80348D - Paschal

CAMA/ ❑DREDGE & FILL N° 80348
GENERAL PERMIT Previous permit# - A B C ;D_._
►� ❑New ❑Modification QComplete Reissue ❑Partial Reissue Date previous permit issued 4'1 ,
• 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 `-
❑Rules attached.
•pplicant Name \ ( V G c \--QC( V16 i Project Location: County i C l J fi 0 OV J4_
Address S rk e V v i✓,_) LU v-'�- Street Address/State Road/Lot#(s)
City _-J t\V1A I V'c)-10� State 1 J(— ZIP a vs ,, i v,
Phone#(54c) '4{ - 61 1 I Li E-Mail
__ Subdivision
Authorized Agent , ,Vn yr -( I J '-- VI City _ ZIP ,
Affected DEW L TA ❑ES ❑PTS Phone# ( ) River Basinwy" 1\ "1 e OG 'L
AEC(s): `�"� ❑HHF El ❑UBA ❑WA Adj.Wtr. Body()V('6 1 (V
to/man lunkn)
❑PWS: r
Closest Maj.Wtr. Body L'1 V t"V 1\ Q S Dlly^C
ORW: yes /.no PNA yes / no Type of Project/Activity pi ' v - --•D llC.'4 'T.4 v., ,+til a, - Xf`!1/
k- vti` D (Scale: I 3 0 ' )
q 1 Pier(dock)length
Fixed Platform(s) ` 1 / • I ' l
Floating Platform(s) — I \'; Cv
/ p J
Finger pier(s) > a (� C�k f)
Groin length I i } I
ll
number -- -- —
Bulkhead/Riprap length .-- i I— !—......,...__I—
. �
j
avg distance offshore y ✓vV I
max distance offshore C� 7 i i i
Basin,channel j 1 bb VN j�
. i I .
cubic yards c f f • 1
Boat ramp 7ih'C g X PO Fi'c( r 1 i
/ i I'
1
Boathouse/;Boatli '1�„ xl L A t - NIL li } -- - ----4"—
Beach Bulldozing 1 Nii.),:._.- —""" t - - +--_ I
Other 3 x 13 y 4✓v I V '�' I .�-^-•
ILA_) Gk IG A c17 i _ �: I , NE,w u .xl: ,tee w ,
I /1
l/ J i 'V'G w '10 1GU r C.t^ 1CiG
Shoreline Length CI l� I .0 1111 1
SAV: not sure yes ( V '► , , ifi - ? S — '
_ i
Moratorium: n/a yes no '.. , - 1 ! I 1 .' t r _., C c' . -Z-1:-I
Photos: e AN
yes no ____I_______��- r ii . I _Ft i i _. G... — 1. ; ..... \ j
Waiver Attached: ryes'; no I 't' e e Y r` 4- - .. i 1 r 4.v A\ V C V)
A building permit may be required by: Ci,kt 0I" \fJ t,W '"c Ii I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 1 -4 44 I ZOO r cc -F fc((LV F( 1 C--c-t f ,G i--G (-1c--c-A v Q c (� r
((,,,,,,i, � as v , . I A (-1ICv, Cr -hall tZci' lo ' in
�! l(,,c-v .vim C 1k \---
Agent or Applicant Printed Name Permit Officer's Printed Name
, ate, 1 . . •
Signature **Please read compliance statement on back of permit** Signature
' L, Ct1g1a0. - 1 . ‘ / Blaoaa-
Application Fee(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(910-796-72 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: . i G ` 41.1
e ^
Mailing Address: 15-o r i-.4 N( Yr1 rve, L ,.J .
1,J , \r,,,,i-L, tJc. ziy# 3
Phone Number: -5 1d Ey7 9'7/i
Email Address: ra6C- +Rase1,-,-1 C aere. C,,1.,
CI certify that I have authorized he7.�-2 A.3o r ,
Agent f Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: cr fv/arse. der r lc_ 4t cc,_
I,rT 't !o Sir r.- , (L CJ�QC , !'/t .t.r] , crrlvS rr' el(M Lit
at my property located at /.SO $ ger, S L),„, L--,;/,c,; pie.
in / .1' r,,, ii,„,.> , 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:
,
2 ,L_ /(
Signature_
cif Lc) cSc
Print or Type Name
btd we i2—
T tle
71 S I202-`'
Date
This certification is valid through I /

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ADJACENT RIPARIAN PROPERTY INNER STATEIUIENT
! . . . .
I hereby certify that I own property adjacent to_ _1(
property located at `> (Name of Property Ownerj
r / (Address,lbt,Block,Road,etc.) F�•
(Waerbody) .in ) �f /k_). (. ,N C
(CIly1T?iwn and/or 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 PRC;OSED DEVELOPMENT
(Individual proposing development,must fill in description below or attach a site drawing)
•
WAIVER SECTICI%.
I understand that a pier, dock, mooring area ofriparianaccess
I 9 rboathouse.unless waived by rme groin(If you wish waive
t back a
minimum distance of 15' from myP
the setback, you must initial the appropriate blank below.) For i S pr�e& 01 ly
I do wish to waive the 15' setback requirement For +hl S hOM r`OLo/l.0 on I y
I do not wish to
waive the 15' setback requirement.
(Adjacent Pro Owner Inf ation)
(Property Owner Information)
Signa µre r kx'r-
Signature Print or Type Name
Print or Type Name Address �\ Zg`I U 3
Mailing. 10 c
Mailing Address Oi-ty State2ip 0(0 ,
City/State/Zip Telephone Num�bejr
Nu --------
---
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Telephone eb r
—_--- Dale
___- _— --- (Revised 6/18/2012)
Date,
r
S.

)4 CAR/IA 1 S.,DREDGE a FILLi;iii
N9 77 4 A B C
GENERAL PERMIT Previous permit# � ?`�
; New Modification Complete Reissue Partial Reissue Date previous permit issued `a }. 11g
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 � ..,
,"t .\�►GO Rules attached.
Applicant Name g\C V\av a QC S tic 1 Project Location: County tJWAN Ain I^at€A,/
Address 1 5 0'(v v I,tnItait:Y1 • — Street Address/State Road/Lot#(s) slat im E
City \/\)1,YVtivi Gitoici t . ZIP ag4+a3
Phone # (5�0)$it}1-1 E-Mail
Subdivision
Authorized Agent A,1 tJ Oy-41 City ZIP'I.',CO tow $ A Es DF"1P5 Phone# (_) River Basin,A( Da VC
Affected D OEA D HHF DIN O UM O WA
AEC(s). Adj.Wtr. Body-Gv'6 Itsi CYe c L man /tinier,)
O PWS:
Closest Maj.Wtr.Body -A - Y
ORW: yes /0 PHA C4/ no
Type of Project/Activity ExpGv a eik.S'tt)r p G V .ku iv\L\1at 4. a V21 tk w t44 �X (c ACLI1S
"• 0f )
6wC� �6�co, V.... 1/Lt Vr*p • (S I �
Pier(dock)length I • I
Fixed Platfonn(s) t. l 1 -- • :- -t ; I
a k Floating Pla formis) {` I - I ! ; i 1
Finger pier(s) 3 a`G1 d gc.\ j_ - -
I i
Gran length , �• II�� If � I
number -
._. _._C dr, + - -if--
Bulkhead/Riprap length _
r f
avg distance offshore _- . I '__ . i_,_
1 max distance offshore ' -�9. �
Basin,channel , ` . 1 '1 { 44 j
RR • a
cubic yards - le aer , 1■�1 __,..1, .N.il1
Boat ramp_ wT, i���� a-�!ate■
11111111.1111111
ok' - •r ram,
Boathouse!,`oadih _ 1 - r
* i s
Beach Bulldozing —. se +
Other x 3 y, :---lima k
r f 1 -
—
Shoreline Len, ►4I_9 - . 1 , ; I I • ,.
Sol.
� i� ( I CI F 1 f
SAV not sure yes no .� - - - r_ -1 smirmi
T.
Moratorium: n/a110111111111111111W `��� —
no A.
Photos: 1--=�Z ' r , _ �.� w"Fi'r .. t " 1
- i j I , t ; ',• 1 • i
Waiver Attached �11�/', yes i - - ,
A building permit may be required by: C1.4 w k\VI 1 yt ❑SS note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) I rL .� Q% ,
Notes/Special Conditions 1 1 H . I Z)J c� S-�xt e i 1 tic..G It f,civ4 l Y 1A Ia y'1 Ckt 1 •
hi OA.foY m oV Div C oa s 1N e k 1
Agent or Appholx Printed Name Permit Officers Printed Name
Signature "Please read compliance statement on back of permit 55 Signature
Application Fee(s) Check# Issuing Date

Check a
Date ReceivedDate Deposited
Check From(Name) Name of Parma Holler Vendor Check number amount Permit Numberr/Comments Receipt or Refund/ReallocatedColumn! Co/umnJ Cdumn3 Cdume4 Column3 COWmna Cdumn7 Columns Column9
923I2021 North Carolina Bappst Assembly same First Citizens Bank 5687_E 400.00 GP 880369D .Tmac rtt.15564
9/23/2021 Coastal Marine Piers Bulkheads LLC Richard Paschal WellsFarap 24012 E 200 00 GP p80346D KB rot.15742
9/23/2021 Coastal Marine Piers Bulkheads LLC Monique Flssher Wells Faso 24040'$ 200 00 GP#799450 BH rct.15835 __
9/23/2021 Coastal Marine Piers Bulkheads LLC William Fuller Wells Fargo 240421E 400.00 GP#80375D _ BH rct.15633
9/23/2021 Coastal Marine Piers Bulkheads LLC Mackains Revocable Living Trust Wells Fargo 24041 $ 400 00 GP#799440 BH rct.15634