85308D - Walsh

"t° OCAMA I 1 DREDGE & FILL 5308 A B C ( .
'GENERAL PERMIT Previous permit
Date previous permit issued
n New Modification n 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:
I 5A NCAC (.17 rlaig-ra...00 n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name {'(t 4-i.(Ic L jr‘ 1,,„1, 1 Authorized Agent ° • / c .;,Ce 1 LL-L-
Address :1 ff i,:r ,I a.,i,"1 F. ''( `- ►C t ti i, f .. Project Location(County):
City C 1 It,(.le f h' State t\J C ZIP 5- 7 0 Street Address/State Road/Lot#(s)
Phone# 1/C` f.-2L� 4,cie t)t-, 1f"p ,. %✓.\.
Email 7r' E)pe tyr:f,). (�' Subdivision '--~
/ City t'(t- Ici(yl &CG1.6k_ ZIP 2 i((;..
Affected CW n'EW L'PTA ES PTS Adj.Wtr.Body t !+l!4'1 (nat/ i/unk)
AEC(s): OEA IHA U UW SPIMA PWS Closest Maj.Wtr.Body (I'I 141 141
ORW:yes/he/ PNA:yes/&
Type of Project/Activity /'✓ D) ' ;<l.•( /0 ((') S h'Z-cc --(Ai d4-1--> +ryi I zr si (/ -r!'K-AK f c(!'G
i 't d baa+ >, "(Scale: NIS )
Shoreline Length tiO
Access Length bk.,1;
Pier(dock)length
Fixed Platform(s) "`
j -j
_ _ ..., a_. _ ._._
Floating Platform(s) $ r 1 d Finger pier(s) •—•
Total Platform area 9n SF
Groin length/# -.M
Bulkhead/Riprap length ..+ jc7 /� ,-;
Avg distance offshore t r t+I
Breakwater/Sill :x ll:G.
�`
Max distance/length /X-(r--/
i
Basin,channel
Cubic yards _ .sv' -. ?s •::(...«._-;.4.-r-�-,.- .171
- . -,._----
Boat ramp '� d 1{ I-- ag
Boathouse :oatlift 13x 13' L. i I
Beach Bulldozing `"`" a d H O.
Other Y'bJS 1 i-, r, - .......
SAV observed: yes ffcr
_
Moratorium: n/a yes Oo ---
w� ��-_. -.-+-•-..-. _ _ .._�r
:.
Site Photos: yes bo
Riparian Waiver Attached: (.es) no ,1j,, 1-I ' 1,._.; P/. f
A building permit/zoning permit may be required by:i fyvr,:/ ' rr� ,n,,4i_!,
U n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions A"t i - ,lr/!r
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)
Agent or Applicant PRINTED the �7' Permit Officer's RINTED Name
' / / 2-z1-22_

I ,
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting(fPermit: 11)2-, '(ii� 2 G�- Gic l�S�
Mailing Address: 7S t�) ILIA roces-+ as c s t D-
SI-KJh1/, tre- ‹9 s 71)
Phone Number: 9/S0
Email Address: `U/T Fi ,Pig,' ( gincx,f t'6rI-1
I certify that I have authorized ,4'3 �CY)S7rJfJio,'i Seivj ce-S
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -R X i to dy LLzr�
g)s i L rl f 1iiM b L o f D X+D A o cJk l9>►i,v1.okiu,M
at my property located at !t'1 1�6 /2,3 SJ
in iS3'U,s'1S vJ JC 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.
Prope ,,r Ovine Information:
tbYJ •.,
azik
/l'
Signature
Print or Type Name
Title
q
Date
This certification is valid through

Mamas a •
DWMS)ON OF COASTAL INANAGMENT
ADJACENT RIPARIAN PROPERTY OWNER PIOTWFICATIOPMNAIVER FORE
Panne of Property Owner. Mg. PR j t 1-Cd
Address of Property. 191 1 2 ri S f _
(Lot or Street*Sheet or Roam,City&Coungr)
Agents Name#_ 05 i$rliQo fling Addrausar 1844' 1'u1r P S 604. 249
Agent's phone#: 1%0 $sr�� �a t' �`i 1 C--
i hereby certify that I own property adjacent to the above referenced prop.The individual
applying for this permit has described to as shown on the attached drawing...drawing...to development
they are proposing.A deft:lotion or drawipo.with dimensions.fast benroVidectvirthiNs letter.
r i have no objections to this propose!. I have objections to this proposal.
iir you kavaatyeetioastowkasz,:,,;;»posed,yoowwtootilytheDiv:daseCo:staiLiastganuenE(=Oh/
Wagwitidn le dorsal/swig- a;1.a mass. Comm oMro,sbou1dba waived to 129 Dentinal Drive Ed,
sM uue o ilan �we1MMdbyf�rMrt cooloold� 7ss t2ieC No raspaYrae 1�
WANES SECTION
I understand that a pier,dock,mooring palm bsselavater,boathouse,lift,or groin must be set
back a minimum distance of 15'from my area of riparian access/Wass waived by me.Of you
wish to waive the setbec k,you enlist Initial the appropriate blankbeiow.)
1 dovish to waive the 15'setback requirement
de not wish to waive the 15'setback requirement
(P ter-.'. ;,:,l (AdjacentPropertyOwnerl information)
few
Signaitare Signature
ROT & / 0g 16re-0'Y
Print or Type Name Print or T'pe Name
norm -4nn
r- Ur ?- ` /7/-8' -11 S may /5-8'
Mailing Address Mailing Addrits
_9 Ala � - A3� A371> .1�3�L/6�' NC 17c�('
c yyl to / cayist .-
Telephone Number Telephone Nryxber
Date Date
Revised 6118P2012

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Check
ed at.anoened Check From(Name) Nema of Permit Holder Vendor Check number_ amount - Permit Number/Comments Receipt or.R.fund4leelloeated +
Column2 Column3 Columu4 Column5 Columns Column? Columns Columns
021 Paul Usalis same M&T Bank 3015.$ 400.00 GP#85320D BB rct.15927 _
Major Renewal Fee#61-14,Waterway Park,St James,Southport
021 H5 Construction John White Truist 1035 $ 200.00 GP#8 PA rct.
.rct.15927
021 J Taylor Ryan St James Port USAlliance Financial 3874
$ 200.00�P if85699D PA rot.15959
021 H5 Construction vim Jordanova Truist 1037 $ 200.00 111 GP#85700D PA rct.15958
021 H5 Construction Jennifer Susan Simmons Twist_ _1036 $ 200.00 GP#85301 D PA rct.15957
021 John McClure Mark Davidson Twist 706 $ 400.00 GP#85311 D _ PA rot.15953
D21 Dilly Dilly Inc. David and Luanne Lane First Citizens Bank 1662 $ 600.00 GP#856980 PA rot 15956
021 Sea Dog Marine Construction,LLC Waddell&Reavis First Bank 1470 $ 400.00 GP#85313D PA rot.15719..
D21 Sea Dog Marine Construction,LLC J y Frank First Bank 1477'$ 600.00 1GP#853160 PA rot.15721
D21 Sea Dog Marine Construction,LLC Laurie Webb First Bank 1478 $ 400.00 GP#85314D PA rot.15720
021 Chucky Grant _ same First Citizens Bank 3140 $ 200.00 GP#85665D PA rot.15725
D21 Sea Dog Marine Construction,LLC Scott Cutting First Bank 1471 $ 200.00 GP#85317D PA rot.15722_
D21 John T Pappas John and Susie Pappas Wells Fargo 456 $ 200.00.GP#85312D Pa rot.15717
D21 Denise Kloeppel Denise&Kirk Kloeppel Wells Fargo 2788 $ 600.00 GP#856960 PA rut.15724
021 Bruce Windham same Bank of America 771 $ 200.00 GP#856970 PA rot.15723 _
D21 Carolyn MacNeill Mable Buchanan BB&T 679 $ 200.00 GP#85666D _ _PA rot.15952•
D21 H5 Construction Patrick Walsh Truist 1077 $__ 200.00 GP#85308D PA rot.15951
•
021 McPherson Marine Services,LLC Steve Vest First Citizens Bank 4592 $ 200.00 GP#85329D PA rot 15954
021 McPherson Marine Services,LLC John Bednarz I First Citizens Bank I 4591$ 200.00 GP#853270 PA rot.15955