80170D - Uzzell

toCAMA / DREDGE & FILL N° 80170 A B
GENERAL PERMIT Previous permit# --
) _'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued .K
As authorized by the State of North Carolina,Department of Environmental Quality 7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /5 / ' /Z UG
// ❑Rules attached.
Applicant Name 10 i(/U 1M U 7?di Project Location: County 0PC/ a .,
Address, '0 `'f q f 5 • Street Address/State Road/Lot#(s)
City ? 11/F (4 State 7"/6- ZIP 7,44-S / (). '4 q
7/ 6671( ��
Phone#��1 ) E-Mail �� Subdivision
Authorized Agent Du✓ -t. (/ ram.✓A City 5" e F Ci ZIP 7S(i 7
❑CW NO EW 9PTA ❑ES V ❑PTS Phone# ( ) - ' River Basin A/ • v
AffecteAEC(s)� ❑OEA ❑HHF ❑IH ❑URA ❑N/A Adj.Wtr. Body Cd14 2 / O 71 � m. (na a /unk
❑ PWS:
ORW: yes /(io) PNA yes eD Closest Maj.Wtr. Body `ikt ,0 Sr'v/"
11
Type of Project/Activity n 1 U
(Scale: II
/
Pier(dock)length le, l\ ip ,
Fixed Platform(s) 16 X 11e j { i i
Floating Platforms) r f H
Finger pier(s) X -
N
Groin length t
f
number _. 1..-.. -_.... -
Bulkhead/Ri ra
P P length gt , --
avg distance offshore !-
max distance offshore I \ `` + f
Basin,channel I o � /
w ! I
cubic yards
Boat ramp r I _ • C.
w
i
Boathou oath i _ _.
— — . ....... i
T
Beach Bulldozing -
Other i
> --i® I -- --4 ' i 5 i j t j 4 -
Shoreline Length f/57 ft--
cif kft:i. W—
SAV: not sure yes o l
A i ..—_ a
ile-
Moratorium: n/a yes i I
Photos: yes ' — T..
� , _
Waiver Attached: .a✓"—
A building permit may be required by: Sv'�(://:.,(.1:17--------- . n'See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions
r/-)/ ---
Agent or Applicant Printed / PermitOff'icer Printed Name
igna re Please read compliance stateme t n back of permit Signature. /; -

0 4CAMA / DREDGE & FILL N° 80170 A B
GENERAL PERMIT Previous permit #
4 ew ❑Modification Complete Reissue Partial Reissue Date previous permit issued
As aut orized 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 a 7# 1 r Zoo
( ❑Ryles attached.
Applicant Named 2Z' ( Project Location: County �KS d a
Address` logo q ,Nr Street Addr�e}s/State Road/Lot#(s)
City / t71F � State IV ZIP Zf4Y, ( 064 4# 4/
Phone opt qv 6d 7(` ��
)-[ E-mailEMil Subdivision
Authorized Agent pa„,44/ • ‘,. City Fri ZIP Z`f'f 7
❑CW EW A ❑ES V ❑PTS Phone # ( _)"�� River Basin �• 0
Affected •
s ❑OEA HHF IH ❑UBA ❑N/A
AEC : Wtr.Adj. Body0 4
❑ PWS: � $ (nn ma /unk
' o PNA es
Closest Maj.Wtr. Body So./n 1ORW: yes in
dip
i
t I r
Type of Project/Activity
(��/ (Scale: (q W. ;
Pier(dock)length (4, I GV
Fixed Platform(s) ■■■-■•
IMEMIE
Floating Platforms ' zAt. ■_ ■■■■_■■ I 1 .�. I '
Finger pier(s) ME 16
Groin length 1
number Mill1
I
Bulkhead/Riprap length i
_I
avg distance offshore
max distance offshore I i I rt -. ■ II
max
Basin,channel I URUUUU 1110-.1
IM•UU U• � I
cubic yards I ■■PI■_■� ■ I
Boat ramp i' �L,U_�■U■■
..
•
Boathou _ a1 , ..1M111111 �_.-. ������ , _ II
71
IIIII
Beach Bulldozing I . • • ••�•
Other �� :.
ULM
Shoreline Length -4 � _ J '
J'A 1itev SAV: not sure yes �{. 9-
Moratorium: n/a yes lam i ,
Photos: yes ;. j 1
Waiver Attached:
A building permit may be required by: 1,0,- n See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/Special Conditions
%lir pli.: t Pri ed�j Per•' • . Pr1.741-------------
Name
,_ ignature *Please read compliance stateme t n back of permit** Sig - ^ Q n_ n

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AGENT AUTHIO, iZATB.N FOR CA1:A PER OT APPLICATI•N
Name of Property Owner Requesting Permit: VV t 1Lcj, e • Une ( 1
Mailing Address: g O q 61 Q`"` +I c
sc.(4 c
Phone Number: G? 1 _ 9 a I oo r7 g
Email Address: c u -z e t( ' 2 G o f c
I certify that I have authorized L 1 )x f-Iiq _ ��� � eC;(7`
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:. bet c - IN. a l cc k c
at my property located at Lt 0 S r Lk k S"(-C e e 50 if ,
ae`r'(Is
in © YUSI O0 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:
JJ , •
Sipature
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Print or Type Name
Title
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Date
This certification is valid through / I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to IAI / 1 I i r,t.. = ( 's
property located at q 0 O 7 �(Nameof. Property Owner)
on '14-1-- s- tal- (Address, Lot, Block Road, etc.)
, in 5 u.c-0 N. L c .7 qs , 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� 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)
citjAWTAJ 'b'C' I b 1 k ''1 '
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 ck, you must initial the appropriate blank below.)
(,5- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property wner Information)
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Telepho e Number Telephone Number
519 - 9 1-ex) 77 e/-(2 _
Date D6te Ca/
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own property adjacent to ( L) (1c..._. �. U " �-'i ( .14
's
property located at LtU q,16 rI��e of Property Owner)
I s e (Address, Lot, Block, Road, etc.)
on t rlj; , in 5t '(� Cc etc.)
• WILK, N.C.
(Waterbody) (City/Tow and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I 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)
ems- /
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.)
V - I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjac nt Property Own Information)
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Print or Type Name Print or T pe N me
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Mailing Ad ess Mailing Address
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S cis City/State/Zip Z' r
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Telephone Number Telephopg Nu ber
Date Date
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(Revised 6/18/2012)

Chock
Date Received Date Depo&Rad Check From(Name) Name of Permit Holder Vendor Check number, amount Permit Number/Comments RaoaOf or R.IundMesil acated
Column) Column2 Column3 Column) Columns Column. Cdwnn7 Column8 Column6
5/20/2021 Lighthouse Marine Construction William Uzzell Coastal Bank and Trust 3759 $ 200.00 GP#80170D JD rct.14139
5/20/2021 Lighthouse Marine Constructiopn Marilyn Thomas Coastal Bank and Trust 3785 $ 200.00 GP#73593D JD rct.14138 _
5/20/2021 Backwater Marine Construction Scott Gamion BB&T 1304 $ 200.00 GP#79986D PA rct.12782
5/20/2021 CLTMC,Inc. Brenda Bowling First Citizens Bank 1186 $ 400.00 GP#80294D PA rct.12781
5/20/2021 _Cynthia G.Clark same Coastal Credit Union 4346 $ 200.00,GP#79926D PA rct.12779
5/20/2021 Ralph D Evans Dean and Judith Evans BB&T 1214 $ 200.00 GP#79995D PA rct.12778
5/20/2021 Jerry Mills Construction Grace Summersett First Bank 3094 $ 400.00 GP#79996D ;BB rct.14932
5/20/2021 Warren White Jr. Warren and Gayle White Piedmont Advantage CU 6773 $ 200.00 GP#80104D BB rct.14931
5/20/2021. Grice Construction 'John,Cynthia Jones BB&T 14600 $ 200.00 GP#80208D BB rct.13123
5/20/2021 Backwater Marine of NC LLC James,Elizabeth Gibson BB&T 1306 $ 200.00 GP#79952D BB rct.14930
5/20/2021 Jogh Debell Jr John,Pamela Debell BB&T 8762 $ 200.00 GP#80102D BB rct.14929
5/20/2021 Logan Marine,LLC Keith Batten 'BB&T 7378 $ 200.00 GP#80101D BB rct.14928
5/20/2021 Waterbridge Contractors Sports Endeavors Investments,LL South State Bank 6190 $ 400.00 GP#799530 BB rct.14926
5/20/2021 'Patrick Antinori Mary Crumpler First Citizens Bank I 1099 $ 600.00 GP#77745D JD rct.14076