85672D - Nix

i.,`°"r"ssKCAMA DREDGE & FILL No 85672 A B C,
'GENERAL PERMIT Previous permit `7 "2
21 Date previous permit issued 21- ("2 O fS
n New H Modification Complete Reissue n Partial Reissue
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 Cr4 1`1 • I i 00 n Rules attached. p General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name PIN C\C-�� 1.3.X Authorized Agent ( J r•^ �(( ( r .C+;
Addr tp 1 �S `V. r t• `(i \..'t \ ( . Project Location(County): .,(.,r 5 w',c C,
C
City -(`<(t 11J+ State tJ C. ZIP 2 i,( ' Street Address/State Road/Lot#(s) I ) C. n u. c, r
Phone#(' II If) AIt -t l TLf9 6
Email d•1 r, -.4 fa 1n.r,,,2,r. [E,-Siv..t(h'1t r\C• (0 "^ Subdivision
City 0(1, (.....'- k C t 4. C..t c c v, ZIP Z {b CI
Affected V CW n EW n PTA IA ES n PT5 Adj.Wtr.Body ( i• ,;.. k (n r nk)
AEC(s): n OEA n IHA ID UW n SPIMA n PWS Closest Maj.Wtr.Body A V`'t
ORW:yes/rib,t PNA:ye OPt ,1 ` (
Type of Project/Activity 1? (9I c Le P W S�•-tr 1'� dr, F�.Ntr,,-.:
(Scale:PJ T S )
•
Shoreline Length Sq«
Access Length 1\,,,I
/ `-��- -�•� .
Pier(dock)length ~- -
Fixed Platform(s) 1 I , I i
Floating Platform(s) I i 7 I
I e
Finger pier(s) i Iu n (."�_ t:t �......
` 3
Total Platform area t
1iGroat length/# e. L��{-
ulkhead 1prap length S< L — „ —,
4-
Avg distance offshore lam' - t------ -ts 1 I n - 2 ,(- _/ 4 t' { I . , c'
Breakwater/Sill �, ....._.�....�. f n
Max distance/length h� 1 I ell.
Basin,channel
.
Cubic yards ' -'t Gi�; 1t 5 ` 1—
Boat ramp
Boathouse/Boatlift
Beach Bulldozing i
Other ti t y
kl ■ , $1 _ i f i
SAV observed: yes no, l t
Moratorium: n/a yes f < 1 h .' - 5I,� ' -._
Site Photos: s j -
Riparian Waiver Attached: ye no 1 I ' I `
A building permit/zoning permit.may be required by:((TLA.- (,ail I f. (•C �\
Permit Conditions J k\C 1i••f, c.+,t\\ k5< w .\\ e Kt. 4. _. n TAR/PAM/NEUSE/BUFFER(circle one)
n o r,.` 1c..\ t._•,.i rk 1.. .. C\\ « t)., ,ZL 1 0 See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
iii
Agent or Applicant PRINTED Name Perr?it-t 3 PRINTEDName .-r�y
Signature** ase read compliance statement on back of permit** Signature �(j
�() �� - fy J � , 1- ;4-2021 _•2-1•2oZu
Application e(s Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort, Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

°''sw CAMA ►j DREDGE & FILL N9 85672 �A B
IIGENE - A L PERMIT Da p evpe slpermiisrsu�d yc1'�`ZQ�
New Modification ❑Complete Reissue Partial Reissue Previous
As authorize 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 u, 1 . I I V C) [11Rules attached. V General Permit Rules available at the following link:yyww.dee.nc.g4v1CAMArule;
Applicant Name, IN t\4(i-�"'- x, Authorized Agent LiCe.......... {,,s GQ.
Add } /t4 2,C V i At+,i..r t\ C t . Project Location(County): 1f�"5 t 0 4 [�
City I-/a t `tt . State 1`� �--- ZIP 2 ( S Street Address/State Road/Lot#(s) ( CA)n r . t ^C
Phone#(el(Ci) -3(0 el -74i e t E
Email 04 c.' ) k,...rAZ (tM tSYt..,{t`.n t\G, C.d— Subdivision ((j
City D�4,,. l c 1‹.- 1J 4,,4,un ZIP I-g l tcol
Affected CW L EW L PTA ES r PTS Adj.Wtr.Body C.6.n(N..k (n t•i4r'.'+nk)
AEC(s): I I OEA IHA Eli UW u SPIMA C PWS Closest Maj.Wtr.Body / j t W
ORW:yes/s- PNA:yes ' '
Type of Project/Activity F.,PIc(..t- tyaA ,ty �,."lkkt-c,ci. t•n Set 4 •f •-.N+
U (Scaler T'S )
1
Shoreline Length S.--"C.,
Access Length j'� �� A. .` r�. f
Pier(dock)length •
j '
fixed Platform(s)
tio ,
Floating Platform(s) 6.4t SA)
Finger pier(s) ` t '
�1
Total Platform area / �_�
Gro'. -•i h/k vJ
L.l�� ` '�,,,�..++..�.��.
:uikhead r prap length c/y�VJ 4 •• `
iV `w
Avg distance offshore it... ` 1�K V/
Breakwater/Sill N
--e- LT
Max distance/length I/L.
Basin,channel
Cubic yards Zot l,tM tt `"I'Boat ramp pc -
rA ;�
Boathouse/Boatlift �c
Beach Bulldozing • ; ,�,, — _,_,. ,,,_
Other
ti-krri s pro e + v e , Pibe
SAV observed: yes no [.(t�t(.urct- S4., r 6 c..0, Sit
Moratorium: n/a yesa
,,.• t E C r.t0 �. S I, l3 ,4). •
Site Photos: y .11'
Riparian Waiver Attached: t/.'y!e f�no
A building permit/zoning pertpo,it ay be required by:()Cut, LS1s. g4-4.fr tn
( TAR/PAM/NEUSElBUFFER(circle one)
Permit Conditions t t✓U t.l , w A\ �i. �v t lk t-N, .24Q s,411 t
(J-._�Qr (3 J U � �A w<kL^ y ,\ Q zA See note on back regarding River Basin rules
pSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AM)CONDITIONS THAT APPLY TO THIS PROJECT AND RED COMPLIANCE ST ENT. (Please Initial) L &
Agent or Applicant PRINTme Perzalf PRINTED Name ,,,•••?
Signature` ase read compliances a statement on back of per it" Signature.
tlf�(?4 1�! S- 21-2.02 t 1 21 Zo Zz
Application (s Check tt/Money Order Issuing Date Expiration Date

V
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
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Name of Property Owner Requesting Permit: I %)c
Mailing Address: 2‘c�.j P4c h,1d c?-
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Phone Number: / 9 369-- 7 `7` S g
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Email Address: 1 14,i @ 4-r; 11
434 6)4S)rvc i-:1 AIL , (0, 7
I certify that I have authorized ,Cr CA,clrucic 1
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /)Li k 4•t .]
at my property located at ; ( Aco r c S f_1 ,
il
in � �i L„ ,� 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 In,,fQtrn� ' :
�� , ti
/� Signature
/�r-i /V X
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Print or Type Name
1
Title11
9 L2ijZoe / li (
Date
This certification is valid through I2` / 31 / 2oa
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0h1c -oIrd to the back of the mailpiece, B. Received bx((Printed Name) C. Date of very S=
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vssed to: D. Is delivery address different from item 1? ❑Yes
L-1r , `Aacr� If YES,enter delivery address below: ❑No
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2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM
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PSFeceipt +PPS\Zpis 1P8ye�e,p5 9590 9402 5492 9249 3654 20
United States • Sender: Please print your name,address,and ZIP+4r in this box*
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
NO,,ryl
Name of Property Owner:
Address of Property: \` ) r U�f OCseAn �Q 1�
Mailing Address of Owner: \l&3 t SCOSNik �C�,� �1.`1A,elcah �L 2•�(°1tj - CO:V-1
Owner's email: Owner's Phone* "1``J (i'1 (.Q
Agent's Name:�1'( Q �5�n-tc ��� Agent Phone#CA,t - 5-1ck 1.
Agent's Email:\k)cs‘r‹.. t G c +L \-111(..-on-s2t
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.
A description or drawing, with dimensions, must be provided with this letter.
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.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.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 back a minimum distance of 15' from my area of riparian access unless waived by me (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner(ARPO)
-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: 74I,11/1,^-v fly rtn"-5
Mailing Address of ARPO: �� 5 ixC P w a I-C t ' i vv , 111-0--- kk )so 2.
ARPO's email: MIA 1Ze,( 26`13 .ARPO's Phone#: ql() 200• soil 2
Date: ,) !f 20 Z( "waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

U. . POstal Service'
CERTIFIED MAIL° RECEIPT
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For delivery information,visit our website at www.usps.com .
Certified Mail Fee J.��i 0472
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['Certified Mail Restricted Delivery $ $0.1)0 Here
❑Adult Signature Required $ $0.00
❑Adult Signature Restricted Delivery$
Postage cc
$i_i,.r_r
07/22/2021

lertltieci Mau service proviaes ale iouuwmy LAV ICI. ;
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You may purchase Certified Mail service with signee to be at least 21 years of age(not
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insurance coverage automatically included with accepted as legal proof of mailing,it should bear
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ENDER: COMPLETE TIPS SECTION COMPLETE THIS SECTION ON DELIVERY
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so that we can return the card to you. 1 A 0 Addressee
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or on the front if space permits. 0 ' 1 i<- )
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
\ e- L,\ 't"?Vi)(\ If YES,enter delivery address below: ElNo
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9590 9402 5492 9249 3654 13 ❑Certified Mail Restricted Delivery 419146itu n Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery El Signature ConfirmationT
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7 017 0660 0000 7486 9331 Restricted Delivery Restricted Delivery
PS Form 3811.July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

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3 .� Permit No.G-10
9590 9402 5492 9249 3654 13
United States •Sender: Please print your name,address,and ZIP+4®in this box•
Postal Service
GRICE CONSTRUCTION
6618 BEACH DR. , SW
OCEAN ISLE BEACH, NC 28469
—4'71Csi8 milli,illIleit!I,,,iii,iiiit>>i111111ii111i'111III111I1I11I,►II1,1I

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: (Ckl,m `yt'
Address of Property: \3 C3(NC_O r CA �l'rf OCCn Q '" ' 1
Mailing Address of Owner: 0.1p-39. SCnncC \ .{ \et3 cl NC 2--I(°N " ciN'i
Owner's email: Owner's Phone#: C\`Ct - CO ( -C
Agent's Name:� (CQ r\5-\--(\-tLr.)n Agent Phone#: t 6-5-1c1-cl(A
Agent's Email:\k)(A►-.Ct it('<(..co j G.\-ny..,hQt
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.
A description or drawing, with dimensions, must be provided with this letter.
V I 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.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.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 back a minimum distance of 15'from my area of riparian access unless waived by me (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adja nt Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: 4 i42_ CJ
�-77
Typed/Printed name of ARPO: �C?e71-S G1 S /;
Mailing Address of ARPO: 34"2- 4/c/ nte-LC aZ £r" 4"i.,,c NC
ARPO's email: AS tGQ-4f7 0410 CC*ARPO's Phone#: //0- - 0(.1?
Date:/, *waiver is valid for up to one year from ARPO's Signature`
Revised May 2021

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Chock
Data Received ate Deposited Check From(Name) Nome of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Calumn2 Column3 Column4 Columns Gramme Column? Column[ Column9
9/29/2021 Grice Construction Geoff and Linda Walker BEAT 14932 $ 400.00 GP#80237D BB rct.15547
9/29/2021 Grice Construction Adam Nix BUT 14935 $ 400.00 GP#85672D BB rct.15545
9/29/2021 Grice Construction Bed Upton BB&T 14933 5_ 400.00 GP#856730 BB rct.15546
9/29/2021 . Grice Construction Anthony&Krista Harris BUT 14934 $ 400.00 GP#85671D BB rct.15544
9/29/2021 Team React LLC DSNC,LLC Coastal Bank and Trust 2525 0 200.00 GP#85620D JD rd.15584
9/29/2021 Claude Rogers same Wells Fargo 1393 $ 200.00 GP#856700 PA rct.15708
9/29/2021 Richard McCain same First Citizens Bank 12337$. 200.00 GP#85661 D PA rct.15713
9/29/2021 H5 Construction,LLC John Harlin Truist 1001 $ 200.00 GP#85662D PA rct.15710
929/2021 H5 Construction,LLC John Werner Truist 1004 $ 200.00 GP#85663D PA rct 15711.
929/2021 Aaron Perkins Duke Energy Progress LGFCU 405 $ 200.00 GP#856640 PA rct.15712
9/29/2021 McPherson Marine Services,LLC Dean Evans First Citizens Bank 4491 $ 200.00 GP#80354D PA rct.15706
9/29/2021 Logan Marine,LLC Barbee Family Trust BB&T 7617 $ 200.00 GP#803550 PA rct.15707
9/29/2021 'Logan Marine,LLC Albert J Brown Jr BBBT 7616 $ 200.00 GP#803600 PA rot 15715
9/29/2021- Ruth Rushing same Bank of America 2367 $ 200.00 GP#802360 BB rct.15541
9/29/2021 .AMW Docks and Marine Construction LLC Patti Rubino BBBT 6496 $ 400.00 GP#80272D BB rot.15542
9/29/2021 AMW Docks and Marine Construction LLC Steven and Allen Williamson BBBT 6497 $ 200.00 GP#80271 D BB rct.15543
9/29/2021 'Donna Byrd Donna and Richard Byrd 8B&T 1049 $ 200.00 GP#80281 D BB rct.15538
9/29/2021 McPherson Marine Services,LLC James Bunko First Citizens Bank 4521 £ 400.00 GP#85669D PA rct.15714
9/29/2021 Allied Marine Contractors LLC Mark Long First Citizens Bank 10387 5 400.00 GP#802080 PA rct.15701
9/29/2021 Alied Marine Contractors LLC Ronnie Hussey First Citizens Bank 10388 5-_400.00 GP#80197D PA rot 15702
9/29/2021 Drew Todd,Jr. !Sandra Cochell Woodforest National Bank 1078 5__ 200.00 GP#801980 PA rct 15716
9/29/2021 Lighthouse Marine Construction [Jose Gonzales Coastal Bank and Trust 3950 $ 400.00 GP#85832D JD rct.16004