80244D - Chenery

0 CAMA / DREDGE & FILL N° 80244 A B C D
GENERAL PERMIT Previous permit#
>G New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �» r /� ^C)l
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC
❑Rules attached.
ET
Applicant Name 'z— At./..P6(------
-. 3-. I /Jea� Project Location: County
Address 3ii I l) 1/,wi— ,detw-• Street Address/State Road/Lot#(s)
City 1�1-G grill'
State NC- ZIP240)-7 I 0 I4- Che-,01IN v0
Phone # (�g) 7&*'C1-7k E Mail Subdivision
Authorized Agent Al 7� _ City /Or;A/L- A Z a-at-- ZIP � ^
Affected ❑Cw ,EW ttPTA DES ❑PTS Phone # ( ) — V River Basin . .0 •
❑OEA HHF IH ❑UBA ❑WA y- j / -p . rr7 0 man /unkn)
AEC(s): Adj. Wtr. Body p4`�F� �l 1�'ry M��
❑ PWS: �' ^
ORW: yes / PNA ye Roj Closest Maj.Wtr. Body IO #'/L' �O
/ r k _I_
Type of Project/Activity LOMT1` 1MQ_ tS�`u� ti 6 U ��
J (Scale: � 11=7.0 f )
Pier(dock)length r r
w+�
Fixed Platform(s) I�/�j�Q/ j '— � t '
` ! O' �-�I r
FloatingPlatform �y��
Fing r pier(s) Xice-
_._.�.. x•! �Cf W"" tE
G in en h ,,t
lb 1R
1 CCU
Bulkh ;prap length _ �, 111111[!
avg'is.: ceoffshore
max. .. ce offshore j i ce.•
s !� (O
N 64 N air
Basin,chann 4 N � i j
I
cubic yards I j N
�
i
Boat ramp (�_
i
Boathouse/Boatlift ,
IV I
Beach Bulldozing -
° gerh/ro�
, .►, i,
Other I i
' �, t '�j
Shoreline Length
SAV: not sure yes o 1 17(ril Li_] w -.. �.___.
Moratorium: n I . 15`V�
ia yes i i � I
Photos: i —i.._. _._.... i
Waiver Attached: C syes TRi' L1 i
a- ' " -.--
A building permit may be required by: 0 s"-A6 ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) i[ 4-1,
Notes/Special Conditions
if?flik. 7Y-14...,----
Applicant P"rinted Name r Permit fficer's Printed Name
Signature **Please read compliance statement on back of permit** Si e
z� --z/ 7—z - zl
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(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 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

DocuSign,Envelope ID:02ECDFA4-5F10-4DCB-B32B-4BCDBFDA5543
iar,,'..AMA/ 0 DREDGE':& FILL. ° �8O244 A :B C :
GENERAL PERMIT Previous permit# -�-. •
•
peW EModification 0.Complete Reissues ElPartial Reissue Date previous.permit,issued
•
As authorized by the State of North Carolina Department of Envfronmenta(Quality
andthie Coastal:Resources•Commissionin an area'of environmental concern pursuant to I5A-NCAC ... �f ,
ules attached.
Appliqk Name' (' ' " ' l` '- ",''' Project Location Court J�� "'' -
r : l e S''f ^-1 S 1, '•`C Ir�!_, . - .., 'i„,.ft� a i . rII t ti s 1,:,.t'I r -• 'S;i- •.r . -
• Address lit�'_ � !l`% P I' ' Street
t
Ad'dressfState Road/Lot:#(s)
City ,.' Stated ZIP hr - - '
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.. ' s , .: ,. :..r ', SUbd1VISIOiI;i+ as r;7i f.e PS,ait. •i. It mT se t'
Phone# ') d( "`' f 7g Mail
Authorized Agent ,1 ' f ""/Vr� i '1 •' City 7 1 lL /CAC— ZIP' 4
;R:£ .. t'.tr _0- {:, i"., ft44r,wi'zar.) o J .,sal :.r €,..' r s iinz.�. sx.- =.,M 3Y'113,,P 6 i ,1. f i1,l7'.
• :El TA ❑ES OPTS Phone#' River Basin 1,,(J,t
Affectedti,t.
❑OEA UHHF 'El IN ❑UBA ON/A AEC(s) . .•} �fi f„ ,.�;:.-: t:•; , p 1°`: -"1i : _ ,,{ Adj Wtr„Body ' na-• man,/unkrq
a:pnfs
,1;r;i;i i a r f if',4q-7 , .'- .i;, . , - Closest Maj WBody ' _ -i' _— a � `" '
ORW; yeses , PNA , t F
Type ofProject/Activity. . .... ,f.. 'U111`R'" Jl/1L - . -__ .4. _
Pier(dock ieength �.? r 1
Fixed'Platform(s) 10 / f-t(, / -I �� T �1_' I . sj I i r. a3 I.' r �3 :
Floating Platform j- . .<, * ,.- a r I
. 1 _ l 1
t#,- _ --,-- - 1'. - -ILL -
- _ ,
F ng r pier(s)._ X% f ! 1� Off_ t �w
G• a in 4en`h ,r,# , , t. z{ �. .�i l , i. �,P f— • r i,, „r a :1 "� � s T ..1
U6e�• 1`3 :¢' r I -l`.c ,� ,n ., 't tl_2I A e a - 4l .. ,� r _ 1 �: .r,r�, a `
I l ate: _l 7. -2t . rt r -t ,
BuUihe 00P length f. ;' i f 1 • •
avg is:nceoffshore I l _ I ,. �� _
' _ CON b J
max .'ce ofisfiore•' � I i ; ' i I
i � r I � ��j�'�
I i 1�t_ 4,s it - i !` ", l
�. i i
Basin; r i a_ -_j_ - k {
...- - _
t I i 1 1' j' a T .r—r f_ i ' .
f
` cubic yards• . -,. I ! - I I
r 1 io �i (
Boat.ramp, l•
Boathouse/Boaoft. ®; 1 `C i t 1 I t. 1 I t }
j
.. �� - �' Q1'i-• f 1 J ~_ '�! 2t' ,_a -{F j ;a _,'� .i1 r j '.af
Beach Bulldozing - -f- k •,lc)�: . I
1 mi . . E t '� 1
1 r
C _' i i, I 1 —— ,r- 1,, 1 "-1
` + .., 1
Shoreline Length 7 L''7`'J�� -.� ;.. L . ,), f J I...- -i T " Si
SAV, not sure_ Yes' 1 i t =i 1 16': ✓ _ f
i. 1
1�.' 1 i -.!. I
I �..1__ iSaUt: —Moratorium: p{a yes ; i1 1 s• ' -'Waiver Attached: ' es " .,. 1 ... Z i I, 1 I 1! _ 1. . - _ �. I 1 . -
..„
l i t
P ...„ __
A buiiding,permlt may,`be cequlred 6y:.. , ❑See:note on back cegarding,Riyer Basin rules,
(Note Local'Planning jurisdiction); i , -; _
NOtest Special Conditions -.-
_ _.
.
' en A `- 1 blame: - Permit, fficer s P•'rinted Name -
!thyt�f J
Signs re1,60.0rifilMfniiliefic7e.stittenient on back•o f p rmit** Si e•
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Application Fee(s) Check-# Issuing Date Expiration Pate

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PAL Topit&tit
AL 2.46 RECEIVED
MAR 2 5 2021
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to P('j4'P (Nameo'Pen"Owner) s
property located at 16 I 6::►�C��i Ufa 'd .
[� (Address, Lot, Block,Road, etc
on ® zA t 50t41 r' , in to , N.C.
I (Waterbody)-' (City/Town andlor County)
The applicant has described to me, as shown below,the development proposed at the above location.
I have no objection to this proposal.
1'Crr�GV 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)
b04- r
rdo/pc;voar aro_44, (r,
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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.)
Kkle4 I do wish to waive the 15' setback requirement.-
I do not wish to waive the 15'setback requirement.
(Pro rt Owner Information) (Adjacent Property Owner Informatio))
h n > C$of �
St na r Signature
?'ohm 4 aeik &/e r
rint-o� yp °Name e Print oil yp�eN ame
i2n 1 I ci"dr �`��'`i1/� Mailing Address
2� .�
To PSSAvie Feac h,
lty/ tat ip City/State pC
Tele hone m er Telephone Number
Q'/07.� - 6 S:57
Date Date aet A .„lea (ECEIVED
(Revised 6/18/201
A2)2 5 1021
DCM WILMINGTON, NC

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
��-�-N J r
(. `j 1 8 (Name of Propert Owner)
property located at I(511+
(Address, Lot, lock Road, etc.)
on ptit at$Oy� , in Tope, i/ &s , N.C.
(Wy) T(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
f> _1 (7H/ I have no objection to this proposal.
�I 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)
bob r4 _
re-icsirl,--Ibialj-
fritibtlft f <4( -
a,iN
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.)
rcAle.4 /f I do wish to waive the 15'setback requirement.
do not wish to waive the 15'setback requirement.
(Pr Owner Information) (Adjacent Property Owner Information)
geie. s e4&.z;f, Wc\I
ig at
e er J Chene Si azure
Print or Type Name John R. Hultin II
3211 Merriman Ave Print or Type Name
Mailing Address 146 Whitetail Deer Lane
Raleigh,Nc27607 MaliinGarnder,NC 27529
City/Sfafe/zip City/State/Zip
919-868-9783
Telephone Number 919-812-3425
03/24/2021hon Telephone Number
Date 3/22/2021
Date RECEIVED
(Revised 6/18/2012) : S 2 0 2"
DCM WILMINGTON, NC

•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Peofir` (h0/461
Mailingnno Address. 3? )1 f nom
fAt,iXto7
Phone Number: 919 -;6e-q7eL3
Email Address: �S i rofr- )> .G6J44
I certify that I have authorizedA/A
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtainingp all CAMA permits
necessary for the following proposed development: Ir((-6 C
at my property located at
i
in P' riè( 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 Information:
ignatu
Print or Type Name
Title
Date
RECEIVED
This certification is valid through / 7M/
MAR 2 5 2021
DCM WILMINGTON, NC

r.
Check
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated rr
Columnl Columnl Column3 Celumn4 Columns Column6 Column? Column6 Column6
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 Once Construction of Brunswick County In Frank McGoupan Nesmith Family•BB&T 14528 $ .200.00 GP#80214D BB rct.12988
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 Peter J Chenery Suntrust 1007 $ 200.00 GP#80244D JD rct.13465