85662D - Harlin

,.6`°"r N CAMA fl DREDGE & FILL No. 85662 A B C®
a Previous permit
I GENERAL PERMIT Date previous permit issued
TNew n Modification n Complete Reissue U 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:
15A NCAC i7 7 VI. iJoo n Rules attached. n General Permit Rules available^ at the following link:www.deq.nc.gov/CAMArules
Applicant Name J1/N a O I,kl Authorized Agent /S [ C�r 1,,1 i !;(tl r"+ I ,C).-,1-• Ct (.,t(
Address A )� (4' : (:lcs-t /ti4 1)V2Vi- Project Location(County): r', c IS(Q
City /,k iff il. State /Ai C ZIP t Street Address/State Road/Lot#(s)
Phone#( 'it ci) 7(IC 974 ? I I -/ -'d
Email II li n + (, i ' )/K.:i f/,.rd L/ Subdivision ---
City (+I'(r'l1't%1 a-( - ZIP /W.7
Affected n CW Fd EW ` PTA n ES I I pis Adj.Wtr.Body ..i 1,/! ( (nat/®/unk)
AEC(s): u OEA ❑IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body (I l/U1ii/
ORW:yes/no PNA:yes/no
Type of Project/Activity / ‹a_ k I >�l?(Y 2- Ili
f i t62 ,ev-7 i i i 5-,: / C/l'(,� /I7ti A/..6 ,
(Scale:N'7 S )
Shoreline Length
Access Length "_ •
-- -
Pier(dock)length 1 1 I
Fixed Platform(s) ... ..-... l y --1._
F
Floating Platform(s) — - I
./ ' MIN i
Finger pier(s) ----- ( I ,
I /
Total Platform area i 96 e,t di-, v I I /l( / /V ��
Groin length/# - __i____ ___ {____ 1.4o -.P
Bulkhead/Riprap length - '�- /�
L
� f Q/
Avg distance offshore fi —-*--- I
Breakwater/Sill - j
Max distance/length
Basin,channel - -. r- _._ ;54/,j.._ �, '
Cubic yards
41 i. sov+hL p iMA
Boat ramp
Boathouse/'BoatJift) / ,. I1 . f i ' i
Beach Bulldozing —. _ ,-
4
,. >.�..,«r......r..W, ...-... .-•--r- --r--r -
Other /
I 1
SAV observed: yes no I'I +
Moratorium: n/a yes no l4( i 3 I 15 tei.WO'"e4) j
Site Photos: yes no
Riparian Waiver Attachedal .LJ) no 1Il- -. I
A building permit/zoning permit may be required by: 2 l44 C'- ,�/Fl., 1'j'[/-4'
L n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions r"L/ Li i.Lii r fr/, % /iF/r/ '2 oc.,.
nSee note on back regarding River Basin rules
nSee 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)
Agent or Applicant PRINtIVarf� atAljit" Permit Orer's PRINTED Name
SjJ`� /;--
Signature**Please read compliance statement on back of permit** Signature
/,'' /
Application Fee(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

cuksrtUrCAIVIA r l DREDGE & FILL ,' (.) __. ti A B C
4 1 GENERAL PERMIT Previous permit ____.—.______.
Date previous permit'issued________._
[, New 0 Modification i I Complete Reissue Q Partial Reissue
As authorized by The State of North Cared na Deoartment of Environmental Quality and the Coastal Resources Ccmmissron in at;area of environmental concern pursuant to
I SA NCAC_DU,f' —____ __. IT Risks attached l—i General Permit Rule;available+t the following ie k.'+iw rleQot eoviC/Muj a A/Ar
App�tNaine_ 4{y 14-arttiT '--_---- AurhonzrdAgent—• 1 J rMlr'Vlinftl�'I C reSCL,Se
Address, 5 a /� 1J11 t RJ(YIf _ Proiect Locinon(County)
City—_� 4 / —State---1VC ZIP, 2 Street Addrress/SateRoad:tot cc)__ .._._— ----- ._ .-.
Phone#(9L°h—?Qo 9'4 3 113 -xc./[ d --
_
Email L)1/7d T! (JII� 5 f( — — Subdmsrotn, I —_ .__ —
City ''a t r ___. Z1e
Affected _W �EW PTA L iR Jeis y l Wtr Body __—.tnat ar.'u•tkl
i
AEC(s) '
_ OFA ±IHA �1/W DMA PLYS Closest Mae,Wtr Body cy�v�L{i —•
ORW ye/no PNA yes ire /' ,�/�/�//J ot,, /�/� ,/
Type of Project/Activity f i it 4' 1 t'�f wf4i , / !W 6)/fOi Q�/s {9[N 10/ '/4
-----. - _ — ' — -- — — (Stale:/VT )
Shoreline length I ..
Access g engtts_
Pier(dock)length
Fixed Platlo:mis) '"--- ._ `>
floating Platform(s) — 'J/ f(`
Finger pietist `,.//•i (. 1C" ✓ `-�'
Total Platform area i76 6t4f'J /(NL/t'hc.'r44 i,Y/i
Groin length/& �j/0o /1
v
Bulkhead/Riprap tenth +'''" ,
Avg distance offshore --r1- A/ .s
Breakwater/54i ....'^
sax distance/length ..„---
Basin.channel 61`/fi r' / t' _' _. sec
Cubic Yards_—...� ---- lc/Y [ 11f 10 K •���•4'i'[
— if l� • 'v cw( p 1t3
Boat ramp \ t l�"-'
t i
Boathouse oat 1,S r 12 A'
Beach Bulldozing --. // ______.. __�. __--__-
Other ( ` 7/
SAV observed' yes no 1
1 l II Z J its, `µme '
tvtoratorwm n/a yes no
Site Photos yes no 1� i
4244
Riparian Waiver Attached/C1.I l no IA
1 A building _ �''')permit/zoning rmi[ Y be requited by ��- -__-.
/ ,//��//�� L I TAR/PAMINEUSE/BUFFER(circle one)
Permit conditions irb.. ._(,[..LJL 2(_
___ _.. .__... -_.._.- .- - See note on back regarding River Basin rules
_. —..—_... . ._ _ _... _.—_.-...--___..-__ D See additional notes/rondnions on bad
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT• 1Please imt-i.Ii J_
d err sc�B.gGie /doZ i ISa rca5 ?dhic(f•A vi,'co
Agent or Applicant PRINTS Permit O er•s PRI ITED Name
Signature•'Pi rea compliance statement on back of permit** Signature
Tao /efi 9/2 /2( Okilf
Application Feets) Check tl/Money Order Issuing Elate fcprrannn Doto

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: M 3oi-IN) i. v\i 1--
Mailing Address:
,Z 5 VZ Ll LA-A-L i- A uriC "b r.
ci,. ,, cj L 14 Q a--1 6 0 .
Phone Number: Cf a q"" 74v q7` _3
Email Address: \ L I+A1U 1`' e- PCSO • ENLA
I certify that I have authorized 14S �-l;OSI U iail 2'r‘i i CZ- -
Agent/Contractor �'�,"7�
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: RE LC- l 0 K
-BeAcTu
at my property located at I +3 YAi(1.Cord D c ,
in B'UAI i 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:
_,..1(2......_ 1.1....ci,Aa
Signature
J414N '1Yr\
Print or Type Name
Title
1 5 ) I g-(
Date
This certification is valid through ,' / .0- /`9`�

CERTIFIED MAIL ' RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner M Q, A 1,i i-A_41,vA
Address of Property: l 1-3 L44Y'c c, \' ( 14 Bfons-o C-
(Lot or Street#, Street or Road, City&County)
Agents Name* H5 Construction Mailing Address 2164 Holden Beach Rd.
Agent's phone# [phone] Supply, NC 28462
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
,17 i' (< have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at or by calling 1-888-4RCOAST
No response is considered the same as no objection if you 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 riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below )
— (l .4 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Inf rmation) , ' arian Property Owner Information)
4 ���V LP,_
.Signature . ignahu-e
CtaNi `- v` k 1C-1`1 t`-'tOct e—
Print or Type Name Pnnt or Type Name
Z 517- Lfr-_____LA-( eg -�'(v F . I 3 N occ- 'r 1 eki-N``
�
Mailing Address --_- - _ _- Mailing``il� Address
yc it/ L 74o6 ..S 6:ury I pC i
7j4f I
City/State/Zip City/State/Zip
Telephone Number/Email Address Telephone Number/Email Address
Date Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner M� 3v I f h n
Address of Property.
(1 (Lot or Street#,Street or Road, City&County)
Agent's Name#: Mailing Address: �� �'�" iU't P 1 S 6I-FF j24'
Agent's phone# Q10 ISC--
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 i royicpd with this letter.
NZ 7V have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the 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, 28405.3845 Dal representatives can also be contacted at(910)796.721S.No response Is
considered the same as no objection if you have been notified by Certified Mail. m 4 HI
WAIVER SECTION
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. Of you
wish to waive the setback,you must initial the appropriate blank below.)
7 4r I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property er Informed (Adjacent Property Owner Information)
Signature Signature
Ao}4-$ 1) ‘Th lk-"Vt:"R rairlP
Print or Type Name Print or Type Warne
2.5A �, �r � �� ice, rA-1r s�
Mailing Address Arming Address
Red,ILV k. N C aj7 6 0.4 Octraclen , SC. 2-qb9-0
City/State/ZT Cilyi
t c _ -7q - g-) 3 Ef3 7- lc0--7
Telephone Number . Telephone Number
L -,
Date Date
Revised 6/18/2012

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Check
Date Received Deb Deposited Check From(Neme) Name of Permit Holder Vendor Check number amount Penh Number/Comments Receipt or RafundRealbcated
Columnt Carumn7 Callumn3 Column4 Columns Column4 Column? Column! Column9
9/29/2021 price Construction Geoff and Unda Walker BB8T 14932 $ 400.00 GP#802370 BB rct.15547
9/29/2021 Gripe Construction Adam Nix BB&T 14935 $ 400.00 GP#85672D BB rct.15545
9/29/2021 Grim Construction Betsy Upton BUT 14933 $ 400.00 GP#85673D BB rot.15546
9/29/2021 price Construction Anthony 8 Krista Harris BB&T 14934 $ 400.00 GP#856710 BB rot.15544
9/29/2021 Team React LLC DSNC,LLC Coastal Bank and Trust 2525 $ 200.00 GP#856200 JD rot.15584
929/2021 Claude Rogers same Wells Fargo 1393 $_ 200.00 GP#85670D PA rct.15708
929/2021 Richard McCain same First Citizens Bank 12337 $ 200.00 GP#856610 PA rct.15713_
929/2021 H5 Construction,LLC John Harlin Truist 1001 & 200.00 GP#8566213 PA rct.15710
929/2021 H5 Construction,LLC John Werner Truist 1004 $ 200.00 GP#856630 PA rct.15711
929/2021 Aaron Perkins Duke Energy Progress LGFCU 405_$ 200.00 GP#856640 I PA rot.15712
929/2021 I McPherson Marine Services,LLC Daen Evans First Citizens Bank 4491 $ 200.00 GP#803540 PA rct.15706
929/2021 'Logan Marine,LLC Barbee Family Trust BB&T 7617 $ 200.00 GP#803550 PA rct.15707
929/2021 Logan Marine,LLC Albert J Brown Jr BB&T 7616 $ 200.00 GP#603600 _ PA rct.15715
9292021 Ruth Rushing same Bank of America 2367 $ 200.00 GP#80236D BB rot.15541
929/2021 AMW Docks and Marine Construction LLC Patti Rubino BB&T 6496 $ 400.00 GP#80272D _ BB rtt.15542 _._
929/2021 AMW Docks and Marine Construction LLC Steven and Allen Williamson BEAT 6497 $ 200.00 GP#80271 D 88 rot.15543
9/29/2021 Donna Byrd Donna and Richard Byrd BB&T 1049 $ 200.00 GP#80261 D BB rct.15538 __
9292021 McPherson Marine Services,LLC James Banko First Citizens Bank 4521 5 400.00 1 GP#85669D PA rct.15714
9/29/2021 Allied Marine Contractors LLC Mark Long First Citizens Bank 10387 $ 400.00 GP#802080 PA rct.15701
9/29/2021 !Allied Marine Contractors LLC :Ronnie Hussey First Citizens Bank 10388 $ 400.00 GP#80197D PA rot.15702
929/2021 Drew Todd,Jr. Sandra Cochell Woodforest National Bank 1070 $ 200.00 GP#801980 PA rct.15716
9/29/2021 Lighthouse Marine Construction Jose Gonzales Coastal Bank and Trust 3950 9 400.00 GP#856320 JD rct.18004