80208D - Long

0 F__.]CAMA / ❑DREDGE & FILL NO 80208 !,
GENERAL PERMIT Previous permit# A B C (�y'
, New ❑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 07it.. ikTD .
�/r J^ ❑Rules attached.
It �
Applicant Name N ik G0,1.9 Project Location: County%4i41c "e IL
Address i !Og Wes/ (la i /5 k'2c/ ��i I,Ae Street rrAddress/State Road/Lot#(s) P/.b 23+L Jd U/(,
City 64 lG f5- rI State ZIP 1/7 St 3 r a -9-
Phone# (4 S A) .V&�.) 3 I el S E-Mail 1 (-/ / Subdivision
Authorized Agent j1 (/ Mv1 (e,,,b1—1 i 1 5 City (if k 1S(0 it d ZIP 4/67
Affected 0 CW ❑EW ❑PTA .�'fS PTS Phone# ( ) River Basin lonkt
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA CI N/A Adj.Wtr. Body j t' S I�Gtrllc,,' (nat(! '/unkn)
❑ PWS:
ORW: yes /`no` PNA (" no Closest Maj.Wtr. Body
s
Type of Project/Activity fa,- . -tt 10 i4sid r ' , „ -e c...a( 5-,<._a_
(Scale: /. 3U )
Pier(dock)length -_
Fixed Platform(s) _
Floating Platform(s) • I
Finger pier(s)
Groin length I i 1
numbel„ _ •
Bulkheadfr ra ngth 647k 4,
.V ✓ jt7_ .r , ,{ --r
avg•disttfce offshore C
max distance offshore n i44 f Dve,Kiej i CVO4' I kS
Basin,channel — I Ira �'"� 4 L1I 1 Hko'�"' {
y
( ill , ,e) -b I ) 7. 1 S
cubic yards "— 1 i 1 1 ' W I I 1 ctk ci 01 6.7lI
Boat ramp � —^ — `
1 1�
Boathouse/Boatlift -- ;....__`f..._.._
Lr._
•
r VI
Beach Bulldozing ?f 4� ice_ `'— •-' --_ _ 1
Other { r ` rf jA,4tF4 '4' ! `� '
�v d N ..;4:1•- - ' i te,1• is • f t i
cItp9ti �t . �_"Zit,
Shoreline Length G l() n 16 �
I
SAV: not sure yes 6.9 4.'j i I . . �
_. +
Moratorium: n/a yes I i Photos: yes Op 1/ .. P �a 1,., 1 O QQI.. - ..
Waiver Attached: yes a `d'w r Lc �Qy; I
A building permit may be required by: I ivri` ¶' [201 /' ,,c1 . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) n �J
Notes/Special Conditions /,f,//ti✓/ f-7I f/iv /1,17 4-., f. 14-ii -6
., c/ ,,c
/ ? ,rt .i-
Agent or Appli Printed . e PermitOffi s Pri tei
Signature PI-.- ad compliance statement on back of permit** Signature
MO". IU 9/8/A //f/i2
Application Fee(s) Check# Issuing Date Expiration Date

i
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 (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-72 15)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

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
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Name of Property Owner Requesting Permit: ,42r/C
tr-
Mailing Address:
.. fit'
Phone Number: 9g4/ S5
5-
Email Address:
I certify that I have authorized /f//st1 'yid
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 49GA f` i l /91/9
at my property located at PS jg- r' 6
in 80.4614U C 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:
ignafure 1 ,� k 6 6 (
Print or Type-Name
Grp-L(
Title
/ Date I
This certification is valid through ) a 30 I c)J
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s CERTIFIED MAIL • RETUR R cCI=iP/I EQUE$TED
e'� ECEIVED
.tp
AD/Ck VIVISION OF COASTAL MAN/4GF,MENT
A ENT RIPARIAN PROPERTY OWNER FOTI _CATION/WAIVER FORM
Name of Property Owner: / '/`ffr' 4771/
/ )�
Address of Property: ! Jf 1,C1 C/�9 4k Tisiii
Met)
� (Lot or Street#, Street or Road, Cry County)
Agent's Name#: //ie Maik Mailing A dclress: 9 'kJ/
Agent's phone#: te__�G -c= 4530 ---- {1'rr�5 -e s /•L/ in.),
— — _ =cr__
I hereby certify that I owr'► p'" rope y a jacen to t e Ei ove rr<irenced property. The individual
applying for this permit has described to me as shown or,the Vizched drawing the development
they are proposing. A description or drawing, with dimen.,ion;, iust be provided with this letter.
v I have no objections to this I hive objections t proposal. ,] a this proposal.
If you have objections to what is being proposed,you must rlotrr'y ft a Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact Information for OCM offices is
available athttp://www.nccoastalmanagement.net/webicm/;taft-li ting or by calling f-888-4RCOAST.
No response is considered the same as no objection if you have 2.een notified by Certified Mail.
• WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, brea+water, boathouse, or lift 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 appruprate blank below.)
n I do wish to waive the 15' setback requirement.
`' A , I do not wish to waive the 15' setback requirement.
(Property Owner Information) 2Iparian iroperty ner formation)
,9plik t .. ,
Sig re Si,gnctture
Cf12,c rviLLiiic:
ri t e Name
Print or Type Na
Mailing ddress gr
' c_L Q.a 1,.....L___LiLaZa:34, ---1 0
Mailirg Call-
C! OCIL/State2 ,75/ej "I& �. OQt 4.. ' l-Il t
Cify/ tati;/2 -.
g5L1 -* it -31,13 sa- L _L____ _aj-_Er_._____.
Telephone Number/Email Address Telep. ne ri amber IEmail Address
Date 5 I 1 C2I CI'`-Q
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT l; EQUESTED
DIVISION OF COASTAL MANAG} MENT
ADJACENT RIPARIAN PROPERTY OWNER h?OTIFCATIONIWAIVER FORM
Name of Property Owner: MO(k
Address of Property: 1'3 SE Jib- 25
(Lot or Street#, S:reet or Road, Cay County)
Agent's Name #: 4i/,J4 ,k, Covtideid Mailing Add-e s: 902. t`f'frieiJ C. -
Agent's phone#: 70` c as a
I hereby certify that I owri property adjacent to the above re .rrenced property. The individual
applying for this permit has described to me as shown or the attached drawing the development
they are proposing. A description or drawing, with dimemionsriust be provided with this letter.
I have no objections to this proposal. I have
P p _ objections to this proposal.
tf you have objections to what is being proposed,you must notiry ti a Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athttp://www.nccoastalmanapement.net/weblcm/,t`afr-li:;tinq or by calling 1-888-4RCOAST.
No response is considered the same as no ob'ecfion ii' rou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of hoarier, 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.
VI do not wish to waive the 15' setback requirement.
. ffilt.1•111011.11/1Mati
(Property Owner Information) (Riparian i'Iroperty O er Inf tion)
Sig ature _______ .-7A.,---. -
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Name -Print eff f cii,"(
Print or Type
or Type Name
r4-40 14,
1Mailing ddrreesss Maihrg/Jo ss
�41e 1�L W2 &lri Lh
��Cit -
y/Stat itatc2 ry 5
Z/ 3 - 3P1S _�'J q- Ca j3 rVte
Telephone umber/Email Address - — Address
7-elephorie iaumber/Erna! ���SSG�+
'3'La. a
Date% _
Date
(Revised Aug. 2014)
IV----

Check
Date Received Data Deposited Check From(Name) Name of Prmk Holder Vendor Check number amount Permit Number/Comments Receipt or Rerund/Reallocated
I
Column', Column2 Column3 Column) Column., Column., Column? Column., Column.,
9/29/2021 Grice Construction Geoff and Linda Walker BB&T 14932 $ 400.00 GP#880237D BB rct.15547
929/2021 Grice Construction Adam Nix BB&T 14935 $ 400.00 GP#85672D BB rct.15545
929/2021 Grice Construction Betsy Upton .BB&T 14933 $ 400.00 GP#85673D BB rct.15546
9/29/2021 Grice 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#856200 _ JD rct.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#856610 _ PA rct.15713
9/29/2021 H5 Construction,LLC John Harlin Truist 1001 $ 200.00 GP#85662E1 PA rct.15710
9/29/2021 H5 Construction,LLC John Werner Truist 1004. $ 200.00 GP#85663D IPA rct.15711
9/29/2021 Aaron Perkins Duke Energy Progress LGFCU 405_$. 200.00 GP#85664D PA rct.15712
9/29/2021 McPherson Marine Services,LLC Daen Evens First Citizens Bank 4491 .$ 200.00 GP#80354E) PA rct.15706
9/29/2021, Logan Marine,LLC Barbee Family Trust BB&T 7617 $. 200.00 GP#80355D IPA rct.15707 _ __
9/29/2021' Logan Marine,LLC Albert J Brown Jr BB&T 7616 $ 200.00 GP#80360D PA rot.15715
9/29/2021 Ruth Rushing same Bank of America 2367 $ 200.00 GP#802360 BB rct.15541 _
929/2021 AMW Docks and Marine Construction LLC Patti Rubino BB&T 6496 $ 400.00 GP#80272D BB rct.15542
929/2021 AMW Docks and Marine Construction LLC Steven and Allen Williamson BB&T 6497 $ 200.00 GP#80271D BB rct 15543
9/29/2021 Donna Byrd Donna and Richard Byrd BB&T 1049 $ 200.00 GP#80281 D BB rct.15538
9/29/2021 McPherson Marine Services,LLC James Banko First Citizens Bank 4521 $ 400.00 GP#85669D _ PA rct.15714
9/29/2021 Allied Marine Contractors LLC Mark Long First Citizens Bank 10387 $ 400.00 GP#80208D PA rct 15701
9/29/2021 Allied Marine Contractors LLC Ronnie Hussey First Citizens Bank 10388 $ 400.00 GP#801970 PA rct.15702
9/29/2021 Drew Todd,Jr. Sandra Cochell Woodforest National Bank 1078 $ 200.00 GP#801980 PA rct.15716
9/29/2021 Lighthouse Marine Construction Jose Gonzales Coastal Bank and Trust 3950 $ 400.00 GP#85632D JD rct 16004