80144D - White

le, CAMA / __J DREDGE & FILL N° 80144 A B C
GENERAL PERMIT Previous permit#
>i% New ❑Modification JComplete 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 U/ f , ( 7 00
', r ' •�-,, ❑ s attach
oti,
Applicant Name., ex, \`e( , v v lA ' - J Project Location: County �--(A.A
Address r O / )( 4--/ (O Street Address/State Road/Lot#(s)
City 6/le i—A-yt/ State it/6- ZIP -(Y 1"7 j '-" f/ i`S -A/O/A/6 /4
Phone#(//o)"(/", Mail Subdivision /p
Authorized Agent 7, fr 1 my /l/OQ` 7,4 City f AA. Si v' ZIP 7174-4
Affected ❑CW RfW gPTA ❑ES ❑PTS Phone# ( I A > River Basin kV ' 0
AEC(s): ❑OEA ❑HHF 0 IH 0 UBA ❑N/A Adj.Wtr. Body / wW man /unk
❑ PWS:
ORW: yes /�r'o� PNA yes /'. 17
Closest Maj.Wtr. Body PTA (t Co£4 /)
Type of Project/Activity , [�( Olit/ln,mil �r V /,n/ � y,,,,
(Scale: Af-rj
Pier(dock)length r
Fixed Platform(s) S lc i L
' 11 •
f
Floating Platform(s) j V._ om.:t 1 vvr 'V 1 1 � {
Finger pier(s)
Groin length 4,
v1a fo Sl01H
number
P P length --'../.....,,.. S/ +_._. --.._...... �Cl f 'r�
Bulkhead/Ri r len ht- //��
(�
avg distajice offshore i � / ��**�'
max dis>laJill !
nce offshore j /�-(� ` { 1 + l 4 t f L". .-0 lam+
t �~~lll
c i
_,..,x_i___4_„
Basin,channel rut4vy„ 1 /
. .
, , , , nri4
cubic yards
Boat ramp — I Z-C _. A . . O
/
Boathouse/Boatlift — fru_i _
Beach Bulldozing ----- ---
I1 i i
Other I l
Shoreline Length 0 }
SAV: not sure yes (./ _ 1 1 —
Moratorium: n/a yes i G (..
i ` I
.
Photos: yes { w_...__ i , __
' �. -
=
"r`
Waiver Attached: �`� �`'�`�• r R 4- ' i
A building permit may be required by: p
6t4 U • . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
- \ y elA N i Nay+i. T: 4 ("1
Agent or Applicant P inted Nam I Permi i ' ted Name ___
'k C1' otAacke d k- ' .
Signature **Please read compliance statement on back of permit** Signa

}4�
A 14A I DREDGE & FILL
A iENERAL PERMIT Prevaots x rnt#
q �ew Modification Complete Retssucs Partial Reis Date previous per,�ct issued l -'a,
As authorized by the=State of North Caroitrra,Depar tntent of Exasronnnrntxi t;,tahty
and the Coastal Resources Ct7+rnstssion ifl a area of c rtvirxrtc tal conceca ttsuanc to ESA �f ,r, }.�
, ( 41 C'.
_t. • .;,.,,..cm-ho
` t ,Applicant Nanne� tL , �
Protect E_cr_ahon; County
Address t /2/X
Su e c°t Address/Slate Road/Lot #(s) J /�
City t l r#j f f�li+ suits /t. c- /IP /.° ' 21 J it ,-S' A,1)(/uG, / '1'
�f t f
Phone# cI l(%)C-1' -. .S??'Mail Stthdivisio/ 1
Authorized Agent 7f I7104 A-'e't'T City f-4,- le 5`f-1-41..f`; LIP r �
[ i✓ . t,`
CW Affected
AEC(s) W X PTA ES PIS Phone # ( _.�_�� -..'� River Basin
C(s} OEA: HHHer tN UBA Nd'A
11i trcan fur"
PWS. Adt.Wtr Lady r ff PI'
URW ycs ' . PPIdk ycx t Closest M.af Wtr. Body ¢'f/l It- S<�i//`��
T of Pro'ect,'Activity` , / ., ?
(Scale: //TS` )
..
frxe Ptatttxat=ts! ' '_�
w Y t`1c*atinR P'tatto#„r±st K «.-_�.._.._.--- - { ..,� , /
Forge:;Netts) It, (if 141,444.V6141
'" I � )�;
h s.
____, -ri, ri el f
Yd` f .t#tread Rix P tc'et th f t i • e..,/ FeM"--) ' 6 4— -t +IC
..13se ,re akfatS xr
xr ax s a rce c ttst=rr. )6 :'0 O tt
. I 4.
ttik, mu-4
U ramp 'y.. Pak r
f�,.;e 6 '� " ; -t.-4.-It.. /C
jf
1 ii �-C' Cc
4&IdO7 b
cyl,
l
y L,. , k i(..!
t`t raurrum rY, yes . ) E i
cos fres J
tt
It Wabief AMICtoed .1„,„,,,;,4, 7 ,r/
Atw1 perms( be Gft[ 1( -
Pe �} egt;rec}�y:
_ Set•twe-on a.:k a- t Mint River Rases)rotes,
11. {Nrate Local lei=rtnirs ur ____
�� rsdcete.n}
Notes,/Sprecna'Cor4igio ns
11
„2 t eet run xc turf nfat,�
gnattare " �read c
orrtskart ectate�itlea:;;,oba k t
o,pet-Mt t
Sty, Itf
APPbeation 6
Check Issti:,,f)atri
xp,rativtiDate

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: '% A. % 4.3 1; � f`;.
Mailing Address: r 'i&
'd(A r y LC-' /i (- (=lit
Phone Number: 1(0 G`f f 7(J
Email Address: C 7f( -1& 7-tv c . C4,/(1
I certify that I have authorized I/-7 r �`
}
AeenZ r,ontsactor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development I�n,, f x i !, tJ - . •
f • 1 ,
I ' r. rY ' XIS !� PC L. C r C� o ftc , .
at my property located at / > /) /�,`ti� G G.. cif r„...5
in ci r County_
1 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:
Signature
Print or Type Name
The
Date •
RECEIVED
This afion is valid throughx .
JUN 2 2 ?n%
•
. DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C r Jr s t,) 4
,(Name qf Property Owner)
property located at . 17 LI 7 K'`^'S s L a,ti a f �/ •-
(Address, Lot,Block, Road, etc
on , in _ N :a ) S n_ , N.C.
(Waterbody) (City/fown and/or County)
The a t has described tome, 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 " tance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the , ou must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) • (Adjacent P Owner Information)
8427 _.7t
Si ,---Stznature
itih� r 0 V �Q� l
Print otype Namb
Mailing Address , Mn A ''
City/State/Zip 5 > y � ��
jv -�3(-gc/y �� Y RECEIVED
Number Tel ho um er
Date
1 r Date JUN 2 2 .2021
(Revised Gh tY20i. G
DCM WILMI TON, NC

ADJACENT RIPARIAN PROPERTY OWNER SEA TEMENT
I hereby certify that I own property adjacent to , i.
property located at / , ' 1.
(Name of Property Owner)
(Address. Lot, Block, Road, etr_
on I L (. , 1 , In ` 1 , _
(Waterbody) (Cityown and/or County)
The applicanthas described to me, as shown below, the development proposed at the above location
h ,A 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.)
NI I do wish to waive the 15'setback requirement.
I do not wish to waive the 15 setback requirement.
(Property Owner Information) • (Adjacent Property Owner Information) -
ksi-
Signattr
g ! l // Signat1 re / j {
Print or Type Na jie
• _,, f Print or Type Name
Mailing A,c�dess J his/ jr�t,ike} st -
/+;�.��+ D t .( iry13 Matting Address /
�+�J/ 7a tat )_;•, /,,;. :—i iv') , ii c- . Ve."' .
z?-b G nV b.00 City/State/Zip `
Teleph N
one lrmber `/it. - . 12 1,,Ze L
� �— Z Telephoner
ziDate
13FCEIVED
Date '
. _
£ � ' ' Ott_
t
.r

Check
Date Received Date Deposited Check From(Name) Nome or Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Coumnt Column2 Calumn3 Column Column5 Column! Column? Columns Column9
7/13/2021 Logan Monne,LLC Ralph Evangelous BB&T 7502 $ 400.00 GP#801490 _JD rct.14903
7/13/2021 McPherson Manna Services,LLC Mikaela Schabrum First Citizens Bank 4303 $ 400.00 GP#80202D PA rct.12838
7/13/2021 Steven F Vest _ same Congressional Federal 1713_$ 200.00 GP#802060 PA rct.12846
7/13/20211 McPherson Marine Services,LLC Roland and Dana Lingle First Citizens Bank 4304 $ 200.00 GP#80201D PA rct.12837
7/13/2021 Jonhn Bednarz _ same State Employees CU 6360 $ 200.00 GP#80204D PA rct 12844
7/13/2021 Hoard Peabody _ same Wells Fargo 10453 $ 400.00 GP#802050 PA rct.12845
7/13/2021 McPherson Marine Services,LLC Tracey Anthony First Citizens Bank 4302 $ 400.00 GP#802030 PA rct.12843
7/13/2021 Coastal Manne Piers Bulkheads Charles R White Jr. Wells Fargo 23918,S 200.00 GP#801440 JD rot 14901