85700D - Jordanova

o�°`C ,,„ ❑; MC
A DREDGE & FILL No 85700 A B C D
Previous
GENERAL PERMIT
Date previousions permit issued
New Modification ❑Complete Reissue ❑Partial Reissue
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 // ` foil. /;!C.(. ❑Rules attached. [ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name 01( i CI cip elaviA Authorized Agent -��L`•,.lC r�r f1(`� aP y 1 CPS .
Address I L7 S Pc_O w,0 (r, v I-L( t\..e. �7 Project Location(County): 17r"',Vl(l v a4 i(
City &')c 00 'A173-Y.1 St 6 ate .Sc. ZIP a2Gl()-s� Street Address/State Road/Lot#(s)
Phone#( .4 /) - _ - -' r 5 4,in �'19-e.--
Email k('� ):':+ �{i I f6? /yr ?IA. Subdivision ll
// City i-tin 1 12 i✓(-act..f ZIP .).<Qt,x
Affected CW I I EW - PTA ❑ES I I PTS Adj.Wtr.Body G-.. i ez,e (nat/ /unk)
AEC(s): ❑OEA IHA UW ❑SPIMA PWS Closest Maj.Wtr.Body a / GtJ V
ORW:yes/no PNA:yes/no'
Noe of Project/Activity "''z/" r`:l 712" G d I} lt/ .i /7//L/'! - ,..}'j /hh1
,•
/r4 fci // "(Scale:j75 )
Shoreline Length -% ,
Access Length - .—
Pier(dock)length
Fixed Platforms) ....._.._._
Floating Platform(s) I
Finger pier(s) ! f -....-. �� cf � art, 1
, fic
1
Total Platform area �
Groin length/# 4 t 44 e�
Bulkhead/Riprap length ✓
Avg distance offshore - a C� ")a a S - �
Breakwater/Sill j 1 -'1 M` � a
111 iy,�lV�
Max distance/length j I i : ,a GCr S
Basin,channel -" S 4 0'A
Cubic yards �
Boat ramp
Boathouse/1oatli t IT f- 13 1 i
Beach Bulldozing
Other t st 1 r _
SAV observed: yes nti+ W N i vim" _.__� _ . .a_�
Moratorium: n/a yes no j i 1� y
Site Photos: yes no {....._..__... ram .._ M_..._._..w._-.._
Riparian Waiver Attached:. yes no f- t)r/t,p r-,tt /I I I(cat
,
A building permit/zoning permit may be required by:_ nt:///e'i //(G 17 t�/(�LZ
`; 87's 1-�/ 7/ 2 ' 1 /Z 7 ,/ _, j4e ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions d.Lf. / t� fj` � JJJ / /r ,L
��`1/./ fi1-;.7 !-�l' C" lf. f`/c/ /" e,,-- ' A // (� n See note on back regarding River Basin rules
11 !l n See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS HAT APPLY TO THIS PPRpJECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial)
agent or Applicant PRINTEISmg, - vt Permit Ot er's PRIN�TE a/mew/..., ^e/1

. .
XCAMA 1 DREDGE & FILL "Ss ,:) „? ,. A a c CD
Is
GENERAL PERMIT Previel is perm:t
Date previous permit issued
a
_flew . Modification Complete Reissue Partial Reissue
As authonzed tiy7'e- 'e=c No.': C.----o•esa.De.mrtment of Ensoronmental Qs,alay.71,':•.!!"-:Cc.' )Resc•Jrces C.tn-nws_s!..-,‘,.,an area of eqs--ar.rnenco..1 concern;•.,•-t Aar.:t..
I SA NC-AC OTO Ru!es attached General Perrnt Rsies avas:atte at t't.,ft.st-A.n,r,I nr..wer,jeo ,c ri,-:-C.e'''A-sts
I ikiapiicare Name .1/1..r._laDirahlatiligt_____
_ A.Ahenzed Agent _45_c_,ustruciark,Sew,tes W.-C.
I Address t O . Paim4040 (:oye,_1.41.ne.. Pro;cct 1..C.Catiarg a Cca•itr 31:1.4•1LIA _
s 1,1.Ic
ft)__ _____
.i. S.C.,. 7.1' Street A.ddress Stato P,,,,:,Lot A,s
None*.:to3 _4117_746 g 7. - 115 EfilliCR.rik. gvis44— _
Env ve.44-44,\:.--aldaya ittin.to-nk _ subdv, .
otr 14vitlen_ 13eaci,/, DP
Affettod E.'cv k#EYst '‘_.' A ES PIS Adt Wtr Body .- _
—.
—
AEC!ss '—IDEA i,IA UW SP1MA ._.,PWS omen mai ww Bad,..A.I Li,14/.
_ — -
OM vez5;7 cv A .
Type of Project/Activity -M.,/-'7.0./ 49 .Ar-iii eclr-Vg-71 , plia,...1 .6.F-7-strti4_,
--i— .
‘scale,:a5 )
Shorene I /
Acce“length
,fsc!'(dozr!lergtn
Fixed eiatfzimis) _ _.
F!oabrsg Ptatiormisi
maw pieris)._. --- _..... _
I" ,•
Total Platform 3-a_ ---
GezIr
4 0' PriteA l
eAdieaa 'r.1,1 :..:i:
___
Ave d,stance olf;r10 re
Breakwater:SA!
Max 14 tar c el 16115th 3 1 I "IL7---w 44,0,4.1•1174.
-----.—
Sawn,channel_ 51?).-
—
Cubsc yards
Boat'Imp __ "-----11°•1;77'roa hut E147k1
Boathou-Alli13011, r r vA-t1414
Reach BsIlIcic2ing ___ ffi
Other____.,
1 P)(f IllItS
811- C./
l 7 I ft
SAV ch,etsted ye:: e,
r---
Moratornim ,s., ves Of 113(w.A.. ) .714
ib -72
Site Phctos yes 13 / 11-1,4 IF-v.,* ,/,
.... t 13. 6.,,,,,,,..J)
last,3,tan s.Varier AH-r_herogt01 nc Cirartertht.
A buedsng perm•t, .-,r,r-, f rn,t,..s,b,•••1..•,-t:, ,phil__
Permit C.:"^a bon, ,Ail. 41.709: a
i
_.Difre_. Li TAR PAM NEUSE BUFFER lc mita ofuri
ElSee note c,-,back regard,ng r..ver f31 ,"1:!::D see sedttona,rote; :sono,nons P,
I AM AWARE Of , RUEES Co' IONS THA Y TO THIS PROJECT AND REVIEWED COMPLIANCE STATEME_ In,m,i)Nnifr" s e
Aophcant oPINTED .e..ilil..- - 1, e LE,
,,,-,:. R'N7 - . .n.. ___ __
It -.23- 21 ri
hi
,7•.,tire•` /0 Please reggeoharice statement on te.:s of perm.1•• zilis.
Appkation Frets! (neck P Money Oro • lkiv ng Date
•

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit Oa/ J012DAA/OVfl
Mailing Address: /O Pe9t/27Z•yrO .a/4" J14/,
./E-VAcG-72 z! c, zgO r a
Phone Number. W 2 60 7
Email Address: Vs1-i m; re h N yA oo, COM,
I certify that I have authorized '1746" N Aoi A.) gy1d/cF5-Zee
Agent I Contractor
to act on my behalf,for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development /4/371fzL477d of
at my property located at //s y/Gj/ l o//t7 ��5
in $.rv,swic,K County_
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff,the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.Property Owner
Owner
Signature
1442.4. �"oveDAN.//.9
Print or type Name
Title
l0 � ►4/
This certification is valid through J I
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DIVISION iFCS1ALM
ADJACENT RIPARIAN PROPERTY OWNER 1101119CIMONNIFAIYER FORM
Nose d Properly Onsrsc L//LL-,' oRD f9,A/C3✓,g
/lddamsetAWN* —//,-", Oc,r,1. i Ale in+re4veck
(Lot or snot abut ar toad,Cot&Cacah
Awes Name* 115 etrAGIADel tlisigAddner MT PtS6$# P
Agents phone* Qtp p i81 1 tit-
i herby cerNy riot l out pnopedy Mined b the above rai.snced primly.The irdridid
appkig fortis permit has&sat d&ma as shown on tie aftshed dominate dsw opment
disYn: Liss moliectiooslb psopos_ Iisacebtoefiooslotiispcopasi.
4-11Essailibelboslorbiliebsba a stsoelyMDQasna rembt stQ011)b
Wars IOW**Narwsewt aae+a osia+risilholooiiiitT Carded DOPE Sd,
Nillampow,NC.2114160111. O heirs ssrsbs a..ads be goolootorat Erna ab..ipe...r
aossidmwt als oar as asaMeestos Thee berg Imo max d br
WAIVER SECTION
I understand&eta pier.do*weft ft DIVA.bmdaraiec.bps.et or spin mist be set
beam minimum Mama of 15'tom my area d rtprirt aeosss+des mimed by me.(If you
wiehbwalrnsfissellmd4you poet t ihsapproprli 6i ettake r.)
diA./1 do'Ash b wahelie 1B setback requirement
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i Ida not wieb tombs Ito 16 sae*regaiemet
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A##oTrimp loos► Adntor offrss
/06 Awimiro C2 1 tI Z3 lil 1;pp►r,e. C,(-eer,' L c-
Mike Mims Why Mdria
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Obicasiarlip
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Ta/ep one Number Tisqophono Maim
9-29--21 •
/D/1031
Date Das
Rocked e/162012

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Chock
'ad Date Deposited Chock From(Name) Name d Perm!:HOMY Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated -
_
Coumn2 Column. Column4 Columns Column! Column? Columns Column9
021 Paul Usalis same M&T Bank 3015 $ 400.00•GP#853200 BB rct.15927
Major Renewal Fee#61-14,Waterway Park,St James,Southport
021 J Taylor Ryan St James Port USAlliance Financial 3874 $_ 100.00 BRCo Tmac rct.16827
021 H5 Construction John White Twist 1035 $ 200.00 GP#85699D PA rct.15959
021 H5 Construction Villi Jordanova Truist 1037 $ 200.00 GP#857000 PA rct.15958
021 H5 Construction Jennifer Susan Simmons Truist _ 1036 $ 200.00 GP#853010 PA rct.15957
021 John McClure Mark Davidson Truist 706 $ 400.00 GP#85311D PA rct.15953
'021 Dilly Dilly Inc. David and Luanne Lane First Citizens Bank 1662 $ 600.00 GP#85698D PA rot.15956 .
'.021 Sea Dog Marine Construction,LLC Waddell&Reavis First Bank 1470 $ 400.00 GP#853130 PA rct.15719.
'021 Sea Dog Marine Construction,LLC Jody Frank First Bank 1477 $ 600.00 GP#85316D PA rct.15721
'021 Sea Dog Marine Construction LLC Laurie Webb First Bank 1478_$ 400.00 GP#85314D PA rct.15720
'021 Chucky Grant same 'First Citizens Bank 3140,$ 200.00 GP#856650 PA rct.15725
'021 Sea Dog Marine Construction,LLC Scott Cutting First Bank 1471 $ 200.00 GP#853170 PA rct.15722
'021 John T Pappas John and Susie P_ppas Wells Fargo 456 $ 200.00 GP#85312D Pa rct.15717
021 Denise Kloe_ppel Denise&Kirk Kloeppel Wells Fargo 2788 $ 600.00 GP#85696D PA rct.15724 _
021 Bruce Windham same Bank of America 771 $ 200.00 GP#856970 PA rct.15723
'021 Carolyn MacNeill Mable Buchanan BB&T 679 $ 200.00 GP#85666D PA rct.15952
021 H5 Construction Patrick Walsh Truist 1077 $ 200.00 GP#85308D PA rct.15951
021 McPherson Marine Services,LLC Steve Vest First Citizens Bank 4592 $ 200.00 GP#853290 PA rct.15954
021 I McPherson Marine Services.LLC ,John Bednarz First Citizens Bank 4591 $ 200.00 I GP#853270 PA rct.15955