80165D - Wallen

0 CAMA / DREDGE & FILL No 80165 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 j� (�
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC (J J I I f"`
7"i ,// + ERules `hed.
Applicant Name #01(I C s �'//� W4//(Z t Project Location: County --CAA (JL _
Address H2-3 /c(//4 i 60 ,e4t Street Address/State Road/Lot#(s)
City a ,57 14"v State NC ZIP 7 '94-3 Pc-on s"
Phone#(7/0)2 76 9?81 E-Mail /� Subdivision
Authorized Agent it'h i 1 G'�G,',', r City ZIP
Affected ❑cw t9,Ew A Fli ElES ❑PTS Phone# ( ) River Basin ({�� nat man /unkn�
'(V • 0 ,
❑OEA I HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body fliN Gk J (k l
❑PWS: -^�
ORW: yes�o` PNA yes no Closest Maj.Wtr. Body j 0 CC � y�(t[wv
Type of Project/Activity ' i 4 ! !` ( �(4../-4 il�1l�L-
J 11
(Scale: , = ZO/)
Pier(dock)length r , _ r - i / •
Fixed Platform(s) I\ 12 j r •
i
Floating Platform(s)
Finger pie s) '
Groin length t I j -_...
numbe gt -- ...- -- yrt ..G_ - -f _ ..._
Bulkhead/Riprapn h
avg distance o ore //'' A h _...
max distance offs ore
I
Basin,channel 7 I
/ .
yards ,
Boat ramp cubic t r { 1
II
Boatho 4, :.. �0 1Z- — -. _ _
I
Beach Bulldozing
Other i 4. 1 4- ` ._ _
1 _ I
C 11 .1
-1' i ! ,
((� / I n h (f
Shoreline Length-t j' 1D� ' 1
~ '�-
`
SAY: not sure yes no 17 t"1-✓ j I
i
Moratorium: n/a yes 4
Photos: yes 1 _
Waiver Attached: yes no i T Li I - i
A building permit may be required by:_ �--illi\61.kCO • j . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
'' 11 i V1/2 /(.1-A
nt Applicant Printed Name P; • •`' er's Printed Name
1
A.. 6 C tr11 DA--tc__--
S' ture **Please read compliance statement on back of permit** Signatu,I
/- ,6' 3-%- / / ` -- . 3 . z_ / q . 3 . 2_1
Application Fee(s) Check it 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 0-796-72 1 5)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

RECEIVED
MAY 0 6 2021
*�
CAMA; DREDGE & FILL N9 801( 5 DCM �V1L�AINTO�I, NC
GENERAL PERMIT Prevsaas pensNt r
New Moo f atton Cc+rpMte Renwe Partt.tl Reissue Dace prerouf permK Ifftled
A,«khoriced by the State el North Carolina,IhpertrntsM of Etemcees's/ el(palsy
and the Coastal Resources Comm aloe to an area of wwecementsl concern ptirwaet to I SA NCAC : • , L.:c.• 4 '
l to lu a fta
Applicant Name f: •. ', / ", Protect Location County J d LJ�tlyd
Address /1 i ' / ' i / Scree Address/Scats Rtlsde Lot#0)
City . Slate ZIP ' ' r: • `.-i i:t y'\A. E-
P^one#( ) E-Mad _ Subdwds+on _ _
Authonzed Arms , .
ARracac : 'cw ti sea .4 PTA ISi fTS Phone# ( ) Fiver Bath Ipi ().__.
APC(s) ! O!A tNWf.JNI USA t;WA Adj.wtr.Body 1 .J l t i f)ct_. Yo ett fj _twoo
taws:
t7RW yes f ite`, PNA yes 1 lo Clasen Mai.Yhr,Body fL.,"'_,_.&�._2f2,2._'x ____—
Type of Project;Activity ` V. r, i ,) +. +
ht
suss Nissen., i T. i L- V.,"`"'-. .._.t_.i 47
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no.daux•arfdrora
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tine yard' \ • .
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A bu ding hermit mat be required by t 4.•.',l`' ' t Son note on betas reyedtrte Aber basin vet
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Notes)Special Conditions _..... _ _
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Appitatktnfetr;rl CNa.►I limns Otto Expiration Date

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CERTIFIED MAIL° RECEIPT
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9590 9402 6468 0346 8766 73 0 Certified Mail Restricted Delivery 0 Signature Confirmation'
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PC Fnrn,'AR1 1 _II ly 91.19n Den!7cnn_no_nnn_ons' nnrnaefir Pafiirn Rosin

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United States •Sender: Please print your name,address,end 7413+4°in this box'
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is)etity) -1-ectc) ) /vi0i
3

/(6° APR 01 2021
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
c.
Name of Property Owner Requesting Permit
Mailing Address: / / oZ 3 Mat Leo-O 13Ct x Re)
I-km S.-?-ea d A7, c
Phone Number: /l D a 7 d 9 38'1
Email Address: /'?W'1 L-Q-n 2 fro `J (� `7 /
I certify that I have authorized /v'jy 11 c1--1-) S 14401-MI�- '/✓e
/ Agent r Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: V-ep La C e_ c LA b et+ I'�
1/4
1 �1'1 Al Pul n/ Ay/z qd j(c.eA Rkw (- sma
�
at my property located at // 3 h 4 L Ley- /3 Q y f�0 /h19� 0a 4(e
in pEN de - 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:
Aleat.tri‘ 1 , 2ep1
•
Signature -
LL lain & 41. enl
Print or Type Name
Title
14iAL l C l Zoa1
Date
RECEIVED
APR 0 i 2021
This certification is valid through
DCM WILMINGTON, NC

li
. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Q ' I) tiA I CO
I hereby certify that I own property adjacent to_ ( r )-- �, 's
/ , n„A(I A c...1)
D n (A Narrle ofaperty Owner)
property located at I ( ,� , ( ►'1 l� Y V
(Address, Lot, Block o , etc.)
on , in PA+-t (Q A PeNDer\_ , N.C.
(Waterbody)
CitylTown and/or County)
The pplicant 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)
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.)
X1 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)`ti (Adjacenterty Owner Information)
iltiaL,Lpa �3 ' i.)Q.0 ZJ
ni/etek
Signature Signature / e'
11)t LL Icy fyi 6 , leig1 L c A/ A cf(AC l J /4A cl!
P ciat,g4 Type Name ,�I Print r Type Name
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Oiling Addr ss MF1/ Md es. e JJ^ NI G 2 Vy.3
City/State/Zip. City State/Zi
A - C ' �G /9 ',31 12/31 RECL;VED
Telephone Number Tele ha Nu ber
9/° Z 70
C$al DR 01 2021
A;
Dat
(Revised 6/18/2012$GTON, NC

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Chock
Date Recta'd Date Daparr0 Check From(Name) Name of Permit Holder Vendor Chock number amount Permit Number/Comments Racelp or RNvnd/Mudlocatad
Column Cokimn2 Column.? Calumn4 ColumoS Colum4 Column7 Coumne_--.- ColumnD_
5/12/2021 William Wallen Mollie and Bill Wallen State Employees CU 3711 $ 200.00 GP#801650 TP rct.10324
5/122021 Michael Keaney same Bank of America 2175 $ 200.00 GP 879981D PA rd.12774
5/122021 SAJA LLC Sam and Jaynee Wood Wells Fargo 7476 $ 200.00 GP#79933D PA rd.12776
5/12/2021 SAJA LLC 'Sam and Jaynee Wood Wells Fargo 7477 $ 200.00 GP#79982D PA rct.12775
5/12/2021 Gregory Holden Richard Whittfield United Bank 5577 $ 600.00 GP#79984D PA rct.12777
5/12/2021 McPherson Marine Services,LLC Ray Martin First Citizens Bank 4159 $ 200.00 GP#75823D Tmac rct.13006
5/122021 Dr.John A Azzato same First Citizens Bank 10910 $ 200.00 GP#80303D Tmac rct.12888
5/12/2021 McPherson Marine Services,LLC Margaret Wright Wills First Citizens Bank j 4158 $ 400.00 GP 880138D Tmac rd.13007
5/12/2021 Logan Marine,LLC Thomas W.Himmel BB&T 7419 $ 400.00 GP#79979D KE rct.13436
5/122021 B and B Marine Construction Greg Sloan Wells Fargo 1734 $ 400 00 GP#79913D JD rd.13418