80269D - Hussey

❑CAMA/ L I DREDGE & FILL No. 80269
0 A B C
GENERAL PERMIT Previous permit#
>' ❑New ' El Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
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 {t{ i t •
❑Rules attached.
Applicant Name -RDA{ "t Ho 5.1,'-e-t1 Project Location: County P. c. c it
Address 41335 R,V'Q✓ I)v4'f Dri Pe, Street Address/State Road/Lot#(s) PI I)**`231 LaOb1 C:
1)?,
City V��-4 '4State NC ZIP 2) 7�36/ I S 4_ di' •,, t 4 1
Phone#(3j 36 q 32— _Mail Subdivision —7
Authorized Agent I1 ed 'Y 0 , '''( (G li f S City £.(t )s lavIci ZIP sQ 6s
Affected ❑CW ❑EW ®'PTA ❑ES ❑PTS Phone# ( ) River Basin 1_Lhv1 b!,:-
AEC s : :❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body '
El PWS:
t�l� /,' / (nat an' /unkn)
Closest Maj.Wtr. Body K l�1U
ORW: yes /'no PNA G/ no
Type of Project/Activity / 015(I / , , , ! %t,
yK DS C
f �( (Scale: N7� )
Pier(dock)length:] ;" •
Fixed Platform(s) 4} / ,
' I 4 1 I
Floating Platform(s) #2 k 1
Finger pier(s) ;
--4-- i. i• •1 ; f
Groin length i
number I
Bulkhead/Riprap length $— i tjed1:4 F_.._.
'-A-- I
4
avg distance offshore — �d
max distance offshore — ! j [`44 Pox l /C I 1
Basin,channel
cubic yards j -4 y;r m 14 I
Boat ramp i N
p se �
M . !Boathous •oath I s tag r .......... , ,.......iI aq 1 J'?C
Beach Bulldozing c ` 7.-- I +- -I- — j _ _�
wU A., ' M
Other U '`�' rj
i - 1y - • \� I j
r
I
Shoreline Length ; `<'
I }
SAV: not sure yes 1_ 1 ---- ---_- .�1 'i fs bP
I
Moratorium: n/a yes ,,vi..N W
Photos: yes
Waiver Attached. yes (� p vim+ C,_ of v'..G IitSSt F 34 Leqcij 46! )2 - , , .411:yr✓ +"Pcr
A building permit may be required by: q,,il t VLu" 6g4 . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ,
Notes/Special Conditions 1 f ',War/ it, L 4 S a ' O S
4
l't!. l ! al a f /.- { It MS.1/;rtf tern t 5 ,ieGie5 Q i6 '"mil w Su rrr?<,
l ny. - GSIC wire), Alitif( p
Agent or Applicant Printed Name / PermitOfficer's Printed Name
ill! eSignature i PI a read compliance statement on back of permit /Pk/
nature

AGENT AUTHORIZATION FOROAMA PERMIT APPLICATION
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Name of Property Owner Requesting Permit: kt,4,1 It 4/5-5>1
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Mailing Address: liSi$ /Prky oi.i
'1)4,vino I. di/6' 02( R7
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It 3 36 - 3 - ° -raa
Phone Number: q5 3
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Email Address:
I certify that I have authorized 4-//id /7/frilitt- 'C'41thkr ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
De, ,. ikii/
necessary for the following proposed development: lt fi ,:i7,:e4:,.. • ,
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at my property located at ft)) L/ cle . ,. .. ,„, ,.--r —.. „..-7t•,;
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,44,01.45,.., ,100. .,,
....4.:4; -,-1•., i 0,..-#'-;A:= - .--.1*, ...7t--747-1k- ,. - ' : 4i- i . - ....-t,o-
in 6 15,% )...1,yle County. -.41*:"-INevl,le" -Arrv,,,'•'----'-'-•11,"_, --!•-:4" iL -..---- - - — .- ,di.,,,:•--73,:‘,.. .
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,,,:,1';A_,•!- / furthermore certify that I am authorized to grant, and do in fact grant permission to -;=-+'""-"'s "'
— ..t.,-,...:.
Division of Coastal Management staff, the Local Permit Officer and their agents to enter ,;,••:.1.44L''-i,,,I.,_
on the aforementioned lands in connection with evaluating information related to this : • 1 !-,,,, ,
;
.----- permit application. . -
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4.1, Property Owner inform tion: ,..... ,,,,,,- . .,...4a,„.,:.,4 _,,...,„;,.-:47,itc,...4.,.,.. ,v-,',,,e- ii„q.,,,•-• ',:,,,,, '..t..„?.it,,,,•:1•4i'i 4:„,;_„.: , *:-4.•'_.-7 7.-k Ar4',1=':
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This certification is valid through / .- /
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ha
egEnegs_milirr EQUESTEQ —
•
DIVISION OF COASTAL MANAGEMENT ~-
ADJACENT RIPARIAN PROPERTY OWNER P OTIFICATIONMIAIVER FORM
Name of Property Owner /QG)2 j)ifi iltafe.j..-� -,r`Itt`
Address of Property: 11
ref � — �1 rO
(Lot or Street#, Sleet or Road,C:ty�,County)
Agent's Name#: Ili,4l Mthk.-- Mailing Address: la 'lam" ,
Agent's phone#: 9/('' 0P3.)-0/5SIC! _
I hereby certiy that I own property adjacent to the a ve re1arenced property.-The individual
applying for this permit has described tome as sl own.on the attached drawing the development
they are proposing. A description or drawing. %vita dimen;ions. rriust be p fgvided with this letter.
� /I have no objections to this proposal. I have Objections to this proposal.
If you have objections to what is being proposed,you must notify tr a Division of Coastal Management
i _, (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at htfp://www.nccaastalmanagement.net/weblcml.staff-listing or by calling 1.88&4RCOAST.
No response Is considered the same as no objection ifyou here been notified by Certified Mail.
t
k VWAIVERSECTION
-,,, I understand that a pier,dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. - ` - "t;. ',
I do not wish to waive the 15';setback requirement. :v , ' ,
' ' ' R1 Han Pro! • er Information)
(Pr rty Own Information) � (Rip r•
r4F 4 )f hd ifaL
I
mS Si,- re
,- ;, Si nature . -. 4 '
gede- Shio0 401LC--
Print or Type N me Print or Type Name
6) re)
Mailing Address -Mailing Address
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e„ti?,, ilk} p7o39
City te/Zip Ci-`y/.tateTZ r
_ TO -0,.
Telephone Number/Email-Address Telephone Number/Email Address
0 itiE2 1 0,al id-1
P° Dote
Date ,...,,., A. Oil 1A

u , x"i `•Ni�rd, '�bAk' c "- k1„' j: �,}. 'rav`ie,� y �ft2' s�i'7 ai i
5 CERTII=IED MAIL ET
RURN R J IPT REQUESTED .
- •' o� ,.
DIVISION OFfCOASTAL MANAGIMENT `, .. , .,,' T
ADJACENT:RIPARIAN PROPERTY OWNER. " L I lFiC TIONJWAIVER-F4 : +
Name of Property Owner: 'Q/),Q) OSj C
y ,i, ,,..-,..A '4,-'1
Address of Property: la` SE„c_,. .Llar�- .L 4lt�l + /YV ��
(Lot o Street#, Street or Road, C.ty .. County) ar.
Agent's Name#: /¢14 Mailing Address: tp Abdo) s,
Agent's phone# VO' 312- a.. 30 figierlie44 111k 6LS99S
I hereby certify that I own properly adjacent to the above r'et renced property. The individual ;
applying for this permit has described to ma as shown or the attached drawing the development �; -:
k. they are proposing. A description or drawino. with dirgerl;jons roust be provided with this letter. "4 °
Y I have no objections to this proposal. I h.ve objections to this proposal: ." , ;, , '_
., .-�.:.
sum,
If you have objections to what is being proposed,you must riotiiy tr,a Division of Coastal Management '
(DCM) in writing within 10 days of receipt of this on notice. Contact information for DCM offices is
i, ; available athttp:t/www.nccoastaimanagement.net/weblcmintaffdisringor by calling 1-888-4RCOAST.
No response Is considered the same as no objection ifjou hale been notified by Certified Mall.
WAIVER SECTIOII
I' I understand that a pier,dock, mooring pilings, boat ramp, breaf<water, boathouse, or lift must
7:,,,,• 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
1
.� I do wish to waive the 15' setback requirement. IU k , i
t'r
t/ I do not wish to waive the 15' setback requirement.
(P rty Owner I fo mation) (Riparian Property 0 i,er Inf?•"'lion)
' Signature Signature
Ai 1/1,5 d r r
/1).
Print or ype Print or Type Name
' 42A - --Q- --T� /'
Mailing Address Mailing A*I ss
� _KdC1e k_ id� r71
P , G a�� � �l
-`" City/Sta e p City/Stafe/Ir
3369 - 9,53- 3 ?S3 'II i- 6101 -ID 73 e d s eS51
Telephone Number!e ail Address Telephone N umber/Email Address L'ol
' , W '. a1 1 a
>-, Date Dante -- " ..

I . .
Consent for Use of General Permit 71-1 1200
Lot Number/Address: I 4 -> A`i� �_T-r f' t jam, i : i �'., �, �`-ji_,
County: l5i t; -,1 :' 4 Subdivision. (P.i 2 -A
Criteria,
(check all that apply)
j'Primary Nursery Areas.
d less than 2 Oft deep.
❑ Greater than 2.0ft but less than 3 Oft
❑ Submerged Aquatic Vegetation.
❑ Bottom habitat.
Comments:
t t �•
8" NLW on the landward side of floating dock, 20" on waterward side of
-float, with little concern for prop scouring. No shellfish present. Man-made canal.
Decision:
Issue General Permit
❑ Elevate to Major Permit
Aa e I 1/ 11/1/2021
NC Division of Marine Fisheries Date
NC Wildlife Resources Commission Representative Date

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Check
tad Data Deposited Check From(Neme) Name d Permit Milkier Vendor Check number amount Permit Number/Commenta Receipt or Rdund/Rwllocatatl
Column2 Columns Column,/ Coumn5 Column! Column? Column/ Columns
)21 H5 Construction Deborah Gilmore Truist 1046 $ 400.00 GP#85351 D BB rct.15939
)21 Harry Bryant Harry&Jac Bryant BB&T 674 $ 400.00 GP#853500 BB rct.15937
)21 Logan Marine,LLC Brandon Mclean BB&T 7647 $ 200.00 GP#85677D 'BB rct.15936
)21 Allied Marine Contractors LLC Ronnie Hussey First Citizens Bank 10390 $ 200.00 GP#80269D PA rct.15703
)21 Mary Mahony _Mitchell Mahony Bank of America 1991 $ 200.00 GP#85302D PA rct.15967
)21 Allied Marine Contractors LLC Tracy Swenson First Citizens Bank 10545 $ 200.00'GP#85341 D PA rct.15962
)21 Pacula Builders LLC John Hoerter First Citizens Bank 3006 $ 400.00 GP#85340D PA rct.15960
)21 Allied Marine Contractors LLC Mark Long First Citizens Bank 10389 $ 200.00 GP#802700 PA rct.15704
)21 Richard Penny Construction,LLC Adrienne Kropa NAVY Federal CU 1581 $ 200.00 GP#85345D PA rct.15968