85634D - JATWHIT

1"`'i4CAMA L-1 DREDGE & FILL No 85634 ABC` D'
GENERAL PERMIT
aN Previous permit '
Date previous permit issued
New ❑Modification Complete Reissue n Partial Reissue
As authorized by the State oI?f`North Carolina,// Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I5A NCAC L "C
7 , I tit.) n Rules attached. EA General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name j l nI Authorized Agent 7, r t- ' - ,'t^
�1! CO(,E � _t,�,�`
Address Project Location(County): `U� "--
City D�(1��t' t'�y �l,state (' ZIP - ' r: Street Address/State Road/Lot#f(s)
Phone#6./ ) -(2. -� � 76 1) i',"' �i f�1S!F1', P(I
Email Subdivision
City e,1' & C 11-4 ZIP
N,
Affected I I CW n EW n PTA E- ES PTS Adj.Wtr.Body 1 O rSf`` , i) . enan/unk)
AEC(s): OEA ❑IHA ❑UW n SPIMA n PWS Closest Maj.Wtr.Body ' r", SNi>
ORW:yefjno` PNA:y_f / fr(c;l S/
Type of Project/Activity �►1 E� /k ' " '` .,1 _.'`/h s—
N l' (Scale (Te:., )
Shoreline Length `7-• S€
Access Length
Pier(dock)Ieagth
Fixed Platform(
Floating Platform(s) L__ :
Fingerpiers) �.._i` r t ..P M_.. a..�._Total Platform area
Groin length/# ,
bulkhea01 Riprap length s
_.---_.T__.r_. _
Avg distance offshore �, 2.,.�..�..,.�.. �
p�
Brea kwa>er/Sill i „.'-s , rr
ti,
Max distance/length t�, A7,77 r•",,`
Basin,channel` t I '. ��
Cubic yards A' ` /
Boat ramp `, (y..... +
`\ *r '`' #''.
Boathouse/Boatlift } .'; -1 i -
Beach Bulldozing \. ,
f.f 3 _
Other
z
SAV observed: yes
Moratorium: n/a yes 'no'r
Site Photos: yes
Riparian Waiver Attached: yes /no
A building permit/zoning permit may be required by: ;74i f'1- ,:-. ;a..
Permit Conditions t! 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)
if d
Agent or Applicant PRINTED Name ")
Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature .�
r .. r ' .,
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

AGENT AUTHI•RlZAT!ON FOR CA'";!A PE-11fi8TAPPLICATION
•
Name of Property Owner Requesting Permit: J �
Mailing Address: 31
v,•( 2 33
Phone Number: 91 `1 - .'-1Z:' k. (PS
Email Address: -1-0Je e-14\f. -4 n�o►���,tee rs , C-or
I certify that I have authorized •
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:.
at my property located at N T lL 1 IQ S o r-1 `j ,,,2F l f
in 0\1O172 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:
Signature
1L1 1 1 TL J
Print or Type Name
Title •
Date
This certification is valid through / I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
0q.•7-3.2-1
Date
3gTv\)1-11 T I,LC
Name of Adjacent Riparian Property Owner
311 t:ot.t✓ - O Gf
Address
DU,n n, N C 2$33 t)
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
'..-P-e.,k-eTk,,..)\1._xf Li...)c•_.k.\
on my roperty at 'S. 3 -\te....0,t a[ v‘ (7? ,
in fie.c elt 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 OFFIC R)at(PHONE NUMBER),or by email at: (LPO EMAIL).
Since 1
'9f6 3507 c07 (q
Property Owner's Name Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence.
I have objection(s)to the project described in this correspondence.
ki\) a 9 -z-z-2 )
Adjacent Riparian Signature ,�I p Date
- i)0 \A O 1 Tfif.:7\1-DI V I 1 cl r`Z�- c34((IC
Print or Type Name Telephone Number
Address City State Zip
Revised July 2021

ADJACENT RIPARIAN PROPERTY NER ST EMENT
• I'hereby certify that I own property adjacent to li 's
alame of Property Owner)
property located at 15 S �`rr� 5 D/l,
(Address, Lot, Block, Road, etc.)
on , in _ , N.C.
(Waterbody) (City/Town and/or County)
The ap licant 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)
F----------7Q..r--
ir 55
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minim m distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
‘11 .
the se ack, 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.
(Prope Owner Informati ) (Adjace pc !wónfo.mation)
0 r) ) C\ l'AU %4
Signature Sire
Print or Type Name Print or Type N \l
31 J Go Li- )0 6Ci \5 3 ( .„UaOh �\2O
Mailing Address M g A res
City/State/Zi City/St i
9 17 - z� --e44s io -5 a (07co
Telephone umber Telephone Nurlber
lo- o`f- 7-oZ-1 3-31 a 1
Date Date
(Revised 6/18/2012)

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Check
Data Received Date Deposited Check From(Name) Name of Prmh Holder Vendor number amount Check numb Permit Number/CommentsReciapt or Refund/Reallocated
•
Colorant CoMinna Coumn3 CoMinna Columns Column! Column? Columo8 Columns
10/7/2021 Zachary Wynn Lucas Catherine Lucas Wells Fargo 175 $ 200.00 GP#85621 D AW rct.14878
10/7/2021 Lighthouse Marine Construction Martin Vahue Coastal Bank and Trust 3962 $ 400.00 GP#85633D JD rct.15586
10/7/2021 Lighthouse Marine Construction JATWHIT,LLC Coastal Bank and Trust 3961 $ 400.00 GP#85634D JD rct.15585
10/7/2021 American Marine Construction,Inc Brian and Teresa Kanzler First Citizens Bank 89490 $ 200.00 GP#856050 Tmac rct.15569
10/7/2021 Christopher Irwin same Founders FCU •
3186 $ 200.00 GP#856060 Tmac rct.15570