80203D - Pollock

eCAMA
/ •DREDGE & FILL N. 80203 A B C '�
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
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ZOO
ElRules attached.
Applicant Name 'CO- - P 0 1 Oc .. Project Location: County I`a- tA) {-i-no Di-e'
Address-43 t lk 0,01 44 i k t_ G-4, Street Add ress/State Road/Lot#(s) ' ?a-' exx c'
City 9_0,\eAh State ts..1L ZIP -9U I 1 i t_-44
Phone# ( 1 ) Z i0-513;1" E-Mail - Subdivision ` 1
Authorized Agent Dom IC 4 Dc c Dues sio1►y►% L yv4S City V \11 Vv t,n`'` IDi _ ZIP ��5—`
Affected -"CW $EW [)(PTA rES ❑PTS Phone # ( ) _ __ River BasinV\M v4r., Oa‘i-
AEC(s): OEA El HHF ❑IH ❑UBA El N/A Adj.Wtr. Body A ;
na /man /unkn)
U PWS: �j `
ORW: (ryes no PNA yes no Closest Maj.Wtr. Body y�',^ 'l l C(Gt'J SACS
Type of Project/Activity 'mS c Gk. t \£V l !)1Ck ; r� 1 r t-- G9 -t (on"�'�j c OC r
u Y ( y',C)1/4 6. Y UL K 1AW'C) c16 MG cif Ct L_--lv J 2 (Scale: \ '' : 101 )
Pier(dock)length r, A 19 Z'
I I —
Fixed Platform(s) V I X (tito iA 4 Y n/>4 -� i
Floating Platform(s) r+S X 23' I i ICt I sIN
.�WU .t.._. ! _ IG
Finger pier(s)
Groin length I +i { %GC
number — _ ._ L. _
t i
•
Bulkhead/Riprap length . l ( CI
distance offshore (V�(20 �^ o
max distance offshore ,
Basin.channel 1 } ,
cubic yards
Boat ramp i
/ S ----
,
Boathouse/ CD t� $ 13 le i....__._.-._. ___
_ , _
Beach Bulldozing
I I
/ '
Other , i/1M
vIA D i
Shoreline Length - - i�x) V, !
SAV: not sure yes no T 1 ► ly '
I
Moratorium: n/a yes _ _ I ; — —
Photos: yes i� Z V Fro cL' c-.-- --_ -P,_.. i $s.a a ---
�fp LAND sz2T 5*4;1 �,r , 4�1i(AN?
Waiver Attached: es
A building permit may be required by:N Gn) k-Vrllnel ev C GJV1 . P See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) r
Notes/Special Conditions H4 .(ZOO G vs Li y k ` • S 11 -c ( C`-eS t -r C 4i i Ye r_(G 1(AA S
G 1 N,� pa
. ,v-i- 04 —i k,_ pwpD st Auc.. i.,6"5-—it LA ( ,AL1 S ka I I tof-i Nerf
-t r iVu- E I k-r—
Agent or Applicant P t ameavj Per nitOfficer's Printed Name
Signature **Please read compliance statement on back of permit** Signature
Application Fee(s) Check# Issuing Date Expiration Date

J
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 0-796-7215)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

. •
:-75,q7-f
• . ..... . ....
-CAMA/0 DREDGE a FILL
N9 *8°203 .. . 'TIC C 7:ce.';'•
, GENERAL PERMIT PreVious permit i, „ _
SNeW LlModificadon f 1Complete Reissue UPartial Reissue Date previous permit Issued
.. _
Asandauthethorizcontaied byResotheuStarceste ocraNmorth Carolon iblinana.nDeprea oartmentf environtantsienvircmfmnalcomornpurstaittClutAtY to ISA NtAC _Ati..-- :42'00._ cilium itair6d, .. . „T.:..,...,:.: . - ":
Applkant Name -Sc... .k- f 01 .c:x.,,V., _--------— Prefect Leaden:
..__
Address"%A Ark___I, 44U--Pk --7,--.---,r: Street Aditessil State Road/Lot#(s) t ;- -:It' 2,04,(A—
i City/pARAV_ stater4 C.. zu, Itt:.w.i..p. Ert4C(.._:_4141K4.
...... ...__ _. _
E-Mail __ Subdivision -- "
V\J kW- IDA Authorized Agent Do4.Ati14....tuctis ...,eii,o11114...14036 CIO' ..._A„......,...1M.__,. _ ZIP.?Iii4_11 -
.' likone iii (__ )__ • Myer Baitt,-- _.C_)°_`-k-1"-----
Affected gkNY PV Pl.A PS OPTS
AEc(s):, ORA 13 14141t 0 IH IAJBA C.,1 N/A ,:' ;! Adl;Wtt.BodkAlAdj _______________.-40_/n_
0 PWS:
ON 0 no PNA yes C . . Closest M .Wtr.etodyNAticiLk.___Sada__
; Tfpe of Prolect/Activity
ACeir.A\sit . t i ,
1
c9. -F °A 1‘45 1°
CL - NL e e' rjuf°-'
(scsdeu t" :4 o' )
----LI-7, ,
A . , ; .1 ,. t. • -c i-r---7-7
_i
Fixed nits:a/n(0 AO 'It 1 to 1 'T- +-i-7-- ' ,---.---,----T-T-k-..;, : ;;•,, -1--17-1'7i: 1
, Ratter*Ks) -L-4--- . - - i-1 -----. •-i--I.- L ! - : 1--- --r-- -.- ,----!,7 -,".
Groh'length
'I '• - . ?, ;...;,...4,.1___L_i.....1„ ,,. , ! ., ..; 1---i;-r-ter: 4t-.;.1)511 .-.6:c... - , • ,,.; , . ,
, ...---- -- , _ , ..,--,.; ;,.....7.7., ,.. .-•-.--e--4-_____..
. -C. • -
;7_,iv •; 7 - 4 . -L-•7 - 4 - T- ' - "
max dire:mai offthore . .
i
Basin.channel L . i-- •-•- . ---- : ; ,----i----7-- •-i----'- -1- - --- - ------i
L4,-__------1 ' i-f---',--r--1-7. - 7 ; ; ' i •
' : : 1.7
1--1------ : .-4-
: ____..4_i._-:.
--L-------t- 1-4,--1-, -'-'7'' • -1----
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. _ .1 ... 1_
; 7-'7 r !-7-7: 1--- , ! . , .
4....,. -, : .t.. „.......,......, ,- 311 ....;_—___. __ .....:._'. -I.:--i- --Cr...1
.: 4.. Fr . _ . _
Beech Siiidoxing _____la.....g_.:_......_i_..._,....... . ...,to ish,
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----I- ' -;--"- --1--L-,--÷--,--1-1--F' '. ' ---1—_-.___-._I_l___:,6...,_1 _ ________ .1
: ; , , ; ___,, I ! - I • - ! ta . --TT-
ff-17 -----1-7-7'"Tr'-'-.7' -'--- ----"H
1-7 1" 1 •
Shongine Lengdi.L ---- t fr : • , ! < - 1 . , i 1 , 4.
_,..,..i._,.... . _
±_. ' ___
__ . . __ _
moratorium: nta (!s -
Ricrac Viii6i ,, 1--I' `._14....•-iii--irta,•- - ..... • 144. 1: 7-t. --t i'. t - - ''Plr" :, i 1. ';- i. : - 11‘
Waiver Attached: yes
V)A building permit maY be requiredbY:1.4 V ' OrkhOieV C-CVY •"
N(otesiN°41 bxalspecialPivneondidonsingjurisdicticin_bt) 4o 0 AL"-ct A tt loci ' . 4- -D s6::E i vt..°41 bar'; regardtritYules-ftverleZrs-c-
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statement on beck of permit"
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Issuing Date EXP4alicitaits
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' • AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: fleck
Mailing Address: 73 / a. 4‘ « 61'
A, / s1) Aic_ 276 6 ---,_5-90/
Phone Number: ?() /(a4q% 0-,-S/3 q-
Email Address: PO I)o(k. C . f✓ Coln
I certifythat I have authorized bccg--,D6c'r-.6U ' '` t ��
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtainin all CAMA permits
necessary for the following proposed development: k7) p
e r S
P /
p /n r m Q.1461. 1��a.47 n Cd C k
at my property located at tel ,,Z gigall k"-:4-0/eiall to ,
in /V8i'1/ ki001/6 R , I m i aall)NL -!l i
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.
CYVet/ L SAV
Property Owner Information:
Aiirr-/
Signature L
7 ) e, Y(.)-if- ?..
Print or Type Name
(63-4(51/41 0-r--
Title
o3II5-
, 2.1
Date
This certification is valid through / I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property jacent to SC -1---Ek i.
/ame ofproperty located at 2z < le 'a n e G vp lam►, --Nr /v
on T e l V
(Address;-o Block, oad, etc.)
, in /�P).1/ F a n ovo , , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
/' I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual propbung development must fill IrYdescrlption below or attach a site drawing)
l
i I LM i
, .
�j��
1 1i Pow-`�- ONJ-
WAIVER SECTION
r ' `I i understand that a pier, dock,rom mooring area of riparian access unless waived by, boathouse, lift, rme groin
(If you wish to waive
minimum distance of 15' from my appropriate blank below.)
the setback, you must initial the appra p
_ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
_
(Property
Owner formation) (Adjacent Pro arty Owner Information)
SiRnglure //-11_ ent -
� r� • �� 0 Pr' or T e Na
Print Jt Nrgo ` 6+: . Qr I —Matili Ad esrs C 2.4 M.i it y •do re SS NLy( j
ti,l •
.C_ a, C. /S ate/Zip
ry// rate ip �' 3 :lephone Number —
Z�
TelephonO N bet i
(�� 1 S� Dar- le — —
(Dale
II
(Revised 6/182012)

. I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property jacent to SC 7 ` ` ° Ck- 's
.f e!�property
, /E ( a m of r9,�F.rrt'►4wner) NLs��i
property located at 2-z �1 � ` � /
(Address;t o Block, oad, etc.) ,
• on CG1, , in LQ11/ tqa flUDCi� N.C.
(Waterbody) (CitylTown andlor County)
The a pl.,, nt has described to me, as shown below, the development proposed at the above location.
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)
4.._ 15.....) toqo , .1 ,./c/V,-,tx-0 1:-15-4
cl —
.1i4k* Yo)-1-el-t.
WAIVER SECTION .
I understand that a pier, dock, mooring pilings, 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.)
I do wish to waive the 15' setback requirement.
. Ei,//��. I do not wish to waive the 15' setback requirement.
(Pro y Own Information) (Adjacen o �ner Information)
da✓I
,Sry,�atu pQ i i O Si naturex K 'L,L� C h ; hc.r i ltx n
P73%T,p tames 1 i c4, P ziY N e
(, ' u
Mg:r re"� G � « Mailin N'1 ress j_ _j �l F'
Cit State2 �,� yr/IState/Zi '�/ `~
'1t`I. L 0 S/3 �f(_C)�` '0 bB 1 i10) 10`1D5
Tetephon Nu m er elephone Number
O3�a5 2-021 D1 ate Date
(Revised 6/18/2012)

•
Chock
Dab RomNod Oaf.DepotsNW Chock From(Nun) Name of Permit Holder Vendor Check number amount Permit NumbMCommerta R000/Pf or Rafurd/Roalloceod
Cefumnl Cokann2 I Column Cdumnd Winona Columns Cohimn7 Calomn8 Cowmna
5/42021 G.E.Vonatzaki same First Citizens Bank _ ; 1021 $ 250.00 major fee,940 Copas Rd SW.Shallotte BrCo NO Split BB rot.13110 .._
5/5/2021 ISea Dog Marine Construction.LLC 'Adam and Leigh Greene(Sea Dog) First Bank 1300 $ 250.00 manor fee,1071109 SW 9th St.Oak Island BrCo NO Split PA rct.12773
5/4/2021 Maritech.LLC Windinq River Plantation Bank of America 2448 $ 400.00 GP#802910 PA rc).12785
5/4/2021 Town of Oak Island same BB&T _ 83803 $ 200.00 GP#80295D _ PA rct.12763
5/412021_ CLTMC,Inc. Lussier and Farmer First Citizens Bank 1182 $ 200.00 GP#80258D _PA rct.12756
5/4/2021 JR Huntley Homes same .BBBT _ - 4593_$ 400.00.GP#76500D__ PA rd.12772 _ _
5/4/2021 - Docks and Deck Dudes LLC Heather Bass Fay PNC Bank _ 1058 $ 200.00 GP#80285D _KE rot.13434
5/42021 _ Docks and Deck Dudes LLC Scott Pollock PNC Bank __ 1053 $ 200.00 GP#80203D _ KE rct 12747
5/4/2021 John H Cooling same BB&T 6793 5 200.00 GP#80235D BH rot.12877
5/4/2021, .. ,Allied Manna Contractors LLC AJ Burns .First Citizens Bank 10026.$ 200.00 GP#802520 .. JD rat.13407
5/4/2021 Timothy Powell James Jackson .First Bank 9185 $ 200.00 GP#802770 _ BH Mt.12881
5/4/2021 James Miller John Pearce Wells Fargo 1002 $ 200.00 GP#799500 _ B8 rd.13112
5/4/2021 Davey Resource Group ..Dustin and Susan Gross _United Bank _ 2242 5 400.00 GP#799560 KE rqt.13435
5/4/2021 Lamer Family.LLC same South State Bank 1250 S _200.00 GP#80251 D JD rct.13406 _
5/4/2021 AMW Docks and Marine John and Knsta Coder BB&T 6201 $ 200.00 GP#799030 BB rct.13113
5/4/2021 _ Once Construction Nancy Murdock BB&T _ 14598 $ 400.00 GP#80209D(check 1 of 2) BB rd.13114
5/4/2021. _ Once Construction Nancy Murdock BB&T I 14529 $ 200.00 GP#802090(check 2 of 2) B8 rd.13114
5/4/2021 Lorene H Allen same First Citizens Bank 16257_$ 200.00 GP#80276D BH rd.12886
5/4/2021 _Marsh Creek Marine B&M Holdings LLC Southem Bank 80951$ 400.00 GP#802990 JD rct 13401
5/4/2021 Holden Docks and Bulkheads Town of Holden Beach CresCom Bank 3624 $ _ 400.00 GP#79932D _ PA rct.12768
_ 5/4/2021 _ Once Construction Koullomuk BB&T 14605 $ 400.00 GP#79905D _ BB rd.13116
5/42021. Gnce Construction Gameau BB&T 14604 $ 200.00 GP#79908D BB rd.13117
5/4/2021 H5 Construction.LLC Highest Point Holdmgs,LLC BB&T 2579 $ 200.00 GP#80194D(1 of 2) BB rot.13105
5/42021 H5 Construction.LLC Highest Point Holdings.LLC BB&T _ 2606 5 400.00 GP#80194D(2 of 2) BB rct.13105
5/4/2021 Lighthouse Marine Construction Bob Mott Coastal Bank and Trust 3739 5 800.00 GP#80167D JD rot.123.99
5/4/2021. Delta Dock and Boatlift Judy Brock First Citizens Bank _ 1 9089 5 400.00 GP#80168D_ JD rd.12400
5/4/2021 Katrina Turner Hiram Williams Co Trustees 1 PNC Bank 253 5 200.00 GP#80249D JD rct.13403
5/4/2021 Jason Queen same Wells Fargo _ • 186 $ 200.00 GP#80280D BH rd.12887
5/4/20211 Backwater Manna Terry Williams BB&T1 1293 S 200.00 GP#79949D BB rct,13111 ,
5/412021I 'Gnce Construction Canco&Bedwell BB&T i 14599 5 400.00 GP#79907D BB rd.13115