79987D - Banner

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0 E CAMA/ ❑'DREDGE & FILL N° 79987 A B C CD
GENERAL PERMIT Previous permit#
>�= ;Mew ❑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 I SA NCAC 07 He II)0 6
_ I p b ❑Rules attached.
Applicant Name '1 I G< Pz2f�1Q &tior e- Project Location: County gj1? k„ 1
Address /q Io/f y k VL r O �/ i, Street Address/State Road/Lot#(s)
City $Q/l,/I C( 7 State N C ZIP 0eif 2) -ram
f �-
Phone# (4A5) ` (x 4 d so E-Mail knit r�/mob,� ng I Will Subdivision
—
Authorized Agent��am,A,Sit4,4.1t/Jou-j j? 4 c✓n' ;,5t t I C City —" ZIP --
Affected CI CW (SEW [ PTA CI ES ID PTS Phone# ( -�j"•'• rr River Basin L.�t1A b l r-
AEC(s): ❑❑PW ❑HHF ❑IN ❑UBA ❑WA Adj.Wtr. Body LGC 1(� S t)/f v .p iV ( C;J'/man /unkr
ORW: yes /0 PNA el no Closest Maj.Wtr. Body 4 I W V
Type of Project/Activity) Pi,pos fp i'lys iY `21 2/ /-f1 4f /71I -Qr 7 Jp
piI !'(��-e (1 C(/(ml/`J - (tee iy (Scale: ►�/ ►5 )
Pier(dock)length / I
Fixed Platform(s) rt
`/` i
Floating Platform(s) I ' iQ F. ; , 1
Finger pier(s) I. f(!�`,q)( , hwd
Groin length I , '
number \ •—
�_�
Bulkhead/Riprap length i __-_ l
I i
avg distance offsho
- 1
max distance offsho
Basin,channel I-1}�p ;
cubic yards !ti
�_�© ,P ^ 1
Boat ram NI V • •' ;
P / / ki r 4'r+;tn1howees , , E
Boathouse/:oatlift )' 4 Ja (4' _ — --— — —
Beach Bulldozing -- (Vera) i I I
Other ---~ j
T1+01 .
i -S1 H-ci t iv r a r
Shoreline Length 1(,(l4 " '
1 I Ii
SAV: not sure yes ® _• _
, '��
,i i
Moratorium: n/a yes e —i�
Photos: yes _ I 1
Waiver Attached: yes e 1
A building permit may be required by: 11/nspv1(4 (r,41 // n. See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)Notes/Special Conditions hl 44 0 711. /2 0 0, 11///
l fA- /2 Si(PS.
Fichrid( AvIC(a s 114(2.1
Agent or Applicant Pri d N Perm' Officer's rint Name
.GLG q'14 Li
Signature **Please read compliance statement on back of permit** Signa ture ,

SCAMA/ D DREDGE & FILL N . 79987 A B C
icil:il
GENE RAL PERMIT Previous permit#
g�'New Modification Complete Reissue Partial Reissue Date previous permit Issued
SI
As authorized by the State of North Carolina,Department of Environmental Quality L
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1)7[1. 11i0 t.'y�
E:Rules attached.
B z
Applicant Name ha.�_�Jani�I�e r Project Location: County Y��[.[� 1�
Address R : golly evl r Or1 ��— Street Address/State Road/Lot#(s)
City - ell"�1a.41 Stat/e/V G ZIP______, sue-
Phone#(4o) $Qa 4680 E-Mail 4214. ''‘.c. r/ar ,c .4 Subdivision —_
Authorized Agentt jl f i ► 'pu , I-t L C., City
- CW k ZIP --
AffectedrEW 1)oI'PTA F/DES OPTS Phone# ( •1 River Basin Lw.i td
AEC(s): oEA II HHF ❑IH ❑UBA C7 WA Adj.Wtr.Body__ sir y tY� /ma+► /unkn)
E.PWS:
ORW: yes / no PNA es / no Closest Maj.Wtr. Body hi Wvt/
Type of Project/Activity re 7 S !e)S /Y J.2" / /¢f" Q! all .5.jy�
p 1 l'l�ff OL co,/ fe, jJ
[ (Scale: krts )
Pier(dock)length
Fixed Platform(s) [1 t 1 1--.t.-.- ----t--I t . ■ I. t
Floaung Platform(s) I ---; ' l ."��'`' 1 y ■ I i.
Finger piers)- rt �°-0 j- I . 7 1- �j/�///J
Crom length ' 0. `i� ( i--.J, --i_-t-t--._.! 6_ LJd� el --.
y, - vv,,--
number -+- !._.- i /t _ i ..- , I - _
di, r - ,. _gi ! f—�
Bulkhead/Rcprap lengthNEM j
avg distance offsho - , ,- , - 1
max distance offsh 1 - ; 6412 •- --
Basin,channel_ a 1A I • Wig, aii_ •
c yards_ C limn
' J■fIlM _. ___ it _,_ _. . . i a
Boat ramp ��� �S. fa I
4s
Boathouse/ Y �•, '-- _ I 1 - ^ f�� •,`
Nisi
Beach Bulldozing g ra ■■11� „,1 . _(_ _ _ ■■■ ' ` a_ --+--
Other �• __ I � 1 -i 1�
_411111111
i• IEN .
i
Shoreline Length /004 ..._ • 1 I I.I ■ ' ' I i 1
S/V; not sure yes �•• - NM _.� EMI _ l _
Monconum: nla yes �i6, ill ■_ ■ - --Fr
Photos: yes. 1 { - '1 i-}-I-r. l : r-
Waiver Attached: yes ® ___L_ , I •
A building permit may be required by: L -M/1ith. C177,44 nZ ❑See note on back regarding River Basin rules. -
(Note Local Planning Jurisdiction) d , I
Notes/Special Conditions !//�)7Hr i�o(). !VIc14-- /1 rf .
%e9-a eLsfrl . Fair t LAMA!)
Agent or phcant Printed Name Penrn' Officer's Tint Natne
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Signature *Please read compliance statement on backa(permit" Signature ----- ——
Appl canon Fee(s) Check# Issuing Date
Expiration Date

t10ENT AUTFt4R1,7�1TIOfV FOR rMA PERMlT APP !CATION
Name of Property fanner Requesting Perm* 1 Oct ,JA' N6-11-•
Marring Address R 7 7 Houla.4k 1
6b(,,WiAn1G ' / a2},4�.)a
g ga `/
Phone Number �� S` / - eD cs o
Email Address -tV,l / /V s Igrscc. ins l'IA?- (10/�..
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certify that I have ruthOrttr ..... 66.- 4 et.111.4 It 4}.6 c.1.4
v AgMN r comacta
to act on my behalf for the purpose of applying fa and obtainutq art CAMA perrnr+s
necessary to the fotkrwrng proposed development to K 016.4 l:?4 Z
4 .1/461:4,....•1 QAi MA" 4. 6/%34 Lkat�
at my property wcdted at a77 rieI) 'or nr S E gptinrra /VC 28422
Sruwo.rtck county
hjrflremtpre cow*tat I am authorized to grant :riKJ do m tact grant permission to
O nSJOIP Of Coastal AMaggrm of staff the Local Permit Officer and They agents f0 ado(
on the alorerrsntro►NM lands in cooneclron with evaluattg rr:tormatton reisied to this
permit apptclban
Property Owner MdOnrudan
/ 'kA 1
ro
9IA Lth1AI(XJ
Prot N Type Name
Tete
c-41(0 t oa/
Ceete
This cettrttcaUon Is valid through .. ! 1 `11 O1j

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cat 'I(/rta r Or. ,7-7 170/11(Lr ku- Dr. S£ggvitux)

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ Comp;etc sterns 1,2,and 3. A.
• Print your Mlle and address on the reverse X ' — Auidrseeee
so that we Can return t e card to you. dY C. of Dotter/
■ Attach this card to the beck of the maipiaos. ` �
or on the front it space pamrts _J�.-�
1. ;snore Addressed to: D. b derhery address dilevnK 0
0 Yes
d YES.ember de`very address
BT'qn 54ton
((oil Le-1 Ce4c1,1 C1 sc
-}v,poor Nc 2.3'4,1
I II I I III IIII 111 I I I I I II I I I I I 3.ovice Type
s�,�..Re..�i0 v Y
AtAJt Sivas* kw Egavorre
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35y0 9402 6442 ii io 915D 40 0 Ass.lolidMowry 0 "
U Cosecs on Os/my L;S+On Oa/WI-awn
2_ Attdo N JtiOer(homier Rcrrt sere!•De0 n teen on Derwr Rsitrkted Os+rery nestricted Dee ery
❑raved rleu
-0‘‘ - nl►7, , . 19, 4 y rn ,wed v>u tsoaticted Deers
owe t:9x--
PS Form 3811,July 2020 PSN 7530-02-CCO-9053 Domestic Return RecoP1 •
SENDER: CCMPt C i THIS SECTION cOMPt[TE THIS SECTION CN DELIVERY
■ Compete i ems 1,t'Jend 3. A. •:s use / /`
ry
• Print your name atld address on the reve X I 0
Agent
so that we can return the card to you. v 0 Addra.r es
• Attach toss card to tits back of the maapic+cc. 1 C. • .' •
or on the front It ••
�..space pemxts.
t An/cal Addressed 10: t1. Is dearery.ddrees un seen t? 0 Ntrs
e T'o,,nCs; n YES.ester delivery address below: 0 No
t v:8 0-r'0 r' c"O
135- valleyR4,-
Way^t. Ai '5 o7LPC
hI I I I III 1111 III I II II Ili ll 111 ;Stow*l'ype
D eAsssic,e_De,, omble
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9590 9402 6442 0346 9255 5, 0CentedWire "y 0
®Oenrtleo WMftArieNd Detwery 0 Swaim Ccrpn,Mkrtm
0 Odra at Dimity U foircliftre COMMOI CAI
2. Mc*Nurturer(Tsw from srtsu Sabo° 0 Colima oft lowed Dowry p"°`Ci°oee wry nn.t•.e •ry
17020 0090 0001 5187 8967 D
`PS-rorrri 381 T.fitly 2020 PSN 1SJ0 o2-000 9O 3 Domestic Ream React

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Check
Date Received Date Depon/bd Check From(Name) Nem.of Permit Holder Vender Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnt Column2 Column3 Column/ CoMln5 Columns Coomn7 Column8 Column9
5/27/2021 Christopher Morrison Const. Chris and Stacie Morrison First National Bank 1607 $ 600.00 GP#801060 PAfd.12783
5/272021 Tyler B Cook same Fidelity Bank 3110 $ 800.00 GP#80107D PA rd.12785 _.
5/272021 C Guy Sorrell Jr. same Bank of America 5060 $ 200.00 GP#80152D PA«d 12784
5/27/2021 Duncan Manna Contractors,Inc. Vance Neal Branch Banking and Trust 8381 $ 400.00 GP180131D KE reL 13444
5272021 James 0 Burch same PNC Bank 848 $ 200.00 GP#79985D BH rd.12896
5/27/2021'-- Christina Grifaldo Jamie Gritaldo Coastal Bank and Trust 1094 $ 200.00!GP#79920D JD rat.14145
5/27/2021 Adam Tawas same BBBT 7273 $ 200.00 GP#79921D _. JD rct 14148
5/27/2021 Boat List Specialist LLC Rick and Dana Benner BBBT 2000.5 200 00 GP#79987D _ __. PA rat.12780
5/27/2021 Joey R Floyd PA same First Citizens Bank 2131 8 200.00 GP#79919D JD fd.14144
5/27/2021 F 8 S Marine Contractors Inc. Dave Anna First Bank 1020 $ 200.00 GP#79991 D KE rot.13445
5/27/2021 H5 Construction,LLC Matt 8 Merritt Hon BBBT 2612 $ 200.00 GP#71772D BB rd.14935
5/27/2021 Grice Construction Matthew and Rebecca Ward B88T 14586 $ 200.00 GP#802690 BB rd.12999
5/27/2021 Custom Design Marine,Inc. Jack Rector First Federal 1381 $ 200.00 IGP#79948D BB mt 14933