80214D - McGougan

CAMA/ .-1.DREDGE & FILL N� 80214
Previous permit# A B c
��= New Flodification C Complete Reissue ❑Partial Reissue Date previous permit issued _
As aut ri
ENERAL PERMIT zed by the State of North Carolina,Department of Environmental Quality074-1 r O
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC I
c/ �.�^ ❑Rules attached.
Applicant Nameis�6,k-McC7o�cj s A �,Jc,l,,,.,�'h 1�,..,.1.11 ..,,f �!lr,,r24 Project Location: County 2 f a-1 S ,Ci Q--
Address 1 2 R t C(C..(,✓ 5- •61 Street Add ress/State Road/Lot#(s) '' t 1
City , ,,,,tStC- `,;4( �'1 State LC ZIP 2(SNGe) SA-- -
Phone#(AO sSt-( I?(ei E-Mail u'-)'^ •et.,,,,ifedPy^'ic. Lc ,.Subdivision n
Authorized Agent W�A a ( t cR_ City 5J/ 1 t 1J Q4Gr• ZIP 2- lritj
Affected Acw PTA ❑ES ❑PTS Phone# ( ) River Basin (...,-,- ' -✓
AEC(s): ❑OEA ❑HHF ❑IN ❑UBA El N/A Adj.Wtr. Body A\"1/41•^+ (i)man /unkn)
❑ PW :
ORW: yes no PNA no Closest Maj.Wtr. Body Ai��
Type of Project/Activity ..t'J u t k d (1/4 0 1C 1"ta,. ( 1/4U-- ,,- L. n o or M e-`,'u a J k . P S
(Scale: 0 1 S )
Pier(dock)length ' Y 51't
Fixed Platform(s) 10 MICE, (.*/ N.
A,t,/r { I 1
tt
Floating Platform(s) �jv.,A i {
1--
Finger pier(s) I ;
i
Groin length ``\ \_� �,.` ^
number — . — ` �1► A
2� ab0"4, cJo c�t.-�-
Bulkhead/Riprap length , i
avg distance offshore j - \ i o
max distance offshore ' I, - , I I
I
Basin,channel __.__ !
cubicyards V
Boat ramp • �� v I f 44 V: I r
I1 ti I
Boathouse/Boatlift ----...—..._...... _—.. _�.._. —.._._..._..
Beach Bulldozing `
• : • b 4
Other y N ^
(IL► ! I 1 r
L.
{
• 1
; j
Shoreline LengtA.i" 1 00 + I
u. I ('6,.. "N•-?f V Y'v.,SAV: not sure yes C)
Moratorium: n/a yes n \l ... . t t u _R t Ck4, -1 6 fi Wer p✓
Photos: Yes ___
Waiver Attached: l no I -.
A building permit may be required by: J A S4. k "-C . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdictio -� � ` t
Notes/Special Conditions k �t) C(& 'n L. (.t\\ vK. t \-C vAtA Q ('moo✓\ ) 2
_1"1- CYam`-' (...' tP. ^ ".. , .c c
Agent or Applicant Printed Name PermitPrint Name i \? `. )
Sign. re **Please read compliance statement on ba k of permit" Signature
;. .o°`' \�52 311,o'L21 1\3 o\Zott
Appli! '•n 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(9 I 0-796-72 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

fLAMA/O DRE GE FILL �.
A B C
ENERAL PERMIT' Previous Permit# / : II
New .OModit ratio OCoittplete Reissue OPartial Reissue Date previous permit issued
a sized by the State of No Carolina,;Department of Environmental Quality
{
and the coastal Resources Comm scion in an area of environmental concern pursuant to ISA NCAC ,d" (2 0 .. -'
tics�.lan c . 0 Rules attached. -
ApPlicant Namet a..kMt(,0 ,1 ��s,».hi C.,..tii....,�- tn..u.1.Project Location 'County V(..-ts,-%.c...ty -
c 'it11t�CF Street Address/;State Road/Lot#(s)- N (c�tc
City SI'KSetci.e.c.e� : State MC, ZIP 29S%( -. - 3
i
Phone#' �f -' Sy-(�f f:E Mail'f Ot ^•.;r`u,ra.�4 +�i i,00subdivisio+n - }
Authorized Agent W 1 Gr`�t City J�nl e �''' 4��P1iC�h '7 ZIP 2.��('a�` -
Affected A p Es O prs: Phone# ( ) s River Basin, £ L✓, 1
AEC(s): CI OEA 0^'IF.':
IH O UBA ,O N/A W i
❑PW ` 4 i-�,, .1 _,r ,., .1 1•,I _ • Adj•.Wtr Body:_ . . A '' man /unkn)
ORW yes �• t- PNA.i t4 no, ,?: 1. .li,: it -:-.,..i,,..,i 4,i.'-=Closest Maj:Wtr Body=;. , w.v l .t,..,,
_ ._ ..nn
�
Type of Project/Activity" tSo.rtt d- :XO C t1.. C,tkt1l. .., to.k it15 40 J....Vet,-e S l t nS
Ai)." (Scale. 0 Z 5
Pier(dock)length)(t I .s• i
Fbced Platforms) ���1C91 aYt _..� .. -- k
Floati plado for ) . tR,;,^ 1 ®j®®®®®®®® I . I
®►t 1IIIIIII1I111 1 f® ®®®� ■■�.
'F+ PIeKs) 4 ®■® ■ ®■■ ®1�is■ ■.® ENE ma■= mums
'Groin length ' I MEOW ■■®aaa■�� ` '`®■®®■■■■■■III■®■
• i $ ,A _w ®®■■®®®®® ■
BulidteadtRiprap len 11111111111111121 ®® ■®®® ■ 4 ( ®■®E
�`h ®■■■®®■■®■■■■■■ ■■ ®Z 1 ®■■■■■■
hore
max
off shot 11,11111111®1111
max distancstancee offshore 111111111111111111111M. ..
Basin.channel 1 II1I1II!IIIIUhII
1IIIUllhIIIi!!! !.J .i
cubit yards ®®® 'J®,..®°41�■®■■ ��PEf '■®SIP I'iN�12®®
Boaz ramp ! ®®®i®■®a ■■■ kik illE d!■®®®
~
3oadouse/BoadifE I®® II5111 ��iLI 1I11 i +i
- :
iU YI ■■ ®1 ®i� ME1
E NI ill 1®®■AiAi■Beach Bulldozing ®■®IN® <®®®®IE®1lIIIIM jr1®®■►®■■® 11
IIII
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Other_ Ul■®■1� unisim ilE1iJA%5II®®4 ®,e..�.�m1 ■® i . ,
,' SSISSI ■■ ®®®■■■®�® ..
..I ®®®■®■■■ "■■■■■® ®®■®®®■■■® I ■®■®®®®®
5horeifne;Lengtfi`� i�-''• 1 11111111111111111111111111 ®■■■®■■■®■®■®■■■■ ®®
®®®®■■®■ ■m■C PIM .4k11411� i �!!M ®®n■■s■■®■■■
SAY: notsute yes of . Eivik. i !MN ■�® INICIENI,� ■®®■ ■® M ��■■
Li di®® ■®® jis 1 m■® ®® ®. ��ll 4 ■■■
Moratorium: n/a' yes m i� _ ®■■ A a r am ` mom.
Photos: yes: -.n • � �®® ■® "° ■ ' '" ®® III
®
Waiver Attached: r na B ■■
A building permit may b "required by: v�S(� 4G�'"
See note on back regarding,River Basin rules
(Note;I.ocal Planning jurisdicti C, ` _
Note./5pedal,conditions I� J .: -e_ip a 1...1% �.k. •ve. CL f�r.A.........► 4c, 2 .,
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pg f or Appllp^E Printed e Permit ?tine Name .
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Si re ""Pl ereadcomplancestatementonba kofpermit"" Signature
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APPi donPae(5)
" Cheek# Issuing Date ExpiratigoDate '
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AGENT AUTHORIZATION FOR<CAMA:PERMIT APPLICATION
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,Nams of-Property;Owner Requesting Permit QS f�"li - 11l. 1, t`
MVlaiitn Address:' °O (gnb`r nr1t`�:tS '
41 ,: + luau` 7 Trigs feP�
1 (2- k( .1 c•koN4 . Sunvi aPocitt\
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Phon ".Number: ( 3 0 0.5 J 18.19 2,5y:.( .' .?,
Email ddress: ii
�"0b i I 1 o n e f le U�IN\ ► CO:
I eertifyi°that t:have authorizedC. r f.1v
Agent/Contractor.'
to;'act on my behalf;-for The-purpose of applying for and obtainingall CAMA permits ,;
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neces ary for°:the-following proposed,development: 11=0 14 i ckD L,;_.
actiwt s 1\--.4. r4ecicAL, PIER. ,KePLACg-MEOTT • If
at my property:located at (10 - 17;d s) : l ,V\. 1 t
in-' f } L County: ,;
I furthermore certify.that 1 arnm authorized to:grant,.and do. in.fact grant permission to
Drvision of CoastalManagement staff the Local"Permit Officer and theiragents to enter
onahe aforementioned'•lands rn:connection With evaluating;inforrimation related-to thig..
permit application:, .
Prop :4wner;,infoitr ation:.
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alum Receipt(electronic) S $).00 Postmark
r Certified Mall Restricted Delivery $ $f1.00 Here
•Adult Signature Required $ SO.flfl
0 Adult Signature Restricted Delivery S
Postage
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-a Total Postage and Fees 01/2 /2021
M $7.00
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v da i s £aZ u n6,1 4 ■A unique identifier for•A receipt(this portion of the your mailpieced.
Mail label). fo associate for asgi
.�n, 6a 'o ao �° •Electronic verification of delivery or attempted return receipt for n
p:, y ad o- 1-'t, `� s yc delivery. LISPS®-postmarked
'Q, m a t °' m?'- m" •A record of delivery(including the recipient's retail associate.
0,e'a za G D V,' t. p Z signature)that is retained by the Postal Service'" delivery to the addressee
v ,'° ' m`� for a specified period.
•.° E a a-'S$1 �mQm.,°Go p to the addressee'sauthoriz
01 o�•,. Z s vo m y��.rrv, •4�m Important Reminders: -Adutt signature service,whic
un o °p �m.G4 A'Go Q, •You may purchase Certified Mail service with signee to be at least 21 years
A m B °o,`moo c-E - First-Class Mail°,First-Class Package Service°, available at retail).
!L yGa > Q 2 o�y� 1 or Priority Mail°service. -Mutt signature restricted delivery
.per��, oJe'AGm o .• •Certified Mail service is notavailable for requires the signee to be at least 2
. Q international mail. and provides delivery to the addresse
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y • ■Insurance coverage is not available for purchase by name,or to the addressee's authori
N s • with Certified Mail service.However,the purchase (not available at retail).
V• of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should
certain Priority Mail items. USPS postmark.If you would like a postmark on
•For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail Item at a Post Office-for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
PA Fnnn 3800-Anril'MIS Mammal PSN 75:711-W-nOM1M147

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Signature
■, Printyour name and address on the reverse X f.JjIcr , ■ Asent
sotat we can return the card to you. •edresse
• Attu, this card to the back of the mailpiece, B•Cgeju ilgr Name), /C. • o De'
orr•n the front if space permits. `//V `c•� (ri,V'"/ l(/
1. Artigt Addressed to: D. Is delivery address different from item 1? �• MYes
If YES,enter delivery address below:
Or\aurtcx \t.r,5 r,
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IIII 3. Service Type 0 Adult Signature 0 Priority Mail Express©
❑Registered Mail'
O Adult Signature Restricted Delivery 0 Registered Mail Restrict
9590 9402 5492 9249 3666 70 • ' - ified Mail® Delivery
0 Certified Mail Restricted Delivery daPReturn Receipt for
O Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation,
n I^ct.,'Mail 0 Signature Confirmation
7 017 0660 0000 7487 1105 Mail Restricted Delivery30) Restricted Delivery
)S Fnrm full 1 .luly 9M.ri PRN 7c1n-n9_nnn_Qncrl rinmeetir.Return Rennin.

USPS TRACKING#
First-Class Mail •
II1IIIIII;�) Iic; d ,
Postage&Fees Paid USPS
Permit No.G-10
9590 9402 5492 9249 3666 70
United States 'Sender: Please print your name,address,and ZIP+4')in this box'
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469
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CP IIFIE,D MAIL ' RETURN RECEIPT 13F.QUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 4^,k mU�ty C18S+m, FgM,k�
Address of Property: \\O \ c s, ec S\- �s14" aQ4.Ch
(Lot or Street#, Sti*eet or Road, City& County) -
Agent's Name#: �<t'Q � kA.C:\i (' Mailing Address:LAt 132 tc \ D
Agent's phone#:(MD-5 7O .c (1,5 \e)I6IQ C\(\ N( 2 9(qu
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this •=rmit has described to me as shown on the attached •rawin the development they are proposing.
I have objections to this proposal.
if you have objections to whet Is being proposed, you must notify the DI of Coastal
Management(DCM) in writing within 10 days of receipt of this notice, Co should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405.3848. DCM repress also be
contacted at(910) 798-7216. No response is considered the same as no objection been
notified by Certified Mall.
• 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 (
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Inform
`
Signature Cgaedi"\-
Print or Type Name ` Print or Type Name
\V2 \ ( 1 -6 r /9100 L e / £
Meiling Address Mailing Address
Some c•tcV1 c 2-14 -92-1V 1�.�� ( W4) _ -
City/State/Zip City/State/Zip
6-60—%Ski "- � 1 3 - 7 -anD
Telephone Number Telephon Number
2_1?,-2\ ai
Date D to
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ADJACENt1 RIPARIAN PROPEkTY:Olilt,NER No iFICATIONlWAIVER<FORM
Name o Property Owner: ctn . 'M: 5\ , rgi. M.1� 1li
.Address of>:Pioperty: .\lU � 1c r S 11 i.�se 2Ctc
. (Lot or•3tt#,StYset.or-Road,City&County)=- •`
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Agent's ame#:G C IC t tic.:VW) Melling Address(Ott 1:2 tGY\ Dr".3t.6 -
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Agents hone#:Q\0`b1�'Sb 5 n �. C :.V4%G:_ .
it .
rcertify p p Y i _, ... _. .,
I hereb that I own; ra ert �i scent to the above referenced property The mdiiiidual applying.for t`
t . e_attaehed.draw oithe development they are-:proposing.
this errr�tt�has describedto mo a"s shown on th, `
I have no;objections•to this htopgs il. _t-have objection.s to this proposal. a> ,;
if yoaa pave objections to what'ls being proposed.. you must notify the DM n.oaf Coastal 5
Management f4CM)In'writing wltbin 10 days of receipt of this notice Correa : should bet
4.....,y rrralled Ito?27,Cardrnal-Drive-EZt, Ilia ingitoil.NC, 28d05-384 i DOI repr a ii/so ho
• "' .60000.0 kit{910)796 Z15.No response Is cansldered:the same at'.no objections: ._,been
notified by Certified Melt.
tiitAIV3R SIECTI®t�4 !e=
1,understand that:a pier,dock,mooring pilings,breakwater boathouse, lift,or groin must be set b ck : If
0 minImu ri distance of:15'from my area.of`riparlan-access uniess.waived by me. (If you vista to•weive the
setback,you meet initial:the'appropriate blank below:). t
,y
l. o wish to waive the 1:5'setback requirement. j
,' ' . i. - , I do hot wish •to waive 15'setback requirem-nt. .
(Property:pwner..Information) (Adja a.ant: oge y E�wner ii�lcserli►atiou) 4
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Print o4:Type Name Print om'Type Name P
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Mailing Address• • t Mei/in• Address
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Check
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnf Column2 Column3 Celumn4 Columns Column!) Column? Column9 Column9
__ 4/1/2021 __4/6/2021 Edward R Thomas IV Sandra D Thomas FCB 4332 $ 200.00 GP#80215D BB rct.12989
4/1/2021 4/6/2021 Cornerstone Properties of Dallas,LLC same Capital Bank 1031 $ 200.00 GP#80195D BB rct.12987 '
4/1/2021 4/6/2021 Grice Construction of Brunswick County In Frank McGougan Nesmith Family'BB&T 14528 $ 200.00 GP#80214D BB rct.12988 4
4/1/2021 4/6/2021 Patrick Bristow Jean-Claude Corbi FCB 8111 $ 200.00 GP#80256D _ PA rct.12751
4/1/2021 4/6/2021 Gilbert R Chenery T Peter J Chenery Suntrust 1007 $ 200.00 GP#80244D JD rct.13465