79908D - Rash

0 CAMA / DREDGE & FILL No 79908 A B C�
GENERAL PERMIT Previous permit# /
'}ANew- Modification Complete Reissue Partial Reissue Date previous permit issued
As autl(orized 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 `di(1 12 G C' •
\ (� ❑Rules attached.
Applicant Name J.S e e i` ? \,^,+c..c c c,„rye e c, ,., Project Location: County bi - S. _ _Le
Address I -CA S . b 4,.-,k S-1 . --4-e_ 11 ( Street Address/State Road/Lot#(s)
` '(City i,'),-,.\c % ck k State \JC ZIP 21 G a( W i I -ti 4 1 ILA-, Sl -
Phone# C'(ict)f -U (r7(.(P E-Mail ,)c)t•"`• e c' SL) ( ^'e', I Subdivision
Authorized Agent Li c,--sCtt- li: Lc_ City ( )(.c (s I-c e)e;. <*.. ZIP 2 6`t L I
Affected ❑CW "SEW ( TA ❑ES ❑PTS Phone # ( ) River Basin t ---(7-•
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body (nat�taaa an�kn)
❑ PWS:
ORW: yeso7 PNA yes / no-i
Closest Maj.Wtr. Body A \W
Type of Project/Activity -....., k..„ . C l . h ., c( < „� 4 ( ' 0 6 -, i
(Scale: iL '• )
Pier(dock)length t
Fixed Platform(s) �� Ca
Floating Platform(s) e x r /� S ii p 1 `
Finger pier(s) { li�-1. `
Groin length L � i :
number �_. -- —,�..._
Bulkhead/Riprap length , i- ��
i
avg distance offshore i D • +Q '
max distance offshore
i 1 f
Basin,channel `.^{ I
f i{
C_
Icubic yards �
Boat ramp .•-, s _ i
q '
Boathouse/Boatlift i X 1 7 ",. — —j- I
Beach Bulldozing I - 1 ~ —_-- '__I
i
Other
I I ff
I
`
Shoreline Length 5
/\' *%.. ; i I
I MI V - ) I
I I Cv c S
SAV: not sure yes /noJ ;` `�"`�" `-.
1133 � ,
Moratorium: n/a yes ' . _ ; -
� 1
Photos: y no I j - _._.
Waiver Attached: �no
A buildingpermit maybe a wired b : �Q,.G..1 S /L R. (. n See note on back regarding River Basin rules.
q Y b g g
(Note Local Planning Jurisdiction)
� �
Notes/Special Conditions\( z) CC, -' c- c,( ,'/ L. .l\ � o1 - c�.t O' P - {
-' ) \-_
, •\ _s r �P c' J "o c 1�.
Agent or Applicant Printed Name. Permit r ted Name (.----\
)
Signat * Please read compliance statement on back of permit Signature
s() 411R9 6) i - 5 � z � 9 � z 1
Applicap Fee(s) Check# Issuing Date Ex irati n 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(91 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

AGENT AUTHORIZATION.FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: \)°,SWff RA-4t
• Mailing Address: LalLfrui)G.-1-ar-N 6+
Ocx§p" r6EY0-1 C.- 2-iCtkoci
Phone Number: (q1 mo —6e7Go(6,
,
Email Address: Lpe-,, Cr) Cr.-51'N 9rnek-1 t a COen
I certify that I have authorized G(2.-iLAS C--ens-111)(41
Agent/contractor,
• to act on,my behalf, for the purpose of applying for and obtaining all LAMA permits
• necessary for the following proposed development:
• at rny property located at 1-71+ Lryqn(51-e-rtt. O(o)in
c•-• /
in 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:
l-
Signature
\)0(X=3P)-) CRAScli
Print or Type Name
ovNirtt4Z--
Title
Date
This certification is valid through /

DocuSidn Envelope ID:FBA346A4-1079-4670-AF07-F0E1E9668189 . 1
---
' • ' ,C-- IFI -IVIA ! TOR ' EC ..17 , D
. plOsiokcoll.P(*StAt..MANAGEMENT . ......—....
• : ADJACENT RIPARIAN OWNER NOT FICATIONANAIVER FORM
Name of Peoperty-OWner: 3P. ,!/0),/ \otiwy\ • ---\ c-ki.5\-) . . 7-----
..
•
•
Address of,Property 1\ L ,. n "1'Th - . e •Q(4-41 -..---
(Lot or•Street4, Street or Road;: ityl$.County)-..-
.:, .i.
rt_. _I_
'Agent's.Narne#:Gritt L-5.41\51-1:‘,Ltc:Viq Mailing AddreSS:(01,9-1t actal
, _.. . . . .
,
Agent's phone'It:'Akt:j77,57C\:Pt(1115 OesrAoliZ lekc.( \AC 29(q.
7) I hereby:certify that I own property ildjacent to the above referenced property The indIvictuat,apPly!ng.for
. .11
til1 -bnilit has described to meaeshoWn on the raw n the development they are prOpOsing. .
',::: . ' .1 ' ' t• r,'. L . . ,
e;?. . Ds, ,, -, . , •, . . . .
ci • Fmk, : .„,n,,,,„,„,.,,,,,,,, ,,,...,..,,.....„,„7,„:„ lime objections tb.this proposal.
k .
.
if you Map objections to. whet Is. being proposed; you. must nOtify the Olv 0. .6.f.-.0600401 • :
Management(0pg) in OritingWititin 10..dayS or receipt of this hptiO9. CorrOspn f'9,0hoind be • .
L----77- Oa/led t.'0`107"Cardinal Drive E4, Wilmington; NA ,284054846: D.CM roprea0 ' 7 ,;;Onalao he •
contacted 0t(910) 79.84115:No response Is eons/derail:the same as no op/potion: Wv046on
{;•--
n notified by Certified Mall. " . , . . . . • • •
I .. . . Vi/A1VER SECTION .
,
'A I understand that a pier, dock,mooring pilings, breakwater, boathouse, Ilk or groin.must be set back lir •
5 . minirnuiti•diStahoe Of 15'fibminiereeofhparien access unless aived by me. (if you wish to waive the
412 setbaok,:•
'yoU•mustiniltiat.the.ppprcipripte Wank beloii.). ,
gt : .. • , , - iv ..-, 4 tialaWifitz-41111,
.. . . , ' • .,
• * :...--',4' - • •- • •• -
... :1 do not:wish to waive the 15'seithac15.retv.iiteme t. . . . .
,
(Propeq,pwnet Information) , (Adiocept Property.0wOOr'infoinvu.n)
: W4kt.t. (Aiii).:(5k5e,11.-'\') Docalg.d by: '
•
[Qua&
i5ipaft:rie-
3 \./ ‘s m ottl___ Nathan L. Evans
. ..Rid Or.Type Name ' . Print or 7:ype Name
•
•
•
- 4.1A14 .5Okou.,\A-61-• ailk '.3 KO 6 W. Ri dgevi ew Dr
. _ .
•
Maiiind•AddtOss • . .. Mailing Address . .
,WC 271 6017'. ZOS-.7
Clayton, NC 27520
:-..--,
•CityMtatpa ip City/State/Zip
. . CA,\Ck-'..R1-‘,6-. :CV-thcp . ' 919-345-6729
. _. . •:, .
Telephone Number • - Telephone Number
3/30/2021
.
------,-- ,
Dale •• . . Pate
................. ..
• Revise('6/18/2012 •
. .
, .
. . .

.DocuSign Envelope ID:79F5ADF2-F95B-439F-B26A-C7A5E88E01AD
i ..
ptooiFIgO WIAti.,,RETURN'RECJIP ..REQUE$TTO
14k
DIVISION C1g CeAsTAi.illiANA EVENT li
ADJACENT RIPARIA l P OPI T OWN R NOT FICATION,fl AIV R FOR ii:
Name of Property Owner: 0 TA:M. j
5
4
' Address of Pro e i ` .-.1.------
n n
(Lof or S#ree't- , Street`or Road,` I#y :County): .- 1{
-Agenrs-Name=; r i�. . C *-P uCkI y •Mailing address(1D t C c\A l
Agent's phone f .ID'-'5•.'7q 9i );
• I hereby_certify that•I own property i tilacent to the above;refere' ed �ro e 1i
1 p .,,p cry The rndividuaf:applYmg for ,
:this ermit has described to me as.shown on the"attached raw n• the:develo ment the areproposing ':
5
i have objecti ns to this proposel. i
if you have :objections to what ;Is being proposed, yI
you � ust not*lire .Div n. of"r:ocsta,% ;
Management(DCM)In writing within 10 clays of receipt of tip S notice Corre , ,should ho 1
rnaltecf..to 427 Cardinal Drive Ext., Wilmington,'NC,,goo5-3. ,5 DCA?•repr en also be
contacted�at(910)7g8,7215.. No response is.considered the <wnte as no objection; ' `beery I'
L. notified,b ..Certified iftialG
WAIVER SECTION i
A .., 1 understand that a pier, dock;mooring pilings, breat ►ater boathi;use, lift,orgroin must be e�set back
minimum distance of 1'5'frorri:my area of riparian access unless':' awed by me: (If you•vrish to waive rne.-
41;e.
' . aetback,you must Initial the appropriate•blank below):
II•
..
. .'I do not;wish to waive:the 15'setback.re ul e q r me t. .
• (Property
( p erty Owner Information) (Adjac:nt Property•O ner Inform� •n)
oocusian.a ny
r L 3e�,> � o I
'Srgna(wc • • Znalur C. 03
Errol McGill wie
1. qrn(
Print or Type Name Print or ype Name.. i
76 wi1mingto St
Mailing Address ' Ma11mg,'cddress 1
9�ke' `�L 2`"7r Utz ZOs ocean_ z.le Beach, NC 28469
City/sta /ZiA (. - City/Met /Zip .
704-6i4 3459
Teie,hone Number
P T®lepho a Nurrrher
. 3/30/2021
. Date Date
Revised 6/18/2092'':
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Check
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permk Number/Comments Receipt or Refund/Reallocated.
Column1 Column2 Column3 • Column( 1 Column6 Cokrmii Corumn7 Column8 Column'
5/4/2021 G.E.Vonatzski same First Citizens Bank 1021 $ 250.00 major fee.940 Cocas Rd SW.Shallotle BrCo NO Split BB rot.13110
5/5/2021 Sea Dog Marine Construction,LLC Adam and Leigh Greene(Sea Doq) First Bank 1300 $ 250.00major fee.107/109 SW 9th SI,Oak Island BrCo NO Split PA rct.12773
5/4/2021 Maritech,LLC Winding River Plantation Bank of America 2446 $ 400.00 GP#80291D PA rct.12765
5/4/2021 Town of Oak Island same BB&T _L 83803 $ 200.00 OP#80295D PA rct.12763
5/4/2021 CLTMC,Inc. Lussier and Farmer First Citizens Bank I 11821$ 200.00 GP#80258D PA rot.12756
5/4/2021 JR Huntley Homes same BB&T 45931$ 400.00 GP#76500D PA rot.12772 _
5/4/2021 Docks and Deck Dudes LLC Heather Bass Fay PNC Bank 1056d$ 200.00 GP#80285D KE rot.13434 _
5/4/2021 Docks and Deck Dudes LLC Scott Pollock PNC Bank 10531$ 200.00 GP#80203D KE rot.12747 __
5/4/2021 John H Cooling same BB&T 67931$ 200.00 GP#80235D BH rot.12877 __
5(4/2021 Allied Marine Contractors LLC AJ Burns First Citizens Bank 10026.$ 200.00 GP#802520 JD rd.13407
5!4l2021 Timothy Powell James Jackson First Bank 9185 $ 200.00 GP#80277D BH rd.12881
5/4/2021 James Miller John Pearce Wells Fargo I 1002 $ 200.00 GP#79950D BB rct.13112
5/4/2021 Davey Resource Group Dustin and Susan Gross United Bank 1 2242 $ 400.00 GP#799560 IKE rot 13435
5/412021 Lanier Family.LLC same South State Bank _ 1250 $ 200.00 GP#80251D JD rct.13406 __
5/4(2021 AMW Docks and Marine John and Knsta Coder BEAT 6201 $ 200.00 GP#79903D BB rot.13113
5/4/2021 Grice Construction Nancy Murdock BB&T 14598 $ 400.00 GP#80209D(check 1of 2) 88 rot.13114 _
5/412021 Grice Construction Nancy Murdock BEST 14529 $ 200.00 GP#80209D(check 2 of 2) BB rot 13114
5/4/2021 Lorene H Allen same First Citizens Bank • 16257 $ 200.00 GP#802760 BH rot.12886
5/412021 Marsh Creek Marine B&M Holdings LLC Southern Bank 8095 S 400.00 GP#80299D JD rct.13401
5/4/2021 Holden Docks and Bulkheads Town of Hoiden Beach CresCom Bank 3624 $ 400.00 GP#79932D _ PA rct.12768
5/4/2021 Once Construction Koultoniuk BB&T 14605 $ 400.00 GP#79905D BB rot.13116
5/4/2021 Grice Construction Garneau HAT 14604 $ 200.00 GP#79908D BB rot.13117
5/4/2021 H5 Construction.LLC Highest Point Holdings,LLC BB&T 2579 $ 200.00 GP#80194D(1 of 2) BB rot.13105
. ._ _ __
5/4/2021 H5 Construction.LLC Highest Point Holdings.LLC BB&T _ 2606 $ 400.00 GP#80194D(2 of 2) _ BB mt.13105 __
5/4/2021 Lighthouse Manne Construction Bob Mott Coastal Bank and Trust - 3739 $ 800.00 GP#80167D JD rd.12399
5/4/2021 Delta Dock and Boatlift Judy Brock First Citizens Bank 9089 $ 400.00'GP#80166D JD rot 12400
5/412021 Katrina Turner Hiram Williams Co Trustees PNC Bank 253 $ 200.00 GP#802490 JD rat 13403
5/4/2021 Jason Queen same Wells Fargo 186 $ 200.00 GP#80280D 'BH rot.12887
5/4/2021 Backwater Marine Terry Williams BB&T 1293 $ 200.00 GP#79949D BB rct.13111
5/4/2021 Once Construction ICenco B Bedwetl BB&T 14599 $ 400.00,GP#79907D BB rot,13115