80213D - Cannon

411, CAMA / -DREDGE & FILL N° 80213 A B • D
GENERAL PERMIT Previous permit#
>�= i New• ❑Modification . Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �_j�
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC (1 r` \ 2 •
❑Rules attached.
Applicant Name )c,, \, 1 M'L' C.A.nn.orl - Project Location: County ', (..,A S
Address (2 r2. G k J t 0 IVStreet Address/State Road/Lot#(s) '` Lt
City ,_,j(i 1'., '�1 ' Statee C. ZIP-200 0 1- )ACAA. 'A Jk , [Gf
Phone # (i h)Z 01 (n 53 E-Mail Subdivision
Authorized Agent Ma V( G.N. City `-AC..)(IQ^ (Lc t'` ZIP c‘162
Affectedpkcw
/KEW .PTA ❑ES C:PTS Phone # ( ) River Basin C.. -r
AEC(s): ❑OEA ElHHF ❑IH ElUBA CI N/A Adj. Wtr. Body 't."- \ (nat(.3/unkn)
❑PWS: A \�` , /
ORW: yes PNA yes /� Closest Maj.Wtr. Body KJ
Type of Project/Activity ,N� ` L)• r\ 2 �r
,; (Scale: N S T )
Pier(dock)length (014.9
Fixed Platform(s) I2 It y -
��j►»MEMOi I , _
Floating Platform(s) rt 20 `�`- — .u..I� • , Y+ �■
Finger pier( IM=ILs) ' i I l
Groin length IIII i
1
I
number
_; I -1=111MMI1
,
■ 1 - III
Riprap length .1 ., _ ■_
avg distance offsho i ■—■■■.i1 i AlSiiriiib �, 1 -El
max distance offsh re ,-I i` OVA- �, •
Basin,channel
n17-
,, ii
Ii 1
yLI cubic yards ,\.. ` r 13 I {
Boat ram a 4WI C•.� . I lir ,
i......�+ .. ._..._....liii -H
Beach Bulldozin ..=:: .' timirldim____ . .t.,, _......„..„,
Other C c,G `, ~
so
S ' II ra i
I
Shoreline Length S(i)• IIIIIIIIi
��
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SAV. not sure yes
lE • (I A A i ice' ill
Moratorium: n/a yes 1 1_. _ u. .- _�t1
Yes es
Waiver Attached: lig no I 1 ESL v . ek
A building permit may be required by: l • ' ^ ` . N LI See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) '� + \
Notes/Special Conditions O , ((,-cam —c<`,l-� �.‘1�l 1 r �(� c� '(H L.�.'� Cf (.vG��‘jUc(1�-
�2) 2 S(.p s (,c„lknc, .-b, (�a.��-I-�^is �e i.v"k
Agent or Applicant Pri Name nted Permit OfficiL
Na
t/-.\..."-. • - \ --15(e „_ c.„........ _1-L-
Signature Please read compliance statement on back of permit** Signature
- .c, - --G j t- itC kj Z t --�L4Z 1
Application ee(s) Check# Issuing Dat 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 I 1 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(910-796-72 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 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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A a rfA
iCDERR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C.Davis Dee Freeman
Governor Director Secretary 1!
AGENT.AUTHORIZATION FORM
Date: . I-a9--20
Name of Property Owner Applying for Permit Name of Authorized Agent for this project-
ImES e Am4 o K1 H5 Construction
Owner's Mailing Address: Agent's Mailing Address:
ro- omA 2164 Holden Beach Rd.
MASH 1).3k-ron) 0 C ,Doo 7. Supply,NC 28462 t.
Phone Number(`I$l Z goJ 6 6 S" 3 Phone Number( 910)827-6966
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I
certify that I have authorized the agent listed above to act on my behalf,for the purpose of applying +;
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
Install new dock,floater,lift, etc
For my property located at 1`/`t M A2 LI AJ O. t I-1 c L. Etz ( 6 0-1 AL ,Z e 2
This certification is valid thru(date)
1-2 t-2O
Property Owner Signature Date
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127 Cardinal Drive Ext.,Wilmington,NC 28405 None hCarolina
Phone:[phone]\FAX:[phone] Internet www.nccoastalmanagemenl.net Altura,
An Equal Opportunity lAffirmativeAction Empf°yet Altu l't ,

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: • ADjACENT.RIPAPIAN PROPERTY,OWNERSTATEIIENT
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(WatetibtY) ICKYT RNIYantilOr County)
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► BOAT LIFT - 8x20 FLOATER , , - ' PWC
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12X14IXED'DOCK. d Ni
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up st 6X6 FIXED z
'DOCK .
144 MARLIN ST.-CANNON
not to scale

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that i own property adjacent to J i�V1/��� C{ i l\-) D INJ 's
( me f Pr Owne
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properly located at \LH 1/In(it A V4 . 1)l
(Address, Lot, Block,t4oad,e )
on , Vtl2Df\ 6'1(4A NSV11
()111aterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
11111, I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development rnuwt fill in description below or attach a site drawing)
r u_oL. �S-U cX l et r-c
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WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
✓must be set back a minimum distance of 15' from my area of riparian access unless waived by
me.e. (If you wish to waive the setback, you must initial the appropriate blank below.)
" i do wish to waive the 15'setback requirement.
J\a~ }do not wish to naive the 15'setback requirement.
M
(Property Owner Information) (Adjacerti roperty Owner Information)
Signature Signature*
-jfwq :s _s ( Robert B. Brown
Print or Type Name Print or Type Name
1212. /10 Q-A Ai_ 142 Marlin Drive.
Mailing Address Maio Address
1,�ttx 4-- Holden Beach, NC 28462
City/State/Zip City/State/Zip
'I5.-I Ail 4E c 808-253-9757
Telephone Number/email address Telephone Number/email address
1 �g 2-25-21
Dale Dale
(Revised Aug. 2014)
-Valid for one calendar year after signature*
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DOCK I
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1A4 MARLIN ST.-CANNON
• not to scale

Chock •
Data Roealvad Data Dapos/ad Chock From(Name) Nano of Format Hok/ar Vander Cheek numb amount Permit Numb/Commonta Rs.Ipt or Rolund/RMIMcafad
Column., Column2 Cotulrarl Column4 Column& Cawnna Colunm7 Column! Column9
3/30/2021 _ Nand C Rice Kenneth Rice FCB 1370 $ 200.00 GP#80227D _IBH rct.12721
3/30/2021 _ R&B Enterprises,Inc. RST226.LLC BB&T 8777 $ 200.00 GP#80243D _iJD rCt.13483 _
3/30/2021' R&B Enterprises,Inc. RST226.LLC BB&T 8748 $ 200.00 GP#180250D JD rct.13464
3/30/2021 -_AMW Docks and Marine Construction LLC The Allison Harrington Living_Trusl 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 rot.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 Melts Wells Fargo 3831 $ 400.00 GP#80247D JD rct.13486
3/30/2021 McPherson Marine Services,LLC The Landing HOA FCB 4041 $ 200.00 GP#803010 BH rd.12716
3/30/2021 Southern NC Marine LLC William and Tonya Roberson 'First Bank 1404 $ 200.00 GP#80103D JD rd.13467
3/30/2021 Lawrence D Dean Landing at Snow's Cut Boat Fac.P BB&T 1003416507 $ 200.00 GP#76185D PA rd.11595 _
3/30/2021 Land to Sea Construction,LLC Jeremy M Broderick FCB 432 $ 200.00 GP#80224D KE rd.12737 _
3/30/2021 Pippin Marine Construction LLC Rebecca Colonna Wells Fargo 5772 $ 400.00 GP#77900D KE rct.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