80237D - Walker

41 CAMA/ DREDGE & FILL N° 80237 0GENERAL PERMIT Previous permit# (c92Ci B C
>�-= New ❑Modification i Complete Reissue C Partial Reissue Date previous permit issued /I -I -4-2 G I�
As authiorized by the State of North Carolina,Department of Environmental Quality O� �� C�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC .
` ❑Rules attached.
Applicant Name C ' 7 I•�c�a ��\1c _V Project Location: County �( —A L,�c_\<
�7 ( �y
Address k 0 - �. <_if t 01 e•' p Street Address/State Road/Lot#(s) T Co-A( 0 v A
City Np ..,?(.._ State )s3LZIP 2-3-So2 ' \ ,
Phone#( 't i() Cs-co-3 i t/0 E-mail (6kAL 5ti _ - ic.e(,oc..„„ (. (o . Subdivision
Authorized Agent (. Jc AL. 6•4 LA- City 0(1_4,,— s\c Q.Cc.c 1r` ZIP / t tAL`(
Affected ®CW ❑EW ❑PTA EMS ❑PTS Phone# ( ) River Basin 1. b'
AEC s : OFA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. BodyCGS,c-k
( ) ❑ PWS. nTa(nat /unkn)
ORW: yes / noPNA yes /'no� Closest Maj.Wtr. Body �lv.) V--)
Type of Project/Activity \ e i 4 ( v k kc(..� - \. -00.K(S •c/!� i—i ir', .,4
1 `..� (Scale:" S )
Pier(dock)length
Fixed Platform(s) I A✓' C ` _,
Floating Platforms) 1\1 '
Finger pier(s) - - - , "'_.'_'y _ I
I
Groin length I 1
number —t _. .. — t—_ I li
bulkhead//l prap length o‘ _ -_ _ T�._ T ......_ } ��y c A r _..__
I JJ - i
''''''''.--Li distance offshore I 1 1(„
max distance offshore ! i t,\
Basin,channel I. I yT 1
cubic yards W `..
,.
Boat ramp 4 i 1
I
Boathouse/Boatlift tic kt f ^__f__ i¢t4 . . Illifllill ' : —
Beach Bulldozing I r I 1. '--
Other ? C t,...k s
Shoreline Length So' {i 1 1
4 Cmod ; .
SAV: not sure yes no ! , U^
1._ 1 f i —A,_Lt✓ f _ I
Moratorium: n/a yes
(.
Photos: yes S C.u..cu,- co„c ,. _ 1• �L _
Si- l0 _�
+ n- _ , ,.. ,.. —1--
Waiver Attached: /ye no - f I
A building permit may be rfvZeguired by: 0�, (G-. `S(< 4' 6 C Vl . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions ( () v 14--r t,,,,c- A\ h< v( \; ',m . )C(Ci1-. t--e/• -A ,
( N u r r,,, r.,L, L....k c ti\k,., cl a`\ /10.t1A vr'i"Zec+ 0
. /`-1-4.. f-c-L 1 (-(. A.c.... 13 ru c (
Agent or Applicant Printed Name Permit c s rinted ame Z
Signatur **Please read compliance statement on back of permit** Signature
Applica i n Feels) Check# Issuing Date Expiration 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 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 (252-946-648 1) or the
Wilmington Regional Office(9 I 0-796-72 1 5)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 252-946-648 I
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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

ru
( i.l. ' .&ZCAMA/ DREDGE i FILL lea g�237 A B C
ENE • • L PERMIT Previous permit# fng2G ,
ew C?Modification ❑Complete Reissue ❑Pieria{Reissue Date previous permit issued L(-11-2 011-
As ed by the State of North Carolina,Department of Environmental Quality and
l �`�
the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 4 \( (1v0 V
rk oRules
Applicant Name [9 , L.,,�a. Project Location: County t�.. `
at
Address 'CXfL ac.Q, Street Address/State Road/Lot#(s) r Lb r A
City N .....„,(... State, C.z1P 21-Sc2 SA -
Phone# nil) ( 5(9 3'i O E-Mail r -%..)tfekb .,(.row..Subdivision
Authorized Agent (../Je-leek i 6.%c City nC,�i4„_ tslu V L c‘r, ZIP 2Y,4.6 ct
Affected 51 CW DEW O PTA ir;-s D PTS Phone# ( )_ ' , River Basin .....1r..+ ✓
AK s : O OEA D IMF CIIH D USA D N/A n_
( ) O Adj.Wtr.Body l.�✓��� (nat unkrt
ORW: yes / Q.,./ PNA yes /l"./ Closest Maj.Wtr.Body &s
Type of Project/Activity t 4a... 6 vkk. 0► t-\ '. t s _ fickfr, ,.,-t
(Scale:./*-) C. S )
Pier(dock)length
, A Fixed Ptatform(s) Ifil _` I i
Floating Piatform(s) � i � { i
Finger pier(,) -
Finge length _4,_ N I _ LAW-
. {_ _ f r
•number
A -. ' j i� _ t l!g '.rsp O' - n.• _ _{ � 1� _ S,•� ate.
avg distance offshore num U . En an i Clai'f } I t
max distance offshore I III 1
Basin.channel 1 1 tt=/•—i�,_ 1 i •� 1 i {
«, yams i ■ es -.fi 74- ` { I
Bost , v, i Simi" a�'��r
{ ' -_. ` I ` }Boathouse/Boatf
III—�i _ -4- I i
Beach Bulldozing
U n r . I � i '
=ma um
Shoreline Lend 5U I --t -.-I-.1--i-—1 i = .�... _ t- i i. ) i ri i i
SAV: not sure yes no i I I_�_ _1 i l _ i 0111 t?� u.G II
Moratorium: yes % ' llii 0. i 1" i
Photos: -L 1 , (/ --. -- -I i .-�---4* --__:_ _ .. l_-} •, _-�--I-} __
Waiver Attached-
. �—i`4+' t 1
A building permit may be required by: 00.4.-. ( lc Rcc. ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 9 • `
Notes/Special Conditions __CD ti i \ a t..,1k\ b v• t { t r .•��
..).... 0,v\cV,It (.\--r 'd 1,.... cc,......j.„,c_._, 13 elf c..ko . -
A or Applicant Printed Name Permit sited a t,s
c0h.cS,u fir,a — , \, .,
sivaeurth""Please read compliance statement on back of rink" Signaturere
Appl,ca Fees) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: A AC) 01 CteCYF
Mailing Address: [ -7 C COY\C c f-
c eQAA1 1 e 6ect.o,tA tie.:
Phone Number: I C 7 COS 6 Q, �d °1
Email Address: 17.G1 000 ! S t • uL.K h6}-Yv1Ct C
I certify that I have authorized G 1 C. CC3Vin u C t ci n
Agent/Contractor
to act on my behalf, for the u p rpose of applying for and obtaining ail CAMA permits
necessary for the following proposed development: 3E'Q CLU
at my property located at 1 -7 C CV\ C C-c) Si- 01 N G
in (111')/1-t.v1S C.LQCounty.
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:
Signature
Ce o6.-F u,.?ct) kCQ✓ LuACMG
Print or Type Name
Title
Date
This certification is valid through
1

...ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■' Compl-a itt3'irtls 1s 2,and 3. A. Signature
• Print your name and address on the reverse X t)3 /� CI Agent
so that we can return the card to you. ❑Addresse
• Attach this card to the back of the mailpiece, B.1 Received� 1
by(Printed Name) C. Date of Deliver
or on the front if space permits. /-i ✓\C)O L' _ 4)Q..,' 2
1. Article Addressed to: D. Is delivery address different from item 1? El Yes
\?)e_.\' ;‘,\ -k.?\-NY
� If YES,enter delivery address below: ❑ No
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Postage&Fees Paid
It11111114 L USPS
Permit No.G-10
9590 9402 5492 9249 3650 31
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
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U.S. Postal Service`'
CERTIFIED MAIL° RECEIPT
Domestic Mail Only )N OF COASTAL MANAGEMENT
information,visit our website at luv usp
s.com
For delivery .• ►PERTY OWNER NOTIFICATIONIWAIVER FORM
OccOlky i 0472$ 60 iN RECEIPT REQUESTED or HAND DELIVERY
i
I Certified Mail Fee 3, ,, ,5
$ it .r ''fie' completed by owner or their agent)
Extra Services&Fees(check box, tee p$_
ke
Postmark
_AL
Return Receipt(hardc $
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Return Receipt(elecVoni) $$ ; —
3 °certified Mail Restricted Deliverl
0 Adult Signature Required
0 Adult Signature Restricted Del very$—
= 07r22/2021 S �
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PUPU Total Postage and F i r � ��� 1t�
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_ �-- Owner's Phone#: \ - -341.0
Sird t.No. or P ox yq �(p
------------------
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cr i:r, tP+' t0 Agent Phone#: CU-SC1-9CAS
See Reverse forinstructions
PS Form 3800,April 2015 PSN 7530-02-000-9047
Agent's Email: 1-1,..)ardenc•* Ck. n
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 Ad cent Ripanan Property Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: 4aZda)c2
Typed/Printed name of ARPO: Je y S h
0f.L �Mailing Address of ARPO: d�I ✓f 14 2f1.) .40r *e..% /VG .27i .Z
ARPO's email: 65 l d h ,mat i.C4AARPO's Phone#:
Date: o "/7-0/ *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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❑Certified Mail Restricted Delivery Return Receipt for
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2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Signature ConfirmationT'
n 1,. ..o,l Mail ❑Signature Confirmation
7 017 0660 0000 7486 9379 i5Mo)il Restricted Delivery Restricted Delivery
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9590 9402 5492 9249 3650 55
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
iiiiiimijiiiiiiitiiilmiiiiiiii'IIIlujim"jii'llii'IliIIiII,

• 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)
1... A
Name of Property Owner: . G / GCc\-i l _i' 1\(f-(-
Address of Property: f—) C-4>`c-0rt S� �CS v- 1-• . C Ltc�
Mailing Address of Owner: \SU ?\tr r-t. V` 4. Q `'4L 271562.
Owner's email: /� Owner's Phone#: �1\Cj -�(p "394 U
Agent's Name: ( -- CSQ c-v+—�Rtt, �r) Agent Phone#: Q`l.)"'5-7e-clOctS
Agent's Email: Wardct t,t C.k. q c. C,_ n'e-1
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 descript'on or drawing,with 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 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 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 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 �a� Q (` 6L/ Oy()
Signature of Adjacent rian Property Owner(ARPO)
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: U0 C- abi
l,
Typed/Printed name of ARPO: G 6(.. ` C L M F L Z-6_ - W e r`0 C - 015
(�. (2. i/) 6C)
Mailing Address of ARPO: � l ) ��� ( S1 � / S
ARPO's email: _Ct.vr5(Jr"1*VnitEL 'trd LARPO's Phone#: g I 3 `-3 cis / Ut„ti
Date: (ei 1 I I Z *waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

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Chock
Date Received , Date D000elted i' Chock From(Nemo) Name d Permit Holder Vendor Check number amount Femrk Number/Comments Receipt or Re/undrReellocated
Coumnt Coumn2 Column] Column) Columns Column Column? Column! Colurnn8
929/2021 Grice Construction Geoff and Linda Walker BB&T 14932 $ 400.00 GP#802370 BB rct.15547
9/29/2021 Grice Construction Adam Nix BB&T 14935 $ 400.00 GP#85672D _ BB rct,15545
9/29/2021 Once Construction Betsy Upton BEAT 14933 400.00 GP#85673D BB rct.15546
9/29/2021 Once Construction ,Anthony&Krista Harris BB&T 14934 £ 400.00 GP#85671D BB rot.15544
9/29/2021 Team React LLC DSNC,LLC Coastal Bank and Trust 2525 $ 200.00 GP#856206_ JD rct.15584
9/29/2021 Claude Rogers same Wells Fargo 1393 £ 200.00 GP#65670D PA rct.15708_-_
9/29/2021 Richard McCain same First Citizens Bank 12337 $ 200.00 GP#85661D. IPA rct.15713
9/29/2021 ',H5 Construction LLC John Harlin Truist 1001 $ 200.00 GP#85662D IPA rct.15710
9/29/2021 H5 Construction,LLC John Werner Trulst 1004 $ 200.00 GP#856630 IPA rct.15711
929/2021 Aaron Perkins •Duke Energy Progress LGFCU 405 $ 200.00 GP#85664D SPA rct.15712
9292021 McPherson Marine Services,LLC Daen Evans First Citizens Bank 4491 6_ 200.00 GP#803540 'PA rct.15706
9/29/2021 Logan Marine.LLC Barbee Family Trust BB&T 7617 4 200.00 GP#80355D PA rct.15707
9292021 Logan Marine.LLC Albert J Brown Jr BB&T 7616 $ _200.00 GP#80360D :PA rct.15715
9292921 Ruth Rushing same Bank of America _ I 2367 200.00 GP#802360 BB rct.15541
9292021 AMW Docks and Marine Construction LLC Patti Rubino BB&T 6496 $ 400.00 GP#802720 BB rct.15542
9292021 AMW Docks and Marine Construction LLC Steven and Allen Williamson BB&T _ 6497.5__200.00 GP#80271D BB rct 15543
9292021 Donna Byrd Donna and Richard Byrd BB&T 1049 $ 200.00 GP#80281D _ BB rct.15538
9292021 McPherson Marine Services,LLC James Bunko First Citizens Bank I 4521 $_ 400.00 GP#85669D_ PA rct.15714
9/29/2021 Allied Marine Contractors LLC Mark Long 10387 First Citizens Bank l &_ 400.00 GP#80206D PA rct 15701
9/29/2021 Allied Marine Contractors LLC Ronnie Huss First Citizens Bank 10388 I 400.00 GP#801970 PA rct 15702
929/2021 Drew Todd,Jr. Sandra Cochell Woodforest National Bank 1078.1 _200,00 GP#801960 _ PA rct.15716
9/29/2021 Lighthouse Marine Construction Jose Gonzales Coastal Bank and Trust 3950 S 400.00 IGP#85632D .JD rct.16004