79933D - Wood

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CAMA/ -DREDGE & FILL N° 79933 A B C ' "1
GENERAL PERMIT Previous permit#
Y� '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 15A NCAC 1-1 ,AC)C..
E Rules attached.
Applicant Name X,iveyt,( £- 16'1' We od Project Location: County jr Svv. -
Address P.
ci, Dv qQ(i 5(-- Street Address/State Road/Lot#(s)
City VO IP<O" State NC ZIP 16 95 �/ '4 -lc'r) r J ii e-f
Phone # (1i(i ) 51/ I 75 /) E-Mail +3r4 Qv1((i-=obi, (C'v" Subdivision / _
NAuthorized Agent /A City 16 e '( �,1A(I ZIP � 07..
Affected ❑CW ®EW 1RPTA ❑ES ❑PTS Phone# ( ) _ River Basin ...1411 4-C"-
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body _ ,la_(' A (nat f )/unkn)
❑ PWS:
ORW: yes / no PNA yes / ® Closest Maj.Wtr. Body a/ L(/tG/
Type of Project/Activity 1 (- p c- - .) r;-. ii C;''i, i,'<a „r , ; / !t -r c i // i r V q 5-
d/ P-t(sri)-�JG �i / r/i ,,/_t (✓l-(/(1:,i -jClli I,/1 (Scale: A. 1S )
Pier(dock)length
1 I�. j I i
I
Fixed Platform(s) 1 —`' i
Floating Platform(s) I } ,`` \,.� { i }
Finger pier(s) ,
i
Groin length ,
number — _...— r_ _
- l I _._._ _!_- I —
Bulkhead/Riprap length I I
I I
avg distance offshore ��4�
{ - l'
max distance offshore i, ' _J W
Basin,channel {41d thigh 1F
} i i
I i
cubic yards I -
:::::
p It
s h
tuft —_._..._. Y_. , I
,,,, P ___ .
111111
1 _ __ , 1} - _ , } • .10 .'•,...1.. P i 1 migimi,.. ,
Beach Bulldozing _— - ,i t }
Other i r e I I I
N` 1
I
_ c'cti,
Shoreline Length '4iIf` {- 4 'i AN '�"f¢*"' r�1"�<
I 1 I 1
SAV: not sure yes p
i i I ----
4 _ , ____11 _____,
Moratorium: n/a yes no • _ DO Wv.c'.._. 1 kf,/ T?? ,1ve 1_____I + In I i
Photos: yes ri Io 1 ..--._..__ I . L _ !� -.-_ ' +
Waiver Attached:'. C.�'` no - i i Pin i l I __
A building permit may be required by: 171,,0 K
4/N j 4,( -/� Li See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ii
Notes/Special Conditions ,: 4 IM S �cm,"lam„/ f z')tS di 1 711 3(1 ,j ,-Pr Sr .1t
1sh K�/1/11i,; ,//� s�r �l�t/ /3-0 I ow'5 iI Y v�i�rI J 6f/G/r1 i�- • , .
Wool) - R 19 - q /-7S ?S Et-tvi'( (( igni f'ru
Agent or licant Printed Name Permit Officer's Printed N e
/1*--- ----t. -— 44--- --r-itte-':) - •
Sig . re "Please read compliance tc„fetitu„bdCk of permit" Signature
301006 24,0 1-4.7 oiaeo 5is /2r q /541
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(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 9I0-796-7215
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.ncden r.org/web/cm/dcm-home
Revised 7/06/17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify'that I own property adjacent to Sam and Jaynes Wood 's
property located at 181 High Point Rd.-Holden Beads,NC (Name of Property Owner)
(Address, Lot, Block, Road,etc.)
on Canal , in Holden Beach,NC 28462 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Io .. >�.
• 'y .1: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)
• GsA, .. FAT Ss' ` -F`23 :i F.:'as •
Install new lift in same location as existing lift.
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.)
x ) I do wish to waive the 15'setback requirement.
I do not wish to waive the 15*setbackrequirement.
Pro Owner Information (Adjacent Pro-petty3
( petty ) Ownerinfonm`�tioln� ."�= � '_
Signature will Richardson—as authorized agent Signature*
Roger Aubrey Linville
Print or Type Name 3235 Seacrest Ave.SW Print or Type Name
179 High Point St
Mailing Address Supply,NC 28462 Mailing Address
Holden Beach. NC 28462
City/State/Zip 910-367-0335 City/State/Zip
336.345.7300 - [e-mail]
Telephone Number/email address Telephone Number/email address
4/16/2021 19:16 PM EDT
Date 415Z021 Date*
(Revised Aug.2014)
kcitt,

181 High Point Rd.-Holden Beach,NC -WOOD HOME
Dated-4/27/2021
Property lines
High Point Rd.-Holden Beach
— Bulkhead
Holden Beath Harbour Holden Hooch Har our
Canals Canals
Replace/move 3
UFT1 'a existing pilings easterly 10"
Lift •
Replace existing"3"pilings
as needed but in same location.
NORTH
Scope of Work as applied for 4/27/21.....Replace existing pilings(as necessary)on Lift 2 western side and
replace/move piling on Uft 2 eastern side over appro.10"
Riparian Property Owner Statement-Eastern Side—Aubrey Linville(attached form executed)
Acknpwl gement from Property Owner-Western Side-Mozingo's
// " l Dated:4 27/2021
Phone umber:r 36, /4 02 7 5e
- 3
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Chock
Dote Received Date Deposited Check From(Name) Name of Puma Holder Vendor Check number amount Permit Number/Comments
Reoep a NeandReaMowhd
Column', Cokunnt Column3 Column/ Column!' Column, Column7 ColumrH CoYinN
5/12/2021 William Wallen Mollie and Bit Wallen State Employees CU 3711 $ 200.00 GP f80165D TP rat.10324
5/12/2021 Michael Keaney same Bank of America 2175 $ 200.00 GP*79981D PA rct.12774
5/12/2021 SAJA LLC _ Sam and Ja_y1ee Wood Wells Fargo 7476 $ 200.00 GP$79933D PA rat.12776
5/12/2021 SAJA LLC Sam and Jaynee Wood Wells Fargo 7477 $ 200.00 GP179982D PArc*.12775
5/12/2021 Gregory Holden Richard Whittfield United Bank 5577 $ 600.00 GPf79984D PArcl.12777
5112/2021 i McPherson Marine Services,LLC Ray Martin First Citizens Bank 4159 $ 200.00 GP$758230 Tmac rct.13006
5/12/2021, Dr John A Azzato same First Citizens Bank 10910 $ 200.00 ,GP/180303D Trim rct.12888
5/12/2021 McPherson Marine Services,LLC Margaret Wright Wills First Citizens Bank 4158 $ 400.00 GP#80138D Tmac rct.13007
5/12/2021 Logan Marine,LLC Thomas W.Himmel BB&T 7419 $ 400.00 GP#79979D KE rat.13436
5/12/2021: B and B Marine Construction Grea Sloan Wells Fargo 17341$ 400.00 GP#79913D 'JD rat.13418
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