80304D - Bouchard (2)

----7r76 -I A-#1 '-"-= 971---; 722-1
iiirCAARA/YDREDGE & FILL NO 80304 A Et C (E)
RFwNERAL PERMIT Previous permit#
EJModification Li Complete Reissue i]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 r3--4-6 i.zexv)
F_1 Rules hed.
Applicant Name 6.--s fROOCIVA-Ck Project Location: County
Address -(101 et.)f- 1Q4e-C G---)41 Street Address/State Road/Lot #(s)Z_TI ficyfkik A.„R__
City Pkos -rn State`15( ZIP Ittq3k
Phone#( ) E-Mail Subdivision
Authorized Agent *IA-00k i_orri/..,...*Y1 City( cQj.ri3ea&\______ DP__
a CW DEW ICI PTA IDES OPTS Phone# ( ) River Basin._ CFR
Affected
11 0 UBA 0 N/A
AEC(s): 0 OEA 0 HHF 0 1 Adj.Wtr. Body MYrfit 61/6V6tucla,/rnan /unkn)
iltr0,-)10
ORW: yes / Closest Maj.Wtr.Body
efb PNA yes / &73
Type of Project/Activity "L4tC0 fULLA-3 it)t,41-6-030A .
Pie dock)length
Fixed tform(s) '---t---
_______i Itrirg Pi . 41111, 't:..11M11111111111111111111n111. 4 _ _
.4--- — 11 ---__-1
Roating PI rm(s) r, i_ ____4_,...___4. • , 71.- '-.,' .._ 4+Finger pier(s)
i Ike .-_le
---I -1--
Groin length " - 1.7 - itift.‘' . r 't_—
number , 4.4 0 g,_ ,......4
•
_.:- ..1 III 6' ,iiiiiaimMitail`',""-..*.ittrIllli
Bulli, ati fea Moran length first74- IIII I 26e A ''. INS IIII avg distance offshore C ( MIMI ig, . -4 ---1'
max distance offshore-i—r t --Tad ' ,)%7 i ,; • 1 ' Hi 1
' {
B. . channel _--_ . -4--4—i i II\41-- '-- -1,,..,' ! - - ' —
. ..
_ U. — 11.1 :1211 i
cubic rds
--"--' 1.---- . I _ .10111111111MMillitafil
—---- l
a; _A.. 1 ' 7--
Boat ramp i .. ' IP '11• -
Boathouse/Boatlift r_ .,„_..i —,__ ; —,_ - . -- -* .___I__ )_ 4. i___4 k_____ ____,.i.___ _
- -t---1----, --- i 1- 11
---f- - - --IL-' 4iiiii --"--1—_.
_
,_-___,.._...... .. . . . _ —
Beach Bulldozing 1-- - - -I— 1UURNI- -
,
•
other eZue5t • ,
I -li v II i_,._ 111111
, irf_______ th. ,
-7-1-- ---4' - I, — -1-----
- 4
4-/-66 -Li- 1 • - !_ L4___ N4 % 1 , : 1 -
i ‘ ...
--I-- .
1 ..Tp' •. ' _, -
Shoreline Length ' ,I -4 ' ,
I I .
4 .,...,, ._,.,4„ ,. II , 1 „. ..,,*..77.ia 1111 _-
Moratorium. n/a yes 0 tr `i 4...... .......__ , IIII
-- - - III
Photos yes Yes e .._ _. ..._ , gli
, , . . --1----r I.-
Waiver Attached: yes 65—.4.—• . _ - - .
A building permit may be required by1G4_,K, 4 CA.C401"-ck- CRJ20.ac .,e- - . ..0 Sip notion bdc a regarding River Basin rules.
(Note Local Planning Jurisdiction) IN)0 w von 66 r 4)...{...6.0 tLettiogAc.) acolatsuesk _
Notes/Special Condftions
- I
A. .
Dor3-e-icant L.,,,-, in, cv,,,,,,,ic,Nne ___
p . I" 1 rtv"- ckt"1"1"-L
Perrni_l____,_stdi,--- s Pr 1 ..+ Ne Ap .
IF.P.101111t1IN._ M
AlllirtM,Maki'ab......___ g '2,32,i
12-23.2(
&future read complianceP sta on back of permit" \
Ma 17.7.q.1- SignairT7..Z 21 1'Z i'7,.'dcl-7 k

0 CAMk/DREDGE & FILL ND 80304
GENERAL PERMIT Previous permit# A B C
>< New ❑Modification ❑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 C) I .-Ze -)
❑Rules att ched.
Applicant Name �� \�j dUC II Project Location: County (Qty.) .A0 46-
Address (C5l &.JA1Q0.(C,c w,,41 Street Address/State Road/Lot#(s)'� j � a 1�rrE!
City PCVS� 1 Stater)( ZIP V31
Phone# ( ) E-Mail Subdivision nn_
Authorized Agent ��C ` .QY� (�Ytl_37Gri City6strae'r l �, ZIP Z C&t
Affected ❑CW ❑EW }q PTA ❑ES ❑PTS Phone# ( ) River Basin C�
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 1 "y'rf,& &tre...V (ai/man /unkn)
❑ PWS:
ORW: yes / PNA yes / r o Closest Maj.Wtr. Body
Type of Project/ActivityS4vt_0 P10_1,—.) loddA
(Scale: K31.—S )
Pie (dock)length
•
Fixed tform(s) I , , I ri t x.6cove--''.' '`"�
Floating Pla rm(s) i ,r Imo^'
- _ ,
Finger pier(s)
" +'
NI
Groin length ,— ! * �/
i
I/ f
number :..... / ril•
BulkheaRiprap length 8Y 4 ......... ..-. �.._...._ �_ - _.___........,._______..._._...........__.___..._....._..__..__.._..-.[..__--
avg distance offshore f 30
I
I f •
max distance offshore � el",.(),: . ` 1
Bas' ,channel ►i � i1cubic rds D
.
i
i Boat ramp _� i
i _ _,—Boathouse/Boatlift -
Beach Bulldozing I } d '
Other $S1 Zoe { .fit .
fed a2d i , ' v-
Shoreline Length l (E0I YI I I L , 1 ITWNIh
SAV: not sure yes CV 1 H. 1i __
Moratorium: n/a yes o i 1`,....................__......_.....601
L........................................................._......................................_.._._............_.._.....
Photos: yes �.� .
1 --s q Pr( I 1 I--- -
Waiver Attached: yes C I
A building permit may be required by .11 4 ( Cice CRe \f . . .' See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) Ql �, nNotes/Special Conditions._ ±.4-irrick.t�© 4 �' `Ct- (,L � � G � 9-+
--ETLi v:}v.. 4--\--4N-L-L
1ent or Applicant Printed Name
Permit Officer's Pr ; m d Na -
Signature **Please read compliance statement on back of permit * Signature ` 1 1

0 ❑CAMA/ Li DREDGE & FILL N9 80304 A B C (D�
GENERAL PERMIT Previouspermit#
)G ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality 1 j
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC i C , 1Z
CC
❑Rules attached.
Applicant Name CS
I 1�0 cl1.)(�O'(� Project Location: County (Qc.UJ vl �s
—
O
Address t 101 ((JAI C ("--)'A1 Street Address/State Road/Lot#(s) 333j I--1Csf Ack 1sfe
City V"jk'1`n State'T ZIP 3 k
Phone# ( ) E-Mail Subdivision
Authorized Agent - e V\ 6:sY1(,vA -1 City( ..Gg<"�t' i 52 GC..\/\ ZIP L C:.,''-(16
Affected ❑CW ❑EW '®PTA ❑ES ❑PTS Phone# ( ) River Basin C 12
AEC s : ❑OEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Bodyf�� rf// � / 1r'�'' `�
( ) ❑ PWS. Y l,(_ (,,l r lC�t 'Oa'/man /unkn)
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body 647 iL
Type of Project/Activity • ,•,4 ._00 , _x Lti. i Ll`'
(Scale: Kj1 S )
Piei,(dock)length
Fixed Platforms) - •i - "` 1 i 1
' . I
Floating Pla�orm(s) I ; i ,-) l -t . I
Finger pier(s) � � 40
Groin length � �� I
, ,
number
Bulkhead/Riprap length T :..... ..__.. 1 ........., 1`t -......
avg distance offshore i p\ i IFTjlemax distance offshore I 4j`4 0). 1Basin channel i '`� (1 N , I.
: , , , —
c-rf
cubicyards j i �• It , ' '-�
.L
Boat ramp ` 1 N� z, 4'C'
i
Boathouse/Boatlift — G . Y.}`
T
t
1..... i �: s'�t e
Beach Bulldozing j n .,o I
Other'l C]7 1 �c.� ' d I
ck404'e , a 2d i
� .
Shoreline Length 41
//"Goo' + I
-gA\11\o'r , ,
,
SAV: not sure yes Gpae) j +� {
t � 1
Moratorium: n/a yes Q �1�. .. .. ..... ... • _
..*
A t � .
Photos: yes l._/ i — =-I...
r-
Waiver Attached: yes >o
1 zi c ; A Arc
A building permit may be required by:�-I.4A\ ( ark'Orck• j U.C\N. . U See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions N O cm,,kh r—C �ta ()Le'�Qv tom, a- 1 C)- -C
c— rL i� ! i-- -ar (' F d -IZy cl LL."f \A
ent or Applicant Printed Name Permit Officer's Printed Nam
Signature **Please read compliance statement on back of permit** Signature '
1 • {

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permt C T 12- 0-C-t ccr-j
Mailing Address: 14(o\ kicui
Phone Number: t c q 1 cL Sic(
Email Address: C✓DO q eh and? 7Mai/.Can)
I certify that I have authorized rick- e c ,,► er -‘4.( , , - a/Sietir%CcfrA7
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining a CAMA permits
necessary for the following proposed development bI-_ki ter,( ).
at my prey located at t9:3,7- Hor t ot& tfR_
in New io=. v County_
1 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
fit or Type Name
eane,r
Title
7i / u -f
DEde
This certification is valid through - 1 1 1 --

ADJACENT RIPARIAN PROPERTY OWN4B STATEMENT
I hereby certify that i own property adjacent to C -5 4,-0 vc nark( 's
property located at 2.3� fotto(ct,_
e, (Name of Property Owner)
('`{ Gr�t�t.. (Address, Lot Block, R , etc.)
on
{ in C tR^e. ck , N HithOVe114.C.
(Wady) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
\k. I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must NI in description below or attach a site drawing)
5e,e tret,V-11‘f\-r
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 154 setback requirement.
(Property Owner Information) (Adjacent Property Owner information)
siNee sig e
c %c t),4
Print or Type Name Print or Type Name
Mailing Address E Mailir►q Addr
City/State/Zip 4 City/StatelZip l
Telephone Number Teeonone Number
Date Date
(Revived&r1$2at2)

i hereby certNy that I own property adjacent to CI- {30 Vc
property located at r (Name°� Owner)
on Gro - (Address,Lotetc.) -----�.
(Waterbody) , in C ek €f{ahat"e< LC.
(CftylTown a clibr C4xeity}
The applicant has described to me, as shown below,the development proposed at the above location.
thaw no objection to this proposal,
--- I have objections to this proposal_
DESCRfpnON AND/OR DRAWING OF PROPOSED DEVELOPMENT
( +Mt l proposing ddvetgpnrent must fib!in dascdpilan below or mach a sits drawing)
Ste
•
I understand that a WAIVER SECTION
minimum distance of15i from my of Rpm access, waivedoring pilings, breakwater boathouse,lift.by groat oast be set back a
me
the setback, you mast initial the appmpriate blank below.) - Of you wish to waive
I do wish to waive the it'setback requirement •
•
" I do not wish to waive the'15'setback mq
u
(Property Owner Ian) 0416, t
Sigtgla2
60t1
si8maturee9ksta-4- P.. Ls It5,401/,_
P
�t 1 e I r�r� 6 $�t°�
AaBaFeas ` - C Y �C
rtelt-eratit
{ ��--Q `ict lo- 9 -._ 6)3
Telephone Number TeFephcvne IYtmber
Dale
Date
(Revised 6F18 2012) +�

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Cbck
Date Received Date Deposited Check From Memo) Name of Permit Holder Vendor Check number am000 Permit NumbrAComments Receipt or RNund/Reellocated
Column'? Column2 Column. Column/ Colleen. Column. Column? Column. Column9
8/262021 AMW Docks&Marine Construction Raymond&Rebekah Watts BB&T 6428 $ 200.00 GP#80273D _ BB rot 15623
8262021 Rumbold Automotive LLC Richard&Laurie Rumbold Summit Credit Union 5902 $ 200.00 GP a#80283D BB rct.15622
8/262021 Jerry Ennett Dorsey Daniel Jr. Coastal Bank and Trust 4092 $ 200.00 GP#80288D JD rot.14092
8/26/2021 Southeastern Coastal Const.Co. CJ Bouchard South State Bank 12297 $ 400.00 GP#80304D BH rot.14125
8/26/2021 Carolina Marine Construction,Inc. Sarah&Ronald Seawall First Bank 13231 $ 200.00 GP t80275D _ ICE rct.15732
8262021 Camden Perrier LLC same First Citizens Bank 1108 $ 200.00 GP 880252D JD rot.14921
8/26/2021 Coastal Marine Piers Bulkheads LLC Jay Milam Wells Fargo 23998 $ 200.00 GP t80150D JD rct 14919
t