80284D - Nista

0 _ CAMA / DREDGE & FILL 9 80284 A B C CD
GENERAL PERMIT Previous permit# /
)C rNew 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 15A NCAC I LU 0
❑Rules attached.
Applicant Name -TO Sor N \ SAD.- _ Project Location: County ' .{x---) 1,--I G, L.\%f.A-
Address U(.) cCAICM (7)U \LS 'Dv • Street Address/State Road/Lot #(s)
City OVA i/,Ciik1D(1 State .r.IC- ZIP D• SA4 I I 5p11'A c:
Phone# ( ) E-Mail __ Subdivision
Authorized Agent f.,JI 4 City ZIP
Affected IACW W A AS OPTS Phone # ( _)_ River Basin \J1A --Q 0e. k
AEC(s): III HHF ❑IH ❑UBA C N/A Adj.Wtr. Body Paw S (Y tt-k, 1 nat man /unkn)
❑ PWS. y� t WW
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body !�
Type of Project/Activity - L AS-1VIA.LA ' 'X-.ed pi L c--.a. l-0-- `v', ' ''
(Scale: j! : ; )
Pier(dock)length ,r )( Lf.
r r 1 j i}�V
Fixed Platform(s) i S $ IS I h 1, (�I ! 4 j 1 l .� I ti
Floating Platform(s) y
Finger pier(s) 04>4 • I
I 1 ! I T
Groin length j 1
1 _r.._aBulkhead/Riprap length / iIIflI!!II { ,..
....1.0111116
■■■■■■■■■■
avg distance offshore _ 1 ( +
max distance offshor O1IIIIllhIi
I I
Basin,channel
cubic yards ill ii "fv !G� im
Boat ramp — uIIII'u'P!L __ ■■■II 1111,1- 1■■I I 11 I _
Boathouse/Boatlift MMiliM �il: ■■ ■
Beach Bulldozing 111■■■ ■■■■■■■■��1I■■�■■ I ■■■■■■■
111111
fl1!'!lI
Other i I
__ iii
iiiiiiriiiiiriffl, ,
Shoreline Length +° M111_ F I i ' ■I11IIIIU1 1 1 I luroviiii
SAV: not sure yes nc r� ■ i 9 immuUis�
Moratorium: n/a yes 'I �.._ . — - „ . . mm•m11 cr.Ea �■■■■RCM, _Emma r■U•• r�■ Ir
Photos: yes �*/�tIna 1 T._
Waiver Attached: yes no `illR_ 1111 ■
A building permit may be required by:'J:NJ QN CO • L See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions A11 }t- • +2.0O a 4-ccl t OCA I ) SA'A 4 . -fancJ <(i eirr,( Ye��'I iai\ov, S c pi--
V )
0,4L-C 1- ...,'.-- E.. ( 14_r-
Agent or Applicant Printed Name PermitOfficer's ri ted Name
Signature ""Please read compliance statement on back of permit"" Signature
aoo. °`' 3�2- 4 \ � � � 1 Flisi 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 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 0-796-72 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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May 11, 2017 1:1,000
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Municipal Boundaries
I Real Property Owners
Dimensions Property
New Hanover Count',NC
New Hanover Cotriy GIS
The nformabon made available by this service originates from the county's
Dimensions ROW biking pennitbng and impactions records This GIS rendenng s rehashed
on a monthly bass.
WIC GIS Services
New Hanover County.NC

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� ]� U.S. Postal Service'"
ADO RVICE. CERTIFIED MAIL® RECEIPT
WRIGHTSVILLE BEACH Domestic Mail Only
ro
206 CAUSEWAY DR 43For delivery ntormation,visit our website at tvw:: tsps con,
WRIGH7SVILLE BEACH, NC 28480-1748 Wil�rfinen4' limit r�..[phone] r- a
03/30/2021 09:50 AM m Certified F $3.6O c yG 0480 \
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Product Oty- ---Unit Price � E>masarvioastFeeak�bacrmfe. sm1
Price J• ❑ Root*~�°'r o SO.i1U
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US Flag #10 Env 1 $O.6g o ❑c«wwrwrrwtewD.M«r $ tit-itirHew �''�
$0.69 0 ❑ +� $ $O.00
DAWN etu de•n..rrc+.a o5 • 21 /
First-Class Malls 1 $0.55 0 $,0.$5 ..\042 Letter
Wilmington, NC 28411 o TeI and ( 0
s�:on �„,
Weight: 0 lb 0.60 oz $ \y�/�:M
Estimated Delivery Date nunu
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Fri 04/02/2021 �0 b;° Y-� �t S ____------_____-
Cert 1 f i ed Mai 1® a- saver'r iNWIrkt, CIEK MD.
$3-60 dr 1_S s a`�_y�_3__Q rG rdl � +�.-
,Tracking #: 4,. S
70200640000123878819 i YY' .N1, C ea .
Return Receipt $2.85 V-S FOIR1 3800,Apr.1.u .4 -_,., ,. See R^,,.,sr.for instructions
Tracking #:
9590 9402 6491 0346 9693 73
Affixed Postage -$0.55
Affixed Amount: $0.55
Total $6.45
Grand Total : $7.14
Credit Card Remitted $7.14
Card Name: MasterCard
Account #: XXXXXXXXXXXX2650
Approval #: 00676P
Transaction #: 844
AID: A0000000041010 Chip
AL: MASTERCARD
PIN: Not Required MASTERCARD
AAA**AWAAA WA KAxxxx,r xxx rA xxx xxx WAX Axx xx xx*A
USPS is experiencing unprecedented volume
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` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify I own property adjacent to -. aS'r1 t 5 's
�G� U1 (Nme of P operty Owner)
property located at OAS r
(Address, Lot, Block;Road,etc.)
on 'ct cree-k , in AJe w Oa nc,Irt-C , N.C.
(Waterbody) (CitylTown andlor County)
The app'cant has described to me, as shown below,the development proposed at the above location.
I have no objection to this proposal.
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)
•
•
•
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.)
I do wish to waive the 15'setback requirement;
-
_. _ _.._, I-do not wish-to waive the 15'setback requirement. . --- :. V
(Property Owner Information) (Adjacent roperty Owner nformation)
,/
Si ature Si ature ,,��.
; S4 SC.Arlks hQ l /1 Vf H 0pt
Print or Type Name � r Print or Type Name n
9/7
Mailing�4.ddress ailing Add ss
W;(44; 4A - 2�3`t'i 1 4,,/jGiniz✓Ci dd‘) FjIC /•
City/State/Zip o City/State/Zip.
307 - 5 Y5 - 2 b 2`( ./o- Z97 //
Telephone Number Telephone Number
3120.1 /23 2/
Date Date .
(Revised 6/18/2012)

Check
Date Received Dote Deposited Chuck From(Name) Name of Permit Holder Venda, Chock number amount Permk Number/Comments Receipt or Rofond/Rwfbeabd
Colwnnl CoWmn? Column.? ColumM Column!! Columns Cokann7 Column8 Column9
4/15/2021 Jason Nista same Wells Fargo 332 $ 200.00 GP#80284D KE rd.13427
4/15/2021 Alan W Perdue same BB&T 1077 $ 600.00 GP#80259D PA rct.12763
_4/15/2021 AMW Docks and Marine George and McLain Farmer
Far er BB&T 6186 $ 200.00 GP#80217D BB rct.13103 _
4/15/2021 Robert Winston same BB&T 62911$ 200.00 GP#80300D KE rct.13429
4/152021 Willie Clarence Richardson Charles and Wanda Baidill BB&T 7934!$ 400.00 GP#802730 BB rct.12995
4/152021 AMW Docks and Marine Mark and Dabney Klass 1 BB8T 6171 $ 200.00 GP$80210D BB rct.12996
4/152021 Carolina Bluewater Scott Quaintance B88T 1255 $ 400.00 GP#80272D BB rd.12997
4/15/2021 Grice Construction Parker and Kathleen Grubbs BB8T 145641$ 200.00 GP#80271D BB rd.12998
4/152021 Grice Construction William and Teresa Ferrell BB8T 15465!$ 200.00 GP$80270D BB rct.13000
4/152021 Holden Beach Marina Pisces Venture LLC BB8T 16202 $ 400.00 GP#80216D BB rct.13102
4/152021 Dale R.Brodeur,Jr. dale and cindy brodeur State Employees CU 3976 $ 200.00 GP#80222D KE rct.13430 __
4/15/2021_ Robert Wells same USAA Federal Savings Bank 2020 $ 600.00 GP#80253D JD rct 13408 __
4/1520211 CLTMC,Inc. Steven M.Reed First Citizens Bank 1179 $ 200.00 GP#77549D BH rct.12706
4/152021 CLTMC,Inc. Davis Clark First Citizens Bank 1177 $ 200.00 GP#77548D BH rd.12705 _
4/15/2021 Jesse Brock Knight same State Employees CU 8521 $ 200.00 GP#80265D PA rct.11600
4/15/2021 Rhonda McCall James Creech Bank of America 1090'$ 200.00 GP#80287D PA rct.12752
4/152021 George G Adams Glenn Adams State Employees CU 1217 $ 400.00 GP#80288D PA rct 12754
4/152021+ Coastal Marine Piers Bulkheads Richard Paschal Wells Fargo 23492 $ 200.00 GP#77854D KE rct 13431
4/15/2021I Lighthouse Marine Construction Matt Schumann Coastal Bank and Trust 3710 $ 600.00 GP#80163D JD rct.12396