80280D - Hardee

to 1.CAMA /
DREDGE & FILL N° 80280
A B C D
GENERAL PERMIT Previous permit#
LNew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /`
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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
❑Rules attached.
•
i Applicant Name CuA j C ? V Lie V' , Project Location: County /L Nf w, l
Address 2 c1 CC),,,,L wl c,, 4 Si . Street Address/State Road/Lot#(s)
Cit,0C,t,.c.,, \ Si e- Qec.c In State N ZIP 7 89 b`( Sp, J.r C
Phone#(J(5) 21' Sorl E-Mail e`(ti>c ek4'rc. n e\ Subdivision
Authorized Agent 1 ., 1 (7v,c..5,...- City ZIP
Affected ❑CW EW ZiPTA ❑ES ❑PTS Phone# ( ) River Basin ,
❑OEA ❑HHF IH ❑URA ❑N/A
AEC(s): Adj.Wtr. Body C A--c ‘ (nat /man /unkn)
❑ PWS: -
ORW: yes / no PNA yes no Closest Maj.Wtr. Body A k w k
Type of Project/Activity 4. % _ f p rku.1 c`o( L - (-CA 4 1- Al 4)C1n 9 v,"-\\,0 -'-
8 x 1 U f (Scale: I )
Pier(dock)length ,y ,(s) ,
Fixed Platform(s) I I 1 '
I , ,
Floating Platform(s) g* 1(y ,
Finger pier(s)
t
Groin length i �i±' _ �' "�.�.j ,��
ARIA
number --- — -- . _ .
1
Bulkhead/Riprap length -t —" -
avg distance offshore { i I
max distance offshore
Basin,channel i--
Sli
P
cubic yards h iffp
l I i
Boat ramp I
;
Boathouse/Boa i 2 — i „� ) } ;
i
Beach Bulldozing I o - ,
Other i
i
j . _ I . ,11. t.
h ~'
;: i
Shoreline Length 5 b ! 'G( L e J
SAV: not sure yes Cam+ f— .— _........_J.._..- ; _. �.._...— ..� -- _.
Moratorium: n/a yes e S� �ib yr ch (Ia Ak)" _ _
Photos: yes Z.. ' (fu' b'Aa 1- -. .....2I',_'(4'.,..ap..',,14 2 -4_.....E-«'"°"_° t8
Waiver Attached: yes no 1
` '
A building permit may be required by: (An \c(c. (111 tit sr►'1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) (`
Notes/Special Conditions f/s c L - rL.,,,k, t .kl\ " ,A qx W, ' ..
/ ,
Agent or Applicant Printed Name Permit s Printed Name
tjgnature Please read compliance statement on back of permit'"` Signature
20 1 �()`I1� Zol I0j7 6Z ( �b�2o2Z
plication Fee(s) Check# Issui Da e ira ion 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 (252-946-648 I) 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 252-946-648 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

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date !S 2-V— 2-
Name of Property Owner Applying for Permit:
Mailing Address:
:C�l Cc...nbc.4e/0..6/ S,L o z.8 tie..
I certify that I have authorized (agent) Oa�/i � 6d2/c.r to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity)_110 Air/
at(my property located at) �f C. ,4 -49/ sf o.2& % c•
This certification is valid thru (date) /o - ?/-�Z
( tit4441001÷ fill
Date
Property Owner Signature

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CERTIFIED MAIL • RETURN RECEII'I KEUUES I EU or hiANU Utuvtrcr
(Top portion to be completed by own r their agent)
Name of Property Owner: ( U C kerr,` a rd/�
Address of Property: �6/ &Of I r / i S ' J 0/ s , iv( 2jge,
Mailing Address of Owner: Some
Owner's email:e (1(5 ea V1f F Owner's Phone#: Ct ( 0 - -6-oS -
Agent's Name: 1)4 I/(<4 ( f(GC-- Agent Phone#: q (7) ` l ( U _ C
Agent's Email:
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. A
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 400 Commerce Ave Morehead City,NC 28557.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' setba ,t9
�
--)\/ ' ature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: 1---'
Typed/Printed name of ARPO: AN R•F-i4 R V►rraAi
&A.iIinn Arlrlrncc of APPr1• I ZL%0 I iin &. J1 /_L12tLE L.)AXI.MAii A)(.- 771 Z

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CERTIFIED MAIL • RETURN RECEIF'I REUUES I to or HHNu UtuvtKT
(Top po ion to be comp) to by owner r heir agent)
Name of Property Owner: r a deL
Address of Property: 1 V f be/ -) ✓ 1e , N c i `[ 6 q
Mailing Address of ci
wner: ft ,e
Owner's email c OC L-IMC. kl tf! Owner's Phone#: ct to —aq- l ) 051—
Agent's Name: David i?r iv Agent Phone#: -1, D 1 -L l
-53/ c."---
Agent's Email:
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. A
description or drawing, with dimensions, must be provided with this letter.
AI 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 400 Commerce Ave Morehead City,NC 28557.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). you w h to waive the setback, you must sign
the appropriate blank below.) /
I I DO wish to waive some/all of the 15' setback 1 :1 4
lAa.'r
Signature •f 4 dja :a Ripari. Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initiaythe blank)
?t Signature of Adjacent Riparian Property Owner:``
Typed/Printed name of ARPO: Ti �J---t* -- 1/-‘11/ -______ _____________
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Check
Date Received Date Deposited Check From(Name) Name of Permit Holler Vendor Check number amount Permit Number/Comments Receipt or RelundiReellocated
Columnl Column2 Cdumn3 Cdumn4 Column3 Columns Column? Columns Column9
9/10/2021 Adam Sink same First Citizens Bank 299 $ 200.00 GP#802560 JD rct.15578
9/10/2021 McPherson Marine Services,LLC _ KEM Inc. _. First Citizens Bank 4476 $ 400.00'GP#80267D PA rct.12798
_
9/10/2021 H5 Construction,LLC Jeff Maples Truist 1075 $ 200.00 GP#80351D PA rct.15705
9/10/2021 David Grice Money Order Curtis&Kern Hardee Wells Fargo 19-306477201 $ 200.00 GP#80280D BB rct.15530
9/10/2021 Floyd Eugene Morris same _ Truist 1726 $ 200.00 GP#802570 JD rct 15580
9/14/2021 Lighthouse Marine Construction Travis Dawson Coastal Bank and Trust 3922 $ 200.00 GP#80291D JD rct.16001
9/14/2021 Lighthouse Marine Construction Greg Coiner Coastal Bank and Trust 3923 $ 400.00 GP#802920 JD rct.16002
9/14/2021 Orion Construction Hartsfield Properties,LLC BBBT 14888 $ 200.00 GP#80278D BB rct.15528