79952D - Gibson

•.LCAMA
/ ❑DREDGE & FILL No 79952 A B C CVGENERAL PERMIT Previous permit#
��---- New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued l
As authorized by the State of North Carolina, Department of Environmental Quality T/� (� 7
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC U I P 1 10 U
RD Rules attached.
Applicant Name , ••'-' ' f ,?,yL t Gi L�=�.-, Project Location: County U/ .n S-.,c//kL
Address )'j 1 J S, I U c f Coe..:t la IL 6/. Street Address/State Road/Lot#(s) 2, O c,re.
City LJ `-qc6 ,w State.IJL.ZI/P?S- T.?,Phone# t`�o ) �'(O-- E-Mail Yfc_k (S,chso^f✓4,1m,, i' ` '^Subdivision
Authorized Agent t t J (le (-- S City S/t 6, 4(IA ZIP -Z XQ`j
Affected ❑CW 1 EW APTA ❑ES ❑PTS Phone# ( ) River Basin (.,.,.,,(2-(2/AEC(s): ❑oEA ❑HHF ❑IH ❑URA ❑N/A Adj.Wtr. Body CAnck (na(/mar /unkn)
❑ PWs:
Closest Maj.Wtr. Body At
ORW: yes //now/, PNA yes 41010
Type of Project/Activity Al��-•..i di`t 1 y '-„G�-- " ' ^ t c k A �1.V�
''rtio\p!1iL` '-�\(U(.6 J (Scale: NT )
Pier(dock)length
Fixed Platform(s) I
Floating Platform(s) 'O X� ��
Finger pier(s) ' I _...........- -- _.__.. ..IGroin length CiAvV,A
':
number — __._. jI I ,
Bulkhead/Riprap length ' I
avg distance offshore j
max distance offshore I _
Basin,channel i
1
cubic yards 20, l
i I
Boat ramp > j
Boathouse/Boatlift T.__.__.__._..".�_..a_. ....._...._.._. �.... E-_ _._..__._..__.. —i
Beach Bulldozing -
j
Other _ (v.
, I %.).r k4 dll' 1
Pi
k e 4., °cut,s e,
Shoreline Length IV /t y,-(..n
SAV: not sure yes n : j L 6 aGr, C
I
/ 1- i 1 __M" til-H
Moratorium: n/a yes I t.A'r&� _ . ._,...._."...i _ L't SL _.. _.
Photos:
I i t1.
Waiver Attached: no 1 i
A building permit may be required by: O(J,cv, t Q(N( Il` . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions (75 \— ( JJ1 nt) (\oc , L .kk r1 b. 9((il Q)(t ), N ei, , -,i ( AP
-,
5,_ .4-44, i• 1
1 . (e /-,c(,/, /3(b( \
Agent or Applicant Printed Name Permit officer frid Name `
Signature , Please read compliance statement on backpf permit** Signature
Applicatio ) Check# Issuing Date Expira ion 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 (252-946-6481) 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 252-946-6481
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

,
'' ca .MA/ ❑DREDGE& FILL N9 79952 A B C 67
GENERAL PERMIT Previous permit#
New OModificadon ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As a rized 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 V T�y
'Ti f 10 Q
` F4des att/a,ficd•
Applicant Name• A ♦mac '> C/2Q4c_ 6.1z So,,, Project Location: County
rr
Address Dy t
t 5 S r t U .i' Cr_c,, (` 1 Street Address/State Road/Lot#(s)
City L i 49s144%.-1 State,NL ZIP 173 Si -
Phone#NO(1) ?S(p 3 S E-Mail ctr n6.i•4rw:I•Vis.Subdivision
Authorized Agent 1, 4_ l-{L L 5 City k_ l ik 6G_ ZIP 2
Affected 0`W $EW poTA DES OPTS Phone# ( ) River Basin L� , �-/
AEC(s): 1]OE/1 O WO ❑IH J u8A O N/A Adj.Wtr.Body Cifitte4 1
a PINS: .t d!
ORW: yes PNA yes t', Closest Maj.
Wtr.Body -
Type of Prof Activity �w Cl((q I I Atll--•-.J Ct 4 n.••ele.- - l oa�i1 AAck- •q 5A rrr
�r ink At, LlNStl^ ` Ikit\WiS II (Scaic: 0 )
Pier(dock]length � � f T 1 I 1 - i - � I _-
Fixed Platlomk(s) i ' -i i f j - { .-__i ,
Fk>a P1it+on„(s) 1`W TEE :1
- 1
Bulkhead/RipraP lengtil '
erg dsonce offshore 1 ( + �+;,
k l l l i , i
-
max fistance
Bali, citaen -, i 1 f - (g�f 1 t j
lei .
c I �_ -
Boat ramp i 1 1 H
H
Boathouse Saadilc i __. `_4-I-+-. --itl:
Beach Bulldozing I I -- 1 t -
fl Ii ;- ' EL
l 1 { i
Other ( l y lU �,e W i rr
,--T —
I { k it��C Gis 0 tr- -, i
Shoreline Length_ 4 _ - 1 It- I (I- `. . i
����� � • 151 I I
SAV: not sure Yes v II -- -
I r�,� S%t SO I
Moratorium: �a >� :w_ �._ ----�2�- _- -.- l D e
Photos: J I 1
waiver Attached: Gno 1 j
A building permit may be required by: V(14M d t Sc c L • ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Condidorts (3 1^�-"lbaASt) _ 62GL << 't4 �f,CO�� C�Yi S1 Inc f✓ t,n0
went of icara Pr Name Permit 08Ker rated N - Its
2-'e Please read co •
m lance statement on backlit permit" Signature
signature
2.Ov j3 ac4) 5 1;I I 9 13 Arm
APO ) Check# Issuing Date E ' ate
Scanned with CamScanner

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: )07ir9$ i C; ic4
Mailing Address: 5q 5 Si/vet (e f)< Ur
Phone Number: t?u
Email Address: r re et4t 2sJ✓I ( vimfR J 1 (0)1-?
I certify that l have authorized T6 �� / J
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located a: 2 1]grt_ S1, Oceoln, s le 134' r`i ,f�� •�,o°C/
in 3rurlsydpc►k County.
l furthermore certify that l 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:
Signature
ct‘,1-pi i?, 1 �rI
Print or Type Name
0 W17 s '
Title
14 1 3 t 2 (
Date
This certification is valid through / A,

SENDER: CO 1PLETE,THIS SECTION COMP.Jr7- THIS SECTION ON DELIVERY
• Complete items 1.2,and 3. A. Sigria
• Print your name and address on the reverse X IDAgent
so that we can return the card to you. 4 • Addressee
• Attach this card to the back of the mailpiece, �� * __
riff • C. D.e of Delivery
or on the front if space permits. 9 le)
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
4Cantle—
If YES,enter delivery address below: ElNo
aWrail /
3U7 CU(n91-61 KO I.
CGiarlo/le, w� agj ('''
3. Service Type ❑Priority Mall Express®
1111111111 III(III I I 11111111 I II I I I IAdult Signature 0 Registered Mail'''.
Adult M t®Restricted Delivery 0 Mail Restricts
9590 9402 6633 1028 4830 68 0 Certified Mail Restricted Delivery 0Delivery
Signature ConflrmatlonT"
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery
'-'ued Mail
7020 2450 0000 3578 2788 ;re M) r,1 Restricted Delivery
IPR Fnrm SRi i _Iirhr Or»n Pr,i 7san_no_nnn_ofAq rv,..,.etiek 1:11.111rn Pelneainf

USPS TRACKING#
First-Class Mail
111111 I' -- 2 ° Postage&Fees Paid
LISPS
Permit No.G-10
9590 9402 6633 1028 4830 68
United States •Sender:Please print your name,address,and ZIP+4®in this box*
Postal Service CK.oiiu'
5 3q back dX
i

5/11/2021 USPS.com®-USPS Tracking®Results
USPS Tracking FAos '
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Tracking Number: 70202450000035782788 Remove X
Your item has been delivered to an agent for final delivery in CHARLOTTE, NC 28226 on April 30, 2021 at 7:04 pm. m
m
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St Delivered to Agent for Final Delivery
April 30, 2021 at 7:04 pm
CHARLOTTE, NC 28226
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 3 me S �i[(DSO
Address of Property: ono Daft S4 D`t NC
14,615
1 (Lot o/r/?Street=._Street or Road. City& County)
Agent's Name#:114 4615 afaleW W (M)Mailing Address: 5837 iach
Agent's phone #: qI) -((u3—'fact VUJ) ,JL GQ
•
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing. with dimensions. must be provided with this letter.
` � RIM I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http:i/www.nccoastalmanaaement.netlweb/cmistaff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
InAiod
) RP{ I do wish to waive the 15' setback requirement.
_�
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
2e-c .We&t6"--*
Signature Signature at 4-
'17a 64 i cr Rpha✓t t a 4o ._/
Y .�--
Print or Type Name Print or Type Name 1
Mailing Address Mailing Address
AS Az a ezi(og P, fFu
City/State/Zip City/State/Zip
1/0•A13-fisiI r 9/0-193-avt"i e -41.E-9- ,0
Telephone Number/Email Address Telephone Number/=mail Address d 2`is-A
41/214/Zi g e 0
Date Dare
(Revised Aug. 2014) ,� /Ou C4-1(1 6rna4. / 1-Al5a
IOC 1 i I2/.5 325"a) jma iJ (a in -

•
CEO MAIL • RETURN RECEIPT REQUESTED
T
DIVISION OF COASTAL R NOT F CATION,'WAIVER FORM
ADJACENT RIPARIAN PROPERTY OW
Name of Property Owner: a—nle 5 C7/M
24 c. .5 Dl6 ;MC
Address of Property Street or Road. City 8 County)
(L/Lot or Street#.
�Cd f iti L lt,Cc C 1 J,lLJ Mailing Address: 5giet 15e61.1'! Dig
Agent's Name �:
Agent's phone #:
io /'/ . 149 f' 0�6, NC a Sit
I hereby certiy that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are aroposing. A descriotion or drawing. with dimensions. must be provided with this letter.
in,11141.......7y� I have no objections to this proposal. I have. objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http:i/www.nccoastalmanagement.net/web/cm/staff-iistino or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be se: 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 appropr`'.ate blank below.)
in, ,..- 1A_
I do wish to waive the 15' setback requirement.
I do not wis' :o waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
--21„1.--_ ...&u..7,ss .__ \/1he NI,.. .)„,
Sri j1atl!/"P Signature
• T •e /Name Print or Type Name
ailing Address M� a 'Nkj^..0 V L' 1'
111 Mailing Addres
7 City/S a te/Zip a
ai jc ! -- 1 _- jS-3G
y T91eip+hone dumber/ �- -'S.'--- T�-1-_'t �__ �.n� d«�� .__
'�ddres lephcne Number ,r Ad

Check
te Received Date Deposited Check From(Nam.) Name of Permit Noldor Vendor Check number amount Permit Numbenromments Receipt or Refund/Reallocated
Columnt Column2 Column3 Column) Column6 Column6 Colunn7 _ Colima Column!)
A
5/20/2021
hthouse Marine Construction ',W
Uzzell Coastal Bank and Trust 3759 $
lyn
5/20/2021 Li hthouse Marine Constructiopn Mariam Thomas Coastal Bank and Trust 3765 $ 200.00 GP GP# 3593#73593D JD rdl.1413
D JD rct.14138 _
5/20/2021 ,Backwater Marine Construction Scott Garrison '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 Debra!'Jr John,Pamela Debell BB&T 8762 $ 200.00 GP#801020 ,BB rot.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#79953D BB rd.14926
5/20/20211 Patrick Antinori Mary Crumpler First Citizens Bank 1099 $ 600.00 GP#77745D JD rot.14076
e