80161D - Malpass

OF _ CAMA / DREDGE & FILL N° 80161 A B C
GENERAL PERMIT Previous permit #
)1 -;" .,..Nev:' Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /)2 / 7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC L.
j, I �l�C Rules attached.
Applicant Name D IA aAcL 1�a Project Location: County (� c
Address 2-/ 61A / 43 S r e ' Street Address/State Road/Lot#(s)
City r u 1//5- /W--- OState A/C ZIP Lel y S �� —�
Phone # 2 h 69)-OS 3 7f_Mail Subdivision
Authorized Agent C"( 4 Vir Y r 6_ City /d(1,5-4-1A---- //"r--1-4- ZIP- 7`1 7/ f, 5—
CW EW ) PTA ❑ES ❑PTS Phone # ( �— _ River Basin `V, '0 r
Affected 0EA HHF ❑IH ❑UBA ❑N/A j ,
AEC(s): Adj.Wtr. Body 4^4 yi OH (nat an unkn)
PWS:
al
Closest Maj.Wtr. Body
ORW: yes I no.) PNA yes 0 C/H
t `/
Type of Project/Activity 1ns'-( /Gf l l ' c ,.: l( r jCr�"� 7
67.
I^
i r (Scale: / 2.elf' )
Pier(dock)length / ( t` 'Q[�
Fixed Platform(s) V r ,__ . _,, - 1 ,
I
ir
/ - -Floating Platform(s) 4 x I 0' II
. _3r
Finger pier(s) ;/ 1
.__ 1
Groin length ' -S lb. L
number ) 5 P u
�.. _—_.._ �_.. —._.._, ,
,. ,
„-
•
Bulkhead/Riprap length I -` 'lie I
avg distance offshore i. j
max distance offshore
4,, ', .,
�fy iBasin,channel ^ i {i iIMI-1-1—(15. /
�cubic yards + + ' 61,400064
Boat ramp
I ... ,
tY5K13S MI —t r r 1 Boath e/Boatlift -- —
i__ _ 1 ,_,Beach Bulldozing I ---..........., .
Other — �/�f I
ff
_ , ,
Shoreline Length eV I I i it ("' ,'
. , i i 1 1 i
SAV: not sure yes. 1- — — --- a 1
1 .Y■rim , _ ___ __ __ a __ 1 _ �
Moratorium: n/a yes o
Photos: yes ' I VIAA-aly r
Waiver Attached: es /� ,�/� /�
A building permit may be required by:v /� I L. See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions
0 g A /C1 )kL —
or Applicant Pnnted Name (peen,it ice n Name
Signatu e **Please read compliance statement on back of permit * Signature 3� ? , ZZ ZJ 7 , 2 .21
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(9 I 0-796-72 15)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
40I S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-390 I 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

glikr..,,, AMA/ 0 DREDGE & FILL 1 6 I
N9 80
'
1111"( EN E A; B C
R P
AL ERMIT Previous permit#
ew i Modification =2,Complete Reissue rl Partial Reissue Date previous permit issued
As out orized by the State of North Carolina, Department of Environmental Quality ) ..;/ a-eV
and the Coastal Resour Commission in an area of environmental concern pursuant to I 5A NCAC
OPules ttached.
Applicant Name 1,04/ ii/lAa.j.g4..C3 Project Location: County -eAl.
Address
21/ 10/ `C '
fli /_ kef
Street Address/State Road/Lot#(s)_
City /C-64-4" t ir ate AcjIP qyt-t5----
Phone#veq) 6 sz.-os-3 zE4A,,,i, Subdivision
—
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Authorized Agent 4!' itiki 'e.PL- A VZ---- P —. -e
City, At,//,54- -C,-4 -4P-- Zrrill 57
Affected w EW NI
cPTA 1,ES PTS Phone# ( )__. .,,_, "„_ Jiver Basin
AEC(s); ()EA )4'14HF - IN ! 'UBA . 1 14/A
Adj.Wtr.Body,___gl4 g pi- i f orir,......wfak__Q)
e/kt osest Maj.Wtr.Body -
ORW; yes i Cl
io PNA yes,C9' r "er 0
oW
Type of Proiecti Activity IMF"(4' ( (1 i
)
. . (Scale: tr..c t..
.„
P.er(dock)length ___.-
I
C..; - -ti."1 l C-7- — '-'-7 — T.'-----1- : , __.; _,L,12._,;,_
Fixed PlatformiSi (..)__X4,-., --- - 4 , -- ------- .1--1--1 1-7;
Floavng Plieform(s) 4..,x I .._ - • - I i.t. -- i • „, ; -I ; ; --r--1 , • 1
1 1
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3:6,..21- , 1---
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number 54_27 . , _ ; 1 t ;.... : l i 1.__1-1._.4 _I .._ .__l,
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t = J1 11- 1
.. -Sol- i ikipHrap leng __ __ 1.
th
1
zyg a e offshore.., __,,..._______ 1 , , i •••=•••••0 i 1 ' ' L__,I________ .
• *---1‘ 1 1 -- ----
l` '-- - -
max,d offshore 1
, =
J
Bxstn,channel
V--/ .
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1 ' 1.___t_ .....- •
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i - - V.-----i • --I ' i , , !
Ct&LC yart5, __ _ _:. - - _ i - ' - --7------''-1 - ,. i - ; 1 • - trZI ' ' '' 4
Boar ramp _ , t
,
—1; )6 till i
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vc1.4_)qk
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Beach Bulldozing_ _ _____
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CIIN'Cr 1:1-'I ; t , ; 1 I .
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$AV.:. not sure r- 40, - - --- - ',. --------t -:---T-------1 1 T-- —,
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Mere &a yes(''' : i ,: .. , ,1-1-‘,,- ... . ..,......4..„L'4.___,... t___ ____ ___ .. .1 .._...i
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, -H.- - lr - i . I- i.-..........._i_J,_ ±Li....—r—
ww.rAtmehed: '
i 1 i ' tti . ...i, , ,
A building perrint may be required by: 7e--,-ra, e g- etzi--, ' 0 See note on back regarding River Basin-rules.
_.,
(Note_Local Planning Jurisdiction)
,
NJ Special CooditiOns ' _
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t-P --;:t-NlitTe-7 -- — . - , ermit0 c ' Name .
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Sign re . '
--estaternen- t—on-betkof
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--- ' ' '' Expiration'rpir-dcw/Fic0) 6 eck# ,'' Issuing Date -
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MPR�ti 20.1
pCM W
110NGIOVI'NC

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: --Fo word Ma 1()el 5,5 •'
Mailing Address: ' c; 1 51 Oriciger5 5—r&of
. -tir-c 64E-1 , ac, Aftli4rd
Phone Number: 1764- 656 - 65.3a _ _ •
Email Address: ilonolpa5sp 0:ix:.!lei
I certify that I have authorized Enne-it Mari Re. Con5-frucW6n , ..
Agent/Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the folkming.proposed development: i 66 x RI per; 1 lx 3 1
i 1 .
c_. - ck5(ni, tA,. 15' tuner Picrs
at my property located at • c2i 1 a riei3e_r5 ..5-Irc4 .
ill pencmj- County.
I furthermore certify that f am authorized to grant, and do in fact grant permission to
Division of Coastal Management stag the Local Permit Mier and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
:. .
Property Owner"Information:
,-r•--------,) / , ......,
Signature
-11 )ffiard Mal 9q5'
Print or Type Name
()airier
Title
i .
.?..-- 2- 6 •
Date -
This certification is valid through I I
i

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to Loa rel 1`1[,G j ...a a5 's
/� C ( me of ProperttjOwner)
propettylocated at c .$. F)ri l.1gers �7 t&T
( dress,Lot,Bloc Road,etc.)
on. )t ,in 611 l' Ci ,N.C.
(Waterbody) (CitylToi tt and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lot_io$-
%ki,x1 Wes"! I have no objection to this prbposai.
b fZ I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OP PROPOSED DEVELOPMENT
iii4Miltia' ri ctev o m
t`��. ��� P�P� 9r_.. p: '�rmu100l:.�rx,d0crfphski7b0lwtro640.ch0.s** r0641
Pkkct6e. $ee.. c-Ikkched dr-doin9
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.(If you wish to waive the.setback,.you must initial the appropriate blank below.)
I do wish to waive:the.15'setback requirement.
D116 I'do not wish to waive the 15'setback requirement.
�.(!rope Owner-Information) ;.-, (Ad'acent Property Owner Information)
/. P-7170--c.7 Al 2/2 441--v-7
xf.
Vet
ejd. /4-lei ie.
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se.
o lrel Moip ss toiR e 1�Pln_or Type lyerve Prntor TypN e / 614) `-P
4 iRF' "i cCe 'j 3tre,6 /4 25 s , ems e 6131p1E
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14,e.4ing A d.rg� M ' dress ' 5. cl NC 2ei� 5 ;#1_s q, / 4e __.,l
Telephone Number/email address Telephone Number,/small address
.20. 6/so 2-/ :�GA.-cz/
Dare Date's
(Revised Aug.2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER.STATEMENT
I hereby certify that I own property adjacent to lin I'• a rd ct 1 i sS ,s
/� (Name of PropertjOwner)
property located at ,D I g Art d c v5 5-�r eief
(Address, Lot, Bloc Road,etc.)
on (.0 , in . Sur- ' Ci , N.C.
(Waterbody) (City/Tov n and/or County)
The applicant has described to me, as shown below, the development proposed at the above
o i n.
U� I have no objection to this proposal.
bnel I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(li drvidriai prop'os iig dais!oprrientamusf`f 11 n<afescrWonV ielow or affaai a site`alrawind)
P 1 eq.6 e see. et--ached d rtcUir
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.(If you wish to waive the setback, you must initial the appropriate blank below.)
/'lf [ I do wish to waive the 15'setback requirement.
J' 11 1i
Dot I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Prope wner Information)
7
)„.
Signatu` rel Mat qis ga
`r r • 1T wt r T _.. �'e�S e
P in`�or Tye Na e ,Print or Type Name , 6130 4
• a1W m�lclgrrs5-tret1 9
Main A fires ail' Ad essi t 0-0 niple.le
6t1t-- C_� 't^ , Sa gar •ee�t' cc, .
C' St to ip J G'ty/ te2i
Telephone Number/email address ,l}�elepte,, ., fit. -0 5.4
h a Nu er/errtail address
Date /4114-2_ 6, 2•Dz i
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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Check
De o Received Date Deposited Chee*Flom(Name) Name of Permit Holder Vendor Check numb*, amount Penult Number/Comments Rocwpt or Refund/Reallocated
Columnr Column2 Column.) Column) Column, Cowmne Column7 ' Column! Column!?
3/25/2021 Brandon H King same First Bank _ 148 $1,000.00.GP#80243D JD rct.13460 _
3/25/2021 Oceans Edge Ventures,LLC George and Elizabeth Jordan BB&T - - 11884 $ 200.00 GP#80193D BB rct.12979 _
3/25/2021 Gnce Construction of Brunswick County In Fairlane Investors,LLC BB&T 14501 j$ 200.00 GP 980128D BB rct.12982
3/25/2021 Permit Pals McDaniel&Ava Harris CresCom Bank 3710 $ 200.00 GP$80189D _ BB rct.12981 _
3/25/2021 B&K Manne Costrucbon Cindy&Grover Griffie BB&T 1661 $ 200.00'GP#80207D BB rct.12978 _
3/25/2021 'H5 Construction.LLC Richard&_Ashley Schmidt BB&T 2565 $ 200.00 GP 180190D BB rct.12980 _ _
3/25/2021 Nicholas G.Chapis same FCB 1631 $ 200.00 GP#80162D JD rct.12395
3/25/2021 Jerry Ennett Carlton Dail Coastal Bank and Trust 3744 $ 200.00 GP#80160D JD rct.12392
3/25/2021 .Land to Sea Construction LLD Kenneth Blackwelder FCB 431 $ 200.00 GP#80218D •KE rct 12736 ___
3/25/2021 Southeastern Coastal Construction Co. John McAdams South State Bank 12129 $ 400.00 GP#80220D KE rct.12739
3/25/2021 Jerry Ennett Andy Darden Coastal Bank and Trust { 3742 $ 200.00 GP#80159D JD rct.12391
3/25/2021 Jerry Ennett Doris Padgett Coastal Bank and Trust 3745 $ 200.00 GP#80242D -JD rct.12393 __
3/25/2021 Jerry Ennett Howard Malpass Coastal Bank and Trust 3743 $ 200.00 GP#80161 D JD rot.12394
325/2021 Southeastern Coastal Constructon Co.—tJJoe Donahue South State Bank 12130 8 400.00 GP#80221 D KE rot.12738
3/25/2021 Coastal Marine Piers Bulkheads LLC !Kathy and Thomas Dean Wells Fargo 23759 $ 200.00 GP#76188D 1PArot 11597