80199D - Roudabush

0 CAMA/ DREDGE & FILL N° 80199 A B C
GENERAL PERMIT Previous permit#
>`% 2.�1New . Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �'�]r( L�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Ur , I 1 .
}1 � t- ❑Rules attac
Applicant Name� n..c, Vct N t`w 7uS14 Project Location: County ( ./....S-...(c L
Address G.LC,� 1 e-S ( Street Address/State Road/Lot#(s) 2
City '12.kd S.1 .k1e_ State A C___ZIP 21320 �t , ..,....z I .
Phone # ('(o)' 'Q 9 : q tQ E-Mail _ Subdivision
Authorized Agent —5-1' IA, �\. S City LJ-c.-, j*}*. le-4, C k ZIP Z L« \
Affected ❑cw ❑EW Ai ,PTA S ❑PTS Phone # ( __)__ _-___ River Basin L, e
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❑OEA ]HHF CIIH ❑UBA ❑N/A
AECs : Wtr.Adj. Body ��
( ) ❑ Pws. I ( (nat man nkn)
ORW: yes / PNA yes / now
Closest Maj.Wtr. Body A ,-) "J
ti v, .v . t
Type of Project/Activity , 1T-�� �__• 4 x-^
e.-,, - 1 R 1(' S'r d (Scale: kJ T S )
Pier(dock)length
1 1 I
Fixed Platform(s)
Floating Platform(s) , fi'-� { _�j.
N
I i a 0 -r-1—, ----
Finger pier(s) i i
Groin length } I '
number
Bulkhead/Riprap length 'U j }r
avg distance offshore 'Yt I
Isi
max distance offshore (.�i` a')T Cam. .`,' I
Basin,channel i �.1 i elg.F
i I I � I j
cubic yards j
Boat ramp 4n �c j t.„,rl+l i
Boathouse/Boatlift / _ I/► C n. , ..
—f � I'
1 Beach Bulldozingt L i , . ,
PL . . ,
k
Other (<r,k%S I
+ S�►f V.4 GA_. '} l
Shoreline Length 405 t.LiCk4/ . ` I ')?J` 1 /e ye."li i[.
SAV: not sure yes 6 Z$. 1- CA,d A.nti.14 q Js,
— } - L. t (o
L
Moratorium: n/a yes , , I i
Age., _._..—..._. �
•
Photos: yes o ��
G (..G,. Ai,„,�/ i i
Waiver Attached: yes } i I 1 1
A building permit may be required by: / '! - 'r Q c.c . L See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction Co,es/Special Conditions ! �( ., 11 _� t C..,•\\ A,`L c) \ SL\ t_ 5�a
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,,._)7_ ( r (-I (AA: 1 1(4) &e_ •, .c-. 1J-o cAge or Applicant Printed Name Permit Officer's Printed ameJc� �,
l
Signathre lease read compliance statement on back of permit** Signature i i
Applicati Fee s) Check# Issuing Date Exp ration 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(910-796-7215)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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1- .
ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature _
• Print your name and address on the reverse
X //' ❑Agent
so that we can return the card to you. ..' ❑Addressee
• Attach this card to the back of the mailpiece, B. Recei. sy(Printed Name) C. Date of Deliver)
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
r0e
() If YES,enter delivery address below: ❑ No
3,3Li 50 t,`1-f I s
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3. Service Type 0 Priority Mail Express®
0 Adult Signature 0 Registered
I I I I I III 1111 III III II11111 0 Ault Signature ertified Mail®Restricted Delivery ❑RegisteredDlivery MailrRestricte
❑C
9590 9402 6450 0346 3341 98 0 Certified Mail Restricted Delivery ❑Signature Confirmation,
❑Collect on Delivery ❑Signature Confirmation
_ �n,;,o lahell 7020 2450 0000 3633 9486 El Collect on Delivery Restricted Delivery Restricted Delivery
ed Mail
---—_ _ ed Mail Restricted Delivery
$500)
pS Form 3811..luly 2020 PSN 7530-09-000-9053 Domestic Return Receipt

USPS TRACKING#
First-Class Mail
1111111111111,1:11,13 c' � Postage&Fees Paid
USPS
Ci Permit No. G-10
9590 9402 6450 0346 3341 98
United States •Sender: Please print your name,address, and ZIP+4'in this box'
Postal Service
-(--,u.I(6 AJ-

ENDER: COMPLETE ThiS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and',$.' A. :i. ature .
INPrint your name and.addre s.on the reverse X :I ID gent
so that we can return.t}i_e card to you. ddresse
• Attach this card to the back of the mailpiece, ceived by(Print Namb) of Deliver
or on the front if space permits. / ;�'• L j % ��'
i
1. Article Addressed to: D. Is delivery addres di erent from item 1? ❑ Yes
If YES,enter delivery address below: ❑ No
0 �c5 4et--2k':
cX) 14 (.\LiCK\ C,Cit)^4
3. Service Type ❑Priority Mail Express®
11111 III II I I 1111111 I I II I I I I C Adult Signature ❑Registered Mail
C Adult Signature Restricted Delivery 0 Registered Mail Restrict
❑Certified Mail® Delivery
9590 9402 6450 0346 3341 81 C Certified Mail Restricted Delivery 0 Signature Confirmation'
C Collect on Delivery 0 Signature Confirmation
— - Ilect on Delivery Restricted Delivery Restricted Delivery
7020 2450 0000 3633 9462 uredMail
ured Mail Restricted Delivery
(over$500)
PC Fnrrn 3R1 1 _I,d,onon ocni 7can_no_nno_oncn f7nmeetin Return Ranein•

USPS TRACKING#
First-Class Mail
II.II.I111.1260 Postage&Fees Paid
INi; I _ ^� i;iL USPS
Permit No.G-10
9590' 9402 6450 0346 3341 81
United States i • Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service
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___
. NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date:
N.ammee of Property Owner Ap•Tying for Permit: Name of Authorized Agent for this project:
—ge7_ .,f‘i ill- -.--X ' 'ArY‘LI VkAt al)
Owner's Mailing Address: Agent's Mailing Address:
e idsvi ll e NC cliaao / (e.. Ai ) /)( '
Phone Number(t3i ) 3`I 1-q9 1-1 to Phone Number(9/0) 4 L43 c '3
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CA A Permits necessary to install or construct the following (activity):
&) t r 1 L Vca'L
li
For my property located at )f!v Atli huts at • Qee I6.k. €e61Ck ,C 2-1'5 O
This certificati n is valid thru (date) . •
Property Owner Signature Date
•
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NorthCarolina
An Equal Opportunity\Affirmative Action Employer Naturally

r US MAIL
CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ! r R6 ujo,LosV 's
,��mer�of Property Owner)
property located at a(Q o RiQ,t v�
ot,Block,Road,etc.
on / LW. AJ1c., q,,� , in (XecA l --�J(t, C)/1. ,N.C.
(Water-body) (Town and/or County) /�
Applicant's phone #: CIO -tIt-(3— j3;� Mailing Addre s: l/ /7 1 P(e (Leo k..
.C!
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
R.Lp‘Ce-4-i to 50 Pjo( k eo K Lu'`t4- v I°``( ( pave/5
•
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
DCM representatives can also be contacted at(910)796-7215,
No response is considered the same as no objection if you have been notified by Certified Mail
roperty O er Information) (Ripari_.. :roperty jAiner Information)
it c, , -
Signature Sign.Jr'
irkiel v A 06 f e -�es
Print or Type' Name Print or Type Name
c2a5 S: 6\5 girA qco k,en (ion 6-1"
Mailing Address Mailing Address
P6tio>r tte AiG. ( 39D dome. JI,C- a2"R a a-1
i /State/Zi Ci /State/
ty P h' Zip - �
Telephone Number , 3 6"63'4_ I I c I Telephone NumberK 1 0 ":i-J r�'Iic'9f
Date q.-d3 -ao a I Date 7f. ct I 3 ' oc l
127 Cardinal Drive Ext.,Wilmington, North Carolina 28405-3845 •
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer-50%Recycled 110%Post Consumer Paper

US MAIL , . •
•
•
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 72,1 g„,j.cf!.5 {;t. ts
(Name of Property Owner)
property located at ate 1 O LQt biA L—(c `t l
I w _ (.,4 Block,Road,etc.),,
on IU-IJp s be- ( a i , in O C€v) Tr6l°�,f6&04-1/\- ,N.C.
(Wate ody) (Town and/or County)
Applicant's phone #: /(b-II h/3- ao3,3 Mailing Addr ss: L,Y2 Orr,eev-N gefe7t lAc�l tow_ �u
He/She has described to me as shown below the development he/she is proposing at that tnation,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
gre,p(f;LLt 1n 501 8 U(k �t LUjI43-t A, v 1l Ct(
•
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
DCM representatives can also be contacted at(910)796-7215,
No response is considered the same as no objection if you have been notified by Certified Mail
(Proper ty ON n r Infor ation) (Riparian Property Owner Infor s'•tion)
btv-
Signature Signature
Petuct-akod54 o ,te e;41
Print or Type Name Print or Type Name
•
9-8j 51 crab Cow 9339 Ste' Lit 6-1 a
Mailing Address Mailing Address
tita3 �t�U� ,mac - a 3 eao � 1 n5 6( jc . 09L03
ity/State/Zip / �s City/State/Zip X
Telephone Number 3,3Gi -(03 li
- '9P Telephone Number Cl//°)C541°"‘f q
Date �-� -a 3 -ava t Date )( V/i y/mil
127 Cardinal Drive Ext.,Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer—50%Recycled 110%Post Consumer Paper

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Check
Date Received Date Deposited Check From(Name) Name of P.4068 Nokia, Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Column2 Column3 Column! Columm6 Column4 Colur11n7 Column8 Colwnn9 •
4292021 F 8 5 Mane Contractors Inc 'Franz Hueber First Bank ___ 1014 $ 200 L. GP 879955U__ KE rd 134.13
4292021 Clements Marine Construction Chns 8uttahno First Cnizens Bank __ 5685 S 400 00 GP 480181D KE rct 13428
4292021 .Rhonda McCall Marina Ldekar Bank al America 1089_8 200 00 GP 8799010 B8 rot 13106
4/292021 Jerry Mills Construction Timothy el Kathy Rouda0usn .First Bank _ 3072 S 400 00 GP M801990 88 rcr 13109
4292021 Timothy Powell some First Bank 9245 b _ 400 00 GP R802750 BH rct 12880 _
4292021 Gnce Construction Gary McRae BB&T 14E01 8 200 00..GP#80198D B8 rot 12883 _
4292021 Gnce Construction Donald Anderson BB&T 14802:S 200.00 GP 080197D 8B rot.12882 _
4292021 Lend to Sea Construction.LLC Jimmie Wilder First Citizens Bank _ 458 S 200.00 GP 879912D JD rot 13412
4292021 Lighthouse Marine Construction inc Doupias Kelly Coaster Bank end Trusl --_ 3735 S 200..00 GP 0801660 JO rot __.12398 _
42 GP 8 92021 ,Davey Rescource Group Michael Engel .United Bank 2250.S 200.00 75824D _ Trnac rot 13545
4292021 ,CLTMC.Inc Wdham and Jon Wright First Citizens Bank 118345 400.00 OP 6802800 PA rot 12755
4292021 south Cooa Maritime LI C t agar craw Hclhnpsworin Wells Fargo 1094 f$ 400.00 GP 9902340 BH rcit t ,___
4/t92021. .Sout5Caoe Maritime.LLC .Hearn .Wens Fargo _ 1092.1 S 400.00 OP0802360 BH rd.12176 _
429/2021 South Cane Maritime LLC Dix0o Wefls Fargo 1093,S 400.00 OP 4802330 BH rot 12724