80292D - Colner

0 CAMA/ ❑DREDGE & FILL O 80292
li - 0 A B C -'C;/
GENERAL PERMIT Previous permit#
�`% O\New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued '%•N.
As authorized by the State of North Carolina,Department of Environmental Quality 7� nn
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 67 ' II V 6
,•, f, " .‘)--- / Liit t iT ❑Rules attached.
Applicant Name 1 % °,f ire i 0; /r ... Project Location: County PrN 4.---
Address /II fr V6-V STA- C-Ts• Street Address/State Road/Lot#(s)
City A PVA-- �t6 state �G ZIP 27L�6 7 r�' _� �' ,p';,lh 4/ .
Phone#F.3oe ) y06 31/'z.E-mail Subdivision j'
Authorized Agent ppp tr L<- Cl->Q-lV`1 City 5 t/v T ((( ZIP 4Cie y 7
Affected ❑Cw CI EW ❑PTA ES ❑PTS Phone# ( )----- ' River Basin i ' O
❑OEA ❑HHF CI IH ❑UBA ❑N/AAEC s : Adj.Wtr. Body 1-0 rAtAI vv
/man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no> Closest Maj.Wtr. Body --to/(74/L j OtJ/UD
Type of Project/Activity •', // /r-4/L1f-1A
(Scale: ('_ z )
Pier(dock)length
Fixed Platform(s i `'
Floating Platform(s) Iv
Finger pier(s)
— } { i —
1•
Groin lengthram' 1--- f
,�1 ;
number �__.___ —� _._ i ... _.._ —
Bulkhead/Riprap length '5d ' — _ _. —_ _ } —
avg distance offshore , ` , { }
i
max distance offshore �,,y . I
Basin,chl^nel 1 1 41 _ pV
f I ' k cove. W-c-4-{,,4,
cubic yards
Boat ramp I
Boathouse/Boatlift —I h �L y —. _.._.__ —_. I _ I t
Beach Bulldozing 1 -- —
Other 1 , 1 {
Shoreline Length I
}
SAV: not sure yes 60L. ..- __—_ __T 4_ 4 4. 1T____.____
t f 1
Moratorium: n/a yes no , i 1111l }
Photos: yes i , , , , , ,
1 ,..__.. _ _
Waiver Attached: yes o 1 — — 1
A building permit may be required by: SV 11-r CA . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
ja\uf ij t) ---'
Agent or Applicant Printed a Permit Officer's Printed Name
Signature **Please read compliance te?nent on back of permit** Signature
'5113 Lll • CO ' 2 ) ( , )0 , 72--
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 (252-946-648 I) 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 252-946-6481
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

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,n4;1/4-, -4..i NC..DIVISION OF COASTAL MANAGEME.NT
ADJACENT RIPARIAN PROPERTY OWNER I!OTIFICATION(MINOR PERMIT)
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I t t`e'I.I'CR M1 1 111TICER,NAME OF E t :'AA,L GOVERN\trt`f„MAILI ADDRESS CITY.STAB ZIP COEJI:i
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
3oSE oNZ Date
Name of Adjacent Riparian Property Owner
A
5'J K ` a
S F �, � 7� IvJe y 4ls
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Built Rz..t-A i.�i,uc qua ( C-
on my property at 1 5- r¢t l�T.� sr,, !L ce c r f7/ /�l C d
in (mot!.?6,2 County,which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity,please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice,it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments,please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER,NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project,please do not hesitate to contact me at my address/number listed below,or
contact(LOCAL PERMIT OFFICER)at(PHONE NUMBER),or by email at: (LPO EMAIL).
Sincerely,
�-4, CoC. e ' - 33( - 41o� -31< Z
Prop Owner's Name Telephone Number
Address City State Zip
X I have no objection to the project described in this correspondence.
I have objection(s)to the project described in this correspondence.
,P(Z5)2t
Adjacent Riparian Signature Date
Jose Gonzalez 828-713-3498
Print or Type Name Telephone Number
Address City State Zip
Revised July 2021

c Of ----SI

Check
Data Received Dab Deposited Check From(Name) Name of Perm"Holder Vendor Check number amount Permit Number/Comments Receipt or R./und/Reallocated
Column', Column2 Cellumn3 Column/ Columns Columns Column? Columns Column!? _
9/10/2021 ___ Mars 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 44761$ 400.00 GP p80267D PA rct.12798
9/10/2021 H5 Construction,LLC Jeff M aple s Trwst 1075i$ 200.00 GP#803510 PA rct 15705
9/10/2021 David Grice Money Order _ Curtis8 KernHardee Wells Fargo _ 19-306477201 $ 200.00 GP#802800 88 rct.15530
9/10/2021 i Floyd Eugene Morris same Truist 1726 $ 200.00 OP#802570 JD rct.15580
9/14/2021 .Lighthouse Marine Construction Travis Dawson Coastal Bank and Trust 3922 $ 200.00 GP#80291 D JD rot.16001
9/14/2021 Lighthouse Marine Construction Greg Coiner Coastal Bank and Trust 3923 $ 400.00 GP#802920 _ JD rct 16002
9/14/2021 Once Construction Hartsfield Properties,LLC BB&T 14888 $ 200.00 GP#802780 BB rct.15528