80295D - Oak

_ CAMA / DREDGE & FILL 1�1� 80295 A B C
___GENERAL PERMIT Previous permit#
CO
New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality L/
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 67 �ji !.200 .
` ❑Rules attached.
Applicant Name -t of CQ L Is/ d Project Location: County grl f')s t-G, ( f
Address '16u1 C_ ( I( I51ait ci .4' Street Address/State Road/Lot#(s)
City (,l 1c /5/I1341 State 'VC ZIP 46-S eqd et SLR) rJ ' S+ +
Phone # (q/0) ;U) &651 E-mail _ Subdivision .-•
Authorized Agent {,Ae E4i.. -l.;r rt'/S City Oa iC 1 5 lC411 ZIP 2Stf.6
�,�
Affected ❑CW ,61EW ijPTA ❑ES ❑PTS Phone # ( ) River Basin LtWJ1 `
❑OEA ❑HHF ❑IH ❑UBA ❑N/A b (.(5 (t r4 )
AEC(s): Adj. Wtr. Body f / (nat /man /unkn)
Closest Maj.Wtr. Body A ( WL'lI
ORW: yes / no PNA ye' / no
/F / /
Type of Project/Activity /L, i X y CI 7; v l
v i L. L ti
, L l It k 42 1 (Scale: M5 )
Pier(dock)length 4 k 2 L'
i
Fixed Platform(s) l'
! !
Floating Platform(s) .2.f; 12 1 I i
Finger pier(s) 1 i j
Groin length
I
number �.-
Bulkhead/Riprap length
avg distance offshore I
max distance offshore --
Basin,channel
t I
�r 1 I 1 t 41 - 1
- ((J
cubic yards ----
I
G
Boat ramp _,,r-- ` ,
Boathouse/Boatlift 2045
I
j
Beach Bulldozing i ,, i 1 L (�I t' j I
Other Vik g ? \ /r �+ t • , a NII ;
1 .
Shoreline Length O I i `0 1 '-
I I
SAV: not sure yes i i.. �
i
t--._�.._.- r---..._ - �..
Moratorium: n/a yes (o)
Photos: yes i #4
� i
Waiver Attached:• i A�] no
CJ l /-
A building permit may be required by: i1,ll�ty, /`!( t�+/a), n See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) r -
Notes/Special Conditions /,i Jc ea4d./Ali/frfei6 4a/e a7f/, / ('0'
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.c4, u., L dtt,„,.„,b- A,,,,,,, a 4 v,,., .77$?%.,(/ 13-'7, 1-- Ai I(6
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Agent or Ap7in,
t Printed Name Permit Officer's Printed Name
•- :r--t-e.1A-it-,,/
Signature"-e"-"Please read compliance statement on back of permit*" Signature
G °,= �� 3 EG / /2 g/„q Q I
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 (252-946-648 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 252-946-648 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 910-796-72I 5
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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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1
I hereby certify that I own property adjacent to we1 o f O .t - .�s L.bq cl 's
(Name of Property Owner)
property located at 6.U1' G Sfid A b r ci.
(Address, Lot, Block, Road, etc.)
on t& ti y 5 Ect_vt6. f , in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
<-kNk cod' 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)
Renuve Pci s-i/15 pier f b, own agrees to move floating
Cl -C lace ih I 14—�
�,,, � ���, � I 1�, �� ,dock 1'east to minimize the
5 I '-` 'encroachment to 1'. 4-22-21 SE
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
e `tom" I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(PropertyiOwner Information) (Adjacent P operty Owner Information)
— TT ��
Signature�7 Sign
.Sfe,;.ev)GCiK)4615b-avai t' aka-) S—. cis
Prjiritt o/r/Typ�Le Name // / J y Print
[�or Type yuName t f�►�\
ika Lr Oa to I5 ft,,e Of . D0ei 50u, �4,tv Lr•
Mailing A.Address 1 Ma ling Addire(ss
9e -.�5 441l !!1 //C. z."i 4 5 C��V y I V C- � s,�7
7/State/Zip City/Stal'e/Zip
D.. 'o r- g0Sz 915-522-oil f S1Qvc�.n, F1'u4tl56)S�In . core-�
Tele one Number/email address Telephone Num er/email address
ofA1tiz. r "1 fzzr20z.\
Date Date* I
(Revised Aug. 2014)
*Valid for one calendar year after signature*

Chalk
Data Received Date Delp.ltod Cheek From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Rafund/Reaktcated e
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Column/ Column]. Coumn3 Column/ faolumnd CONaM Cclumn7 Columns Cohimne
5/4/2021 G.E.Vonatzski same First Citizens Bank 1021 $ 250.00 m,or fee,940 Copas Rd SW,Shallotte BrCo NO Split IBB act.13110
5/5/2021 _ Sea Dog Marine ConsWction,LLC Adam and Leigh Greene(Sea Dog) First Bank 1300 $ 250.00 major fee,107/109 SW 9th St.Oak Island BrCo NO Split PA rct.12773 _
5/4/20211. Mantech,LLC Winding River Plantation Bank of America 2446 $ 400.00 GP#80291 D PA rat 12765
5/4/2021' Town of Oak Island same BB&T 83803 S 200.00 GP#80295D _ _ PA rot.12763
5/4/2021 _ CLTMC,Inc. Lussier and Farmer First Citizens Bank 1182 $ 200.00 GP#80258D _ PA act12756
5/4/2021 JR Huntley Homes same BB&T 4593 S 400.00 GP#76500D PA mt.12772 _
5/4/2021 Docks and Deck Dudes LLC Heather Bass Fay PNC Bank 1056 $ 200.00 GP#80285D KE mt.13434
5/4/2021 Docks and Deck Dudes LLC Scott Pollock PNC Bank 1053 $ 200.00 GP#80203D KE rot.12747
5/4/2021 John H Cooling same BB&T 6793 $ 200.00 GP#80235D BR rct.12877
5l4/2021 Allied Marine Contractors LLC AJ Bums First Citizens Bank 10026. 200.00 GP#80252D JD act.13407
514l2021 Timothy Powell James Jackson First Bank f 9185 200.00 GP#80277D BR act.12881
5/4/2021 James Miller John Pearce Wells Fargo __ 1002 $ 200.00 GP#79950D BB rct.13112
5/4/2021 Davey Resource Group Dustin and Susan Gross United Bank I 2242 $ 400.00 GP#79956D KE rct.13435 _
5/4/2021 Lanier Family.LLC same South State Bank _ _ 1250 $ 200.00 GP#80251 D JD rct.13406 _
5/4)2021. _AMW Docks and Marine John and Krista Cuder BB&T l 6201 $ 200.00 GP#79903D BB rct.13113 _
5/4/2021 Grace Construction Nancy Murdock BB&T I 14598 $ 400.00 GP#80209D(check 1 of 2) BB rot.13114
5/4/2021. ,Grk;e Construction Nancy Murdock BB&T14529 $ 200.00 GP#802090(check 2 of 2) .BB rot.13114 _
5/4/2021 Lorene H Allen same First Citizens Bank _ 16257 $ 200.00 GP#802760 8H rot.12886
-
5/4/2021 Marsh Creek Manna B&M Holdings LLC Southern Bank 8095 $ 400.00 GP#802990 JD rct.13401
5/4/2021 Holden Docks and Bulkheads Town of Holden Beach CresCom Bank 3624 $ 400.00 OP#79932D .PA rct.12768
514R021 Once Construction Koultonmk BB&T 14605 $ 400.00 GP#799050 BB rd.13116
514/2021 _ Once Construction Garneav BB&T 14604,$ 200.00 GP#79908D 88 rd.13117
5/4/2021 H5 Construction,LLC Highest Point Holdings,LLC BB&T 2579'$ 200.00 GP#80194D(1 of 2) 88 act 13105
5/4/2021 H5 Construction.LLC Highest Point Holdings.LLC BB&T 2606 $ 400.00 GP#80194D(2 of 2) BB act 13105 _
5/4/2021 Lighthouse Marine Construction Bob Mott Coastal Bank and Trust 3739,$ 600.00 GP#80167D JD rot.12399
__.
5/4/2021 Delta Dock and Boatlift Judy Brock First Citizens Bank _ 9089 $ 400.00 GP#80168D 'JD act.12400
5/42021 Katrina Turner Hiram Williams Co Ttwtesa PNC Bank I 253 $ 200.00 GP#80249D JD rct.13403
5/4/2021 Jason Queen same Wells Fargo 186 $ 200.00;GP#80280D BH rot.12887
5/4/2021 Backwater Marine Terry Williams BEAT 1293 $ 200.00 GP#79949D BB rct.13111
5/4/2021 Gnce Construction Canco&Bedwell BBBT� 14599 $ 400 00 GP#79907D BB rct.13115