Bellono, Gregory 80034C

lACAMA / ❑ DREDGE & FILL N9 80034 A B © D
GENERAL PERMIT Previous permit#
LJNew ❑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 15A NCAC
\ , , Rules att ched.
Applicant Name a y�' 12 / J (9 Project Location: County�n (?,
Address Z � (»E' V / Cf (7F) Street Address/ State Road/ Lot #(s)
State
Phone # 'frW.1 E-Mail
Authorized Agent DY &A al f (' s `'O�y>� •
Affected ❑ CW /kEw PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ P S:
ORW: yes o PNA yes / no
Subdivision
City ZIP J
Phone # O River Basin 1 i
Adj. Wtr. Body at m unkn
Closest Maj. Wtr. Body ; V�
q■
■NOON
■■il�ili
�I�iur�nO�iO
■L�i
NEE
�■■:_:::I::::::
■■■■■■u0a■i
■■■■�No
■■■
■
■NOON■®a■■!■a■■■■�ui■�■�n:w:�■
MEN
NONEi
`NOON■
■
■■■:■■
NEE
111C::■
®
�■■�■■■■■■
■■■
■■■
DN■■■■■■�
�■■
■■■■■
ME
ME
ME
go
III
ONo
N■■■a■
MEN
.ME
■■■
...■■■.�
• �.. ,
TdL�i1,�,�ll�wl�!�����■J!■Q■t71�111
EOO��IO51
II
NRINNNNNNN■�
NEE■�N■NNf��W
.., !�■■■■■ NOON
NONE
.ME:N■■.
NOON ■�■■J■■■■ ■ ■■■■:■�■
III
.■■■..■...�■■:..■..■N■■
■I/I■NEE
■■EE■■■N■■■■■■■■■■■■N■■■■■■NN
■■■NNE ■ NOON■■ND
ME■ ■ ■NMI 11
III SEE
If IF
�2 "UNA I& I Wa
r v
Agent or Applicant Printed Name
read compliance statement on
Feels) Check#

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 1) 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
httP:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/I7

CAMA / ❑ DREDGE & FILL N° 80034 A B rCIJ D
GENERAL PERMIT Previous permit#
Flew LIModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality > f /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / 7- / ( ^,,n)
®Rulesa ched.
Applicant Name 1 ")� t �? 1 �% 1 f l t) /")�� Project Location: County` c'
Address -'.T It �7/1�9 .( /%( Street Address/ State Road/ Lot #(s)
State A/C
Phone # (_�'rOY 7q-` 1 t >IZI E-Mail )
Authorized Agent Vr i
Affected ❑ l:W /C%. EW EJ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes no) PNA ye / _no
Type of Project/ Activity
er
Fixed Plafarm() 2
Fixed Platforms) 1<
Floating Platform(s)
Finger pier(s)
Groin length r'
number
Bulkhead/ Itiprap length
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boat
r
Beach Bulldozing
r
Other
i
Subdivision `i 7// c i l 'f / J
City ZIP
Phone # O�River Basin ,/i
Adj. Wtr. Body ".(nat r1m1h /unkn
Closest Maj. Wt.. Body
(Scale: / -`c�20 , )
Shoreline Length
/
SAV: not sure yes (i
`
Moratorium: n/a yes lnd
Y
i_ R�7
Photos: yes n TF
WaiverAttached: ,%yy� noi
A building permit may be required by: A. '
—� ❑ See note on back regarding
River Basin rules.
( Note Local Planning jurisdiction) `
(>
�
Notes/Special Conditions 11 I /i�A ('()'� , �
� J J
� -I
�c
'.1
('nl )
r -'f
I , 1F:
. Agent or Applicant Printed Name
PermitOfftcer s Prin ed Name
Signa a **Please read compliance statement on back of permit *-*'
Signat re
--
���`'I
l/c�l
�trn��
Ap IicationFee(s) Check#
Issuj g a etD
E. piratio 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 [)prior to undertaking any activities authorized bythis 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 ❑
❑ 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-41RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow, -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I7

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Gregory and Marianne Bellono
Mailing Address: 259 Gatsey Lane, Beaufort NC 28516
Phone Number: [phone] or [phone]
Email Address: [e-mail] or [e-mail]
I certify that I have authorized Dynamic East Construction and/or David Braswell,
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock and Boat Lift
at my property located at 259 Gatsey Lane, Beaufort NC 28516,
in Carteret 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:
,,
( z. mil `—
J
Signature
Gregory Bellono r�{c� i �c ,� i> c tt'yNNl L
Print or Type
Owner
Title
0811612021
Date
This certification is valid through / 1

MOIDA101411ACTIMMmay WXT-AXAMK-WA1OPJ�
I&NM W h0fusocl w.wifi.] yl;atpi) pe.�. orii;14 ,
<5CVAW?3 (643)10 ORGIR-b*'s (PU") j)VI jFj()rjq
bivrfll IcAbm 1p'k;ER )h"Unvu bon
mmyov, U" W'--
Alvi�*-: Ills gnmitF,1 !,) orin 7? yqloqs In ol IiGfiod "�!If) i10
W WE Win SOCI jnwnqAqVab bsaoqmq p iim)ilol ell; 1,61
`M hobi3afi orm-1 ynatrO flU k�i .1391s"ol Oi-i!,piq Y(718
Ofic-ol peor4fia") fL
(11 " 1 �1 i ' t" 1� - 1 Q) 110
.001 unnissmO V"Inq loan I not don
(m Won i i-OM t ';qklv' 'I-wp;
f)rc)1Jvv . -. - ! ; , ,
ty OA
��U;
MY 41 00

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: e D A `r'
Address of Property: l
S� u YW t cu ran ''
Mailing Address of Owner: PiG 4s , La °Lk
Owners email:ner's Phone#:
Agent's Name: 1 iv-ic r1Y'N Agent Phone#: %
Agent's Email: [>Dy RiM, GE'C1 5 %(4.?()Lb C c yy--,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent Property Owner)
I hereby certify that I own property adjacentto 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
DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what Is being proposed, you must notify the N.G. Division or coasrar
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set bac minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply tulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
DO wish to waive some/all of the 15' setback
Signature o djacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: eBrno Kin S
Mailing Address of ARPO: 5 % Ad sew 1-ari P_ UeA au -J-pd� / / • 08S/(�
ARPO's email: Vi2nnt nA 19&g dLco . ARPO's Phone#: a 5.7- `13.7- 6Zj0 3
Date: 691Z7/ boa / *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

TO IMMInA► AM . IAYr`Afl') 40 MOISIu{tt .0,14
3i qO! :PRVI `stWg4OFA0Vlfl M 1A UND Y-rXBgf, qq D4ANA91q ?143�r-".i-`A
ilFu�s,'I,I111Ta1
(4l,0f._ c imrilio ionvol yid tK41si(l oo ad Ui lv*) lrt Isis I
y 716Q0'!� to..IF,IM1
'�,1�. � 1 llp i, ,- rta �,f y(� V V t t� i �•� :: •'rIV'��
t ` 1
tl Yf::tir4 r l,:rr'� 1i•i"/:srwi 1. d• ' _{cL.. �. '1'114� ?: {; �.
/ •{'•1 '3 '3 d r. 7,?) '+:.� / � ? `%.} ./"/I :!/� � • {Ifir9= .• Irra 9J'.
t:= Sw`aa,aa+'.�.�i.n.s�i�saren...'.Y�:.,a,��a:�Cr= ,ehuaia+"slt�fev'Iwdta8.we.%H+,Yr
WOMN,3111TA33 L"'A311WO YT939OPq KANiA9(Fii'1ii3Z%UI l
(lQ,Ltl:) vYt ugh.`? ins PA kA ( b ilg s►d � rs f co;t mg13u�'
"if'i13: of.. (lriljw %L,b: v 1';flf L v —1 ".' A9ly✓nct£.8fil —wo I iEA Yiitk`i:i V,,5Flui'{ :
i"l -rtll �(l9l�'Wgv9b wil ;miwrob b9f1'k13rc Sflt nc, rWor •ii'. .%�' r, 1)t..`.hoa b -tiifi .l'-i
Yi9i<1rlf�'.tt'i9�.1..1!jV:!`..,k9 ! (3l:"s,.rt_ir ,tttr4 �:_+3'!U !C. ii '[t4•'l:jr
1c ql.'4 i li , Of?;,; •J1rjCJ lV. 100 ' ir32D "i t teall ii ofl�aiaxl cto Pu(i(! 1 (O,
7',l0 > 1Uy'.'..:li:a "5;,4 bib yl9tin )yis n uUy ,i)v8oy4a i ar il.stw U9 41.,•?�r�t� ,vaVY fe { 'l
l Y71s1lsSz �`,r;yi)ity� �'ali0 63i1O11 WA it' iyiu;*C it' �4 a Qi iV1d31�9 g 1C4w l't ;Yr1:3'', 9p: i'.t§szyp' •t.,Fl:
'. ii�::+iIUJ.')tl tJiit9l5::1.o'vVi8u1t41Arf1'SkryEi @fl.)Ei .�±,i:�i;; .j`fT �1'I''4E9i?0`Ui'rl,.t34A9:t1Hitta59U?Gtii'.. 31'tl6 i:fiSfi
''s;C ti•5''ii?rXV K6rii +5Vbll 'uC.�T; ':GIS�3tti) b4i e'3 fii�,b= 3S�S �34i1i§'f:'i'u(S�5 2! tT4':f .?: ,2a't :k"f .aii'i, aU� ��t-r'n'y 11i
it ba")14 on
ly ,:Q i . - i 11it .,TS•�£/'(i 17:5i !I !?•1 p ]ftll;(l. gilila014i A,.
@Jpl' p': baVIl11V -3!: To zp3Jk, (41 �4..1 'tAI Iti- 9A-16l{'-Ib JtUll ilf'r 7 A(.%J I.a.Ii�Y1 :9fO'F
'! 17h!ir,, it �� . .. 'rl'J. 'i. 11L Iy il'. .l 1.:'r, jV li�'r{t J �ti'oa J. i• .�F 'af':Sii 1.
I d"� "-)
'1
)T -Z.-_� fllsri'l.'fl,f. c'!, ve)E t.. LVI
9119 J �j1fjC7 `. I .�i'.If ,,A.'G
�p � . l 1. 1.1� 5l ., a �i (' • tc is r:. ;y o7-. I''1}Jt 41s:�6�e
a
TI I:a=
._•:! 1 k'.
i
+f:ni, rarl.r of yrt 1V` I.'•EG+! ii Vtt.w - _ _ ..a ..ice ,,,ice

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Grepyour and Marianne Bellono
Address of Property: 259 Gatsey Lane. Beaufort NC 28516
Mailing Address of Owner: 259 Gatsey lane. Beaufort NC 28516
Owner's email: gbellonoftmaifoom Owner's Phone#:[phone]
Agent's Name: David BrasweillDown East Construction Agent Phone#. [phone]
Agent's Email- BDYNAMICEASTaAOL.COM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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. g
description or drawing, y(Ah dimensions, must be provided with this letter
I DO NOT have objections to this proposal. I DO have objections to this proposal
IF you have objections to what Is befng proposed, you must notify the N.C. Division of Coastal
Management (OCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been notified by
Certified Mall.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads of nprap revetments) (If you wish to waive the setback, you must elan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signaturo o(Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blanq }
Signature of Adjacent Riparian Property Owner: V ,(__
TypedlPrinted name of ARPO: - W i -oAm
Mailing Address of ARPO: _ 261 Gatsey Lane, Beaufort NC 28518
ARPO's email: N0441 dict.3 ae11VI u. , CCYH ARPO's Phone#: 114 ��y ' $9 Z
Date: ,--„'waiver is valid for up to one year from ARPO's Signature"
Revistid July 2021

�i+l;i'l= ::7A«Fa!'. � iA7 �tkU� ACC y#C3#$Ili" •3 .41
,^;4yC}, - 2VPdYv'Li��tl'Is J)i#}IJ+A S•43;vf1Ei?�,� Y'fS1�RiU'ri� ,•;i,li!'.:lr� 7Nr.:tA.. `-S•1
,;; •! t: t? ,. -s �^is.�S;aSt rli(,:1:,! {`i l�S#if � _ i "!• " � �r'�;_�s
''A : V'f' :r3i ?, y(flVi;:1 :4i1 Cl'i .. .!f' i
Ar
..i'r' i'!i r f{_'�] ' GI:P• IT ._r .. •1.� t} �. ' _ L3.
'I: 'l4J�. - "4l'-�: 'ci`t .,''Y:G � :bV ..ir'i: i. .-., :� Fr•
-1QF'1 .}' •'f%. ,tJ i.:ai' , - fit
da':«�...vr•v,...�.e=wti-.:-;1H�-u--•«.••��a:.s�a�il'��«d+.m.isiao:�+sa:--�3'r�lrlin—,•Yee:sa.-�.�.y"�-3�•'"'�a«adHe'n
WC-M:: lli` at iJ 8 ,43tAVVO YTR-n'4034141AAlfrld44'ii
PAr «tc; •ygs�t,{.ir'-i #Ptg�sn#,t�€� �511.�� �=€���E.�3!fih?�1�st #ie.?—n���s�;Y:ii:
.. ";« lyfl `1 +� �' `.:xLt'tC �'A-.r�,y;.y.• ,dti
;.pr••. �•r` I, ... , ... ,�.: Pii' C'P A'Z 1 v .d,1'6 °3111 rsC. 'tt„ •jy �g -1 1 .. of em,
. .. t,'•4_'yi-,fi'«.hFl�`.,I1'i)lc(•,�i2aS�lta1-�.''��-I'', �::: ii i-'2ta_. i. �,.F<C?Ll!!'t _.
,Y'1' S] 'o...f:. �i. il:, r l i:;frat'7q ?:-r' rl' �'1dtCl`�3 • r;l t'}� '.11 .
r,4' d:.. ', y �•;t-iii.""` 1Zut'is U[e1{ Y.Ggik;iri# %�ti1JRl. tL; 'I
lo.w"W"14) g•tl!!i':i lla�•t'F' 1;+41��5 U •ii,.ltj1119 t1arpq.''"k
. al �ullt:t: B1.14sV. s�-7. t:a f l.:-TTt.«�9V.9w1,;tS .•?FS 3V4,ti,5t:'tsfituS4t;,r,�;,=>�?w:)';pcttilSr:; S)(t3 tS1 i`��;lg'n
r. `:i;Y'lirC.,a il14.tf-..".:{gJ'r'::tii;ey'.«fS�J fill t`s 'JTP%t. ®Cti �Jit'i3Yl Fl(f ..."6«y.1 ),41., 31'i �'::Sa•�1
HOJ i D�lk SaVIAW
'.i.,l. :•i`f.«.fin.,', -n..: lc Q� 'P':!i ter; '•C'Ml- w
rI
'+ 4 . L L.,K . >

ti
4ap
K'r
vL 11
o'
41
T
4k
-, iA
i.
J�