79995D - Evans

toQCAMA/ '❑ DREDGE & FILL N9 79995 A B C t
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 ISA NCAC d 7 H. Id UD
�'I, p r�� ❑Rules attached.
Applicant Name `fl 2 +d( -fops Project Location: County 17 17 C A,c_!;:,,
Address 1$0 5 f'ywC1-1-e4e GE SS. Street Address/State Road/Lot#(s)
City ,{iyi(i 7 State !\{. ZIP ,iig4,V P1D : .2oloo072
Phone#(3A) $?1 1016 E-Mail j ud�teuaviS 77e(�N+s+1•t am Subdivision
£/%I�5 %W,,r//41
Authorized Agent C Pb,LL-C. JJ City G7[.r144 (/ ZIP 26.42//--�
Affected ❑CW/ L EW al PTA ❑ES ❑PTS Phone# ( ) River Basin L(�'►'f Gcl-
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): ❑ PwS. Adj.Wtr. Body GU two', //y , 1"1," /man /unk
ORW: yes / no PNA e/ no Closest Maj.Wtr. Body Q`ww
Type of Project/Activity t. / /),/ . L 1/79 47L l9 T f/kM aD(6
X l/l l V (c✓J iotrI -k7 e.1-13 r79-ph- d0,-// or it CI lip/!L(pi ,2 p// h1/,(kale: M-S )
Pier(dock)length eA•st,(ky
Fixed Platform(s)1 V x 111(119,5g95\ { l t°a t# areft ♦/,--,' ,{4j��!n iN 1 '"' ' / Air
Floating Platform(s) x 1,4' ynu-I I I , ; � ���� , I � �
Finger pier(s) 4v, jen k'c flV St iqy
t
Role 1.442444. ...._ 1'tsar 1
Groin length � g port�'' ' r in,
1 s q ras _...-.
number .`4 ia GQr "" -1 ! ei,at.• c d9
fi y
Bulkhead/Riprap le h ! � } ...... r 7r _�
avg distance offs•ore 1vh J !t ■ -� 4,flew 7
mo/'
max distance offs •re 1
Basin,channel 17
rafh, ed v
cubic yards � I -
Boat ramp ( O/Of I'Z�f(l�'l x' +� � �� _,
Boathous j' ': :.. — — _ ...�.__. �.. 1 — 1— —..._/vXr3 1 ��
i
j 1
Beach Bulldozing ' j
Other i
i„. i. ,!'r -v-- " , .
i
Shoreline Length 1i-3
SAV: not sure yes ® I _ j
Moratorium: n/a yes ® ' $ � ��—'— ' —"
Photos: p42j C�S� �.. fi. V./0,� ,
Waiver Attached: no
o'9r '
A building permit may be required by: AID fipi4 (e7,71*---
. ❑See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)
Notes/Special Conditions fiffkled /'7H_ ia'o, ', ,�./OCClzhe, ,6,4,//9 -jy jo17 / C./Fee/ Llec5,er
of -4-k eyfiroL✓bo S/prourrf fclr"artr77, fo .PfM to/,ry Mfb rc eff44./ 7/24//
p f►'%( K1/"Irco
Agent or Applicant Printed Name Permit O
fficer's Printed� Name
t 'S-
Signature **Please read compliance statement on back of permit" Signature

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(910-796-7215)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 252-946-648 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)

�! <CAMA DREDGE & FILL A B C (J'
GENERAL PERMIT Previous permit#
$iew Mod f. Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of F s.ronr it-sal Quakvy
and the Coastal Resources Commission in an area of environmental ccrscern pursuant to I SA NCAC C 1 N [J c r'
.yJ, Rules attached
Applicant Name 1l csi '-"-GI "(at l7 Protect Location County p lrSLLSLk
Address tsc 5 i3,..ywa}'Ur C+ SF Street Address/State Road!Lot#(s)
City LI i;t`41 State it-. ZIP 4,.,1 P i D ; .2 alaG07'!
Phone# (34..4 y • 70 it: E-Mail j,a4,[t�s[t 1s)hk lv!a I t, ., Subdivision ii c'i//fa' „fret, 1/ f✓`I
Authorized Agent c t- i LC, City '61,CI i/f ZIP 2`s 14-S Z
t_
Affected w `E W e PTA ES PTS Phone# ( 1 River Basin L L 2 b
AECt s OEA HHF lH USA 1LA Ad1 Wtr Body L i';isi!' > �/Y /:�ti� j iunkn)
PWS ! 1� t,,
ORW yes , era.) PHA 19 j no Closest Mal Wtr Body QLl >`/
Type of Projecs,/Activity y,Aaot'r i & )5k2c4 );6,jl 1�%,Q jiff"41- A '/r Vi,2 C Gl['i/4//l (la 1 erff i P4-15ii p 14-ii.:iris i, 4."r1 fry/a-C , ,?,-a^/r .fir',//.f ail: / S )
Pier.docki length FA".1,7-b-
tg AA lit
N�Fixed Plattorn(si IL);I tF '% J I(d�r / /te / li cp.( c„I, 4,3
Fo 8Pladorm(s114It 1, i fh: +."..I 7'',ti. led kwc-•Finger piers..
nit.ix I..4 4.-kylic .pZ ot:A st,}
Groin length �r01t(t+o�t +�� i1 1 pn�sy
i, .4 10 1is: 7�
number e`'y'� f reS.A 1 roo
Bulkhead R.prap le h i _��-� ricr 'T,
{C-i"n rY lit
a.g lotance Os re :a" 11/11 v y
max distance offs re i i r
Basin chorine!
;aitc .zi 'Crf. CarWi..7 /) -.`/pcc 7'
NtvelAa
cubic yards t-q( z_ 94/ I tl 1r s/
Boat ramp eke!R be yla.'!!_ }(
Boa--a 10,6 ,,i pc le \� (,C',M*tL is /cIr, 4
Beach Bul!doting
Other rj Yi
lr y
Shoreline Length fol.?' NP
SAV not sure yes ® / 7/L i.-kyc.
w7 /Moratorium n/a yes ® H6
Photos yes © 1O J C3,,, rd
/ �"' �fl-�cnnnar
Waiver Attached ® no Bitywrny "'5t // ii
A building permit may be required by 4tiyld ulLLALi:4 See note on back regarding River Basin rules
I Note Local Planning Jurisdiction) �J _ . _
Notes/Special Conditions ����/ Q �7//1a0� f �0[y7�Ni �Cft/ 10��9at� C � S
/xf -lee- D// / /pCOl-Ce i�,l M�.•9n �/% l 9/�,f /,o
Ben Brink (CPG, LLC) pmr(r 4rnial
py /rt /ff,. ,r cy pi,cant Printed Name Perm�Ol,carr's/Prin�ntttejdd Name;,gnaini e "Please read compliance statement on back of permit" Signature
2i1 i� Check1 /1 Issuing fic/ZIeqJ Expiration/ate
Application Feetsi

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Dean and Judith Evans
1805 Baywater Ct.SE
Mailing Address:
Bolivia, NC 28422
304-887-7016
Phone Number:
[e-mail] or [e-mail]
Email Address:
I certify that I have authorized CPG, LLC
Agent!Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: install floating boat lift
roe located at 1805 Baywater Ct.SE
at my property
in Brunswick County.
Y
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:
aE,IN EV N
Signature
Dean Evans
Print or Type Name
Property Owner
Title
4 / 13 2021
Date
4 13 2022
This certification is valid through / /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
that I own r [hen Evans
I hereby certify property adjacent to 's
iso;8aawatrrt't `t I T3-I ST3 (Name of Property Owner)
property located at
lnckaroads Folly (Address.Lot.Block.Road.etc.)
on ,in I%oliau lSruns.kk ,N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
rt+? I have no objection to this proposal
I have objections to this proposal
DESCRIPTION ANDiOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
See attached drawing of docking facility.
Proposed work install floating boat lift t a'X i 6'in place of existing boat lift or in place of
the existing floating dock depending on NC Division of Coastal Managment
requirements.Proposed roof to be added to existing fixed platform(dripline dimensions
q'x 16').
WAIVER SECTION
I understand that a pier.dock. mooring pilings, boat ramp. breakwater, boathouse, lilt 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
Am? I do not wish to waive the 15'setback requirement
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature*
Evans gnature William or Celeste Rogers
Print or Type Name ,s05 a a sE Print or Type Name ,807 Baa.,aater CI.SE
Mailing Address Bolivia,NC silos Mailing Address Bolivia.NC:94ss
City/State/ZIP evansorthodontics@gmal corn Ci 9Jo-also-006 i fredrhreyahoo.com
Telephone Number/email address Telephone Number/email address
DR7e 4-13-21 pate* 04/14/2021
(Revised Aug.2014)
'Valid for one calendar year atter signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent 10 Dean Evans 's
asos Hanalei.CtSE L-Ty-a S-Tj (Nance of Property Owner)
property located at
Lockwood'Folly (Address,Lot,Slot oad,etc.)
on .In f°na"'rrt N.C.
(Waterbody) (City/Town and/or County)
The applicant has descrbed to me,as shown below,the development proposed at the above
--�lqq,� no objection to this proposal-
I nave objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
See attached drawing of docking facility.
Proposed work install floating boat lift r 2'x 16'in place of existing boat lift or in
place of the existing floating dock depending on NC Division of Coastal
Managment requirements.Proposed roof to be added to existing fixed platform
(dripline dimensions o'x
Please initial WAIVER SECTION
I understand that a pier,dock,mooring pilings,boat ramp,breakwater,boathouse,lift,or groin
waiver as it is must be set back a minimum distance of 15'from my area of riparian access unless waived by
crossing me(If you aive the setback,you must initial the appropriate blank below.)
Winding
River Parcel .. --I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(PropertyOwner Information) (Adjacent Owner Information)
DEAN EVANS 7 )
Srgnatxre Dean Erma Winding River Dentition Aasocialion
/(fib L.✓et#4.449R4 So/law Zrce
Print or Type Name'narrater CL SE Print or Type Game 1612 Military Cutoff Rd.
Marling Addretiotivia.NC 28422 Meiling Address Wilmington,NC 28403
CdyiState/Zip evansorlhodontresagmad coin GIN/Stale/Zip
Telephone Number/email address Telephone
ZSf •7o�u, , fits
c�ehone Number email addreess
• /y - ZoL�
Dsre 4-13-21
(Revised Aug.2Cf 4)
'Valid for one calendar year atter signature`

\ t 'Drawing Not To Sole'
,� 4/14/2021
(,�, 0/ PNA:Yes
V�4[ .k,
J/
t Lockwoods Folly
Proposed work install floating boat lift is.x in. ''
in place of existing boat lift or In place of the I,
existing floating dock depending on NC
Division of Coastal Managment requirements. ' tit;:1 Existing Docking
Proposed roof to be added to existing fliedv11+
platform(dripline dimensions 9'x 10. 't" Facilin
. —
fi
ti
um...owl ,hot a /
1 I
—P/L —P/L
Winding River Association
Rogers Evans Parcel ID:a0000sol
lair Bayswater Ct. raos Bayswater Ct.SF
SF Spanning over Winding River
Parcel la a0000tot

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As authorized by the State of North Carolina,Department of Environment and Natural Resources
and the Coastal Resources Commission In an area of environmental concern pursuant to 15A NCAC ,A"/2_6 0
B
) Mtles swdrd.
Applicant Name i / I C Ca t15 0,. Project Location: County Bee N.lSs✓KK
Address 2"/2 en 0 vie'e e/1..- 4-> Street Address/State Road/Lot#(s)/7 03 alSruAre.
City ",^d 5/,../ S/4?/..„ swell'- ZIPS 7/a is Cl. /e/ 712
Phone#('6) 913-.2069 Fax#►( ) Subdivision 114•4,.5 K,✓A--
Authorized Agent 770117 fly ®PR 4 J/ - City 6a L/{/iA ZIP 2 10'2 L
Affected 1 4r CW 0E PIM tilt OPTS Phone# ( __) River BasinL-t.ey6 �i
AEC(s): o°A h1Nl ❑NI ❑UM OWA Adj.Wtr.Body' _-k.'o. ruf�/y Cc'. r<+dQhn.nIs*
Li PWS: ❑M
Closest Ma' Wtr.Body_A,'"�
ORW: yes/ no PNAC'/no Crit.Neb. yes/ no ,�7 I
Type of Project/Activity 6%('✓P / ( P'tv4./� ie 0, e CJud/4 13z
/ (Scal.g/ "=3'd r )
Pier(dock)length/2(/'X y r -l/ ` fib?5 A
Platform(s) ' , X 7 /
Finger pier(s)
Groin kngth - '�'...,_..,- O Y rJs �/
number ----'- _ - -
Bulkhead,Riprap length i
avg distance offshore /.` 11'9
max distance offshore �(� n VL'e) -r f I
Basin,channel _-- �'�?, ` e'
cubic yards ��. ��• - _ef Of f17/�(1 f�1
i Boat ramp Jr- atJ
Boathouse/BoatUh - ••V �,. - a
Beach Bulldozing iii
'rather / /c-/'1 /S i "se) 5 ' ,V V Ili')
V �'
L2iirlraa.-r n•l' J j
Shoreline Length /Z✓ r kk i/
SAV: not sure yes t'..no ....—r-- _-- .--..-._ yk
Sandbags: not sure yes ,no
Moratorium: n/a yes no
Photos: yes no - ,-
WaiverAttached. yes , no ! i / �� ; �IA/ln. �, �
A building permit may be required by:6:te41 0_5 W tick �Or+.,�y�7A' 1 See note on back regarding River Basin rules.
Notes/Special Conditions M( (Av N tl .r r. U1�{ 1 �20 a ,S ,✓e// iQ. f/te/h,,.,z 9.7%t.4,
t)#i-✓ -., uu/•/: al- d/0 Aop- N•S.eear 4,,,cr A// v,ii-.. S7!/7C, Lot,/ r
`e(4' 0 L g P"`///I I,,AF.r -- -)// AD',„ ,,,,
10mc^tN, er_ti ..P� -0, to
Agent orApplcrttP PenneOticer'sSignahse D/J4A Wr(tr.
`la"\� ..`}� .o. .0149A7 0 Y/a 9/o)
Signature efPlease(lcomplbno t.nton bock ofpermit** 1*K� Expiration Date
.�ZUo -- �J '427-17/75— 4711E-14v•e-e_ C,--js.. fyaco9. a4
AppintlonFee(s) Cheek Local Planr* Jtrisdlabn Rover File Name

U 7-Z-iv/
\ CURVE RADIUS ARC LENGTH CH0Ro LENGTH CHORD REARM
C1 285.00' 84.42` 64.06' S 1323'30"E
\ LAZE SBEARING
2z31 DISTANCE
II \ L7 S 22'31'03'E 6.11'
l ...... fLG 2t.44
N
NOG a POIR�Y
\ w1DNe 6Th !1/OR F17 COIL AS10G 1/1C.
DEED BOON 1412.PR0E 1011
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VICINITY MAP l Luo
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MMIER C01NT \\ OF..11611. - NYORANT
1 1805 BAYWATER COURT
6 50' PRIVATE RIGHT—OF—WAY
LEGEND(r u» \
NF.NON Roo OR Rare FOUND BRUNSWICK \
PF.PIPE FOUND COUNTY
11111,10111131 ME
■-_0II NEW SET ZONING GRAPHIC SCALE
Off.CONCRLIE 110111111ENT FOUND ys isr-a nTIO
CP.CFACUE MR m-R-1500
MR articnope
SETBACKS 1 R1011.N FEET
81‘.1103E FLOOD 14 POIEAR61 W1IMOOEIR AFTM.7 F1101119 _.10'
ORr 04111610 DRUM OM.20
C.111A..FEDERAL010I00CV NNNOALNT
AGENCY
TARN,FEDERAL IIISURANCE RATE NAP TAX PARCEL # 2O0E6002
FLOOD CERTIFICATION:
1 MIS PROPERTY UES DAMN A F.ELI.SreoN ROM WARD Ma PHYSICAL SURVEY
AE-10 AS ATOM OR F.U.I.372O20-2000-A 0Nm 11/2/00.
I.NEANNOTENTS a MS 11,Ap ARE N FEET PO REMws MOODS. FOR: RALPH D. & JUDITH EVANS
2.ALL SET CORNERS ARE 1/2•IRON ROM INNS OA60Y0E TIERED.
Y%LYS T WY RE NOI�Rs waA601i`4.eT oest '"ETA 1R'1LE Cr LOT T3-2
111E OF SW OR'MAT IN OE OF RECORD.NO TIRE SEARCH SY SECTION T3
TWINS D.voN CANON.
NITIMWINDING RIVER PLANTATION
MAT
A Cr.SECTION 13.TAME 1MTMR PIAN00ION.RECORDED N 1LW LOCKWOOD FOLLY TOWNSHIP
CAsrtT 21.PAGE 54 ON NIMBI 2710 III N 11E NIUMINCTL BRUNSWICK COUNTY, NORTH CAROUNA
COFY.NORMliWOIMM REGISTER Cr 0®S.
2.O®IODIC 2102.INK 1110,MOOED II 11E eIeJBNBI COUNTY.
NORM GAMMA E+4NER Cr DEEDS. ��\�
THIS IS TO COMFY THAT ON,NLY MST T01s,1 DUPRETED TIE a�e►�. VCS & CO., INC. C-21 60
MEMO'SWIM ON MO PLAT.AND Ivor nE mu uas moo ne -. 1 YAUPON WAY
DNts Cr 11E eUMDelcs.IF ANY.NE 0ORN HOWL 11E WA Cr OAK ISLAND, NC
1NS PWPENT IS Q,0R7 ACRES AS rOM1P COORDINATE
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C011PUOm011 1 ..i r THAT. ANION UN N 1,10.53 TELE. [phone]
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Cheat
Date Received Date Deposited Chock From(Name) Name of Permit Holder Venda/ Check number amount Permit Number/Commanfs Receipt or Refund/Reallocated
Cclumn1 Column2 Column3 Column4 Colunn5 Coktmn4 Colunn7 Column8 Column8
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 3765 $ 200.00 GP#73593D JD rct.14138
5/20/2021 Backwater Marine Construction Scott Garmon 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, rd.$ 400.00 GP#79996D BB 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#601010 IBB rct 14926
5/20/2021 Waterbridge Contractors Sports Endeavors Investments,LL South State Bank 6190 $ 400.00 GP#79953D j BB rct.14926
5/20/2021 Patrick Mtinori Mary Crumpler First Citizens Bank i 1099 $ 600.00 GP#77745D I JD rct.14076