80222D - Brodeur

411, . CAMA / DREDGE & FILL N9 80222 B C
GENERAL PERMIT Previous permit# -14.491i
>C _ New Modification Complete Reissue Partial Reissue Date previous permit issued - `'
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 5A NCAC °�O
Ej Rules attached.
Applicant Name °‘1 e 4 C 1 vkd - \A-2 eV V Project Location: County(J Q.A.A-i * k'\p✓'ti'
Address -1 a.o (2)A 1 c S L&- CA r\..t- Street Address/State Road/Lot#(s) S A NA &—
City 'k rv"16, 6) State r`!(. ZIP a7- S' 4 I/
Phone # CIO)3(J - 11 3 '► E-Mail Subdivision
Authorized Agent N/A City ZIP
❑Cw IEW J PTA ❑ES ❑PTS Phone # ( ) River Basin W�‘I-1 0c`.
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body '\ w\A nat /man /unkn)
❑ PWS:
ORW: yes)/ no PNA yes no) Closest Maj.Wtr. Body'�4' r t` "�
Type of Project/Activity E .FA v•a r7 o a-4 1 4+ f i 1' I o a CP ' ►^j �.
\.�^ v„111 ►x adc� -+0 1rU. ,i, ;mac vo,-i s << A6..a ( t 3�- / )
Pier(dock)length Q�{ -X �o IY1( YEA /1-Up PIp�1r1
Fixed Platform(s) 4'1 . 1I W --X) N 1l �4�1 ' { ,
Floating Platform(s) .l x / • I' �` / ��1 ry
Finger pier(s) 1i
•
' �,Groin length ; , I
number ..T—..._.._ 1.. .— C o I. d 1 '' 4 1'w \,
i ,r
Bulkhead/Riprap lengt --art.--t-
I
avg distance offshore I i G 1.>n` V. t
max distance offshore
Basin,channel 65( k i j 1 'i
• ( { I
y1i
cubic yards I
Boat ramp
/
Boathouse/Boatlift i S j ((/ —±- _._.__ t._-1._. ._..—...._.. I � .
�i
Beach Bulldozing /
iC41:14-')(1 )
O , G
Other tQ J t C\ `�
, /\'' ir.. - ,, ..
, t
1
�. � t*, �j,N�
Shoreline Length •
+ ` �� "it' `,
Ab- 11 i
SAV: not sure yes no / i
1�YlAp,�F ^r�l J � I fit; i
Moratorium: n/a yes A Irkm✓r• _
Photos: ye no ZMEit"l_ �I 't� j , O ?�Gl , �] T* ��i�
Waiver Attached: yes 1 ` A h 1 , ! i I 7—b DP V K , . ' ` .[CIP
A building permit may be required by:",) Q1Vr/ kt1nbV IA Co. . i I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) (� `
Notes/Special Conditions , I i-k • a000 ( L0(A I i S-1'a -tf I a,...i T!ck .v-, v 'r t -ems cz e `\
vtA G- f Q s S l N 04- CI\C IN c,1^ 0 h t -f 1'�A 1 S' Sc) bA c `Ce n oY .0 X( e Q 1 l t��/
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DO l( -3 Iq .f u 14_44 ka,,1 hQ E`k sr
Agent-or Applicant Printed Name ) Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
NL). SI ` t icl i D \ I ici I aoa l
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 I I 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 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

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ADJACENT RIPARIAN r PROPERTY OWNER STATEMENT
,,..) . ,...,
I hereby certify that I own property adjacent to _.7 A L5Cattet'W 'S
, .... ..
pft)r_operty.Owner),
property located at. 1. 10 .). C-C).: . t'. 0%.,10 - W ' '.-.,a4-<- _
..tal
, _ (Address,Lot, SI,, sktiRoadi_etp.) . _
on TC:ft: ' . Ca' 54"Obt
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aterbody): , in 01 tvit:40.0, , N.C.
(City/Tow i andfOr.County)
The-appliCant has described to me,.as shown below, the development proposed at-the above:,
location..
I have PO Ole-dial to this proposal.
(have.objections Willis proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
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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. (If you wish to waive theaetback; you must initial the appropriate blank below.)
• _ I do wish to waive the 15'setback requirement
I'do not wish to waive the 15'setback reqUirernent.
(Property Owner Inform on) (Adja t Property Ow Information)
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Print br Type Name
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ailiniAddnIsTrvi .. c. :..4.1 7. is.el i j MailingAddress j , ,v, 12,171/
OW, tAl i 110-141 (--r-,° ill
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phone Number/email address TeVphorie:Nuinber/email address
Dater 4 Date* .11/ /7/ Z-62/
(Revised Aug, 2014)
!Valid for one calendar year after signature'
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ADJACENT RIPARIAN-PROPERTYOWNER'STATEMENT
(01411,14ir I hereby to Certify that I own property adjacent -Z - _!s
(Name of Property Owner)
property located at ,
-ak- r-t Lôu1tt
(Address,•,l,ot; !Or ROO; t.:)04>k •
tin co ct: IAA , in ej t
(WaterbodY), CitylTov6 anCIfor-CountY)
The elplilitent has destribed to mei,as shown below, the development proposed at the,a'bove
location.
i haven objection ta this proposal.
I have Objections to this prOposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
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6(1 Ct()Lail'ko-rt4)1)\a,40‘101
WAIVER SECTION
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 fo waive the setback, You must initial the appropriate,blank-below.)
- I do Wish to waive the 15' setback requirement
I do not wish to waive'the 15'setback requirement:
()petty Owner Information) Adjacent Property°tomer Inforffiationj
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(RevjaedAug. 2014)
*Valid for one calendar year after signature*

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Cheek
Dab Rae.Ivad Data Dopositod Check From{Nam- Nan.of Arnett Hold*, Vendor Cheek numb*, amount Permit Numbar/Commanb Receipt or Rafund/Realloeated
Column.? Column2 Column3 Column/ _ Column!' Column6 Column7 Column., Column9
4/15/2021 Jason Nista same Wells Fargo 332 $ 200,00 GP#80284D KE rct.13427 _
4/15/2021 Alan W Perdue same BB&T 1077 $ 600,00 GP#80259D 1PAr t.12753 _
4/15/2021 AMW Docks and Marine George and McLaine Farmer BB&T 6186 $ 200.00 GP#80217D BB rct.13103 _
_4/15/2021 Robert Winston same EBB&T 6291 $ 200.00 GP#80300D KE rct.13429 _
4/15/2021 Willie Clarence Richardson Charles and Wanda Bardill BB&T • 7934 $ 400.00 GP#80273D BB rot.12995
4/15/2021 AMW Docks and Marine Mark and Dabney Klass BB&T - 6171 $ 200.00 GP#80210D BB rot.12996_
4/15/2021 Carolina Bluewater Scott Quaintance BB&T • 1255 $ 400.00 GP#80272D BB rot.12997
4l15l2021 Gnce Construction Parker and Kathleen Grubbs BB&T 14564 $ 200.00 GP#80271 D BB ret.12998
4/15/2021 .Gnce Construction William and Teresa Ferrell BB&T 15465 $ 200.00 GP#80270D BB rct.13000
4/15/2021 ;Holden Beach Manna Pisces Venture LLC BB&T 16202 $ 400.00 GP#802160 BB rct.13102
4115l2021 --Dale R.Brodeur.Jr. dale and Cindy brodeur !State Employees CU 3976 $ 200.00 GP#80222D KE rot.13430
4/15/2021 1Robert Wells I same USAA Federal Savings Bank 2020 $ 600.00 GP#80253D JD rot.13408
4/15/2021_ --7,CLTMC.Inc. Steven M.Reed First Citizens Bank 1179 $ 200.00 GP#77549D IBH rct.12706
4/15/2021 —rCLTMC,Inc. Davis Clark First Citizens Bank 1177 $ 200.00 GP#77548D 1BH rot.12705
4/15/2021 Jesse Brock Knight same State Employees CU 8521 $ 200.00 GP#80265D !PA rot.11600
4/15/2021 Rhonda McCall James Creech Bank of America 1090 $ 200.00 'GP#80287D PA rct.12752
4/15/2021 George G Adams Glenn Adams State Employees CU 1217 $ 400.00 GP#80288D PA rct.12754
4/15/2021 Coastal Marine Piers Bulkheads Richard Paschal Wells Fargo 23492 $ 200.00 GP#77854D ,KE rot.13431
4/15/2021 Lighthouse Marine Construction Matt Schumann Coastal Bank and Trust 3710 $ 600.00 GP#80163D IJD mt.12396