79990D - CJS

• X CAMA/ DREDGE S FILL No 7999() A B C ,• }
ENERAL PERMIT Previous permit # �/�
YNew Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Envaonmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC DI j-}, i ADO __
Itu es attached.
Applicant Name T
'�,� � �l pNfJ _ Project Location: County 0(1,4(1,ISbV,-(,k,,..- ___ --
-
Address ( !✓)b -A,f(jl feAt, Av,ei Street Address!State Road/Lot#(s) _
City Li €415 biro State d ZIP A3-4 D ' 03(0 (<i n J s Lynn_ pri v_ _ ______
Phone#(J 3 '-. p3 3 A_Maii �. ;.. Subdivision _Ll�_sl._,
Authorized Agent i V'S Schaff- City 04.(� , _• -_. _ ZIP i 74 7
Affected CW EW .{PTA )(ES E PTS Phone# (_ _) River Basin LP* +�✓
AEC{sl: oEA FtHF IH USA t'N/A Adj.Wtr.Body- _ ',� 1� _. ►
PWs: — � � '
ORW: yes ,' 9 PNA yes " Closest Maj.Wtr Body
Type of Project/Activity 1 Vpd&a%_7,1 �fix f fy, tnem.cloy-C PkJrJ e' � �.
/ f J (Scale: NTS )
Pier(dock)length i d x 90° — —_ __---
�«ed Platlorm(sl )--,--+ t +- .t. f - i j
ng orm() _it), $
Finger ports) — - t A
p a • .' i >/.
Gran length _..._.._- �
._.__. rG�' I f
iit
number Yw `f _, � . ,_ ,_ __ - �} c�
Bulkhead'Riprap x h
avg distant offshore i i � s/ a G!a let r9 t Wet/
max disranc offshore co
— I _
• i
Basin.channel. <-r ,_t- r4 M -. j._ i..
s t— ._ ' ,.._.,.._,T,_. _ 7 -r r-,
cubic yards .
Boat ramp '.
I
Boathotue'Boathft * � -4 -�__� --
r- + F # i _..
Beach Bulldozing �l � ..,.�,._.,.. �.....
Other _- fj ,U �r - ... / . .. .__i. m
Shoreline Length _it`
. tY./ IG...- ;..._..__.- 7 .
SAV not sure Yes Qa .. • _. ,.
Moratorium: rift yes 1
Photon yes 60
Waiver Attached. yes 0b.- icreisLyinf, / / 631 o V s1fs s fis tR..-:. __._ 1.33N 6 015
A building �!
permit may be required by: i✓/t Ot /G/_slate o/ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /� �y /
Notes/Special Conditions ,- _Q/t!_l_��►N'��Q 7Jz Z2
P fl ` ,04.1}tee— __
Agent or ant P ted rini". ti-r-y f2 tk le-mi-,,, . 4.2.2-7...1 _
Perm, f er's Pr ,fed Name
Signature ••Pie.• -tdcomplianc-iat. i encwt back'ofpermit " Signature
20D ' .. . ?C351 tf24/2i _. ,oi�s/)
ApplicatonFeefsl Chock, Issuing Date Expirato Date

e®CAMA/ ❑DREDGE & FILL N° 79990 A B C it
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 I 5A NCAC ^"/1-1 : 1 •OC
❑Rules attached.
Applicant Name G J'5 G kroiA p Project Location: County i3n4i S w i ( j
Address I/6 6 4 I--G 'la'� T'�i nn Street Address/State Road/Lot#(s)
City CV''('_24,15 b o r a State I)L ZIP o� 4 O (c,& (C (< ,n c_j L N k)V j Dri ✓`e
Phone# (116 6 -)5 04 LA-Mail Subdivision
-i �^ /
Authorized Agent ;/ "'S. I jar City I Sta.VI d ZIP B 4 65-
Affected ❑CW DEW I PTA [DES ❑PTS Phone# ( ) River Basin L Pam b-C-s�
❑OEA ❑HHF ❑IH ❑UBA ❑N/A M 0 .WI f /(7i/ /
AEC(s): Adj.Wtr. Body ,I'� ((/N� U( f'1(n�/anan /unk
❑ PWS:
Closest Maj.Wtr. Body �1 i 14 I,,
ORW: yes / no PNA yes / V
Type of Project/Activity Sal' 7/ I / IN �</V (4(y/</Gj 1l //>i</
(Scale: N 1 S )
Pier(dock)length 4 rk 91 ' 1 1 ; 1
Fixed Platform(s) } ' f
Floating Platform(s) fp k 17' 1 i I '
Finger pier(s) : : : JC filefillivipielif-- '1 II
Groin length �t
numbert , :tto/ r 4.147, itref
Bulkhead/Riprap ength - --. . -._ `+. ..E, , •,n Gp , , 35'
, 7
avg distance ffshore S Fr"1 t bM J 70 p1 N v►i
max distant offshore } _
Basin,channel r Oi M i
cubic yards I
f I
Boat ramp i I } f
Boathouse/Boatlift --
I
Beach Bulldozing r
Other i Y( �.—___—� {
41 t 1
Shoreline Length ft I I
SAV: not sure yes *to '41d.'"' I 1 --I--I
Moratorium: n/a yes i j
Photos: '
Waiver Attached: yes 4 6-14 it.MI sLyAA1 1 1 6y3'E Ifitybit,„ 1 11.j3N/3©f5
A building permit may be required by: 1931.4,7 �j1, // /c/2.v1c/ . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /
Notes/Special Conditions r 4( ,i( ,40-5 /tno /. r-ri f , , ? 7// /.2_ 7.Z AL--/ '71<
llika/t-1
, ,
, /,
,.,L
Agent or Applicant Prii Cy l�ra a �^' Permit fer's rPr' ted�Name
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(9 I 0-796-7215)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)

DIVISION OF COASTAL MANAGEKVI
ADJACENT RIPARIAN PROPERTY OANERN }UWAIVERFQRM
Name of Individual Applying For Permit: crcv►'
•
Address of Property: s n.rt d r
(Lot or Street#, Street or Road)
•
Est Res
(City and County)
I hereby certify that I own property adjacent to the above-referenced-property. The individual
applying for this permit has described tome as shown on the attached drawing the development they
are proposing. A description or drawing,with dimensions,should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
it r • , e
I understand that a pier,dock, mooring pilings,breakwater,boat house or boat lift must be
set bck 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.
14o not wish to waive the 15'setback requirement
•
Armarmia
t r (14041C
Sign Name Date
NvENIFA •
Print Name NCDENR
tO 6-109) oGe3
Tetenhone Number with Area Code

AMERICAN MARINE CONSTRUCTION
4:0• les., 3600 Old Bridge Road .
.11100 l'—. .. Southport, North Carolina 28461 INVOICE NO.#
Email:[e-mail]
[phone]
[phone] F4
10Xig' Pe.lo,o,--FC-- " 15+►R%-
-� ,�r ( J c0J
RCRn.`,'JC, j !_..I
0' t o`xiLf':. ) /05( !il ' V.01 C
- : ! C
' i • 0
,.II
l ihi -
N ,,t1;
W _ i
•
i
i
i
L , PL
P �
<,t. S. ario(dP c 3 I K/s L11111 dr , 3c,.1.: ici,Ad
1 ci 0 6 L o��a L fir, �.vc. -

AMERICAN MARINE CONSTRUCTION
- 4'n• ' ...4 3600 Old Bridge Road
"J ` Southport, North Carolina 28461
iINVOICE NO. #
. ' - Email:[e-mail]
[phone]
[phone]
1 o X/.8 Re/0 0..+c.- k S+"\%
. x
0 J r
wy
t---r— Ji J 00
4 I . ,
- H
;
rF ci
N
W .
,c,
.),.,.
,,
, :
/, .t,t_
i .., ,
,-
Ito -`i2„.„3t L, J S. „tog, _ e.,..3 ► o !<i ns LYn.t do f oc,K is'Iond
Igo LaFo.ycff auc. .

•
DIVISION OF COASTAL MANAGEMENT
,ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:_C..,► \---.5- V rcw8
Address of Property: (03 [o 1.4,: c CAS bi rt.rt dr
(Lot or Street#, Street or Road)
_
(City and County)
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, should be provided with this letter,
4,u) I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive, Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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, breakwater, boat house or boat lift must be
set bck 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.
Allr- I do not wish to waive the 15' setback requirement.
•
Sign Name ii'OttlL 41r'0.t '� i. 1 ` Date
•
cax.ter Beach Roperkita , LI C,
AlligerA
__1r
Print Name NCDENR
±- 3 3-8qb l orne-_ _ 104- 5 b-1 b1 t4 [Cell u� N....

Authorized Agent Consent Agreement
—rr u V I Sc A -fie r is hereby authorized to act on my beh:
(Printed Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited tc
specific activities described in the attached sketch.
LOCATION OF PROJECT:
6'3 ) v K',ribS Lynn
ou/< y$torf j.c _ 2 890 .
PROPERTY OWNER MAILING ADDRESS: •
1 C106 L4ayetfe AVE
GAS i>01'0 N.C. 2 7 /°
PHONE NO 3 3 V — D ` S- G7�
AUTHORIZED AGENT MAILING ADDRESS:
340 aid o, i o
5441h purr M-C. 2g4167
PHONE NO. ql o - Z/ z
Signature of Property Owner
Signature of Authorized Ag: t:
r '
Date: "C/€/Zf'Oil
127 CardraI Drive Ext..Wilmington,North Carolina 28405-3845
Phone: [phone] t FAX: [phone] Internet: www.nccoastatrnanagernent.net
Art ECuaf Opponundyl Atftmtslive A.don Employer-SO%Recycled 1 10%Post Consumer Paper

v Check
,ed Date Deposited Check From(Name) Named Permit Holder _ Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column2 Column3 Column/ Column5 _ Columns Column? Column9 Column9
321 7/1/2021 Gregory Wellen Steve Motter Tower FCU 3770 $ 600.00_GP#803050 Tmac rct.13012
321 7/1/2021 EDC Enterprises J David Wright Wells Fargo Bank 3285 $ 200.00 GP#799730 BH rct.14106
321 7/1/2021 American Marine Construction,Inc CJS Group First Citizens Bank 89391 $ 200.00 GP#79990D PA rct.12789
321 7/1/2021 Backwater Marine of NC Bryan Wagner BB&T 1363 $ 400.00 GP#79988D PA rct.12836
321 7/1/2021 AMW Docks&Marine Const. Frieda Harrington BB&T 6272 $ 400.00 GP#79957D BB rct.14058
321 7/1/2021 Richard Penny Construction,LLC Toby Holguin NAVY Federal CU 1573 $_400.00 GP#799930 KE rct.12867
321 7/1/2021 Eric W Barfield Lisa Barfield BB&T 2560 $ 200.00 GP#701710 KE rct.12865