'Wb-o-iQtqi,o'ii..:*i:0,oli***4r*iid)
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WAIVER-SECTION!
I understand that a:pitEit,-dock mooring pilings, boat ramp, breakwater, boathouse lift, or groin:
roust be set bac.k0:iyiklitriiiiii 0i:stahce.of 1$!..fropfl toyfpee•_,Of-ripari0Tace:4#unless waived-..Qy.me.Of yoti-wish to,,.**/,p 1-,,k.e sObaac,,you,..roy.pOrOigif ttip-q0Oropriat •blOntt below.)
:-•,,4,,,A. - i'do wish to waive thö15 setback tetiu-itO.itteitit:
I do notvish-t&waivelhe 1 setback requirement
'
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.. .,. . ,(Propert-y-pwitor.frifOrmation). Wjagetlit:ProOeitif Owner Information)
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PI 8- 7446 AIT. ' :$211--.±.'. Ce•-• 71 .,
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;-2V1-40'1,g- _ • c4nTe6S1 :CA-04r1
TeloPhione-Altimbp:r4opio i teddtes& Tpleph0 Number/email tempil address
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RECEIVED
MAR 1 8 2021
DCM WILMINGTON, NC

Chock
Dam Received Date Deposited Cheek From(Name) Name of Permit kidder Vendor Cheek number amount Permit No,ob Comments Rompf or Refund/Reallocated
Cokomnl Column2 i Column., ColumM Colomn5 Celanni Cokonn7 Colorant' Column!)
_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 rct.13455
3/22/2021 3/25/2021 Arnencan Marine Construction.Inc Bill Fitts FCB 89302 $ 200.00 GP#801790 BH rct.12718
3/22/2021 3/25/2021 McPherson Marine Services,LLC Tom and Susan Rabon FCB 4040 $ 200.00 GP#803020 BH rct.12717 _
3/22/2021 3/25/2021•Southern NC Marine LLC Ann Todd First Bank 1400!$ 200.00 GP#802410 JD rct.13458
3/22/2021 3/25/2021 Jerry Ennett Jeff Brown Coastal Bank and Trust 3721 $ 200.00'GP#80108D JD rct.13456 _
3/22/2021 3/25/2021 Carolous Buliding_Company David Ardito First Bank 1467 $ 200.00 GP#801050 JD rct.13543
3/22/2021 3/25/2021 Delta Dods and Boattift ;John Newton IFCB 9057 $ 200.00 GP#802400 JD rct.13457