80143D - Ashe (2)

`; 0U 7- 42-2044 k-f'YVLU - °/ %_,wG4 Sq-fvlu!
CAMA /1 DREDGE & FILL N 8(� 1 43 A B C
_ GENERAL PERMIT Previous permit 0 -- —
'---- )iNew od lead / /C/ amps teissue _Partial Reissue Date previous permit issued _
As a:rthonzed by the ate North Caro na,DepaFEFient o1 Environmental Quakry �1'� • (/p O ` !�%1,
trd the Coastal Resalurces Camrntss.on In an are;of environmental concern pursuant to I SA NCAC (�(r[ 1 C
wt ��jj,,�� _Rukai attached.
Applicant Nance W.tikp 116 Prole-in- Location: Count: �(((/
Address 1 et 5-q K I L (,, 6-_ , Street Address/State load;Lot#(s)_ _
City itAlrfAiPeAVPrp State ►Y/ZIP 14 l' G
Phone#W)32a E-mail Subdivision __
Authoraed Agent "fart
paw C•ty — ZIP _
cw �W TA AE5 PTS Phone# ( ) ____-.. Rivet $as n V65 O .
AEeet OEA HHF IH USA _NtA Add Wtr.may_ f y1 , man_Luunkn..
AEC{s;: •. � -/i _ --
P W S /,�/�
Closest Maj.Wtr.Body _-1L1�5/ LI _
ORW yes i PNA yes igti9
n L� p
Type of Project/Activity `SPL vie' + .f i r"12 1 PJ5 r
j . sarTN /fj� '�j(! - - (Scale: ps )
0.�_: •dock},..rid, `i4^�
hoed tr13tiorn ts) /
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A trt.rtlrng perrt't maybe required by ,,d 0•ine .._ ' S. onto on back regarrUrg R,vcr B rtAe%.
Note Local Planning junsd s.on) �'"l r ''��
Notes! pedal Conditions 'V, 5 1' / :��/;( ��nue.-----r_. pgrple&-itz- 746
Pö?- 'D LI614 - /�� 7-7 2 I
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:I rat.Crt rcQ:S) Check## Issuing Data txpirazlon Gate

0 CAMA / DREDGE & FILL No 80143 A B C
GENERAL PERMIT Previous permit#
)C INew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
.19----..
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 5A NCAC ON . I f U D
* /zoc) .
❑Rules attached.
Applicant Name wC• N P 1 M(T Project Location: County rCIJ f7e I`----
Address 1 ct c q '< I 06,4 L1&'J Di 06, kb,, Street Address/Statte��,,Road/Lot#(s)
City j IAA PG2 j) State 4-- ZIP I X4"f• `] AAA r
Phone#i O3)32 6 —0(6�,�0 E-Mail Subdivision
Authorized Agent LPK 0
Y t )921- / p�Y City ZIP
:E❑Cw W gPTA AES ( ❑PTS Phone# ( ) River Basin y IN, !) .
Affected ❑OEA ❑HHF ❑IH ❑URA ❑N/A �1
AEC(s): Adj.Wtr. Body ). ) IN V'J Osiman /unkn)
❑ Pws: 10(SA IL' vvNi7
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity '-r i U I/it �18t-/ /A NO / r I'.77 4. / ' -
P-71fti u: (Scale: j'v—S )
Pier(dock)length
----------- -
Fixed Platforms) 1
Ir. ! ! ! •--' 1
• 1 l 'At !
Floating Platform(s) i I i � ''
Finger pier(s) C
1 t-
Groin length '
number
cheat)/Riprap length y' - 'mg i- _ 1 •�; i
avg distance offshore - 1
max distance offshore Ngqvit ' r
Basin,channel
cubic yalris TL�/IFf i ; J'
i
Boat ramp \ ,r ,`, '
_..__-- --- --- _---
I
Boathouse/Boatlift ` O��� l i au .1A.� . f Lt rT� • 1 I ;
Beach Bulldozing - l
Other f I I • 1
Shoreline Length '�/� VGO I► ' 0. y t I
--� Ai
;
SAV: not sure yes no V/
I
,
Moratorium: n/a yes 1" j
_1 r-
Photos: yes cTthf.JL j t I
Waiver Attached: yes R ' i 1I/ , .
A building permit may be required by: e,,t,i, „ l
f / Si See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions V b ti- f A /t b r ft _-)(` /)
ytc � ( /410NAS x.yc''�i1 /4:,--- a r 111 �Ti '7l)
� s
aI l'c O (T.),Ageht or Applicant Printed Name rmit er's Printed Name
Si ature **Please read compliance statement on back of permit** Sig re
f P0 --- / / -f. -• zi ii. •- ' z/
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 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: \A, end y Aske.
Mailing Address: I95q 1 O
N ar psfec MC a8 L{ 13
Phone Number: Lc 0 - 3 a0 - UCQL1 0
Email Address: It\t0(0> lureusa_ , Corr
certify that I have authorized 4 4.d4 <<L .J -
Agent/ Contractor
to act on my behalf, +or the purpose of applying for and obtaining all CAMA permits
necessary for the folbwing proposed development: Drell cJ l n9 -or 4. 100 t (.S .
hu.l khe d replaeemerii- ord nev.5 dock .
at my property located at (q 5q kings Lane�.t ns Rd.
in Fender County. J
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:
7 o Go
Signature
endy Ashe RECEIVED
Pnnf or Tyae Name ED
OV�I ne; JUL 0 6 2021
Title
I T l :1( DCM WILMINGTON, NC
Date
This certification is valid through I I_

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: \/\_endy
Mailing Address: I c1 S q K t n95 L'i rr1i nl `Road
axrips-feaci 1\1C asLI y3
Phone Number: - 3a0 - OLA O
Email Address: tnco6� lure U.s0. . Corn
I certify that I have authorized PQ+n of 'Boca Dcck 1 a i n-- ,, L L C,
Agent/Contractor
to act on my behalf, "or the purpose of applying for and obtaining all CAMA permits
necessary for the folk:wing proposed development: LDred I 9Car <. )DO 9c(5 ,
�ulkhent_d replacemen - and new dock .
at my property locatEd at t 5q ki nQs LQnC t nQ Rd.
in Fender County. J J
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:
Sign ture
I endy �ls he
Print or Type Name
dw ne'
TitI€
4 1
Date
This certification is valid through I I

• AWACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A-tav< tew--S 's
,atc:c7 of petty Owner)
property located at ( fl3 V;v� Imo", ,N
address, , Block, Road, tc.)
on I w , in , N.C.
(Waterbody) ity/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatioyi.
I have no objection to this proposal.
I have objections to this proposal.
DESCRI)TION AND/OR DRAWING OF PROPOSED DEVELOPMENT
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WAIVER SECTION
I understand that a p er, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a reinimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to wE'ive the setback, you must initial the appropriate blank below.)
I do wisht to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent perty Owne nfo ation)
Signature Sign tip •
Print or Type Name Print or Type Name
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Mailing Address ` in Addr ss
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Telephone Number/email address Telephon Numb r/email address
5-1 81. 1 ,S�31 ,a/
Date Date*
(Revised Aug. 2014)
`Valid for one calendar year after signature*

AD,JACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Zan rN .) <-r' ,YV- s
(Name o�f,,Property Owner)
property located at 4 9 3 9 K rr L0 `(u
(Add,'ess, Lot, Block, Road, etc.)
on C� �,.J , in �,a ''�`��k�p-) , N.C.
(Waterbody) (City/Town and/or County)
The applicant has dE scribed 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(I/nct ' -.� _ _. � _ _. _ • :i..
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WAIVER SECTION
I understand that a p er, 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. (If you wish to w2 ive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent 'roperty Owner Information)
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t or Type Name
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Telephone Number/en ail address Telephony Num er/email address
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Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature'

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Check
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Commenta Receipt or Refund/Realtor-Hod
Column1 Cakmnt Column9 Calumn4 CONmna Columns Column? Columns Column9
7/11/2021 Sea Dog Marine Construction,LLC EAJ Futures ;First Bank 1381 $ 200.00 GP 0801820 PA rct.12841
7/11/2021 Logan Marine.LLC David Highsmith BBBT 7452 $ 200.00 OP/80145D JD rct.14902
7/11/2021 J Long Custom Homes LLC Jason Lonq North State Bank 2570 $ 200.00 GP 879971D BH rct.14109
7/11/2021 Patriot Boat Lift and Dock Maint,LLC Wendy Ashe Aquesta Bank 1127 $ 800.00 GP 080143D JD rct.14350
7/112021 Amy T Faulkner Chris and Amy Faulkner BUT 1755 $ 200.00 GP 080185D BB ret,14065
7/11/2021 ,Donald Barefoot Charlie Chowning __. BBBT __., 5009 $ 200.00 GP$80183D BB rct.14066
7/11/2021 Backwater Marine of NC Richard&Mindy Jones BB&T 1384 $ 200.00 GP980154D BB rd.14057
7/112021 William H Green same First Citizens Bank 1049 S 400.00 GP880312D Bit tut.14101

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 'L tr i Pam\
Mailing Address: c5° \(1.fT1 ACV\ 3
1-\osyk'r-a\c)1 oQ a803
Phone Number: 1pO3- Sao - Ol0-10
Email Address: lnVo C VIt 4 UStt_ CCM
I certify that I have authorized Mart(-Ng_ "kCOGA't o� ,
Agent/Contractor
To act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development. Q1,cr
at my property located at \q5q i U,SNCV-t -C3
in 1--)QQ(' County.
I furthermore certify that / 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
Siq
t 1Cab
Prfint or Type Name
Title
9 / la / 2OZ1
Date
This certification is valid through I /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to W V �SVA 's
Q ` (Na �of-\Property Owner)
property located at tg5q 1_�.X1C�� KS�►
p ��l C�,tA ress, Lot Bloc (IX etc.)
on 1\�\4t\�tG `1s14CC . in -�.� , N.C.
(Waterbody) (City/Town 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
kA-1-0-Ch(1—(A
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro erty Owner Information) ( djac t Property Owner Information)
Signature i not re*
k Ot.r\6 A �s\n - ,r„,-� �,t_,.r-,s
Print or Type Name -t Print or Type Name
lgSg �1 I,.S.1ndv la3°1 K1nclo L .z,d
ailing Ad ess ^Q Mailing Address i CS
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c�K� �3 Hip
T�1 pppjjjO N
City/Stat ip Crty/Slat
L003 -3Q(-Oo4 C) cce�-3-1S- ocePI
Telephone Number/email address Telephone Number/email address
q I i 0) asp a.4.._._ -- Vol a,oz I
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �Ks s
�J of P'roperty Owner)
property located at t�5-Q 1 1�1
(A ress, Lot Bloc oad, etc.)
on in a„r N C
(Waterbody) (City/Town 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a 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 (If you wish to waive the setback you must initial the appropriate blank below )
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) ( djace ro rty Owner Information)
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