80166D - Kelly

•LCAMA /
I DREDGE & FILL N° 80166 A B C
GENERAL PERMIT Previous permit #
;New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 07/ /z 00
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC "7
les hed.
Applicant Name 7 06�! ic- I�r2,-Gc/ Project Location: County S PA)
Address JI/ c76-1,/ /1/ Street Address/State Road/Lot#(s) j
City LU N ,State ZIP 2 774 - 365 3'A J l '
Phone # ( )2-i 3- E-Mail _ - Subdivision Authorized Agent � ' 11(. t % ram, fn City > (44 r v (/�
7 1 ZIP 70 ¢4-S
Affected ❑Cw .0PTA DES VCPTS Phone # ( 1- — River Basin kV' C
❑OEA ❑HHF ❑IH ❑UBA C N/A i
AEC(s): Adj. Wtr. Body‹hiNr A S �[+,: /unkn)
❑ PWS:
ORW: yes i.-no PNA yes /" oo
Closest Maj.Wtr. Body 4.471 $�L.:r
Type of Project/Activity L , ?1 r) a /l f/ iL�'V e 1✓9_i( z�ie: ( S)
lam: /lam / )
Pier(dock)len i�
I i I
Fixed Platform(s) i
Floating Platform( ` ` I }/r
i
I 1-
Finger pier(s)s / L__..._.., i
g P O {
Groin length— (,• !
number __..�._. _._. - � - I V --*'
Bulkhead/Rip*length I p d i"Ne,eic i Cam~ Isl
avg distance offshore i i ' ise v (/�
i U!PT `(
max distance offshore f ! t _`eev P/ i � GL� i_____
Basin,channel { y f/V
N. T tN6-''"
0 /
cubic yards j / � ��
Boat ramp I ? )C
Boathous= .•- u ( •r x/2
Beach Bulldozi t-X• #/jq A
Other_ ` _
• • # ..,,,,.
Shoreline Length j
scsa ---
SAV: not sure yes (tlo 1
,J;.)
Moratorium: n/a yes o i YJ i
4. ..
Photos: yes no
Waiver Attached: n•. tj'11
A building permit may be required by: (()i- 6$49---- P See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) \\\\
Notes/Special Conditions
NV
a Agent o Applicant Printed N P 't icer's Printed ame
-: ",—`
Signature **Please read compliance statement on back of permit** Signet e
`fl).�' - 1 -) ) I-0 2f Fist -2- /
Application Fee(s) Check# Issuing Date Expiration Date 44.
,

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 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. I 27 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
•
• .I hereby certify that I own property adjacent to ' poa2,915 /t"�LL Y ,s
• � (Name of Property Owner)
property located at 30 s'y , �
/�� �i9�/�}` (Address, Lot, Block, Road, etc.)
on
, in pI#A2� C/7-i , N.C.
(Waterbody) ' (City/Town and/or County)
The.app ' ant 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)
"I\ frci1)�, e Lri'1.- .
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WAIVER SECTION V
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum 'stance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setb c(k,, you must initial the appropriate blank below.)
G 5I do wish to waive.the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro erty Owner Information) (Adjacent Property Owner Information)
/We 7,440
'hiz4,*-4
f Yigtier-x./
Sign a Signature i
z)oa z 5 kE- 2a ropyo t ,z7. Gies ,ram
Print or Type Nae Print or Type ame
l// ,4F/,4L1 / ,C •Jr.eZ c
Ma jIing Add ess Mailin Address •
L-� NI a7 Lf . ems, AO. z *4
City/State/ZipCi /State`Zip
3,3/P ~ ^te (7 i 334 -4/3 -0fOO
Telephone Number Telephone Number
Y /y/e2i3g/ -i/:�zaa/
Date Date
(Revised 6/18/2012)

.
AGENT AUThO. lZATBOB� FOR CABNA FERMI'APPLBCATBON .
Name of Property Owner Requesting Permit: D15-41Z, a .Aj/ e/
/f
Mailing Address: •- Z/ ASAZA1
/V 2c2 41
Phone Number: • • 3,3
Email Address: • /c //(, 10 /4 , 00/1( •
I certify that I have authorized 4/6/?TtroU6-?°_ • •• - 9
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all:CAMA permits
necessary for the following proposed development:. IDfT •
.at My property located at Pe-7 Sktd &,'%; UGC e/7'"r• .
• in 10/1/52,0X 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:• •
•
•/ad •
Signature / • •
. Print*or Type Name
Title
Date -
•
This certification is valid through / I

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
- .I hereby certify that I own property adjacent to .16 Otte 449-_s kei--1-1 's
3P� �r (Name of Property Owner)
property located at . �
(Address, Lot, 131pck Road,,ftc.
on .2k-A �j91/L , in . /4 ( / N.C.
(Waterbody) . (City/Town an or County)
The.a '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)
ROV3‘/ WAlltse,41h 1 `?"‘
%U .QY6a4Pry
____--, c.,...,,
li
Vqbe/ID
3I.
V
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 setba ,, 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.
(Property Owner Information) (Adj ent Property Own Info ation)
eia /41 j'ef+ /-
Si• , fe
y Sag zd ur L L . Ai2 ,L /0 kJ x 714.,e(,
Print or Type NamePn o Type Name
piA.sioc_ Aye s z �e ��,�
Mailing Address Mai' g Addr ss
&Avi N 6 a9g9 4J . .o. . ,c. d2 r ,,2.__..,
City/State/Zip Ci /State/Zip
3 -3 171 A f L',;�y_ C QZ, 4s
Telephone Number Tel phone Number-
f/HA?o./ 'Telephone
3f9- 9 S Z
D to Date . ,_ /,44_ /
(Revised 6/18/2012)

Cheek
Date Received Oat.Deposit. Chock From(Neme) Name or Permit Holder Vendor Chock number amount Porn*NumWr/Comments RecWPt or RNund/Roalbut 4 •
Calomel Columns Column] Co/umM _ CoWmn6 Cohxnoa Cokunn7 Coumnd Coumn9
4r29f1021 _ F 8 S Marne Contractors Inc --- Franz Nue5er First kre Tn rr 1014 2 200.00 OP 4/9955D KE rat 13433
4292021 _ Clements Marine Construction Cnns Bunalmo Font Cltaens Benk 1 5685�$ 400.00 GP*80181D Kg rs.13428
4292021 Rhonda McCall Marina Litaker Bank of Amenea _ _ 1089'S 200.00 GP#79901 D B$nst 13108
4292021 Jerry Mks Construction Timothy&Katnv Roudaoush Fist Bank 3072.$ 400 00 GP e801990 p9�13109
4292021 _ Timothy POxell same Fist Bank 9249 S 400.00 GP#802750 BN mt.12880
4292021 Grice Construction Gery McRae BUT 14601 S 200.D0„GP e80198D___ .._ 86 rd.12883 --_
__ 4292021 G'ce Construction - Donald Anderson ABUT 14B02�$ 200.00 GP%80197D BB rd 128g1
1292021 Land to Sea Construction LLC Jimmie Wilder First Citizens Bank 458 $ 200.00 GP 879912D JO rot.13412
4292021 LgMhouse Marine Construction Inc Douolas Kelly Coastal Bank and Trust 3735 $ 200.00 GP n80166D J0 rcL 12398
_ 4292021 •,Derav Rascource Groua Michael Enael United Bank 2260 S 200.00 GP a758240 Tonic rd.13545
4292021 CLTMC.Inc William and Jov Wn0ht First Clt¢em Bark 1183 $ 400.00 GP4802600 PA rot 12755 --
_ 4292021 South Cape Maritime LLC Edear Cram Flollinosrvonn 'Wells Fargo 1004 $ __400.00 GP a802340 BM rct
�LH 12725
/29/2021 SouthCaoe Maritime.LLC eath Wells Farpo 1092 $ 400 00 GP s _—
802360 rd.12676 _
4292021 South Ca.Maritime LLC Mam
a Faros 1083 S 400 04 GP R80273Q BH rat 12724