80268D - Rozier

0!!CAMA / i DREDGE & FILL N9 9 80268 A B C C�
• ENERAL P _ RM IT Previous permit # r}`I1 V�
�`= I/New Modification Complete Reissue Partial Reissue Date previous permit issued --- 1 11 ZuLd
As authorized by the State of North Ca olina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC .i kA (Zv C
1 ' nn 0 Rules attached.
!
Applicant Name W ram .-_ l�--v 7 ter Project Location: County \i /v^S L.A. k CA-
Address Lk 6y c,;r• , -1-,.. `A& \'ck Street Address/State Road/Lot#(s) 2 3 S '( P U 's rti
City ._...--'1.4_Alp, State tJL- ZIP 2�3 o _ k-D i _, "'J
Phone # ( ) ?5 8 15`12 S E-Mail i\W'f a1;' re(1 C.v r. t v--. Subdivision
Authorized Agent 77c C ,t l City -)j 1 t (- - - ZIP Zt L(b Z
Affected 0 CW EW 0 PTA ❑ES ❑PTS Phone # ( ) "LSD ')Y L 7 River Basin l_- --. -¢-i
nOEA ❑HHF ICIH CI USA ❑N/A
AEC(s): Adj.Wtr. Body P \ V C--/ (0/man [unkn)
❑ PWS:
ORW: yes / no PNA yes / no
Closest Maj.Wtr. Body •w`�
+
Type of Project/Activity • r 1T! C t....., �i,_.x ' 12
fu S � , () S ,1
(Scale: N _ j )
Pier(dock)length 6 XI U B l, Z
Fixed Platform(s) IQn K Qo _ L. 1 `r`► pO` V �
ty V �
Floating Platform [F s) x I ' c1"(' .i r I I 14 I 1 '
-I i i
Finger pier(s) { 1
i
__-
Groin length I , t
number —. ' ._Z ' -.
Bulkhead/Riprap length
avg distance offshore C, '
max distance offshore w�, 1
Basin,channel
cubic yards 1 1,,,
I - -
Boat ramp %1131'
I
Boathouse/Boa {2•x f 4 t
11
Beach Bulldozing
Other /
{ •
it v
Shoreline Length ( + P L
SAV: not sure yes no i Jc
I
1 I i
kiJ OU K
�.. r .._ + _- _.._.... ..._........
Moratorium: n/a yes 4 4c. V n
Photos: yes n j i i 4 .,._+. ___.._.... �_
Waiver Attached: yes no
A building permit may be required by: �""5.. '( COL) 4r, See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction__,
Notes/Special Conditions 6c(c. . -�<,r i , (-� t t r,,A 4 'C re c. (i/ , _4 3
"^I b cik Cz) ,(. f _ ( _ \-1-‘L,( c.
S', p-kx_,L, \ . rev., ,„..., f--cl .,,,J(
Agent or Applicant Printed Name Pe 1rltame .---\ —1
Signature **Please read compliance statement on back of permit" Signature
A 2-00 4 . V- S 2,02,‘ 8 S 10Z1
Application Fee(s) Check# Issuing e Expiration ate

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/I

. , , ,., . , •
• cAtym/o DREDGE &FILL Na 80268. A B C
__ GENERAL P FIMIT Previous permit# 4
( CINew EiModification Complete Reissue OPartial Reissue Date previous permit-issued
As autlrized by the State of North Ca aline,Department of Environmental Quality
.. ,
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC -6-1k-k Cz-o,D
12 0 Rules attached.
APplicantNam US"012,.1--(t..1..0-2-•,-e."--,- -- ..- 'ii., ->.:- ',-- Project Location: County-., .'.'Cf' Ik 1 v J•S LJA.c,V--,--,,"Iri ‘'-.
Address •-• "V6Lt'• -SIc....'-;•, --k--4..-.-..-t i::Ai‘lk:i c2rk -- -- ''' ' 'StreetAddresilState Roadfil #(s) Z St S
...-
City State Wc..... ZIP 2.S1 58 O., s 4 ..,
. .
Phone#(I(I),25 8'111123'E-Mail nid-Jr0-1-k re il C.r r:I 0,••••1 - Subdivision=:• ... • . - • ..:- . .,, lz- .• ,. : •-
Autliarized Agent ': -14:L \AALj. - - - ' ' City S:,q.ft . F— -'-.=,---:,1- 1czip.Z Ll
OPTS Phone (CI( )
Affected tcW OE*" 91 PTA 0 ES
AEC(s): : . 0EA p HHF bo!H_ _ D.
11BA 1:)N/A _. ,.
• '.. .Adj Wtr Body. -•; --- -- Li. .. , man /unkn)
' - ' ' : ' '. '' ' . . - p.,%.,k/s,5....../- .• , .0-•
".-'''.1' Closest'MWti.Body' -;,''''''*".:' ,
ORW: Yes / it, -. . ;PNA ' YeSTo'0.'-''
Type of Prolect/Activity .rvc.-s C rzclx.ii".c..„ . \ %. t..se ,\-1, -z..
. 'Air-e•"-c- C2..t..A. •S k,c,.5 , ,.,- ,-. -,.. .„ :.., ) •
Pier(docIC)lei-7-1gth VI iiici' 1
-. -1 - I ; ; ____ , 1
.Fized Platform(s) 1000-0s --k-l- -----,. i Ii -... '- - 1 , e••-,. '4‘371--1-
Reatinelatfe7(101 o•11421 -IA1- - $k el- It' 7 ------'-I,-14 ----. ; i- ,
- - i -- . . ---- ----i- , 1- , ----L., _ '-- ----------L
Finger pier(s) , I , 1 , .4
c.),
-T-----71 1- t.24 -1- . 1-7 . , --'.-----.., ••1
--sI number - ''''' ' V-1--1 ',--f- .' ------ I:- z W- 1--I '----- -H 1-'--, ' - , . ' • I '' ''..1J-- 1
1I--r_
Bulkhead/Riprap length :":' `---- 1 ` . 4 1 1 I '. 1 L. 4 I . - it- — '
avg distance offshore 1 ' il i I-T i' i ' _ -
max distance offshtiro I .1.-, --1---r ,
1 1 - '1
Baslnchannel
• I I' 1 1---
, ---1 I I__ I am
cubic yards • - 1O1111111111111111111
, : 1 _4.-1 4. Y.( ' • , .
Boat ramp •
.- "'"•%' '. I__ I ____,
Boathouse 12-IL'Li --- -- i_ I. -
II -1-1.:--- , : -- - -_ 1 • ' - ‘ - -_ : --t -
Beach Bulldozing / •
-T1-- ____,_.____.. ___,._ ___ -
1 1 I I •
I
1--- " -
Other • 1 i 1V. . I t.1•4.-I . • " 6' 1..-- --'77--r; imam 7-'17'
..,.:_i ,_ ____ ....___c-----c, I i 7------". ' I - _46 11611111111111111111111
........ it I v • ‘ ji_ 1‘ 1--...,1--.-_, .....,, ..,-- , - , .-..-- _,,.......1
- Shoreline Length ,.s'a ri .. •••• • .jj4A___ .,-.......----"7":— : - e
• • ' 2 -- -
,$AV: oe,t sure -Yes l'c' ----LP i —
L. ,
Moratorium: nia. yes (0 1- 1 13,_,___1 47‘..)7 ki• -
Photos: Yes -1 i - 'I' \ -t.;:l.i'cif.:71-7 i-
w Arta hed• --1 — - --'-'- 1-- - I - r rT-----I ---- -,- -7---
_aiver c • yes no
A building permit may be required by: 0 A L../'CL- COJ I^ L.-, - -•. . , 0 See note on back regarding River Basin rule.;.
(Note Local Planning Juriidictio1).),,,,c,,_,,, r• I(f---\ A,
Notes/Special Conditions C.) )dck4, .c A t k.rs :c g...C r. ._Lin RL-„,, \,,. ..
.. .. . . , •.
S.e ,ilo ,A.c.• 2) c -( t l.u. 6.:, fii, , V. , --
•
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'Agent., ittin,Printed Name • P,..e; W •O
yr....Name.__... - \\_...4, vs...."
e 1 ____---\ < —
sigñtire "Please read Compliance statement on back of permit*" Signature I \
- • * \Z15____ 1•.-1 S 2-02,\ 71
Apo on Fee" (I) Check# Issuing Oa e Expl dtion ate
Scanned with CamScanner

LAMA/ ii_.l DREDGE 84..FILL NO. 74366 .
C CD
GENERAL _ _'PERMIT Previouspermic:#
'y ``New - UModification [ :Complete:Reissue 'Partial Reissue: Date previous permit issued N/A
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 I SA NCAC r'7 r 2U '
70116 attached.
Applicant Name_ f e,. .6 Project Location: County l'ttrt cif..G:
Address_ 4D� • j rKex _ a�t .�cJ Street Address/State Road/Lot#(s),_ 9-$ 5i c` :, V'i Brit
City !i ii �: D,rl: State . -SIP ? Or, ci LU
Phone#( lfl) S 3y 3 E-mail.1p11, r 021 Y r,c,,c r .0 'Subdivision
Authorized Agent 461. < .t) -_.`-_ 1 '- . — .ZiP 9 ' 6.,
L7 CW �,{EW PTA DES LOPTS Phone# (''010 ) V *E: 3'`/Z3 River Basin _ ,~'
Affected T 1
'00EA '0:HHF 0_IH b.UBA WIN/A •AEC(s): Adj.Wtr.Body- tiq _ ji man itinkn;}
:D PWS:: _
/.' to PNA yes:J o
Closest Maj..Wtr.Body—:A . l,-1
oRW yes
Type:of Project/Activity.. c-0n-C.Fr. ,tC+ n. :ew oC.04-1b1, C/.j v '. iep
F ;
Pler(tlaskyaength X <.: e ' _ Q r
t
( {Sca•le )
Fixed Platforms) f) X 1Q 0
j . j'1 r r
Floating;Platform(s) ,._.; K_ i .;1:.'�D,' „ ;.-f
Finger ier(s) . # I
Groin le _ § r 1 11 k' x.,_ L '
numbe t.. =lac I i t
r _ i ►: , I i
Bulkhead/Rlpra Iengt• a
j F
J.
avg distance shore € I
max disc ce o shore ri }
Basin.chi; el 1 t .1. , - ` _ { • ' i.
e : f\ Vio t
i
Boathous- • f r X 1t i,6
... •
.. .ram- -• i S .1
.s_ r
,<,--....,.4.w..r . . ... f t t , I 1 Y i i _ 1.
Beach 8 dozing -�.e'_ _ g } I
`t 1
Other
.i i ! 1 i
i i
Shoreline Length ' t . i . I-..:.L�,/ .:. i yJJ
F 1 s
yes .. PY.O 11 w" } f';- 1�►O f t :• i i • 1
Moratorium nla I: s'
Photos: es G 1 r t *j rr * . I '
Waiver Attact ed: yes ,{� P 1' 1/..�_.St [il...
run. tart C k• 60LOA -y J .
A buliding.permit maybe required by: +'1 S r 0•See note on back regarding River Basin rules,
(Note Local Planning)urisdiction) / t� ,/ / + )
Notes/Special Conditions F�T1�t frig oc,k 4v C>Q�, 11> A�'� Yl t?•Y" G:ra I yt l ' ��r
j
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Agent or Applicant Printed.Namo Perrr�it.Offi :'-Pra ed Name
Sty . q. . - �_ :. ..
Signature "`a`Please read compliance statement on back of permit". Signature
Applicationfee(s)'; Check# Issuing Dat Expira"ion ate

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Of the Lands Cfalmed in.D6 4256, FG 6454
/- Loawan-6 Township Br r,3w.c:County.M.C,
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AGENT AUTHORIZATION.FOR LAMA PERMIT APPLICATION
Requesting Permit: A(li't 'e' Ca \O te'f�
Name of Property Owner q g
Mailing Address: tvf3cLf kei ems✓ / ►��. .._/`�
d r 3 ccir
Phone Number: "I (0 ci-S-C‘
Email Address: M IA/fo i -h L• tam
Icertify that I have authorized •
. _ C� t1� �
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /7_i 1-- - 4J :j;
at my property located at 1(3T 'fa. ("is/k-• )>1- 5i4_
in. Ara,u51,01-4...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:
14—Ail; iL - •
Signature
> G(-r►ce Il `p1 io -
Printor Type-Name
t ;
Title
I_ f _ t
Date •
This certification is valid through 5— /. _/ i. `./

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At.>If • ••• SSC'TION
Id Complete items-1,2, id 3, A. Si•nature
0 Print your name and aoi..-cress on the.reverse I � _ •W D Agent
r � ,
so that we can return the card to you. , Addressee
Received by(Prinf d Name) C. Date of Delivery
• lE Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: 0 No
It)
- 3. Service Type G Priority Mail Express®
1111 ill 1111 111111111111111 11 1 1 i� I 0 Adult 0 Adult Signature a Restricted Delivery 0 Renature 0 gistered Mail istered Restricted
❑Certified Mail® Delivery
9590 9402 6016 0069 6455 64 ❑Certified Mail Restricted Delivery 0 Return Receipt for
0 Collect on Delivery Merchandise
2. Article Numberffrans(er from,service Jalapa_------•-- Calton Delivery Restricted Delivery 0 Signature Confirma±ionrm
•eci Mad G Signature Confirmation
7020 2450 0000 3633 6263 •ed Mail Restricted:Delivery Restricted Delivery
rtovur S500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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SENDER: THIS SECTION COMPLETE THIS SECTION ON DEL
COMPLETE
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CERTIFIED::MAIL-. RETURN RECEIPT.REQUESTED
DIVISION.OF COASTAL'MANAGEMENT
ADJACENT RIPARIAN PROPERTY;OWNER:NOTIFICATION/WAI.VER FORM
A "
Name of Property Owner: - 2, t,k,
Address of Property.: f 3 Sci V+ tt . Z tl`1..(�
{Lot or Street#, Street or Road, City&'County} i�
Agent's Name.-#:Ill I-eitY (A 6UP ).Meiling Address: .,.,s5' 53 1 6eCtCA,.
Agent's phone# _gid q
U hereby certify that 'I own property adjacent`-to the above referenced property: The individual
applying for this permit has described to me as shown on the,attached drawing the development
the are proposing A description or drawinci with dirnensions;must.be provided with this€letter:
t
..�.`' i i1 a e no.ob eetlons to th iti ritoposEil. I have ob eetioris to,this Rio sisal.
If you have:objections to what is being proposed,;you.must notify the Division of Coastal Management'
(DCM) in writing within 10 days of receipt of this notice: Contact information for DCM,offices",is
available at titfn://www.nccoastalmanahemeit.net/web/cm/staff-listing orby_calling-1=888 4RCCAST;
No.response.is considered the-sanie:as-:no-objection If'you have..been notifiedby Certified_Mail:
WAIVER SECTION
I understand that a pier,dock, mooring pilings,,boat ramp, breakwater-; boathouse;or:lift must
be set back a minimum distance of 15'from myarea:of riparian access unless.waived by:me. (If
you wish to waive the setback, you_must-initial the'appropriate.blank.below.),
1 11: (
l ,;r,,,,ar' —_ -=-:-1-do-wrsh t9-4'taJ he 15�'setback•requirement• -y.�t.-• «I.v.( f`t-•_ . W( t 1/ i
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} . I do not wish to waive the 15'setback requirement r
(Property Owner Information) ( iparian Property Owner Information),
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Signas'ui e
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Print or Type Name Print or Type Name
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Mailing Address Mailing Address
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City/Sae/Zip City/Siete2,p �•-/Jien,-ie o tooclie'o i_ CM4ttl cldr,.
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Telephone:Number/Ernail Address Telephone Number/Email Address
14 r 3 i ` l —
Date Diii
(Re.visediAtg 201.4)

Chock
Date Received Oat.Deposited Ch.n*From(Naar.) Name of Permit Holder Vendor Chock number amount Pernik Number/Comments Receipt or Rolund/R.allocered
Cahoot Cdumn2 Column.? Column4 Columns Column6 Catalan? CoMinn a Column9
4/8/2021 Backwater Marine of NC LLC Wade Rozier BBBT 1275 $ 200.00 GP$802680 BB rct.12992
4/8/2021. B and B Marine Construction Mindy Grady Wells Fargo 1731 $ 800.00 GP a80248D ----$20.0 credit(GP is$600) JD rct.13470
4/8/2021 Richard Penny Construction,LLC Kelly Nester 1NAW P i Federal CU 1568 $ 200.00 GP KE rct.13426
4/8/2021: VCC.1nc Misty Easton IBBCT - 8222-8 200.00 iGP#80141D B6rct.12993