80234D - Dillard

0 CJCAMA / DREDGE & FILL No 80234
GENERAL PERMIT Previous permit# g [)\\� B G
)C ❑New ❑Modification ❑Complete Reissue ( ,Partial Reissue Date previous permit issued 3-1-2.U2.j
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 -\ rZ d!,
( � ❑Rules attached.
Applicant Name `r G..,►t..\ \�,\\ c„,- Project Location: County r �3 ; 4.C.,
Address Z1 L2 FA, ,. C,.`\.o.�(2 Street Address/State Road/Lot#(s) Io k- S. I
City . VoiS3,\�.4_. StateN C. Z?G (py 1 v ,, , k.,ti, ,-
Phone#(%ud 3 i/5 E-Mail
Subdivision
Authorized Agent `✓ ' ( MA e.r.S 5 City Ji A.S-cir 6 CAK-‘" ZIP 2 51.9 f
w EW f�l PTA ❑ES ❑PTS Phone# ( ) River Basin L- "-�✓
Affected Cw
❑OEA ❑HHF ❑IH ❑UBA ❑WA
AEC(s): Adj.Wtr. Body Ccv G. ` (nat a /unki
❑ PWS: .1\G ...�-tL4i
ORW: yes /''no PNA yes / Closest Maj.Wtr. Body S
Type of Project/Activity 6 P ....-, -z, r c. 1. _
C
(Scale: NI ¶ 7 )
Pier(dock)length 9 114
Fixed Platform(s) 441 '34,701, hL
^-r._- : C CA.n CO 1 !--1- ' '
Floating Platform(s) ��( (�
i
Finger pier(s) LI`X`1 ' A ,
Groin length 5 i'
number Bulkhead/Riprap length ., ___ ......... ` �_i
a I
avg distance offshore 2_ . s . ..i ,,i ,,,i
1 i 1 1 . , ,
i {
max distance offshore i2' , ...r 1 —�
. „ .
Basin,channel •
cubic yards :
Boat ramp
Boathouse •off, i Z xi — .. , I
Beach Bulldozing — T10 n ! �, -t 1s
�� 1 jV ~ {j
Other ' Y . 1 - N 'I t 1 i t . L
• I►etL.
5v' ill Shoreline Length ! '
SAV: not sure yes n .... {/�(�`t 4' u •"
} L G
Moratorium: n/a yes o\. ,., S _ vk i._,t L 4
Photos: yes n _ at- ........... i_._ ... {.... .. L..
Waiver Attached: ye ++ no , i - I
��1
A building permit may be required by: SUA ,(( 3,LC (" 1 I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes/Special Conditions -. 0 c�,,.. c, (, ) \� ,. a'F"0 el( C-t _ p i���(, \ —C, . , __
2 S\.e s a�.�s �.(i,, 2.1- gb, V-.tku. -4%S. p'` 'MA-
Agent or Applicant Printed Name PerrnitOfflter's Printed Name
,\ `)N,- \ 1Z•12.1A
Signature **Please rea ompliance statement on back,of permit** Signature _

. .
i-, 1CAM A/ ❑DREDGE &FILL No. 80234 A B C D
ENERAL PERMIT Previous permit# ��,�
CNew ❑Modification ❑Complete Reissue artial Reissue Date previous permit issued -3-1-T.tl Z I
As authorized by the State of North Carolina.Department of Environmental Quality ,-�^7 �� « ,`
and the Cnaval Resources Commission in an area of environmental concern pursuant to 15A NCAC (,J '�- 00 .
L Rules attached.
Applicant Name?r,.:r.\ \\ r_.- d. _ Project Location: County r--").,.`,kites. , __
Address 2.1 L k.\. \ — I G.\\•n(24 Street Address/State Road/Lot#(s) L o 4- ,3 I _
`
City �(.�{1o,, �:\\c. StateN( ZI Z (1)yI__ -e,Jc..s, LC.,- �t
2�()Phone#( 1 2-tar7 115 E-Mail Subdivbion
J�
Authorized Agent `J. it —FIN..••• V City Sv A}a 1' C-ac.V• ZIP 1- s'j 1 _
Affected CW EW p)PTA OES OPTS Phone# (_) River Basin L.•, -�►-e
AEC(s): O OEA ❑HHF ❑IH O URA ON/A Adj.Wtr.Body C t '-(tigiP
ORW: yes/ no PNA yes/ Closest Maj.Wtr.Body_. '"<S C,."-� "
1'.
Type of Project/Activity V"`)..' %A n c..a 2- S i.fi-) ri;,,IL,..r�. `a,.f.1+
. d d (Scale: NIS
Pier(dolt)length 1.1'f 1 4 _
Fixed Platform(s) SliK 6 t 1-jo i -et"...`'Z et-�.. _ }_.-:
Floating Plrtform(s) i4 �Cxy(V-�_ J i ..- - __ ._i.
Fingerpier(s) y`Xy _ i I � --'- --
,
Groin length > , Q 5 tt.1 T._. _ F.t i �.
1 I + i . ( .t .. t_ '�i'—
number 1 � ` - - - -
�� _1_ _�__ _ 1,0 _ _!. !
Bulkhead/Riprrgr� -
avg distance Offshore ! I 1 1 3__.�...., I9%,'_4 ' i ii .....i L_
•
max distance offshore I \ 1 ;
Basin,channel -.I -}-T-- -_.�... -_.., __ -.
i y
cubic yards '-t . ; ( j i
Boat ramp i i-i r _r... . _ ! - ! . _
11
Bosd'°°t� t L RI --. ! t i ;' ' , V. ► s ._a
Bach Bulido r+ - w + ' ..a�. ' k '
Other i", -... f U--- _ 4 ..._Ai __S__ E r..
v f , wfN t I _�
' r
:
Shoreline Length 50 -,-
yes `,�SAV: not sure G4 t I: t - i 1..r LhCt` art).- • ()~ it
Moratonum: rWa yes `_._emu\1, 1 Si • i,-of i 1 ' ' ' ti,u
Photos: yes n L V1 `L
wisher Attached: [� no ' l ; i , ! • ! 1 i __
A building permit may`bbe required by: S v'.Se.( U r r•C(" ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions C) e r l _• (-..r, I,I,. -0 t\ .. e x t.s.:t.1 P ktr l(. C C (�IC I � s,. ‘
(^ ]
i+ ,// /445Mar — Jr c. .,
Agent or Applicant Printed Name P s Printed Name --__. _
_�`�
Signature •Please reayompliance statement on ba of permit•• Signature
.00 4 14oy 6-r2 LI 2- t Z LL'L1
Application Fee(s) Check# Issuing Due Expiration pate
Scanned with CarnScanner

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
> >
Name of Property Owner Requesting Permit: /
,,� � Gf
Mailing Address: WO 44%/ i a-//ey
a owi/k /1/ 206g/
Phone Number:
Email Address:
I certify that I have authorized $t/1 6101,10.s'
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ,OQCx/n., /,/rps
vcnot' .6kieAe‘eo1 al/'
at my property located at Lam '/ A gets'/J 24, c ro . ./.- e d,i
2Y6g)
in 6itiltavic.ir 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:
7.1? Cf9dh
Signature
I"au� Lf//afee'
Print or Type Name
•
Title
ON1 /S I ADZ'
Date
This certification is valid through 02 / /S /21),

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED 14.1."2 1 of 2--
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: /%i //C1/I4id
Address of Property: Lot g1 k✓eASdet,, .5ain•5e , °4u, / .$y6,9
(Lot or Street 14,Street or Road,City&County) / f,,�
Agent's Name#: f1 L/�+ 3WWGn.51. Mailing Address: 6 3o A/Ic/cat A /f"
�16— Agent's phone#: l!1 �'as 50, Set 6e cJ f/�� 2 is
n J1, qIo—sgo—lw
Ir'ttW i I hereby certify that I own property adjacent to the above referenced property. The individual
f1 k - applying for this permit has described to me as shown on the attached drawing the development
they are proposing.A de"scrititlon ocdrawinq.'with dimensions•must beprovided withlhisletter.
I have no objections to this proposal. _____I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-fistinq or by calling 1-888-4RCOAST.
No response Is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
P/eae I understand that a pier,dock,mooring pilings,boat ramp,breakwater,boathouse, or lift must
ii7;f4,50 heAQ be set back a minimum distance of 15'from my area of riparian access unless waived by me.(If
you wish to waive the setback,you must initial the appropriate blank below.)
1 do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
AI "
Xe-
(Prope Owner Information) (Rip an Prop Owner Info mation) 5'14A,
Signature--( ^G
Sr v
fit ' Dfdil Qvifri`i-en n? . G-onveY
Print or Type Name Print or Type Name
2160 171thecy,VA-Re, le/ Po 5 r$ 7 3
Mailing Address Mailing Address
tali 471.611k-,+/C206gi inmo`es��//e /VC 7//7
City/Stare/Zip City/State/Zip /
Telephone Number/Email Address Telephone jNuumber/ mail Address
Dnre44,e_AE-414‘-, 0AA
2_�16."Z-A 2_• /* —z/ —
Dare
(Revised Aug.2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to fLA.j L. � �� I��. b, )3r(A
( 's
�Name of Property Owner).
property located at L.- % 1 !D D \ ' -sii t(.
(Address.Lot,Block,Road,etc.)rz
on 1 n X 1,�n . in;' tY1 r�- ��, c�. / i(4r _ CD. N.C.
(1Waterbody) (City/Town and/or County)
The-applicant has described to tne, as shown below, the development proposed at the above
Iocat n
i. le-
-56 i !L 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 attar—beef/0 drawing)
WAIVER SECTION
I understand that a 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. (If you wish to waive the Setback, you must Initial the appropriate blank.belew.)
‘gi rd-V-1 do wish to waive the 15'setback requirement
1 do not wish to waive the 15'setback requirement.
(Property Owner information) (Ad t Property Owner rmation)
aew*,,A7.7).athV
"„„„„,
S,1$J trllttk'°
Na e !bid - -� - rJ 1/ A I I __
ntorT
1iot ', ptiint ci fe< r r-w�I -*.f Mairirtgc Address v r c� Marling Address
4411'SY11.1`o KC— . tt$-( tl1{ f%ii:; �� V A c234s9 •
wstatezip r 2 aterlrp
Tefephon Number/email address - 2PI/2
TeleplpneAumbarlargaitaddress,
-Darr r l 2r?
Dare'
'Valid for one calendar year after signature' (Revised Aug.2014)

Cheek
Date Received Date Deposited Check From(Name) None of Permit Holder Vendor Check number .mount Permtt Number/Comments Receipt or Refund/Reallocated
Columnl Co/umnl CaWmna Ceiumne C.koa 6 Column6 Cohrnn7 Column8 Column!
8/20/2021 Lighthouse Marine Construction Bert Lewis Coastal Bank and Trust 3891 $ 200.00 GP#80231D JD rct.14090 ___
8/20/2021 Patrick Antinori Mona Black First Citizens Bank 1113 $ 200.00 GP#80232D JD rct.14091
8/20/2021 Hardison Building,Inc. Eric Perry Branch Banking and Trust 50244 $ 200.00 GP#80251D JD rct.14917
8/20/2021 McPherson Marine Services,LLC Kars&Jesse McPherson First Citizens Bank 4443 $ 200.00 GP#80211D Tmac rct.15557
8/20/2021 American Marine Construction,Inc Ray Mitchell First Citizens Bank 89458 $ 200.00 GP 1/80212D Tmac rct.15558
8202021 Maritime Coastal Construction.LLC Paul Dillard CresCom Bank 3404 S 200.00 GP N8Q234D BB rct.15615