80253D - Wells

0 11CAMA / Fi DREDGE & FILL N° 80253 A B C
GENERAL_ PERMIT Previous permit#
> ew1 . --Modification ❑Complete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality • ; ;_; , l 100 6 127 00
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' .
1 0 Rul attached.
Applicant Name bz 4 (A)-4 ' Project Location: County t2t
Address -0 VI 6 y / V (/ Street Address/4/State Road/Lot#(s)
City O lil t 5/,� _ State/c y�:3 ZIP ?� T;t1 i oat
Phone# //) ) t -0-"4-7?/E-Mail Subdivision -
Authorized Agent /U./ City 101,2 &'/ ZIP zk-f Z,
Affected ❑CW ❑EW IMA ES ❑PTS Phone # ( Jf"— River Basin IN C F/Q--
❑OEA ❑HHF ❑1H ❑UBA ❑N/A
AEC(s): Adj. Wtr. Body N (.,FiL. na)ian /unkn)
❑ PWS: NC- - 2---
Closest Maj.Wtr. Body
ORW: yes / no PNA yes 400
/ ,,
Type of Project/Activity /V`5TJ 4 /' bti///['_-e_' o(J r brc-;' :- . _
y Ir /
(Scale: r =zC )
Pier(dock)length
i I I
Fixed Platform(s) 1 i =
Floating Platfor (s)
7(f).
Finger pier(s) j
Groin length
number ! — � t
F. � , ,
SulkheadLRi rap length / 1 ' "- Il'r
avg distance offshore ) f ` '�"" 1 ��^ fs r.
max distance offshore I
i
Basin,channel__ _ I I I % I
1
cubic yards ' -__
2b'
Boat ramp t T.
_ _ I \ Oil<
Boathouse/Boatlift - —
�- \ :-T-- -- - I.
Beach Bulldozing I • --
Other I
fete L. i1_ .* I
f "G ' I
t i I 1 f�1
Shoreline Length_Y'/^ 41 j V
V fV j
SAV: not sure yes j
__ ,
1
Moratorium: n/a yes n•. i
ye J
Photos: s i 1 ..._. p
t. —, 1 ,
2S�_.
Waiver Attached: ` .now z - I � -_.
A building permit may be required by: . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
a,e c r ry )A-a-----
Agent, Applicant Printed Name Perm •' Printed Name
Signature **Please read compliance statement on back of permit** Signatu 1:/4 -l/
//l�) /'0, /�G 'Z1 /
Application Fee(s) Check# Issuing Date Expiration Date

1
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 252-946-648 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

y
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION( q,* a'
s<247/46
Name of Property Owner Requesting Permit: G b< T I .. Lti'e-LLs
Mailing Address: S 7 C7 13,02-cl O x I 61 ii L
f�cti m t 4-ti , 2 4
Phone Number: 91 a - Z'3 9 l
Email Address: t" y tr o b C=h.rtr-R r , �
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: j iJ 6% I ,
c)r.A hoeCr .yri . cJ( ir�SdCeS'S4 Y y e k-E + I TPr«tI
at my property located at PI NI K N z7 C-f-w y 53) Lai
in Pe N -e Y 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:
w -te-
f Signature
Rb b-e\--T J , J e_11 S
Print or Type Name
RECEIVED
Title APR 15 2021
O3 / 11 / 2c2. /
Date DCM W1LMING7 ON, NC
This certification is valid through / /

CERTIFIED MAIL •:RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT.
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVERFORM
Name of Property Owner: R61 r/ --� . 'y^we11
Address of Property:
L er 14'5 O ry k iN)e ed, 0 r--c w eiQ Fe,-k‘ar. C4
(Lot or Street#, Street or Road; City&County)
Agent's Name#: Mailing Address:
Agent's:phone#:
I 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
they are proposing.A description or drawing,with dimensions-must be-provided;with this letter:
l X 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 Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to.'127 Cardinal Drive Ext.,
NC, 28405-3845. DCM representatives can also.be contacted;at(910) 796.7215. NO response is.
Wilmington, p p
considered the same as no objection if you have been notified by Certified Malt-
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:)
XIF - I do wish to waive the 15'setback requirement.
I do not wishto waive the 15'setback requirement:
(Property Owner Information) ( jacent_Pr erty.Owner Information)
/90-4•24n ,ki-ek I/
Signature Signature
RD6-e'r7- _i, vie 11s Jv -, p s1, / p6! 1/,/4-
Print or Type Name Print or Type.=Name .
3-710 der_ reX ,-4i, L IL 03 f i ii 1
Mailing.Address Mailing Address -
Hth vh s7.A4 Aie 28,`Y3 I� A� .N G zg i25
City/Stat42ip. City/State/2 a-ip.
lio- 770 - z19i -) 29- 66�- 13,05 RECEIVED
Telephone:Number Telephone Number
3 11 2 l 37(0/it APR 1 5 2021
Date Date
Revised f,8/20d2JlING TON, NC

lir Y
I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 eI ( s '
• 1 hereby certify that I own property adjacent to j i� $��. P - s
(Name of Property.Owner)
Ip �property located at L i kfSey ri- , * 1..0'j' ..57
(Address,, ot, Block,Road, etc.).
on N95-C Cofe_ PALI-- g1 tier , in lfgY: ,-51I-I W N.C.
(Waterbody) (City/Townan or County)
s The applicant has described to me, as shown below, the development proposed at the above location. _
X 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) •
�s'
14-173°/
Coat�74-4aCa 'V p
s its ' 4:51-ii.K ke.0
Q24
f �
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 donot wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Pr y Owner Information)
• kelmA- 11-•04/2— i
Si nat re natur
Ro e1T .S . We )15 �n p csti
Print or Type me Print or Type Na,�
510 Aedfr m
evtiI / ( 03 / ice
Mailing Address Mailing Address
City/State i ling
Zip
9lp-7,7e)-2391 . 72-U- 446 - (3O.5 .
Telephone Number Teleph ne Nf mber RECEIVED
�111/ j 3/ 1o121
Date Date APR 1 5 2021
(Revised 6/i8/2012)
DCM WILMINGTON, NC

CERTIFIED MAIL .RETURN.RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
J ( 1-
Name of Property Owner: PO,&� �.r
Address of Property` L.©T 5 Ff Ne 31)Y50. ) N� PPA'd �'a n
(Lot or Street#, Street or Road, City:&County)
Agent's Name#: Mailing Address:
Agent's phone#:
•
I 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
they are proposing.A description or drawing,with dimensions;must be provided-with this letter..
t 3 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 Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should:be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. OCM representatives can also.be contacted at(910).796 7215. No response is
considered'the same as no objection if you have been notified byCerhhed Mail.. .
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.)
1'` :/, 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)
10 a
Signature Signature
Ro rT L k(1 s lt�,' lei %�2 ��d ea iv.k
Print or Type Name Print or Type Naine
5'7 a ed. Fe x r=Y.4 ;L Po e6 G^ - 5-A_
Mailing Address Mailing Adcrress.
f/o' sited, NC 22'/q 3
City/State/Zip City/State/Zip
Telephone Number Telephone Number
3 ji //21 -- dI RECEIVED
Date( Date D ,
Revis /1 /2012'" I
DCM WILMING7T

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,
property located at pp.; iC.,0,6y R3. . ' ' 4 (Name of Property Owner)
�j j (Address, Lot, Block, Road,etc.),
on .l V Cam►" �vtt -' , in r Y 'voia Pedoecv etwAi . . N.G.
(Waterbody) (City/Town`and/or County
The applicant has described to me, as shown below, the development proposed.atthe above location.
E �(
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)
4,74/4_ :-;* 30/
o ,33c ldea,a
RAM r
WAIVER SECTION
understand that a pier, dock, mooringi 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 mutt initial 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 Prop y Owner information)
kidu-
Signature Sign ur
gdYeA-71 �s Wei Is tOv 1 �. eke-?v`tc
Print or'Type Nanze Pn t or Type Name
7o -TWA-TWAfox ��'
t.1 �--
M ilrng Address f M rltng A ress g
City/ tat Zip Cit/StatelLip
T 9)6 — � 3 JD--r
elepho a Nu ber Telephone.Nur�rber
Datei 3/Z I - - /3 10Z,) RECEIVED
Date
APRY5 .202t
(Revise: ;6/18120 2
®CM WILMINTON, NC

Date RxwvW W b D�ptWtl�d f Chock From(Name) Nome of Parme Heiner
Vendor
Mar hock
ChKF numbw a t Permit NumbenVommants Reeyo)or RNund?tNllocated
Column) Column! Cb1103113 Column/ Column8 Column6 Column? Column8 Column6
4/15/2021 Jason Nista same Wells Fargo 332 $ 200.00 GP#80284D KE rot.13427
4/15/2021 Alan W Perdue same BB&T 1077 $ 600.00 GP#80259D PA rot.12753
•
4/15/2021 AMW Docks and Marine George and McLain Farmer BB&T _ 6186 $ 200.00 GP BB rct.13103
4/15/2021 i Robert Wnston same 886T 6291;$ 200.00 GPt180300D KE mt.13429 _
4/15/2021 I Willie Clarence Richardson Charles and Wanda Bardill BUT 7934'$ 400.00 GP#80273D BB rct.12995 _
4/15/2021 iAMW Docks and Marine Mark and Dabney Klass I BB&T 6171 $ 200.00 GP#802100 BB rct.12996 _
4/15/2021 'Carolina Bluewater Scott Quaintance BB&T 1255 $ 400.00 GP#80272D BB rot.12997
4/15/2021 Gnce Construction Parker and Kathleen Grubbs BB&T I 14564 $ 200.00 GP#80271D BB rct.12998
4/15/2021 y Gnce Construction William and Teresa Ferrell BB&T 15465 $ 200.00'GP#80270D BB rct.13000
4/152021 Holden Beach Manna Pisces Venture LLC BB&T 16202 $ 400.00 GP#80216D BB rct.13102
4/15/2021 _ -'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 _
4/15/2021 CLTMC,Inc. Steven M.Reed First Citizens Bank 1179 $ 200.00 GP#77549D BH rct.12706
4/15/2021 CLTMC,Inc. Davis Clark _ First Citizens Bank 1177 $ 200.00 GP#77548D BH rct.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#802870 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 rct.13431
4/15/2021 Lighthouse Marine Construction i Matt Schumann Coastal Bank and Trust 37101$ 600.00 GP#80163D JD rct.12396