80271D - Williamson

411❑CAMA/ ❑DREDGE & FILL NO 80271
A B C NUJ
GENERAL PERMIT Previous permit#
>�-% nNew . ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued (
As autflorized by the State of North Carolina,Department of Environmental Quality i ,�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC .
❑Rules attached.
Applicant NName `.evt S Ai1e,u-. `-..)k\\,C....S.v\ Project Location: County (tyY. ..J.,- cC(..-
Address f a((O X (U--\oc v< -, "U (.t,, S� S Street Address/State Road/Lot#(s) L a t1 3 y
city '.)Q .- s\.c %t4ck State NC. ZIP 2S'1(0`i j'Zi_u& .c d.,_ -o/
Phone# ( A ) Cl()Cp ,S E-Mail S1c�c. _c.,b , (c� 2ro i t Subdivision
`` �v�MG.\. c::
Authorized Agent �L cc_ \AI.�S"- City .,,_jn.S{A-- f lis1(L- ZIP Z,(-'(9 K
oak CW pFEW A ❑ES ❑PTS Phone# ( ) River Basin L. ,„ ^j.c_,�
Affected
❑OEA ❑HHF IH ❑UBA El N/A
AEC(s): Adj.Wtr. Body --c-k- --4✓- C(-<( (rjaearnan /unkn)
❑ PWS:
ORW: yes I no PNA yes Closest Maj.Wtr. Body ', ^kc- ( ,-t i
Type of Project/Activity ((, 1tr-, 2 C:1 l I c. c t(\`-- '' ^ i- t 0C.t-' -
v c,+<( (Scale: /U4(� 3 )
Pier(dock)length 1 )i 0
T 1
, ;
Fixed Platform(s) f Z Kt t� c,24
ion'
piiiiii ii ei � ' _
Floating Platform(s) p'9( 2(� ' i
Finger pier(s) : :
, ,
Groin length I 4111 `�
number ,_........__ .... ..
, !
Bulkhead/Riprap length ..___U■ i III ' ■
avg distance offshore �■■■■ _UI,( UI1tl ' ■M
max distance offshore 1 I ;.
Basin,channel
f 1
cubic yards . I
Boat ramp i
Boathouse/Boathft r all Xr 7 i f ....
., , .
�....
, _ ,
,
_ __ __-,_ ::
Beach Bulldozing , I lai
la' .E !
Other ` �, Irk rhAt. lI
EfiliiiE , ! /.!, �
, P111111
i /
Shoreline Length SUS
SAV: not sure yes Q� i_.. III 1 Mill _..__ _.._.. ,�
h
Moratorium: n/a yes n , II'� 1 1 l 1 I t' n
Photos: yes Cr/ ........... [K__0 il.._._..... ; 11 L......_. ._._......_..._ •_ i .._..... 3._.....
ilIli
Waiver Attached: 46; no
F2.-
I See note on back regarding River Basin rules.
A building permit may be required by: Ste-,u cl,�• g g
(Note Local Planning Jurisdiction) rr `
Notes/Special Conditions CO �r)C K.c-.� 4 ` o� �x Crc.e_L` !'S�-c.t 4 r h (}. l f
S 1,e
..--?
Agent or Applicant Prim Name /1, r-- Permit �nt e"" No....------_
Signature **Please read compliance statement on back of permit** Signature
4,--z()o C,< - �G,II fl2� -21 I - 2� 2ZApplicaFee(s) 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 (252-946-6481) 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 252-946-6481
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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
��/
Name of Property Owner Requesting Permit: C� `� 4t� A/ M/ L fA``'ifj;o,
Mailing Address: 7/6 8 lac_iV7)4✓OugiAe' S6-)
Phone Number: (2_P I ) 9 O r 79 % / �'Z3) 27 t' ?593
Email Address: -r' E—AiIO—A Q ,f?v,Jit{QfL,. ec,A4
I certify that I have authorized LiCk �.c/E i-/ Ayr 250 eKS
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: C•-i vS7RtJC7Ic Oi A
jV- Dc C.K. .L.bi-
at my property located at 3 04 (D 6- D�� J siitil ser��% l�l �1
ic
in iled'A iAl! 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:
Signature
W/C._ 14'teb,J
Print or Type Name
OcociA4C--)e.
Title
Date
This certification is valid through I I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion''tt)o be completed by owner or their agent)
Name of Property Owner: �"�'��'C \ti\\\\cm-)S
Address of Property: 301-4
Mailing Address of Owner: -7 I 1p ion(,),kien re. -5* .S'' ot3 )\J(,
Owner's email: Owner's Phone#:
Agent's Name: tom\ (. \N)e Sk Agent Phone#: 11,E
Agent's Email: Yi CL N6t 5QUQ GAYvAA k ,wl(Y1
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.
'.11A description 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 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 / r-77
1
SignatuitsOcrAdjacent Riparian Property Owner(ARPO)
-O R-
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Ownep: ,tI��<<�'
Typed/Printed name of ARPO: �N. G�h f 14' '.3
Mailing Address of ARPO: `f & -S A' l- ' t1.4-rcH4 `i _ " ZYc
ARPO's email: Pu► l.u`.`"`)CAUC.,4•t,0,C::r-i- ARPO's Phone#: 7Qce 79'9 'j 3 S g
Date: 5'/ �12/ *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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: Sto\t yv\\\\co)
Address of Property: RILI ���� - `'V .2'4
Mailing Address of Owner: 1 bnkkien -v(e * sv\) (A i\IU0,Q uuct
Owner's email: Owner's Phone*:
Agent's Name: `;2,4:\-- v.)C Sk Agent Phone#: l tA V(1)(i,
Agent's Email: Y Gi1,Nie5t 5000(6u 'N/16`\ LAAi h
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.
it6lit
A de c i ion or drawing, with dimensions, must be provided with this letter.
A 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
(910) 7.96-7215. 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 skin the
appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Prdjperty Owner(ARPO)
-OR-
I 1
do not wish to waive the 15' setback requirement(initial the blank)
1'l
()A- Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: J/ ')'1 ,44-121 r/t 4Js
Mailing 49dress o ARPO: 5�, R ii-VS-id-r )12 i .4
u')r?4ht 13� 'fp,+ST ,,r) %J ARPO's Phone#: ? ' K 'Y
ARPO's email:
Date: a . -) *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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Chock
Data Received Data Deposited Chock From(Name) Name o/Parma Nokia, Venda Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column! Column2 Cclumn3 Colima Column5 Columns Column? Columns Columns
9/29/2021 Grice Construction Geoff and Linda Walker BB&T 14932 $ 400.00 GP#8023712 BB rct.15$47
9/29/2021 Grice Construction Adam Nix BB&T 14935 $ 400.00 GP#85672D BB rct.15545
9/29/2021 Once Construction Betsy Upton BB&T 14933,$ 400.00 GP#856730 138 rot.15546
9/29/2021 Grice Construction Anthony 8 Krista Harris BB&T 14934 $ 400.00 GP#856710 BB rct.15544
929/2921 Team React LLC DSNC,LLC Coastal Bank and Trust 2525 $ 200.00 GP#85620D 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#85661D PA rot.15713
9/29/2021 H5 Construction,LLC John Harlin Truist 1001.$ 200.00 GP#85662D PA rot.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#85664D PA rct.15712
929/2021 .McPherson Marine Services,LLC Daen 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 BB&T 7616 $ 200.00.GP#80360D .PA rct.15715
929/2621 Ruth Rushing same Bank of America 2367 $ 200.00 GP#80236D ,BB rct.15541
9/29/2021 AMW Docks and Marine Construction LLC Patti Rubino BB&T 6496 $ 400.00 GP i180272D .BB rct.15542 _ _ _ _
9/29/2021 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#802810 .BB rct.15538
929/2021 McPherson Marine Services,LLC James Banko First Citizens Bank 4521 $ 400.00 GP#85669D PA rct 15714
929/2021 Allied Marine Contractors LLC Mark Long First Citizens Bank 10367'$ 400.00 GP#80208D PA rct.15701
929/2021 Allied Marine Contractors LLC Ronnie Hussey 'First Citizens Bank _ 10388£. 400 00 GP#80197D I PA rot.15702
9/29/2021 Drew Todd,Jr. Sandra Cochell Woodforest National Bank 1078_$ 200.00 GP#8019813 PA rct.15716
929/2021 Lighthouse Marine Construction iJose Gonzales Coastal Bank and Trust 3950 S 400.00[GP#85632D JD rct.16004