85661D - McCain

0`A"74CAMA ❑ DREDGE & FILL N9 85661 A B C
.GENERAL PERMIT Previous permit
it 1Date previous permit issued
f'New n Modification n Complete Reissue 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 SA NCAC 2/il• / t'0 rr n Rules attached. [ I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Wit'41Q l J N4 G /n, Authorized Agent C PG, L .C
Address :),Ci("4 5-(.0 li1 `7(t VII ',a 4�. ' Project Location(County): Pi 1 I +�i.(D
City ((AI,u.(nI '_ state NC ZIP SS., 15 Street Address/State Road/Lot#(s)
Phone#(/( 4) 5=fr) q ';,/ I 133 Ra,Pp)74-( 01C1LC
Email I.11 C(-'3.fir.) 3 6 In•1•(t1,, Subdivision --- _
City 1( U...0,1 j-3-eo, ^6 ZIP al 1
Affected n ON DEW ®PTA n ES n PTS Adj.Wtr.Body CZ //lL--1 (flat/in-an/link)
AEC(s): ❑OEA ❑!HA n UW n SPIMA n PWS Closest Maj.Wtr.Body '71 v17/
ORW:yes,(9 PNA:yeon
Type of Project/Activity /2/?1 ' ( k r•-(-A Cl/7(014/O{, (;?le .q reir gri r kl)P Ice/1,7
/ (Scale:MS )
Shoreline Length 050
Access Length bxQ - } j 1----.___; _ i —' _ _.._.- —
#
_....__..- -- }—'-----------?
1 1
Pier(dock)length — 1 ( {
� _ __ I
m Y is
Fixed Platform(s) l9 { )
9
Floating Platform(s) )d k it U/ fI
Finger pier(s) I
{
Total Platform area 3 6 Y j iC��/ `---
Groin length/# — I (
Bulkhead/Riprap length * ;.._ --i-Avg distance offshore �' I 1
Breakwater/Sill _ e 1lf
Max distance/length 1 I SLt";-;-
Basin,channel />>it . o1fl ,
Cubic yards " !R j,. . y �I r l � —�
Boat ramp ''�_ ; i ;
Boathouse/Boatlift I?/"k 17 '
_ i --- - i, it i -ir- 44.=ram._
Beach Bulldozing r-R t 'i` i4
Other fa"+M"P i ,. _...______. ,_ ___.�
1 ` 4/
SAV observed: yes ,no i j 1 ' 1
Moratorium: n/a yes fid >e
I
�Site Photos: yes no I � A 7
Riparian Waiver Attachedx I f3 no I t Y i, f' `"4'rr4'
A building permit/zoning permit may be required by: '0!4"// er Hee&r/i 4'at l
Permit Conditions G�i�(, SIff e7/4 /,,DO
n TAR/PAM/NEUSE/BUFFER(circle one)
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)
r {aiv4.(C if)"icc
Agent or Applicant P me/L Permit er's ZED
Name
Li
Signature**Please read compliance statement on back of permit** Signature
o01= N 5-;7- g/�g /a % ii,;( la.2
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

'("44\7-CAMA n DREDGE & FILL No. 85661 A B C (t
GENERAL PERMIT Permit issued
� P
NiNew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina,Department of Enwronmenta1 Quaky and the Coastal Resources Commoston in an area of etwaot>rr concern P a e
I SA NCAC D !H. `2O El Rules attached © General Perms Rates arslaWa at the follow link- naniy den tic goasfrAidA.ANt
Applicant Name d�rii /i fa Ciazine_ _ Author>zad Agent CPG (J f.
Address �?a9 04 t--�R�Cd iC1 4,(ram. �i �i +(may) C�L .01
City CLAIM ID+At tare__ ZIP ?sari 6 Soviet Address/State Road/Lot N(s)
Phone#( ) 511 42)4 4 135 N.l t'Pi i S�"tfi
Email ,ty1r p},i,,,,-13 Q rya i f.[says S„b on ......._ p�/�+�
Clcy' $ �a- ZIP `tg7R
Affected ❑CW 'E W (X1 PTA ❑Es ❑rrs Ad1.Wtr Body %47i.2.,/ (trq + nk)
AEC(s) ❑OEA EIHA ❑�,uw ❑ ❑ a'►
Spain* PWS Closest Mai.Wtr Body A( "w
ORW yes& PNA yes/ .,1 /
Type of Project/Activity_&/7 //a, C44,$151vrA.4,I7Ifezr ig
A.lr *�1).4<0. _ 17
(SCRIP:0 S 1
Shoreline Length kW'
r
Access Length hi/td 4- . { -^ 3— ;...,.y. ---- t.. . -
Pier(dock)length s .. ,. ,.. .�: s. _.,q. + _1 .y;.. .__A_z ...L.."p"-C,_- A---,. ..a_ q
Fixed Platform(s) c —:
Floating Platforms) Id t.261 at
c .4#
Fenger piers) —
-.L- 11' 4 P i, ... 4-t ,-4 'a- .�
2 'Z
Total Platform area 3 6 g
` , r
Groin length/0
Bulkhead/R,prap length s -t.. If n•, -0.=$ $--s,,..... )
Avg distance offshore �- ,._ _- . r_. .-.rf , t._
111111111W
Breakwater/Sill _'_....} _ y� '
clip iE �.
Max distance/length .�_ ...,•.•..•.••..�-..•_.... .. ._ , , 31rA �
k. xn
Basin,channel �' ) y, � O .
Cubic yards .r- ,f 0 . r - c
Boat ramp 1 �'
a
Boathouse/Boatllf 13 Cr IS' ",,' „ow iL \u .3
Beach Bulldozing — x- Y • c r ,4,,,. i i _•,;e„„y,.
Other CON"f- f . vie
SAY observed yes e,SPT I
Morato Photos
n/a yes nO 131 P3 Sl G a' 441/. '
Site Photos Yes no
Riparian Waiver Attacheda 10 no .. .. �y .53116111
..
A building permit/toning rrmtt may be required by 11 fit i�Ld�/r e{��
Permit Conditions /?�S e 87f1,Ain,
TAP/PAMMEUSEJBUFFER(circle one)
❑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) BB
Ben Brink (CPG, LLC) 13-frac.)17-,ft.1
Agent or Applicant PRINTED Name gi n I Perms er's 11,41 TED Name
Signature"Please read compliance statement on back of permit" Signature
Application Feels) Check It/Money Order issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ri Mccain
Mailing Address: 3804 'Lane
Charlotte,NC 28215
704-579-9341
Phone Number:
mccainrb3imgmailcorn
Email Address:
CPG, LLC
I certify that I have authorized
Agent I Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development docking faoGy
at my property located at 133 Raleigh Street
in Bnrrsdc 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:
T�;rrt� C7 to �l��.%ir LV
Signature
Richard Mccain
Print or Type Name
Property Owner
Title
9 / 15 2021
Date
9 15 2022
This certification is valid through 1 1

DCM Site Visit lune I.202I
waterbodv width>qo
\'I S'
Shoreline^'170'
Proposed Docking Facility
N
Town of Holden
Raleigh Street
,,
-t End
•I 'oxo FLOAT
133 Raleigh St.
..va l+x•2
S1AIIOMARv DOCK
Existing Docking Facility
30 CW
13'x 13' 17.r Z.
Proposed Boatt'e:
Lift
:.)
-/4•16N4EN7 OF NOR7w SIDE
or PIER ACROSS CANAL
131 Raleigh St.
(Ford)
V

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
net Cer4 that I awn
eby' � GrflG'erti aQacent tc __.
.fi (Nano of Property Owner)
Lvcpt' y toceteq at
ANA: (Address.lot,Block.Rood.etc.)
---_ in is,►tr„tw t, n.,,...c• N C
(Waterbody) (City/fowl and/or County)
The k +cast hers deservbed to me, as sho.wn below tow devslop'nlM proposed et Pie above
locAl fir"
✓_ I have obrecton to Mrs proposal
I have oblectcrs W this proposal
DESCRIPTION AND OR DRAWING Of PROPOSED DEVELOPMENT
andiutdtral Disposing dsrNoptem meet Rd in description boar or attach a site dressing)
Sec attached drawing of
I undentand that a pee.clock, rroortng pangs boat ramp. team aeter bomp ouss.WI,of gran
must De set beck a minimum distance of 15 horn my area Cl teener Ides$unfits&waived by
mer/(d you wish to wore Me setback.you must initial ire epprocf ete titer*Detow.)
I d0 wish to*few the 15'setback recuwsrnent
t do not wish to"arm pie 15'setback requitement tuk ek street trod
(Property Owner Information) (A4ac nt Property Owner Information)
!AA tips. t ttld>V u�
. sgnrrrurr ruaurd l.I..atn 1rer.mmirr• kbos la N'...-te k io+m d 110Mns leads)
Print or Too'Sane �r W i^ Print or Type►Nine r r o Rothschild V.
MNrrg Add i ss C7yrkltr.`e list r f Adel009 Address Howe Snack\C&east
Cler'St+oa2.fft.srarbtrftgarr4 cuwt r 704-$710-e}4k O ''u+N' rwootentobtoweAdkcon,
Telepnona Morrow/armor adklws Tatspnota Mortar amml*dams
time*
!Rowed Aug?0141
'Vaud for one ca4ndr year Are signaler*.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Richard Mccain ,s
property located at 3 Raleigh Sit. ;;
(Name of Property Owner)
(Address.Lot,Block.Road.etc.)
on ,in ))olden Beach I Brunswick ,N.C.
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location
"• �" I have no objection to this proposal
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must OH in description below or attach a site drawing)
See attached drawing of docking facility.
WAIVER SECTION
I understand that a pier. dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groan
must be set back a minimum distance of 15'from my area of npanan access unless waived by
me (I(you wish to waive the setback, you must initial the appropriate blank below
I do wish to waive the 15'setback requirement
TAIi
E ladCbd sp lMYJfICC18�9 I do not wish to waive the 15'setback requirement.
(Property Owner Wonnatlon) (Ad)acent Property Owner Information)
E.'add rood:Sep 16,iG31 D1:16 CDT,:
Richard B M<Cain,III(Sep 15,202117:07 EDT)
Signanrre Richard Mccain .Signatures Elbert or Suzanne Ford
Print or Type Name 3804 Bellingham Ln. Print or Type IName454o US HWY 3►1
)!Mailing Address Qiarlotte,NC 2.821 5 A�Hdslg Address Sophia.NC 27350
CifY/State/Zip mccainrb3‘egmail.com/704-579-9341 C1ty/StaterbP toddrnnodabrewingcom
Telephone Number/emad address Telephone Number/email address
Date 9/15/2021 Dams o9/15/2021
(Revised Aug.2014)
'Valid for one calendar year after signature'

Check
Date Received Date Deposited ' Check From Name) Name of Parma Pokier Vendor Chock number amount Permit Numbor/Comments Receipt or RMundlReallocated
Column., Ce/umn2 Column3 Column) Column5 Column!! Column7 Caha n8 Column!?
9/29/2021 Grice Construction Geoff and Linda Walker BB&T 14932 $ 400.00 GP#802370 BB rot.15547
9/29/2021 price Construction Adam Nix BB&T 14935 $ 400.00 GP#85672D BB rct.15545
9/29/2021 price Construction Betsy Upton BB&T 14933 $. 400.00 OP#856730 BB rct.15546
9292021 Grice Construction Anthony&Krista Harris BB&T 14934 $ 400.00 GP#856710 BB rct.15544
9/29/2021 Team React LLC DSNC,LLC Coastal Bank and Trust 2525 $ 200.00 GP#656200 JD rct.15584
92 - — ---
9/29I2021 '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#85662D PA rct.15710 _.
9/29/2021 H5 Construction,LLC John Werner Truist 1004 $ 200.00 GP#856630 PA rct.15711
9/29/2021 Aaron Perkins Duke Energy Progress LGFCU 405 $_ 200.00 GP#85664D PA rot.15712
9/29/2021 McPherson Marine Services,LLC Daen Evens 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
9/29/2021 Ruth Rushing same Bank of America 2367 $ 200.00 GP#80236D BB rct 15541
929/2021 AMW Docks and Marine Construction LLC Patti Rubino_ BB&T $4$$ $__400,00 GP#802720 BB rct.15542
9/29/2021 AMW Docks and Marine Construction LLC Steven and Allen Williamson BB&T 6497 $ 200.00 GP#802710 BB rct.15543 ----9/29/2021 Donna Donna Byrd Donna and Richard Byrd BB&T 1049 $ 200.00 GP#802810 BB rct.15538
9/29/2021 McPherson Marine Services,LLC James Banko First Citizens Bank 4521 $ 400.00 GP#858690 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#80197D PA rct.15702
9/29/2021 Drew Todd,Jr. Sandra Cochell Woodforest National Bank 1078 $ _20.0.00 GP#8.01980 PA rct 15716 _
92920211 Lighthouse Marine Construction Jose Gonzales Coastal Bank and Trust 3950 $ 400.00 GP#85632D JD rct.16004