80196D - Greene

0 CAMA / DREDGE & FILL No 80196 A B C 6
) PENERAL PERMIT Previous permit# /
New Modification ''Complete Reissue Partial Reissue Date previous permit issued f
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 15A NCAC ) - 11 I 1 v c.. .
il❑Rules attached.
Applicant Name )`- , C C' .t , (- �;i Project Location: County I S '. K:_
Address �'U ``>u Y. ( t<,Q Street Address/State Road/Lot (s) 2 V
City ... W\\`--< sa 1\ L. State uL ZIP .2 5'11.7 '__,....4•, < S .
Phone # ( ) ',y`iO Tt f 3 E-Mails'`'`3('-le(- -e*- Subdivision _
Authorized Agent (,...)<--,-.<-L<, (.__j/ . C.-.<__ City C.)(_. c < ())eC•CL ZIP e 'llot{
Affected ❑Cw 71W ETA ❑ES ❑PTS Phone# ( ) River Basin L 6,---
AEC(s): ❑OEA HHF /❑IH El ❑N/A Adj. Wtr. Body --__ (1- '_., ` ( (na unkn)
❑PWS: 1
Closest Maj.Wtr. Body t �-��J
ORW: yes / no PNA yes /�d
Type of Project/Activity A 1 Cki °� e Y< }^`i.) i <, , , �, \ . , �, a<,t- : i .
(Scale: tV t - )
Pier(dock)length
Fixed Platform(s)
. ,_
Floating Platform(s) 1\ E-- , 1
I { „
Finger piers j I
' -- _
Groin length
l ..._.
number_ i i 64 4 .,
Bulkhead/Riprap length I 1(9
avg distance offshore , . .
r' ,
max distance offshore M� I \ `'
Basin,channel
cubic yards 0
Boat ramp T i
Boathous Boatlift ( Y (� f 1
- i i l j
Beach Bulldozing — ��
Other I�(- 1 i ( 1.—
1 f
I I
Shoreline Length - 3 O
SAV: not sure yes no 1 2 \Y."-l i _.--..._ r u'r` , p Q+
— ---. 20 t:ec_ —'. _— i
Moratorium: n/a yes c1� i a
Photos: y� —.. —._. i ' _
Waiver Attached: c no f l I i . '
A building permit maybe/rrgt ri e 0 d by: c.Q-� t c\,e 0 Q G C t""1 See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) `
Notes/Special Conditions ,) �c)� c, ., - �r.< \ k c-.. 1,` t'pk 1• Est_ I r 1,..,
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Agent or Applicant Printed Name Permit 'n Name _
\, '(------
Signature **Please read compliance statement on back of permit'" Signature
2.�� i�J� 0? 5 0j ?o ' cAJ2o /10 D
Application Fee s Check# Issuing Date Expiration ate

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 (252-946-648I) 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

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CERTIFIED MAIL• RETURN RECEIPT REQUESTED
i DIVISION or COASTAL-MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONI{NAIVER FORM
Name of Property Owner: gQ.\ \ c Q, .G C e e r
Address of Property: O.f e c�c(( O.CQP'- k-
(Lot or Street#,Street or Road,City&County)--- ,
Agent's Naive#:GTi(Q OiNv15 ('1.I.0 VI c\ Mailing.Address:LO1M Gr-1.Df'
Agent's phone#: \ID 5T "c\ O5 , �-�1Q Cs1 ( Z�94G
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I hereby certify that I own property ddjacent to the above referenced property. The individual applying for ,
:- this:permit Inas described to me as shown on the attached drawing the development they are proposing.
,c" J76 c ecati t iii iStWORii W aftAt t.
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•„ :_;a t htfae no objections to"this proposal. I have objections to this proposal.
r';--- if yea halve objections to whet is being proposed, you,must notify the Dlyisiqn, of Coastal
Management(DCif1)in writing within 10 days of receipt of this notice. Correap s c should be
-- - mailed to 027 Cardinal Drive Ext., Wilmington, NC,28405-3845. DC14 reprasero(& also be
contactedkat(91017N-7215.No response Is considered the same as no objection h►s "an e 1 been ;
notified by Certified Mall.
• ' f
l 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
' set •u must Initial the appropriate blank below:)
DI.
,, ;t4t�r 4... -,--:,I do;wish.-tovaivelhe3-15.-setback-requirement.
i .- I do not wish to waive the 15'setback requirement.
(Property Owner Information) (A• - 4°f ,erty Owner Information)
n e____.):._, _Act 061:d Cq3edik) AP,/-- '''.,':, !
Signature i . ature
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Print or Typo Name Print or Type Name
Mailing Address Mailing Address -
e a6zistmirci ivc coiy69. .v:"
C�y staterzp� City/
Telephone Number Telephone Number
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Date i Dare
Revised 6/1812012 ,
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. - ,A NT.:AUT410RIZATION FOR.CAMA.PERMIT APPLICATIO ,
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Name of Prope Owner Re nesting Permit: Z •. � � C ' dery
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• • . • 'fl4Box '/ o ,
- Mailing Addross: " '+
. .- WIA:ra,. 01.4.4' —',111e. '41.Y.gg', • , :• l
Phone Number: • : ,9A'- t a -13/3 .
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. Email.,Address • ��te °,,,,i e4&c : Cv - : . ,
1•certify tint 1 lieu.®•authorized, : � ,
' . >Agenf/Contractor ,
to:act till'rmy:behalf purpose,of the•purpos of applying for and obfaining all,CAMA•permits- I
necessary for the=following proposed development: - , ' -
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at m . ' .-
y property`located:at �r i. 4• R644. �6. ,
. � rn ;12',4 47. * , tout 1,
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I furthermore certify that I am authorizeo' 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 Info matior related.to;this ,
' . • .permit application.
Prose Owneranftarmetlom.
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Print or. Type Maine : ,
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• This-certifications is valid through' I / • ', • I
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RECEIVED 03/31/2021 03:17PM
Mar, 31. 2021 5:24PM GREGORY P RUPP, DDS No. 3611 P, 1
•
`gar D Af(AIL RETut J -.cEIPT REQtUCsT, q
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARtAN'PROPERTY OWNER�NOTIFICATIONIWAIVER FORM
Name of Property Owner.111)..d.A, L',.` ,W t`iN e _.. • • .. ..
Address of Property: ..,�2 pace 4 �� j pr.tin his Lk '
(Lot or Street#, Street or Road, City 81 County).... --"'—
Agent's Name#: (..t �-�,r5 N&C. •i wr1 Mailing Address;( (al• f qC\ Dr ,
Agent's phone#:"'\_O b iC ;�1q _ ,�., 19 L( ti
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I hereby certify that I own property Eidjaoent to the above referenced property. The individual applying for
(, this 'ermVi.t has described to me as shown on the attached ►rawin► the development they are proposing,
,,N Y,41 ,,4 ,,,,tt:, of I;iP,.
.- A " I have no objections to this proposal, _ _I hove objections to this proposni.
01
if you have objections to what Is being proposed, you must notify the Di ;t1 of Coastal
Management(0CM)in writing within 10 days of receipt of this notice. Correa• "'4
" '. ... "' melted to 127 Cardinal Drive Ext„ Wilmington, NC, 28406.43840, DCM repro'. %''''' atlralsoild be
;contacted at(910) 796.7215,No response is considered the same as no object T.ion
n
C notified by Certified Mall,,_
a WAIVER SECTION
I understand that a peer,dock,mooring pilings,breakwater, boathouse, lift,or groin must be set back a
d minimum distance of 16'from m_,y area of riparian access unless waived by me,(if you wish to waive the_ -
setback,you snyallaIal the appropriate blank below)
•�, L I do wish to waive the 15'setback requirement.
`" 'I do not wish to waive the 1S'setback requirement. •
leallAlimATAAIM-I. ' ... AMMA.,., . -"OM _
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(Prop(!rty Owner Information) (Ad aoenf Property Owner Information)
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Print or Type Namep
pe Nema
pant or f
a: n \.4 — R a, abet Zie0S
Mailing `Address Mailing Address/ ,(/
City/State/Zip City/State/Zip
Telephone Numberrp ! � 7
ATelephone Nu or
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Dote _........_.:Dare
ROvised 6/9:8/2012

Check
Date Received Date Deposited Check From(Name) Name of Poem"Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Cokunnl Corumn2 Column.] Column]. Columns Columns Column7 Column8 Column].
5/13)2021_ Backwater Marine of NC LLC Sheryl Andrews BB&T 1302 $ 200.00 GP#79960D BB rct.13124
5)13/2021 Backwater Marine of NC LLC 136 Ocean LLC BB&T 1300 $ 600.00 GP#79961 D BB rct.13125
5/13/2021 David Gritz Money Order _ .Jeffrey&Laurie Hill __Wells Fargo 17-768053784 $ 400.00 GP#799590(overpaid by$200.has 5200 credit for nest permit) BB rct.14927__
5/13/2021 Castle Home Builders _ Sal Mi 1p ia# _ PNCBank 4824 $ 400.00 GP#799140 TP rct.10325
5/13/2021 American Marine Construction,Inc Brian and Teresa Kanzler First Citizens Bank 89350 $ 200.00 GP#80307D trnac rct.13008
5/13/2021 Once Construction Michael and Lorna Greene BB&T 14603 $ 200.00 GP#801960 BB rct.13122 _._
5/13/2021 Gold One,LLC _same Wells Fargo 2696__$ 200.00 GP#79963D _BB rct.13118
5/13/2021 Charles V Reed Jr. _same _ First Citizens Bank 4338 $ 600.00 GP#80200D BB rct.13119 _
5/13/2021 Lawrence Zborowski same BMO Hams Bank 6187 $ 600.00 GP#79958D BB rot.13120
5/13/2021 Ricky McCorkle Rick and Lisa McCorkle SunTrust 2692 $ 200.00 GP#79964D BB rct.13121