80236D - Heath

CAMA/ DREDGE & FILL0
N� 80236 A B C D
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 y 1
and the Coastal Resources Commission in an area of.environmental concern pursuant to 15A NCAC � c ( (CC'�p ❑Rules attached.
Applicant Name 1A Y`� - f 1�} 'i`t 1�O k Project Location: County ),e r\e--ec
Address Z.I e}1t\r\..5v\ck 1)( Street Address/State Road/Lot#(s)
r
City ' _Oro ihA �OIG State fL l'1 ZIP Z 'Li Z�? c �P ),1.;-
Phone#WO ) Z-n-GQ(!o E-Mail Subdivision �1Sc45L:-e C �y
Authorized Agent (rrt( 1^� J �c� City �.i.OtM 1. c .L ZIP (ei 7>
Affected CCW ❑EW I�PTA DES $PTS Phone# ( ) River Basin C-FIc—
C OEA 0 HHF 0 IH 0 UBA ❑N/A
AEC(s): Adj.Wtr. Body hcTprx4 (nat(t�iat unkn)
_ PWS: /
o', Closest Maj.Wtr. Body 111711114.1 f'-1(trve
ORW: yes / no PNA yes / n
Type of Project/Activity ito") tou i dlilac -1-tk etudi 1/4. Lft.„1\44 C Ujs TC
Glli P34.--3Aln biMtis (Scale: 1 2' 0 )
Pier(dock)length
i l j
Fixed Platform(s) I ' j ,
Floating Platform
Finger pier(s) 44
Groin length v —J
number 1 ( 1
LBfilkhead/Riprap lengthU
avg distance offshore I / I [ l
I I
max distance offshore Z l I
Basin,channel t ,
4,-,,(1/4-k {
cu yards i
Boat ramp { i , I I
Boathouse/Boatlivcs7i i
___.._ _.—.__,_�_.L.-1..._ __..._..._ �..------ - .-
W�
Beach Bulldozing --I ' 1
�1 ++ _ `` ` {,
Other rl( CCJI ��2C' +f•-• ' ' t
��,.I��
1...Shoreline Length -4l/—� S�(� / , ,�; . (, i
$AV: not sure yesElP fA
Moratorium: n/a yes 5) i /,(1‘,:-o Photos: yes - J_ -1_ _Waiver Attached: yes 1 ! I� St.►"� >C-
A building permit may be required by: I4;.&_) oi (ArUi WA_ C f\,.. I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)f y _ c es,Notes/Special Conditions rvd �`F BSI \ av 1 i� . J C (,e 0-1 "-66 <a, ilik . "1
Cam- k(I W to S4a 1-1 Ake+ re i reS4d i).. 5/41/tAk 1 TyCk .
gent or Applicant Printed Name Permit Officer's Pnn Name
Signature **Please read compliance statement on back of permit* Signature
'$4411-) i'4..g1 W L,1-2
k Si((eIL\
Application Fee(s) Check# Issuinge 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 0-796-7215)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 252-946-6481
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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s
, GAMMA I•` .DRED_ GE itc FILL `.36 A B ..G
GENERAL 'PERMIT - Prevlouspermic r °'
New ` Modification +Complete Reissue Parna▪l Reissuo: Date previous permit issued
xAs authorized bythe State of NorthCarol{na,_Depactmcht of Emrironmeni.I Qualityi. `
.: mdthe Coastal Resources:Comm{ssion in•an:area of en4ironmenta(COncerri`pursuant to I SA NCAC C)' - r :---
Applicant Name ` i t•1' ` C Project Location County
Address^ C `' ,, St"r• `eet Address/State RoadI//Lot#(s) _ „ ^,.___:_..`. _
City C Q� �'l. State IP _ R_._
Phone:# ) <(��(rt lE Mail n ` Subdivision U" �J•C s_ _ • =— •.mf`-
Authorized Agent a - m• it t/*' CttY_L__`�r,¢� `�`Z ZIP „x.. .-" "-
Affected• f3C4V` SEW• ` PTA s PTS • Phone# ▪ ) �/`� River Basin_• �. s_..:.
AEC(s), _OEA j HHF CfIH {=tUBA t NVA Adj Wr- Body + • r . kXr�
3•PW :: Close▪st Mat:Wtr Body_ �. •?1;-:•. Q4''-
• ORW' yes F PNA yes ;
Type:of Project/Activity i Hl;l t •A t.¢C iri ..LA c `
a ) f,
ilft (5tafe3r 4.}
{dock).„_...t ,_ . - k•.... -.
t • ,r r ,a - a 1• f s e ,.. .- • r b
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SAY„ Fwtsure yes r i t -�t �l $ Y =1 •r .I 1
Mnratonum• '?, yes ' A t k.., r ,rRR € 1i ' t r > 3
Photos • y F4. { , -, s } -1 ¢ t
YVarver Attached yes — • • }' i `i� k[+1 t r�._
A buiidin rm{t mai be re uire l b �ti �-ice _ L See note on back re in• River Basm rules
Note Local Planning funsdidiont. • Y.
Notes/S eciaf Conditions 'fe o / 6 - C ^L 11 i • 5'l/w
a.
it or Applic.*trr(ntefl Plam-r,' ' P• ,. -._icei s tad Name
Signaoire "Pleasereadcompliancestatementonbac' Signature
Appii tionFeeFc)
ffe c Exp{raonpae. Chk#, issuingae _

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Office' [phone] .....----, 4,l'iNir foga',
[e-mail] ''''-..r.iiii Address: .
6222 Greenville Sounct lid I Wilmington N.C. MARINE P.O. #:
• .
BOAT LIFTS.DOCKS,SERVICE AND REPAIRS
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c.;-,..,!•_,:...:',:ii 1-...,.:....tc,4:,,,-l,:-.,:.---.,;:::-.::::.:,,,-...';:!...:::::-,..:.i-,,,,-,c:::.i.,:,:.'-::::''.',.::.:-:,..."-.:',::::::.:,,,;.:::'-..1::;i:..;.:-.,,,:„.-jr,..:1.;::..-.i.:-:::,1 i--,:.,,....:.,.... ,-,.";.:",,,,, -.±..i.:!--i,-.... ;.,'.,: .,.-::-,;.,,:::AGENT.AUTi ORIZATION FOR A.PERMIT..APALICATION
Name of`ProperEy Owner Requesting Permrc ,r= A� _z . c .' gec
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.Mailing Address : :1. /'ern, Sc (4. `{ tt o e _ _ E
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Phone lilumber: ?:_/� r v'2 t 0 1. -,
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Email Address £[ie1k 11 a o2 @ r�► r v.-
i certify that I have authorized •5 0 Cp e tr l'r. :f.-,- , s:;. ' ,
•Agent l Contiracfor
to act on my behalf, for therpurpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: +::i' Cc,,.
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at my property.located at I�en r 1 S°i&f�i ,�2r v e , Crgfc, c Be e
:lei:,PUaw `l7+4nau.e,!`. County - ,
I further ore certify that l am authonzed to grant, and do in fact grant:permission to
Division of Coastal Management staff, the Local Permit Officer and.their agents to•enter g
on the aforementioned lands rn connection` with.evaluating information related to this
permit application . .
Property Owner Infor manor -
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el
. ``,/Signature
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Title
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Date =
This certification rs valid.through • S}S}S[
-

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ADJACENT`RIR �►N OP;EeTf r. OWNER STATEMENT 4,
i hereby certify that I own property adjacentto ,-Ar-,T,T We.jo _ 's;Y
/� e of Property Owner)
a proopertyrlocated at , l, Pe ii•//1`5'a l`,. .,.
• :(Address,Lot,-�Block,Road, Tr.,..,;.::',:,:. i
in G'Arolr g -,9eA.h , _ ,•� a$ •r C.
rbod
own nd/or�Coun#y}
'fhe applicant has described to me, as shown below,:th%e development proposed at the'above' ,
'ioca h citothiproposal 1aveno obeon s
I-have okile+ci�aris to this proposat
drrrii Ag` r ptnan n SED DEV' ELOPMENT AND/ORDRAWit+1GOFPROPO 4, tte asrteraingDESCRIPTION e dti #ranbelolroraoid lotrest..fh:i ecp {
FIdrtdvIa pp
WAIVER SECTION
1 understand that a pier, dock;.mooring pi ings,•boat ramp, breakwater, boathouse, lrft, of groin
must be set back a minimum,distance of 15'front•my area o€riparian access unless waived l•ey,
- - me :(lf yo sh to waive the setback,you'must i ni al the appropriate:blank'.belo - -
_ - i do wish o waive the '15'setback regwrement - ;
t doot,wish to waive the,4•5'setback4--equirement.
roe Owner Information !
P �Y.. } ._ {Adecet�t Prope Owner irrfortnaton�
Signature � JSignaft1104'. ,'::-..--LI- - - -- .-- 4- 4 - .- . - - - . :
PrintorT N rite yy
Y!? a Ptirai or Typ `IV� e;.
l aliingAddress • - tinging Andress
Ctfy/Sfat&Zip Crty/State lip • �,, y
q1D . Si? , V 53� !a •az� 6 e 4ie ��E <j•c t
Telephone/Number/email address Telephone Number/email address i
Date
F
_ Datex - - �
(Revised Aug:20T4�':
"Ua(id for one calendar year after signature'

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Date ReepAwd Date Deposited Check From(Name) Name of Permit Molder V.ndor Chock number amount Permit Number/Comments Receipt or MpnMleli/oeNad 11
Column) Colrunn2 Column3 Cokrmn4 j Co unn6 Column6 Column? Column), Column,
4292523 F&S Marine Contractors Inc Franz Hueber rirT6ank 1014 $ 206 00 GF'079955D KE rot.1843A _
429f2021 Clements Manne Construction Chris Bufalrno First Citizens Bank 5665 $ 400 00 GP e801B10 KS rd.13428 _
4292021 _... _ Rhonda McCall Marina lrlaker Bank of Amend _ 1088 $ 200 00 GP e79901D _ ,BBB rot.13108_ _
4292021 Jerry Mills Construction Timothy 6 Kathy Roudabush F rst Bank __ 3072,,$ 400 00 GP e80199D BB M 13109
4292021 Timothy Powell 58me First Bank _ _ 9249 $ 400 00 GP 080275D BH not 12880
4292021 i _ Gnce Construction Gary McRae BOOT _ 14801 $ 200 00 GP c80198D 8B rct.12883
_—_ _
_ 4292021' _ Grice Construction Donald Anderson 8887 _. 14802�$ 200 00 GP ae01970 88 rot 12882 _
__42429202192021 Land to Sea Construdwn.LLC Jimmie Wilder First Cm¢ens Bank 458 $ 200.00 GP 079912D _ JD rtrct 123.13412
_7Lrokthouse Manne Construction Inc Dou8la5 Kelly Coastal Bank and Trast _ _ 3735 9 200.00 GP e80106D 98
4292021 Davey Rescource Group Mchael Enoel United Bank 2250 $ 200.00 GP 0758240
JD Tmac rct 13545 __
47292021 CLTMC Inc Wllllem and Jov Wnohl Past Cr¢ens Bank _ 1183 $ 400.00 GP a80260D PA rct 12755 _
4292021 South Cape Manhme LLC Edgar Crel9 Hollln9eworth Wells Faro° 1094;$ 400.00,GP#802340 13H rot 12725 _
_ 4/292021 SouthCape Maritime.LLC Heath Wells Fargo 1092 $ 400.00 GP#80236D ,Bit rcl.12876
4/292021 South Caoe Manhmo LLC Dixon Wells Ferco 1093 $ 40009 GP 4802330 BM rct 12724