80276D - Habrat

0 i CAMA/ ❑DREDGE & FILL No 80276 B C CD
GENERAL PERMIT Previous permit# '4lN - D
)w 'New Modification Complete Reissue ❑Partial Reissue Date previous permit issued ;lit/ /ot009
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 14 ..I20 v
❑`Rules attached.
Applicant Name DC�V\ HG b� rJe'w T# Project Location: County IU h 017 t/1.--- RR
Address 11 a DO �, r' i CIQ 1>V . Street Address/State Road/Lot#(s) ��� 0 e.l ?floc
City , WA kW J 11, StateNt, ZIP a 4O3
Phone#(1 i(2)-4 µa -Cj E-Mail Subdivision
Authorized Agent-Ili vv, LQAMf - i--)('t k 4 boc.`L Ou.dir' City ZIP
Affected CW gPTA ❑ES ❑PTS Phone# ( ) River Basin Wink+re Oa
AEC(s): El ❑HHF ❑tH ❑uBA ❑WA Adj.Wtr. Body ) t,' (v v...... 0/man /unk!
❑ PWS: p
ORW: yes / no PNA yes no Closest Maj.Wtr. Body G\V QQ;1'V l t tQ Sit.�CX / Al IA
Type of Project/Activity ••4 'Cr:/-
(Scale:I" '. ZD )
Pier(dock)length - -
I i
Fixed Platform(s) � 1� a� a � � ; i I 1 R! - 1-4
Floating Platform(s) t '
Finger pier(s) +,
i+ I r
Groin length �' �- ‘4121number a— ..s ..
Bulkhead/Riprap length .._ i _ ..i i I --- ---..
avg distance offshore T -
max distance offshore I I t
Basin,channel i D o
Sti - '? '-( ! l I
cubic yards S 1
' •-•i- S 0 LINY� i i f
Boat ramp ? l
Boathouse/Boatlift
1
Beach Bulldozing --} ` �— { - ..
Other U`VS 'j'Ab i ``�� _ ..........„.1--.}.._
N, V i:ou sk` MIN-4 Vi
X-1(k5+0i� l9' ''`n�C'pi Icni I
Shoreline Length4/- tap/ 1 .
SAV: not sure yes In
t_/, / _ 1..e zl v
Moratorium: n/a es no —
Photos: no
-
y rig-�",/L r__ z. A- ,:, L _ 1 p
Waiver Attached: no �� l C✓ -.� � ,
I t,
A building permit may be required by: C,l\\.( W l\VhtN'!Jj IQc w tiuvw02 See note on back regarding River Basin rules.
(Note Local Planning jurisdiction t (OCAV
Notes/Special Conditions ,A i j e y(l,t l a b i.i^l,-. 0,, -AL a I 1 F£c(,�G+ S+�i-e I (u cat I
YeCe 1G-t� � C e P I.� • xed 7 -}-kv kr s L^G II 're o• yvl ko k w,tA h.. ck 3 ' G hove,
Yh u c -4- c oaS-Ect w a(a►-r s u i.t 4- • New Ic4 vh s\"P 1‘ v►ak' e.)(+e,,cC, CAW - ,,,,-F ki4.--
r� W c ic.“-6 - o P—; e�1-twk5 boot h}-+ p't ""cos
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I+ Y•W Is InC, ram- e I k.s 2-2.0-21
Agent or Applicant Printed Name Permit Officer's Printed Name
\f‘ ..A.._. 0 k...."'"*.' 12.2.6-21
Signature Please ead compliance statement on back of permit** Signature
i

I
MigniMinf 1ZATIQN FOR CAMA PERMIT APPUCA11UN
Narne of Property Owner Reque � ermit P 6�20 �(sr+i do Pa, �-}� -
�
0 4'0 (J4 P hcCtr
Mailing Address: V
Nt;i,n NG ' -g(10 3
Friona Number: I
Da
Email Address:
*a1 *3 G=,-r i / c-
I certify that I have authorized Q�Lc� ct-!!sue
Agent/C'ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: K? ( c
at my property located at GT o W►' '41\ Oy, t1 kw('
in flit,/ 0km.4-4.- 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:
ature
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Print or Type Name
The
O
This mortification is valid through

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A_DJACENt P RIARIAN PROPTYER OWNER STATEMENT
I hereby certify that 1 own property ediacent tQ Q _v1 +l QA/2 rc.C+ s
i ��0 1�
1 � ` ame of Property Owner)
property located at � D- , n
on 6r2 aQf (Address, Lot, Block, Road, etc,)
�,y in W iI v t , N.C.
(Watdrbody) (City(T and/or County)
241114L c'N6 The applicant has described to me, as shown below, the development proposed at the above location.
L.
a t
l 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
j'Tttk.ONELt)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.) /�� ""
/ ' I do wish to waive the 15'setback requirement. 4%4444 c-e_ Oii1 -- 4-le
I do not wish to waive the 15'setback requirement.
(operty •w or inf•rmation) (Adjacent Property Owner Information)
IliL
'l�,.:t ,t X
�:. ��\e_a\A„. /eA'97--11- -_
Print or T e Actt
Print or Type Name
�2Z D -c ( ee Z2 41 i t 1/iiiAe 1zX
NI Mailing Address Meiling Address
isv,
X c-n e !i ?,— 9 y CitylState/Zip
9i 12 2gZ — 6 d/ Y_
x Telephon Number Telephone Number
-7ls1 v -, '7-2/- ,W x
Date
Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OW/1ER STATEMENT
I hereby certify that I owri ptopelty td,a t IQ. O/11^ TTASara-'l" '$
(Name of Property Owner)
Property located at ( 2)7.—D (1-; ` Or .
ddress, Lot,Block, Road, etc.)
on Cc .e in V.► n\v �` , N C.
(Waterbody) (CitylTdvsin and/or County)
-.AHTh4L"46-(kt'he applicant has described to me, as shown below, the development proposed at the above location.
114(4 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)
T c a4
•
WAIVER SECTION
Z.," Mktkt or4E(1)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.)
(� I do wish to waive the 15'setback requirement.
Y 4?"6""
I do not wish to waive the 15'setback requirement.
(Property ner Information) (Adjacent Property Owner Inf ation)
X 04b45*3. ,
"k Signature t- - _,-' ''..
Tint or T � ,3- i�
ti(. :fr Y ate n ' Pdnt or T Name X
J" `CJ 4�` lam! 479A )01 �r
x Mailing Address . d Mailing Address
tal ' vy\ `e'� �4 .3 IA trtio G(C -s4 X
x Ch /State ip C' /State�Zt
l�rrymberY2 �Syy t\a- �544-o//►�
y Tetep�t a e Telephone Number2 t V
Dale Date }
(Revised 6/1812012)

1
CAMA/ ..--- DREDGE & FILL
t.////7
lk,:re.
3ENERAL PERMIT Previous permit#
1New ilodification DComplete Reissue nPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ? /I , /24),
0 Rules attached.
t Net I te ,„,,)6 e/ 1)4 1,1/ Project Location: County zt/efeyAofe _
2 0 1 . ile br.
.... . 1 i ___ _
`? '. Street Address/State Road/ Lot #(s)
.....__ __— -
tf
leif I * state/Vie ZIP
( /J) 1112_2111/Fax # ( ..)._ ,...!.....-r....._-.*_ Subdivision BA" ti-Aehfrie
:ed Agent %:3744.4141 AileVIA City 5...../,44441/ ZIP .44*
Dew NIQ 'irtik -_-._,ES PTS Phone # ( ) 54441, River Basin e4
,,,,OEA 0 HHF El IH "1.UBA N/A
Adj. Wtr. Body ...Reag.illi, CA.?, 46,
- PWS. 0 FC:
Closest Maj. Wtr. Body ei;eel,"k/i/e .41(4,0
yes , no PNA 60/ no Crit.. Hab. yes / no
f Project/Activity /2t /0e04 74, c222/eIn4,-At, /7ei'W Xis**, gi'lf ..f?e,t4-All4f(i, iltgre4,
PAS 01 (Scale:/Ir. .
ck)WWII fr 4/ r ' I
1(s) fl./)&" i 2, / ' . ___,_
, 1
,
4er(s) i
0)3,4,
.;
;.;
- ' 1
, 1
it 1 77" t i r t 1
'
1- i , . - i -...- ,......_,,,..,..--....-- ---....._ t- -t , 4--4--
;distance offshore ' _l_ _ : . '
/X distance offshore ---i--- --L---f'' -L - L 4-- 1- — 4 . ..... __,17..
, 1 tie- . e;avfitOtwt
iannel ' i 1 de"/2- 4.11' /7e,:14e,
:- --/ _ ,491 le , ,0701-41',,,,,-‘--- As 'ic yards f 1 I --/-1---- --i- --
7- ,
'1—1 1 1 -- 4l-
il- - - -: 1
ist:gt /2/Y/3
';-• : ----4--- - ' ' 4 tt-
, tett
ulldozing
1 4
, — ,..,'I '9' A t - -
"`41 elJ
— , -
, , \ t.
,...._i....._ ....._ is
e Length ' V —4,..,
t-- ill — ---t, ,
1 t 1 i
4
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not sure yes tO
_ ii
s: not sure yes AI' ,- ,fr. *-•:_. • _ _ ' i I ' ?
ium: rya yes ,,,
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t ;
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if- ..-- - i , 14-e k k4444_ii" 1- [ d/rlir__-f
Yes AfiOtt , , ,
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I 0*j 11,P'‘4/0
/LAMA / DREDGE & FILL
3dENERAL PERMIT Previous permit
Mew Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources 4' /j �
;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
-Ru f�`` ttached.
t Name , t't l`5 Reis, f Project Location: County ti ''
Z s'y� -fa. ". Street Address/State Road/ Lot #(s) � �t(
t -
li`1 I,fb -et T State I ZIP 2 t
Off .3/. %`5/4/__. Fax # ( Subdivision _eetelkeiVe.____'— _
:ed Agent ;,, i`"'►m y icier % City '�!' ''� ___ ZIP
I,MfA ES PTS Phone # ( ) i4 i, River Basin edyge
OEA C HHF IH UBA N/A
Adj. Wtr. Body Rike4 67'LG
PINS: FC: f
yes / PNA / no Crit. Hab. yes / no Closest Mai. Wtr. Body Are - /o A
Pro1ec ASivitY . 15 �reM ,, GP t A /b' l/4/'4'%A air"'
1l (Scale: I ;
ck)length iiix.(r 1 __ _ �_
2'Y12 / F . , i .
3(s) i __
1 i-
ier(s) •
ngth _+__,_
mbar ! ( i
_ j l i
d!Rfprap length
t i j _ i t }
{ � � _
distance offshore T __�} i i
Of—_. _ _ _. ..__
iX distance offshore l t
- I --_ I ! T
i ,
bic yards i
�wt � .
I'll-I _ Erri -07
3
l l y T _ f ��
ulldozing -_ i }" }�
t w
T
/4 i 1 - _ - 4
4II j � •_ � !
e Len 1 1INS t
I
not sure yes j • } i l }
's• not sure yes ', L�.;..-_�_. , i
r � '
k
ium: n/a yes,,. a;►�r
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Cheek
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column) Column2 Column3 Column4 Column5 Columns Column? Columns Column9
8/31/2021 Sea Dog Marine Construction.LLC Waddell Kissel)Lee Etals First Bank 1426 § 200.00''GP#80165D PA rct.12795
8/31/2021 Sea Dog Marine Construction,LLC Paul and Sherrie Bailey First bank __ _ 117 $ 200.00'GP#801630 PA rct.12793
8/31/2021 Michael AYoung same TO Bank 2240 $ 200.00 I GP#80289D_ JD rct.14093
8/31/2021 Gregory Holden Chnstopher Karsher United bank 5588 $ 600.00 GP#80194D _ PA rct.12796
8/31/2021 Southern NC Marine LLC Alonzo 8 Vivki Kornegay First Bank 1472 $ 200.00 GP#803390 KE rct.15737
8/31/2021 Southern Envionmental Group,Inc. John Dnsh Wells Fargo 8404 $ 200.00 1GP#799420 BH rct.14414
8/31/2021 Land to Sea Construction,LLC TomVevellen First Citizens Bank _ 505 $ 200.00 j GP#802770 KE rct.15736
8/31/2021 Dock and Deck Dudes,LLC Dan Habrat PNC Bank 1196 $ 200.00 GP#80276D KE rct.15733