80234D - Hollingsworth

41, CAMA/ fJ DREDGE & FILL N9 80234 A B C C)
GENERAL PERMIT Previous permit#
>C _.New Modification ❑Complete Reissue Partial Reissue Date previous permit issued 37-(A
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 I5A NCAC .3-t-{ . I ICC
D Rules attached.
1
Applicant Name ;�o)}p,( 6vr,,:c-) `�a t\kc)S s..:0(1 Project Location: County �: . .. .J�C .(-
Address jL{(,• t �c c -Cttwc 1� Street Address/State Road/Lot#(s) ,2(3 Po."01S1/4.)te, 1)
City trIgc lcr State'_. ZIP 7 RZ(C
Phone # (-(LO 7L(- /51C E-Mail Subdivision VleCcSU-cr_ ,A-'
Authorized Agent 5L,AL uce.e ) ACV t4 City ( a c \Act CkG\ ZIP Gr`4 26
Affected ❑CW DEW Is PTA ,ES PTS Phone # ( ) River Basin GEC
❑OEA ❑HHF ❑IH ❑UBA ❑WA
AEC s : Adj.Wtr. Body � $4JCJ (nat /aA /unkn)
❑ Pws:
Closest Maj.Wtr. Body __ �i`{t"t`ti &ram �`
ORW: yes / no PNA yes no/,
Type of Project/Activity T I v ' iY� YI0(-4. 1, : 4 • -
5,(:\ {'?c i4,4 o-k 1 L c (? ylc A (Scale: ( = Zc )
Pier(dock)length
Fixed P i j j
Floating Platform(s)
for r (s) j I
Finger pier(s) I i +
Groin length _
-- I I I �.
number
___ _ _
Bulkhead/Riprap length 76:)i 1 ..� —r 1 f �_
avg distance offshore I
max distance offshore 2 '
(�j(� i
Basin,channel } t i
1
cubic yards 1
! 4. <h'
l _
Boat ramp ' . . . . I 1 L
I
Boathouse/Boatli —i —._..._.__ - -- 1 _- —
i + i .
Beach Bulldozing ' /} 4r.q 0`till'
Other 7cj h Zc e110,4� ���lll i 1 Ie(l'ry "t
it
Shoreline Length i I j
SAV: not sure yes no '` +�r�� ./- ��
Moratorium: n/a yes no
Photos: yes no _i _..
Waiver Attached: yes no -- (� e1�5 1 c'
r-- tt
A building permit may be required by: CArcvl0 v c ACL . L— See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) -- (� tt 1
Notes/Special Conditions "•�'` e CV f e_7" a_6 1(JC I2 • I1&4\ - --c t 01 ( AC\tc
(-, ,-;--( ,1 , 7+ htQ5-- i . re i"a5-6.02(2 i ' f'ke l-,'
ap, c2e.._ A--(4-etcittcf - +S-)V-Ilatv\_ ‘-4^-t c-
Agent or Applicant Printed Name Permit Officer's Printed Name
.‘ <-60
Signature **Please read compliance statement on back of permit* Signatures' J
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 0-796-72 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

•
f AMA 1DREDGE Si FILL
GENERAL. 'PERMIT_ Previou§:perm. #_.
-•
FNevir:.- Ct1 dification- -0Complete Reissue E partial Reissue Date'previous permit issued - i
•.As authorized by the State'of North Carolina,Department of Environmental Quality: . ,, } ` t
•.and the Coastal`R(esources Commission in.an area of environmental concern pursuant.to ISANCAC t�3 't4 ._t 1 d •-
•
Rotes attached
Applicant Name t _.. _-
�i'sd Project l oration County- f _.
Address: ,f ` rod; t. C Street Address/State RoLotad/ #(s) Zc '"•`
City t ,s' y - State ; ZIP 7.f32(O ... - - • _...-
`
Phone#•3 )20t 6« E-Maif: Subdivision',.,.• C� C_x�.{ = .
Authorized Agent -t ti• t•( c t41I'�-£ - City et, 'k'"'l=1'-4 ._:_ ' = --
Affected 0 ON* JEW .PTA (,.- --)_ __ River Basin;_s Phone#
ttOEA O HHF ' J IH • ^UBA ON/A Ad):,Wtr Body - Koirr�rt Q inat /f ;lg&i')',
ClosestMal` tr BodY � t
- -- •ORW. As I . - PNA yes no
Type of Projectl Activity 'c fil a•vk. t_jA,,. :±`tilt ` a` u — r t
• _ -. e-)c t� _ 14t,I l�tL - (Scale i `' 0' '' ,
der(dock),length
•
orm(s). i t r t t f .
Flaathrg Pia s} ♦.m 4 " { f. 71.
' . ,
r r t j-
Finger prey' ._.} - - f .
Groin length ` � 1t ��-t _ 1 N . r � r ��:
number 3 s e t 4 3r
Lil, L•3 ;41.3..ICItthr4or µ ,t} } , , ;t p ti L i x ,. •i .
avg c atance offshore f , xi t max�5[3FlC9 orfshe 2 f i t :
in.channel. - 3 ~ '' - --- ' - T.. } AN' { ,. t. .
t _ f ` 1
Boaz rimP -- '~ t Q -:+ F
8oaiiousel Rn�� � r r 1 s - i -( t - ^
} -
Beach 8ulidozirfg. M1} , + f I x ..a i f
,f)
► J l t �rQtj
t}ier � � i � •
, -
5✓ *-u
ShoreGire Length. t i 1 . 7 i s . t t ` r- F _. F
rxatsu2 'yes � tttt�` �` t,l°"� '' � ', a 1
Mortorfum nJa yes i ( z
1
Plrotor : es f, t f_ i r ' r .. "t". s. , —,
y 4 (: r
WziverAtrached: -E no-.f , 1 <<' /oat. }5t t V 1 1- ., . ' } r i
A building permit may be required by: Jam,-, c Eat4r ate - ..- i See note on back regarding RiverBasin..rules
(Note Local Planning Jurisdiction - • '�` c r 5
Notes/Speciai:Conditions J'. er``�G.f� lrvjY� CWt3 1 C"► -S":v G� ,: - i cyy- t •
't+(
. . ,_,,g' •
A� . _ .., ...., _.
.. . .
gern d zintPrinteti Nan-re _, . .....
PermitOffkels Pclnt:•Name,,
' _ -- ,",,
i ��
mature " Pleasereadcompliance statemenionbackofpermrt Signatur .
_ __
- A 06rionFee[s) Check# Issuing Date , iratran Date

•
14
`
¢ �g&' �'y'' Client:
4:te:�i",91 Date:
Office I (91:0)284-7647 ,�`1 .. S
�'ON• ,,.` f Address: •
$outhCapeMarine@Gmail:com +..j`il,-
6222 Greenville,Sound Rd'I Wilmington N.C. MARINE P.O. #: '
&aTL1PTS,DOCKS,sERVICEAND REPAIRS
• r-A :_ .f, . ! I I. I— i :-': - 1 i ',. f T- f i -76-777-r---; -1: --1;:27177„,1.- 1 1—..: T---1- ---Er-cor),II,i—
tk.
1 '�': I � ` ' I. --1.
£ f t F F ��i r F
-- Y i- F- .,--..... 1-tt t x 7 ,i' ;S `..- --I
"..,r , , , -,,- „ I-- - 7 ' : ,---- . r-----7 —7--- ,--- ..-1—' ' • ,----1— i ' —7 ---1—— i'--- ' i 74,.-' i—i-----1,= -
' ; — - __ _.-L
_I —ri I { � I $ f £ a t __ - - J !±t- Hrs 7S i
— $ — —� ( �., i a �, 4 _ E
�- 4__ ..:; .. � - - _ - .- + _f a - _.— .-- _f _ -£_, ; 1
j
;--- __ _ i__ ...- _ t _H± fH
• I ` i f. 3 HH±tHH ±
� _ i �—e—+-i� ." Y:.t
•
. i ; 4-:: .,4. II ..,,: lietil. . - --,- :
..--- 1 i. i .! 1 ._:1 , ,,,, .
TTt
.. ,,, , .. .. .:4,.....1_ 7.t____ t____,_____,_____.±.„._,, ; . • :. _,.... .„____ ____„. ..•1_ . , _ ; , ---------r-----: --,-- --:---,-. ,--!----i-- --- • --, •
i' \
t L.
G
ill b �,- t .}_ F_ T -.k. _{ 7 I \ ' r. __ -
Wit,/ }j` £ t (' f ,i
•
i f , t ? i 1 '• �,}' t £ •
,. : ......:L. '', 7 ,
' -1----f, -
1 1 ! 1 1 1 i , , i i ;, i i , I . i : , ,
,,
, . ,
, , { I f
..:. � _T,.-.1 .�_._ y `.--- ^--� _, --f :_�;_•4
._._.
1IiL1 : 1
i 1 , __.1 _.__ .....�_;,.. i '
I t
E i,
X
I t , _ I � . ;� E f t E
t t
F Ht _1 . i1L s.�%[``_-L--_±L:t_.

AGENT AUTHORTZATION.FOR CAMA PERMIT APPLICATION
Name of property owner Requesting Permit ra tft.oits. s
-5-
Mailing Address:
SI:PI 4,- m.0:4k,Jctv
e-t:O
Phone Number; ap. IF., b
Erna Address:: , h.6 1Jii5 .
I certify that I have authorized Se,04-tnr Am- : -
Agent Con r
to act on my behalf,for the purpose of applying for and obtaining-all.LAMA permits
necessary for the following proposed development:
at my property located at 2:1.1, Pcss D ic
in 44.- s...,e,"' County.
I furthermore certify that 1 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,
permitappfication.
Property Owner Infonriation:
Signature
Printor Type Name
Title
I C
Date
•
This certification:is valid through /

I hereby cerbfy that adjaceatto£rc 0 t ,I l''c S csl`T �S
ErlNrl IrrCpettS/ Ls •
. ;3 ;.eN n ,�.{e� bf
r $Ibcl Ratc.
(illlbocy►) andlor Co
(C�II11'�� ungr)
Te applicant has d to me..as shown•below,the de`elopment proposded atsthe above
1 have no abj ►to';t is proposal
I have objectionsto this proposel
`DES a o N_ANDIOl DRAWING OF PROPOSED D MENT
tl prop +9 must fillIn dlt sc tlon blowOrattach a site;drawing)
WAIVER SEC ION
I understand that a f:.dock,moorin gs,boat ramp,breakwater,boatfiouse,lift,or n
must be setback a•mmlrr�um dista►tce ofi1&from my,„area.of riparian access unless waived by
me-(Ifyou,uwislt to waive the setback,yocr must init l the appropriate blank below)
•' L%� w�stt to waive tfie.15'setback requuement. .
1 do notwish to waive fife l5'setback requirement.
(Property Owner Jnfonnatlon) (Adjace it PropertyrOwner Infor ration);
PrbtorJ .Name •. '� vr►
Mapbigfiddress #4A n? �Fisre.
TelephoneNrnr rleinailadd Telephone.Numberlemafladfdmss
,f�Z�zo zl ���
(Re»sedAug 2014j _
Valid t one calendar:year afEersignaturs'

ADJACENT RIPARIAN PROPERTY OWNS STATEMENT
lthei bby certifyYthat'i own Property a liaoentto _ Cr c z f{t t ! n- wog , s
(t e ofProptty•O*ner}
property tocated at a 1 �en i c t�A 1/r
(Adair+ ss.t; tock,Road,-etc. . s
�$rf 8 G
,(Waberbody)_. ` (C j,/ m andlot Cout>ty) _
Te appiicarnt::i�as described fame;as st owrl below,fhe development proposed at'the above
,_�¢, I have n o obiectiont#q;this proposal:
1 have objections to this proposal
OPOSED-)EVELOP.lMEIdT
erang'AN )1ORD A�li(NitFPRnetewgr �c�sw©ESCF ?d neistreipor ev rixtlhi id
•
•
•
WAIVER SECTION
I tmderstand that a2pier,dock,mooring pilings,boat ramp, breakwater, boatkiouse! lift,or groat.;
mast be_setbback a minimum distance of�15'from my area of riparian access unless waived by -:
T.
me (f you wish to waive fhh6 setback,You'M .---•inifal the appropriate blank below -
R,i I do wish to waive the,1 `setback requiremen(.
Edo not wish.to waive the 15 setback requirement.
(Prop r y,Ownerirtforxiiiation} (Adja Prope ce Qw ;• lrtfo�rnatiort}
. .,. Si
Sipe T e /f 1/
i. i►: Ssw!r- ` e 7`�1
Panto, Name a- Pant'if T .;"-Name
lac= rsci;i2 �.c1 . . � 'all , en aSa.la. . �''
Malffng-Address �9
r a
.I:: '' ' '-
}i} C
Citysfa R e�r�stater pa 601d
70. �, a. iq/Q i.Telephone Number/einaraddre _- Telephone Nu17:61;
/emarl adc7rass-'.:-;- `31z, a , f3oa
Date I)aies
(Revised Aug 2Q:.:14)
*Valid:for one calendar yea:.. -r signature',

•
' Chock
Dad RacWvad Dab Deposited ' Cheek From(Nam.) Name of Permit Ho/der Vendor Chock number amount Permit Number/Comments Ractbt or RNuncVReslklceted
Cotumnl Column2 Co/umn3 CakmwN Cdunm5 Column!) WNW Column8 Cotumn9
4292021 F 8 S Marine Contractors Inc Franz Hoeber First Ben) _ 1014 $ 200_00 UP s/9955U KE rat 13433 __ __
_
429/2021 Clements Marine Construction Chris Bufalino First Citizens Bank 5685 $ 400.00 GP 480181D EKE rat 13428 __. _
4292021 Rhonda McCall Manna Lrtaker Bank of America 1089 3 200.00 GP 479901D 1,811 rat 13106
4292021 Jerry Mills Construction Timothy 8 Kathy Roudabush First Bank 3072 $ _400.00 GP a80199D ,BB fat 13100 __
4292021 .Tirnothy Powell _ _ same First Bank 9249 $ _400.00 GP 480275D i8H rd.12680 _ ,._
429/2021 .Grice Construction Gary McRae BB87 14601 $ _200 00 GP;801980 BB,ot.12883
4292021 G on Const t n _ Donald Anderson BEST 14602 E 200 00 GP 480197D 8 Rt 12882
4292021 .Land to Sea C.onstruction LLC Jimmie Wilder F rat Citizens Bank 458 $ 200 00 GP 479912D JD rd.13412
_ 429/2021 Lighthouse Marne Construction Ine_.__ Douoles Kelly Coastal Bank and Trust 3735 $ 200 00 GP s80166D _ .JD rd 12398
__4292021 Davey Rescource Group Michael Enoel United Bank 2250 5 200 00 GP 075824D _ Tin.0 rt_73545
4/292021 CLTMC.Inc Willem and Jon Wright .First Citizens Bank 1183 $ 400 00 GP 080280D PA rot.12755
_ 429202t ,South Caoe Manhme.LLC Ed./Craa Hollingsworth Wells FergO t094 E 400 00 GP s80234D _ _BH rot 12725 _
4292021 SouthCaoe Marrome LLC Heath Wens Feroo 1092 $ 400 00 GP 480236D BH rot 12670
429/2021 South Cage Maritime LLC Ho
Wells Feroo 1493 $ 400 00 GP 0/807.3D BH rd.12724