80271D - Grubbs

0 CAMA / DREDGE & FILL No.o 80271 A B C CCP
EN ERAL PERMIT Previous permit# /
w 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 L 1 J f ( <2 V,--,
++,, El Rules attached.
Applicant Name 5)c-,,�C.c. -7.1L�. (-u^ t NV" Project Location: County c
/- n> .ct�
Address (.n k 8 Lc,, C c LAB \'c.. Street Address/State Road/Lot#(s)
City .), "5V _13q\l � State %kJ( ZIP2iIU(G kJ( ,
(( .__, (10"A- •
Phone # (2,3()"to(a Z22 L E-Mail y,,,,Iv4 f 2 Q -, , ,ci, <<„_Subdivision
Authorized Agent c....-. i , C L, City ( S -c- C,.. c ' ZIP C- Pi(o
Affected cw AttW TA ❑ES OPTS Phone # ( ) River Basin L..
AEC(s): oEA HHF CIIH ❑UBA ❑WA Adj. Wtr. Body CA--, ( (nat an nkn)
Pws: f
ORW: yes / no PNA yes /� Closest Maj.Wtr. Body
Type of Project/Activity �f)„ c /mac •• n.-e-,J //��A
b c I v k
`-. •+U r..,.c..(.--1.,A._ (, e (Scale: Al 7 S )
Pier(dock)length L(yiu I
Fixed Platform(s)
Floating Platform(s) ((./ AI -1111:=11 '
. . _ n let;lit �"----
Finger pier(s)
Groin length E-
number .. j - _____ _, -
Bulkhead/Riprap length -.- I, 7{ �L .--I
avg distance offshore ' 16 f ` {
i
max distance offshore I I 44:
f
Basin,channel i
cubic yards i 0 O
I j. ---
Boat ramp Nki
Boathouse/Boatlift 11)1(1 -- -- --4 i - _ ` i V
� I i ;
Beach Bulldozing A�t ± i ` Jo C� 3 u� Irk c.. �111
Other i (/L
■ r
•
Shoreline Length sot 9.41-4, _,...;1 j Q p 13 _ ,V , C 3 l
SAV: not sure yes o ) f
rt ,
_ r o. �� uc .._-__off -
Moratorium: n/a yes ; I
Photos: yes n ------.....---- --.. _ .
Waiver Attached: es no
A building permit may be*red by: C.2 f-kn \5(-t Q. .(,4 C P11 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _ ( 1
Notes/Special Conditions I,)�ffoc�.�.) cA(.,Lit ..,,.1` /`UV -t&CAA.(+
Agent or Applicant Printed am Permit 'nt Name
Signature •*"Please read compliance statement on back of permit** Signature
2t 8 i(.1\-Lot 1
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 0-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 CL.rnmerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808i I-888-4RCOAST 252-946-648 I
Fax: [phone]C Fax: [phone]
(Serves:Carteret,Craven,Gcclory - (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

•
.. ti
AG:EN!E AUTHORIZATION_FOR LAMA PgR�UIi�'APPLICATION$ .1
i
• 1
Name of Property Owner Requesting Permit r't`Cr.,,. ;
Mailing Address: ien, CcAa Tki L-1 t
if
g:kt /V.c
Phone Number;
t
Email Address: t`u s/ : r. , ,c,04,. .. . .
p. tc.
Icertify that I have authorized ,<e C O f-fr ci a nl '
Agent)Contractor ,
i,
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits li
i
necessary for the following proposed development: :,,.. a . qNd g0 /. ��
at my property located at (0A)C� Fait+ 471.rct aC` 4 - �`.k
JC
in ��►rU�1 w :County.
r.
i furthermore certify tha thonzecf to grant, and 4p in fact grant permission'to'�
Division of Coastal Management staff, the vocal Permit Officer and their agents to enter qq.
n MesaforementIbned /ands in connection. with.:.eveluating? Information.related to this II,:
permit application. i.
.
:i(
Property Owner Information: `
f
Signature.: ,
)Ar��et- I-t:. JJ,, •
t
Print or Type Name � . ' _
,;Title;
3 . .z.
- ! : . 1 . o !I.
.. Otte'.
I
j L Coi-Ala E
This certification is valid through / /
-f

AV •S,
0.
c
� a, F ' o
4) °roc,.�sr-o
OOO Hai ,f°i- ri- �1 C0 rt,
o '
opOo /�`�' dfo ®nn
-�•7 •'.fin ,`r /�/f' 4S,pS
C'' V!9 r' / �'
°00 , "‘4 •I7 ""„)
' / r
SENDER: COMPLETE THIS, rsM • '7., 114 ,`^ °
• Complete Items 1,2,and 3. ' � N PP ,:-.....•
,
• Print your name and address on the , !� �' ^ A El Agent
‘-?1,)
so that we can return the card to you. °-.> �;'•. -.@3. r ❑Addressee
• Attach this card to the back of the mailpiec: �j C. Date Delivery
or on the front if space permits. _)' "�
1. Article Addressed to: •
bP p from pphh}} ? 0 es
Sor .ddress' eloti: ❑ No
? O 36),x 2,-\% °,„S `Y�
,.,„, ) :
R \„.,
I I I I I I I I I I I U I I I I I I I I I I I I 3. Service pp❑Adult Signature ID Priori Mail Express®
IDReStstered Mail,"
0 Adult SignatureRettricted Delivery ❑Registered Mail Restricted
9590 9402 5492 9249 3667 86 Certified Mail® - -- Delivery
❑Certified Mail Restricted bellVery 'S:Return Receipt for
0 Collect on Delivery Merchandise
❑Collect on Delivery Restricted Delivery Signature ConfirrilationTM AHirlo nip imhar!Transfer from service label) 0 Signature Confirmation
7 017 0660 0000 7486 8976 ll Restricted Delivery Restricted Delivery

ey� as$ `Os
ve¢°a oca\za e`"A`\a��¢oc
a
s°
e,, `"
e `-Q°---a Ne °tierk-
e d §.Z \ yipG ra Ae
°\a \\¢a
o c�aa yty a eae ka A°s\°c�a¢s,taO Q¢`a \6'6acsa�a e �aye`J � a
\\a `e w ¢aSy a ¢y°\`�oo
GP Qe e \ae'Pz aaa
``
a e��stesr sa¢�'Ose aa��aav¢eQaQa`
oea oa
e1/40cOaa ° aAeoasNea O°A°
°o �o°\ 6 \5¢
ao
ea o a\o o*O Ce o " ¢Q Occ,44.
.0e Jg, °aQ k °° �°o�¢ a As'
Jc � aRA e avA°a` a ¢ ,x0Q Qt°aG:ktec:60,\e'V4 _ eo°e aAa e •Coe
Jr asr ♦ .otepcNe §0,` °Zy
.a4
y
P`a ¢'eee sb
♦ y.10.' nP .,ce
¢a.t pAs.
USPS TRACKING#II
rr;itti
; First-Class Mail
Postage&Fees Paid
USP
` 11
Perms No.G-10
9590 9402 5492 9249 3667 86
United States •Sender: Please print your name,address,and ZIP+4''in this box'
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469
zi - 0

ui/2Mar. 26. 202111 25A0x 3366597107 CenterState +/-11i FWC No. 0082 P. 20002/002
.,
, .., .
• . :.,.
. agiilkfiteklUtaiElltBalirigettarigia1011 ,.,
P1V1010N-'.000.T4(MAINIO*011.0NT . .
ADJACENT RIPARIAN fiROPOW-Oitlbil$11:00TietCATIONIWARelli FORM
,•...-
i.
.,
Nolte of•Property Owner: . .:PCI(SIQS:2CS:r4VOA, ..„... '!... , , ...._ . .... ,..„........ . .17
Address of Property. etiit':' ,:, "et4LO.CQ,ALA`Xti•ilt,„14044 ........... I..
.•,.:(t.lit'at7 iiiiitriart i Rod.OILY
., . „ _..... .
-.G..1- -ci.: . ...,..L..1k
Aponte Name#,::• .;.; .-iq4„,-:.?:,.-.)-EN.iiitAt -• , ) matiiing-Addrosa:,_,...... .:., --.7-77..-,----7,,-....---,4
Agerit's phone VI:Rtr.t';.P-71%!.1:tfifi... _,._ . , icIa&i,0411..A%4(,kk:tAc,.:04944,..,.,_,
:_.
:.....
••
... I hereby certify thee 1,own proPertyAliljateritsle the abeve,Mferaiitiedip's.r.opetty,Thu Individual applying for
•
thIs):litiiil(fiali46-,orltiiii• i'me.-ive.OWavriAtiOteehed.::!tavi t!.,theibvelOPirierit they are proposing.
•
C.',. •b.1i:•T I.0,1 ii •,.4..4 .;11,1:1..:ii tt,..1•;••,..,1 41.,1.1f:,,i,i:ii%Iro.1•!,-Qiit(vd10-ii,r,..,',v :041,(.q
, ,i .a.l.
, ,,,,... . ..... wl ,.• ,.:
..N.0C):- .;.• 1 bo no objonrionv to ibis propo241. .,.....„I hove.0,40.0tOriit.(0 MN propoonl.
.•••••• • , _ ..• . . ...,,,,
...if If you lwve 0.14000041.6' tWiWiffitiNgbittriii 10.0:0070.0; .40k snit .060.0y: A0, pi: ;, ,-,.,. of Coastal
kohiii0.0iiii:it„.;?ociffik*Iklitit'0011ilio':,.**(*-60404#0'!-Kili*fiallaii;:Ciiiiiiii..',t 'ili,4-'rehoOlor bti f••
041140.1.,042.7,44100i41.0tgie.04:141ditilligtOP:14,21401(0445., OCIW,'60,06001 !''.'• ..,,; '::efee be
vonf000000(00700411kMAlitietgonsiOltiO-Onsitiorod,41iof.4inno ao no objectien01:::'!.,•7.,..,:•...ietilecif
C E
1047.4414t:',#.1#t!.',47.44, 4,,i,'#;fi., - 444,!.o.-'... 0,4;:'.::•:..44.4,,iii -**:,..1- ii. .40404i.: v
a wAivER sallow.;
.i-toteivit01140umittpliKAioiliCilitilliiiii):6104#6,1bititiltObtief;Otitiit:itttlizo;, Ilft,or groin must be eel back di'
, ..
101n41410?01oOnwOffitl.r011.11110,ME001t.r)103flEttt,ttgrAIMA 001%4 waived by me. (If you wish to waive the
G.,C iietbeet‘..*Etoth)ttligp10.0000404-4toiiko001:14.... ..:. „,.........„ ... . ,.... ..„ .... ,:. .....
.. .
• - . •- --1.0P.1w1,....011:to.uy.O.v..ft 0.1.41399..tbrickroq. 1)1110(1)0rit
,..,...'s
.,..:,...s:
I do not wish to waNe the I 6'oetbeok i'.040.0in bit;- • ...: 1
--p.----r---
•:*.i.k..ifr.:.-- -.#'0•04iFc.!. .4 •-•::•*•. .."• 10-0*.0,-.*••!0!•i?.:0. 0.r.".i••=!.t#!-,,i'r, mt•ei.• !:*,,,, -.:,- ..•0.0 * e_7-......7!.. -.
. . . . ..„ .. , .
fl
. . .. . r_
(Propeity ownet ItifoonetfOny --.• 4!...,..,,it"0 ;.Pfit;:.: ...,,•:.Owner informatton) . ;•1::.
!It:
:'...;,.:'2...r.,' '',,.. '''''! l'::':'' P..'''.;.-{.1,,...... . '.. -id9r/45'•-i.i' .',,,. ..,;/eT7'.
,_• , _.,. i .fr. -,..: -.-.--': ,..4.,.....,..-,,......„....-..,„--,
AY.oiiiitoPii ' '' -sy--ilia ril ;c
1. iv(•,:S.::: ',.-:,::;-:'1::- .., ,r
.. ,
-..'"•• „:'.,;.. . r.-...._ ..A.x.___..
,. c-. ..._
. . . ,
(...)- - " " •-• , ; ,
.,-,...-... - .•:,. f..,..,„,.
..--,.*,-,-4, 4t" Zr-4.;-:•.!tri,.!
hill:',9t typo Name:. -,..,; - ,.. tint Typo Inc
,.
41441//iitAdd1000 -.-".''.-‘"--.. '''-'."'. "-- -- ' 440 lila .,4ill"''.>,.)..- ..,e4
... .„. ...
'11. 1)\-tii4c. :12_,„‘:..lig(ti•"6-1(% ;; .,' .2,;•.-. .:-‘2.:. ...`-):,...:-/.' . . 7747 t , ?
::., :oto..I.k....., , ir asivet"---'-`"-"'' -- - - ' ' - ';',: .i.riipt%-- - --. .. - -• . - ----- -..
, . , • , • .
•W5... .---,' ' Lv4.‘-:, -
,7 ..'-'-'40g/t3H— 0 f tfl i
,
11-
4%,1blimatar, ,,..,......„....„.......,aa,
.
- v-itisii:.,i0:6"0..N5' 67: - ....,
,F ... . .2.3724 . ,..--(1344..,,; ?.:. ..... -..:.„ ,-; .,,...,. . , i!
„,....._.;:,.-....-.„....„. .......„. .--,,k,...4 ,..,.. .t.,..-„ i., ..,.".7.t.----- ,- . -r'''''",1.. . .
Dale 7./;i ... ii
Ikevisod 6/10/2012
I.
, -
r
$
' L
. II;
.-.
: , .

I. . •os a ervice
CERTIFIED MAIL® RECEIPT
a Domestic Mail Only
D For delivery information,visit our website at www.usps.com`. S SECTION ON DELIVERY
D chile "', ' ALUSE
r. Certified Mall Fee $,:,.60 0470 gent
11 ❑Addresse
Extra Services&Fees(check box,add fee asf4rm� e) (Printed Nee) C. Date of eli
] El Return Receipt(hardcopy) S YL� _
It
] ❑Return Receipt(electronic) $ $I I.f11 1 Postmark PI 'I
] ❑Cenffled Mall Restricted Delivery $ $0 0.0 Here cress different from item 1? ❑Yes
] ❑Adult Signature Required $ $(i_(tO delivery address below: doilarNo
] 0 Adult Signature Restricted DelNery$
0 Postage rc
3 $
3 Total Postage and F 1f2/24/`It121
$',(III
_ s
q s ro
_ \�
(fie oar D Priority Mail Express®
( �rs/` J•t_ ❑Registered MailT'"
�-'`�i A `V t �.0 2 Z strlcted Delivery 0 Registered Mail Restrict
Delivery
PS Form 3800,April 2015 PSN 7530-e2-000-9047 See Reverse for Instructions. acted Delivery Return Receipt for
0 Collect on Delivery Merchandise
- •'-'-"I...,ls r'(Transfer from service label) 0 Collect on Delivery Restricted Delivery ❑Signature ConfirmationT
❑Insured Mal ❑Signature Confirmation
7 017 0660 0000 7486 89 6 9 I Restricted Delivery Restricted Delivery
3
PS Form 3811.July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

t.ernrrea mau service provraes me rouowiny uenenis;
•A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
•A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
USPS TRACKING# .
First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 5492 9249 3667 62
United States •Sender: Please print your name,address, and ZIP+4')in this box•
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469
i�Flilrillii,�ilrliiilliilllj„III'IIIII,I)'Irr,irflI Illilrir,l,

C3JIF(FD MAIL RETURN RECEIPT REQUESTED
DIVISION OR COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Rt4Ive r` ( r'\0O
Address of Property: () N�J o .� 0 C.Q.G n 6�2 C
(Lot or Street#, Street dr Road, City& County) -
Agent's Name#Gr K . 1\5A-PI .C.Vi cl Mailing Address:Lk-` 1 cich Dr
-
Agent's phone#: ;\D-51c1-qqq$ Ceeac,i642 4.cS1 N( zt'1(A
I hereby certify that I own property dtljacent to the above referenced property. The individual applying for
this rmit has described to me as shown on the attached rawin the development they are proposing.
C
Cs
I have no objections to this proposal. I have objections to this proposal
if you have objections to what Is being proposed, you must notify the rn of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Cor should bd
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM repros also be
contacted at(910) 790-7218. No response Is considered the same as no objection been
C notified by Certified Mall.
WAIVER SECTION
V1 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
L(— se ack, ou mist initia(the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner information)
N.)(3M1A-Ci Ckks)C-i) (Sk9efiA)
Signature Signature
ci t-LAvo,5 Icn.f.Jen. 4ves-
Print or Type Name •
Print or Type Name
L C e r\ c
Mailing Address Mailingil Address
�t�Vbn ern L( 2 1 ug-5i c% �.-f'1��r` � ' 2r `-‘,
City/State/Zip City/State/Zip
Z (f. - -I.(4 , 22zo a 36 G —
Telephone Number Telephone Number
2.2.-2-( 6
Date ate
Revised 6/18/2012

$ LS 101 L z ')1•1 �' a�t " `) v7fA Vr,Z O-.tVt aZ.
o)z
zaz I . ' `! s\al ) 11'MT -)X2
)M ' c `°`'-" ti,Z \jtQg
1-v.3agc\ka h OOL°) I Sa *) a
01 ,V1
a
C.1 1!]
I ,
4 <</1-
I �
1 1-,U
1Z -cz-z

Check
Dab ReeWrad Data Deposited Check From(Neme) Name of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or RNund/RwIKKated
Cdumnl Cokrmn2 Column3 Cdumn4 Columnb Columns Column7 Columns Cdumna
4/15/2021 Jason Nista same Wells Fargo 332 $ 200.00 GP#80284D i KE rot.13427 __
4/15/2021 Alan W Perdue same BB&T 1077 $ 600.00 GP#80259D PA rct 12753_
4/15/2021 AMW Docks and Marine George and McLaine Farmer BB&T 6186 $ 200.00 GP#80217D Be rd.13103
4/15/2021 Robert Winston same BB&T 6291 $ 200.00 GP#80300D KE rct.13429
4/15/2021 Mlle 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 rct.12996
4/152021 Carolina Bluewater Scott Quaintance BB&T 1255 $ 400.00 GP#80272D BB rct.12997
4/152021 Grice Construction Parker and Kathleen Grubbs BB&T 14564 $ 200.00 GP#80271D BB rct.12998
4/15/2021 Grice Construction William and Teresa Ferret BB&T 15465 $ 200.00 GP#802700 BB rot.13000
4/15/2021 Holden Beach Manna Pisces Venture LLC BB&T 16202 $ 400.00 GP#80216D BB rot 13102
4/15/2021 Dale R.Brodeur,Jr. dale and cindy brodeur State Employees CU 3976 $ 200.00 GP#80222D KE rct.13430
4/152021 Robert Wells same •USAA Federal Savings Bank 2020 $_600.00 GP#80253D JD rot.13408
4/152021 CLTMC,Inc. Steven M.Reed First Citizens Bank 1179 $ 200.00 GP#77549D BH rot.12706
4/152021 CLTMC,Inc. Davis Clark First Citizens Bank 1177;$ 200.00 GP S775480 BH rot.12705
4/15/2021 Jesse Brock Knight same State Employees CU 85211$ 200.00 GP 1180265D PA mt.11600
4/15/2021 Rhonda McCall James Creech Bank of America 1090 $ 200.00 GP#80287D PA rd.12752
4/15/2021 George G Adams Glenn Adams State Employees CU 1217 $ 400.00 GP#80288D PA rot.12754
4/15/2021 Coastal Marine Piers Bulkheads Richard Paschal Wells Fargo 23492 $ 200.00 GP#778540 KE rot.13431
4/152021 i Lighthouse Manna Construction Matt Sc tnnann Coastal Bank and Trust 3710 $ 800.00 GP#80163D JD rot.12396