80207D - Wintsch

0 ❑CAMA/ A DREDGE & FILL NO 80207
G 'I ❑GENERAL PERMIT Previo # A B C
) New Modification -Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality h
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC a1 7 FI, j, O O
❑Rules attached.
Applicant Name $� 4 h/#P9fSrit Project Location: County -?,,-i�r 4 i'ck
Address 3 k% ya✓,- 11' I(.)w. C f Y(k Street Address/State Road/Lot#(s)
City 'i it Ii7/70✓ 4 State /UC ZIP o6c4 6/ J c/ (. .-f i✓r QI(t t i1)1,104
Phone#( ) E-Mail Subdivision /, /A!
Authorized Agent Al/-((I )i/,-,,/k 1 City /‹-/6r,-/`l ZIP 02M6 5
Affected ❑CW p-EW R•PTA E ES ❑PTS Phone# ( ) _ / River Basin L ,t41 f✓
III OEA ❑HHF ❑IH ❑UBA ❑WA
AECs : Adj.Wtr. Body /1 / /`1/I/
( ) ❑ PWS. (nat /man /unki
11 _re-* i/ 1/?7, , , i_
ORW: yes / no PNA yes / no Closest�Maj.Wtr. Body
Type of Project/Activity 4° (✓�J(X
(Scale: > )
Pier(dock)length
4 i
Fixed Platform(s) , I( I i + k {
Floating Platform(s) „/ �i ;,d i Liu I _ 1 r Q LII
Al f
Finger pier(s)Qt to • Cr i 1— _. _ ` i
Groin length l
number _ _._ 1 — —
a..
Bulkhead/Riprap length '. i (71' 4' ��ktb.:. it F._ t .__..._ _ IC i
avg distance offshore i¢ �1�� .II lir r .1 1
r
max distance offshore " fQ +^
Basin,channel �� �/�{`1' i4I' i ,
I I. rll rirr f
! _
�.I I
cubicyards i
!I
Boat ramp F(v u! i� /f
l� ij
( ff
Boathouse/Boatlift i.i — �__...Attl__.4
/ I f i
I�. ,jG�r'1 �` I
Beach Bulldozing .�— ' F •ki + i
Other
i
Shoreline Length i i
SAV: not sure yes rro, i i
Moratorium: n/a yes no
r -.. — i
Photos: yes no I
Waiver Attached: yes no C("u� �v d Vd n� r i• I I (.- a . ! i
A building permit may be required by: tv 1.14- ' -' 1 / •' ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
iLpi), 1-29.21
Agent or Applicant Printed Name / Permit Officer's Printed Name
i 11'2 •Zt
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 1 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 252-946-6481
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)

CERTIFIED MAIL . RETURN RECEIPT REQUESTED
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner' , ...) G
Address of Property: - I CD y 1 e Y° r j)l O` " _Ts
F. 4/
(Lot or Street#, Street or Road, City &County) j�d-
Agent'sphone#:
Agent's Name#: !tr`et� Mailing Address: ,. h' 1)/l)-, "D, U r iQ/YJ0V et/ 161( ; 78
I hereby certiiy that I own property adjacent to the above referenced-property. The individual
applying for this permit has described to me asshowrt on theattached drawing the development
they are proposing. A descriptipn or driawinq, with dimensions, must be provided with this letter.
have no objections to this proposal.I 7r'I have objections to this proposal.
If you have objections to what;s 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 athttp://www.nccoastalm nagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
5 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 bf riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
2�t'--' I do wish to waive the 15' setback recuiremert.
I do not wish to waive the 15' setback rF+qu,rEmo:it.
(Prop Owner ii4t:: .-
L)QXI\ mation) .(Riparian Property Owner lnibrmation)
r, L,- ,‹...„..,,..,
Sign re � Signfrture
r
Gj/ �� arch I da,.i1
Print or Type Nan', 2 Print or Type NFL r e
fitr,,W . y ,, CAM ) Cat S9-8 So.roc.24, (,� _
Mailing Address ''fi iing Address ...--
(''o. L L tP i A.,, c, s/.471 fal`.sS --/' c ac►y,
City/State/Zip +�y/SteteiZip
4 10- C 793 ( 1oI ), 60 3(i - 1802.
Telephone Number/E ail Address , Telephone Number/Email Address
. il I a. 21 • ' ___eal7/011
Date Dc;e
lrQ,. ..,ari Auo. 2014,

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sw56 A. 16)06 Wei 14 140-11 LtieSt Xprij 1409 (AA.?

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: e Lt/Mrit,
Mailing Address: 3Z Cc,iJ avfics/
Phone Number: 940a 7 3
Email Address:
I certify that I have authorized 4)/i 49d')`re,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: dcci' _, Ci q 442' d
at my property located at W G(11/- Y CI- _1 A
in 84sfApt County.
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:
yr
•
Signature
Pi or Type Name
(,Wr
Title
I lL i � I
Date
This certification is valid through 'd- / I a

NIIIIRK
SENDE! :'COMPLETE THIS SECTION'-, ��, COMPLETE THIS SECTION ON DELIVERY
` ■ Complete Items 1, 2, and 3. A. Signature
g■ Print your name and address on the reverse X ,.l• Addressee
so that we can return the card to you. B. Received by(Printed C. Date of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
`` 1. Article Addressed to: D. Is delivery address differit from item 1? 0 Yes
41 Ma r` GrIssMOO
If YES, enter delivery address below: ❑ No
7'
0 01C) 41(/*/464p 11)^4/
1 JI t ici d_735,
3. Service Type CI Priority Mali Express®
0 Adult Signature • 'f O Registered Mar"
I11II1II1111III1111111111111I11111 III III 0#duSignature
Rom'Delivery ° dMail Re
ltl Mali®
9590 9402 6682 1060 9347 91 ° "eCMail D Signature Confirmation*"
❑Signature Confirmation
2. Article Num# rgraia rolte 0 Collect on Delivery Restricted OsltverY Restricted Delivery
n Insured Mall
7021 0351 0000 1. E41.65 9 9 Mail Restricted Delivery
i�p 0-02,000-9053 "
Domestic Return Receipt
� PSForm3$�y �. ._

Check
Date Received Date Deposited Check From(Name Name of Permit Folder Vendor Check number amount Permit Number/Commenb Receipt or RNund/Rullocsted
Column.. CoNm,n2 Column? Column.. Cwmmna Column6 Column7 Column6 _ CoS mne
7/30/2021 D&D Construction,LLC Douglas Sholar First Citizens Bank 2367 $ 200.00 GP#80148D :JD rot.14084
_ 7/30/2021 Pippin Marine Construction LLC Robert Newcomb Wells Fargo Bank 5863 $ 200.00 GP#80215D �'KE rot.15727
7/302021'. Allied Manna Contractors LLC Earle Koontz First Citizens Bank 10320 $ 200.00 GP#802000 PA rat 12791 _-
7/30/2021_ Allied Marine Contractors LLC Joe Wintsch _ First Citizens Bank 10321 $ 200.00 GP#80207D PA rot.12790
7/30/2021 Sheila Hines same Wells Fargo Bank 16553965 $ 200.00 GP#80225D _.. PA roL 12792
8/2/2021 Brian Coughlan same Truist 1903 $ 200.00 GP#799380 BH rot.14116
8/2/2021 Logan Marine.LLC T Scott Barbour BB&T _ 7560 $ 600.00 GP#80246D JD rot.14910
8/2/2021 Logan Marine,LLC Sean Simpson BB&T 7560 $ 200.00 GP#80249D JD rd.14911 _-
8/2/2021• Logan Marine,LLC Sean Simpson BB&T 7547 $ 400.00 OP#80249D JD rot.14911
82/2021 Michelle L Bray Andrew Bray Wells Fargo 9385 $ 200.00 GP#801510 JD rot 14909
8/2/2021 Joseph Jones SEWRE,LLC NAVY Federal CU 1000 $ 200.00 GP#80147D JD rcL 14083
8/2/2021 Sound Side Marine Construction LLC Robert Haubenreiser&Jeany Zrlide First Citizens Bank 122 8 200.00 OP#801890 88 rd.15601
8/2/2021 Logan Marine,LLC Roger Hendrix BB&T . 7548 $ 200.00 GP#80191D— _ BB rtt 15605
8l2/2021 AMW Docks&Marine I rn B David&Rebecca Grahee&T 6317 $ 400.00 IGP#80158D !BB rct.15606