80224D - Broderick

0 __ CAMA/ ❑DREDGE & FILL N° 80224 A B C O
G EN E RAL PERMIT Previous permit#
>C.LNew ❑Modification ❑Complete Reissue CPartial 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 I5A NCAC 1- ' •" er •`Z-O0 .
❑Rules attached.
Applicant Name JQ,e..w '4 M , hj ra,stLY 1 C L. Project Location: County ;V (Ads.) t-}-ci LA oV-lJV
Address \\ S - C H G v\vv a b y Street Address/State Road/Lot#(s) S A IAA e
CityVJ v VI}IQ g,P.4C State NIL ZIP vZ
Phone# (141) 103-IOS S E-Mail Subdivision
Authorized Agent ►n t a C\Glfb\.VA'S City ZIP
Affected U CW MEW cgPTA ❑ES ❑PTS Phone# ( ) River Basin ) +t O" k-
AEC(s): n OEA ❑HHF ❑IH ❑UBA El WA Adj.Wtr. Body got v\ `L.S C-An0 VI V`-J &/man /unkn)
❑ PWS:
Closest Maj.Wtr. Body P(w kn./ORW: yes / n� PNA yes /
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Floating Platform(s)�9],4 l) V\to kt im• _
Finger pier(s) L
Groin length { I
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number .._.... — —4— �"
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avg distance offsho e X +\
max distance offshore i
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fry I
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Other ;
Shoreline Lengthtl- ki ki, .l• ' -h i YylS y w(rs14\
SAV: not sure yes no
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Moratorium: n/a yes no _-- / it l id
Photos: yes no ! -0—iiiii•V I '
Waiver Attached: yes no 1 1 $ 0 h`^ /-'411111., 1 . ' •(.1`G ° 1 I PAM C�II Q
�"}V1G\-• 6 . tViCk
A building permit may be required by: E See note on back regarding River Basin rules.
(Note Local Planning Jurisdictio (c� _pp [�
Notes/Special Conditions �'1 t U L a\ 1 S+�-1 Q 1 G v\U 't cif —1 I I U W. a 'P . 7 kA Yt(c 1A- S-
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Agent or Applicant Printed Name Permit Officer's Printed Name
_ d +
Signature **Please read compliance statement on back of permit*a Signature
'54)-00. 00 4S 2. 3j 23 I k TI ij -
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 252-946-648 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

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•

AGENT AUTHORIZATION FOR PERMIT APPLICATION
Name of Property Owner Requesting Permit: t�Ch1 M. gR-`'nC2l L 14--
Mailing Address: 113 S, 14A< A//Irf U( L.
12-16 NZ's l/i LLE— BEAD N / A/t 2� �g0
Phone Number: TO- 1 c 3 D S
Email Address:
I Certify That I Have Authorized p Am I EL C CEM £,/TS
To Act On My Behalf, For The Purpose Of Applying and Obtaining All Permits Necessary For The
Following Proposed Development:
12.E124 42-s a- MEi✓ c 0 1"1-101,�
At My Property Located At: 13 S. 0 (�4- 'A.-C J2
In l� AiJO✓M-- County.
I furthermore certify that lam authorized to grant, and do in fact grant permission to Division of
Coastal Management staff, the Local Permit Officer and staff and their agents to enter on the
aforementioned lands in connection with evaluating information related to this permit
application.
� -s
Prope y Owner Information: �v
Signature G��
C+Zir�7 u, g p_iiv62.4 C 2� S 1, O ,,,,,oar`
Print or type name
oXg t
0 �1xk \� = 1
Title ‘1%)• `)P �a
Date \r,,k
This Certification is Valid Through: / /

The Goal of This Permit
-Rebuild existing 6'x 43'in same foot print
-Build new 6'x 12'finger dock
-Build new 6'x 40'floating dock
-Leaving the gazebo,side deck and boat lift Banks Channel
I
1- 15'-
Swim Lin I t
- 15'-•
1 0-
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Jeremy Broderick Mark Mitchell
Deerbrook LLC 113 S. Channel Dr. 115 S. Channel Dr.
Mark Maynard Wrightsville Beach Wrightsville Beach
111 S. Channel Dr.

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jeremy Broderick 's
property located at
113 S. Channel Dr. (None of Property Owner)
Banks Channel • (Address,Lot,Block,Road,etc.)
in Wrightsville Beach ,N.C.
(Waterbody) (Cityfown andlor County)
The applicant has described to me,as shown below,the development proposed at the above location.
M M. I have no objection to this proposal. •
•
I have objections to this proposal. _
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
** Please See Attached Drawing **
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.)
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)
Signegure Si e
26"--r E,F-b05a.(cot, -Nki Pc C. A14,41,altb
Print or Type Name Print or Type Name
113 5. C ttA4i4/5c. l) -- it U'1 V4'61, IJ Yl—
l4faMaihng�r�Address Mailing Addr
btt'rS'vwttc [;�rc14- ,A/"- ' 2tri O Vutti �i�Tsviue 1664c►} , A/c- 22`1•$o
Chy/Statealp 9N 9- y 03_ i 0 5 3 City/State/Zip 910 -f 12 6 S S z
Telephone Number Telephone Number
— 10-21 03-0q- ZI
Date Date
(Revised 6/1812012)

3/10/2021 Vessel
NORTH CAROLINA WILDLIFE RESOURCES COMMISSION
1.800.628-3773
• Temporary Certificate of Vessel Registration
Temporary Registration Expires 05-09-2021
JEREMY MICHAEL BRODERICK NC Registration#:NC-8098 DR
113 CHANNEL DR S Hull ID Number.TSP15387H001
WRIGHTSVILLE BEACH,NC 28480 Titled:Y
Year:2001
Model:J-105
• Manufacturer:J BOATS
Length:34 ft 5 in
Construction:Fiberglass
• Use:Pleasure
• Fuel:Diesel
Propulsion:Inboard
.Type:Open
Transaction Pending:Transfer-.3-year Reg.Xfer Title .• -
Issued By: CANADYS SPORT CENTER.#12134 -- . --- ---,•:\
Regietration 03/10/2021 Signature of Primary Owner:•. •
Issued:
Registration 03/31/2024 SIgnature of Secondary Owner: ,. ' •
Expires:
•
Vessel Owner, -
This is your temporary certificate of number.It must be signed and dried on the vessel described above.The original registration card and decal(s)will be
mailed to the address of the primary owner before this temporary certificate of number expires.
THE N.C.REGISTRATION NUMBER MUST BE AFFIXED TO BOTH SIDES OF THE VESSEL BEFORE USE-
Affixing Vessel Registration Numbers:
If a N.C.registration number already exists,you will only be replacing the decals.U.S.Coast Guard Documented Vessels may NOT display the N.C.
registration number.
Registration numbers must be legible by complying with the below instructions:
• Must be painted or permanently affixed on the forward half of both Sides and no other number may be displayed on either side of the bow.
• Must be at least three inch block lettering and may be of any solid color so as to contrast with the bow of the vessel.
• The number must read from left to right as it'appears on the registration card and the letters must be separated from the numerals by hyphens or by
equivalent spaces,as shown In the diagram below.
• Registration Number Registration Number
tic 0000 AB NC 0000 AB
Port Side
Starboard Side • (left side of vessel)
(right side of vessel)
•
This stock is to be used for-WRC transactions only.
httpsJAvww.ncalvin.org/Alvin/PrinUPrintFulfiliment.aspz?ffid=0 1/3

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ADJACENT RIPARIAN PROPERTY OVWt STATEMENT
•I hereby certify that I own property adjacent to Jeremy Broderick
property located at 113 S. Channel Dr. (Nams of Property Owner)
• (Address,Lot,Block,Road,etc.) �r
�, Banks Channel , in Wrightsville Beach , N.C.
(Waterbody) (Cltyfown andlor County)
The appli t has described to me,as shown below,the development proposed at the above location.
I have no objection to this proposal. •
•
propo e.
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)
** Please See Attached Drawing **
•
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.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement •
(Pro rty Owner Information) (Adj ent Pro ty a Information)'
Si •
RC. n6elc4c-- Sine)a��u 7�.�l i fc! eli
Print or T e Name Print Typ�ee b[�/teme
113 S' Cl�r4N � %J v0 i- x
Mailing Address '$ NC �r,8o Ma►7in ddre 1 •e gCfe�
.Rl�,�-� � 1,�tYl r���v l/e 3 ��, RUC
City/State/Zip qt1`f- 9 3—)0 53 Clty/State/ZIp„ 9/0 • -f .q4 7 $
Telephone Number Telephone Number /
Data Dare
(Revised 082012)

Check
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column? Column? Column? Column4 Columns Column° Column7 Column8 Column9
3/30/2021 Nand C Rice Kenneth Rice FCB 1370 $ 200.00 GP#80227D BH rct.12721
3/30/2021 R&B Enterprises,Inc. RST226,LLC BB&T 8777 $ 200.00 GP#80243D JD rct.13463
3/30/2021 R&B Enterprises,Inc. RST226,LLC BB&T 8748 $ 200.00 GP#/80250D JD rct.13464
3/30/2021 AMW Docks and Marine Construction LLC The Allison Harrington Living Trust BB&T 6172 $ 200.00 GP#80211 D BB rct.12986
3/30/2021 H5 Construction,LLC James and Mary Cannon BB&T 2571 $ 200.00 GP#80213D BB rct.12984
3/30/2021 Gregory Holden Michael and Sharon Deutsch United Bank 5533 $ 400.00 GP#80212D BB rct.12985
3/30/2021 Pippin Marine Construction LLC Elizabeth Wright Wells Fargo 5771 $ 400.00 GP#77899D KE rct.12746
3/30/2021 Carolina Marine Construction,Inc. Waterfront Villas First Bank 13205 $ 400.00 GP#80226D BH rct.12720
3/30/2021 James I Metts • James and Bonney Metts Wells Fargo 3831 $ 400.00 GP#80247D JD rct.13466
3/30/2021 McPherson Marine Services,LLC The Landing HOA FCB 4041 $ 200.00 GP#80301D BH rot.12716
3/30/2021 Southern NC Marine LLC William and Tonya Roberson First Bank 1404 $ 200.00 GP#80103D JD rct.13467
3/30/2021 Lawrence D Dean Landing at Snow's Cut Boat Fac.P BB&T 1003416507 $ 200.00 GP#76185D PA rot.11595
3/30/2021 Land to Sea Construction,LLC Jeremy M Broderick FCB 432 $ 200.00 GP#80224D KE rct.12737
3/30/2021 Pippin Marine Construction LLC Rebecca Colonna Wells Fargo 5772 $ 400.00 GP#77900D KE rot.12744
3/30/2021 Brent Tenuta Construction Inc. George and Janet Bakalis Suntrust 20400 $ 200.00 GP#80255D KE rct.12743
3/30/2021 Harbor Marine Construction,Inc. Robert Hale Bank of America 1180 $ 200.00 GP#80106D JD rct.13454
3/30/2021 Overbeck Marine Const./Daniel Shirley John Townsend Suntrust 5414 $ 200.00 GP#80201D KE rct.12741