85674D - Adams

00`0"'''` IV CAMA I I DREDGE & FILL No. 85674 A B C
J. 14 G E N E RAL PERMIT Previous permit 1�2 Z rt
Date previous permit issued 3-Si-D ci
INI 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 0 4\ `Z 0 C. ❑Rules attached. Z General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name MC'- ' j e.,�` L�',�c- I c..+, 5 Authorized Agent J!I e `E•. 1 S<.�i'►.�0._)C
Address ' R 9 C AC�t,..,• ('IIR--- (.,c, �'.'n„ q Project Location(County): 13 ✓ � ) r c k..
City ,�`'<(.��c) ( State N C— ZIP 7 4 4 l-1 C) Street Address/State Road/Lot#(s) n
Phone#( ) f(o'1 i 80 ',�'S"1" `e
Email L,c A_ Q c C•e"..S 6..)lZ.v.J•(v r Subdivision
City ` ZIP
4"'-.l
Affected CW EW PTA ES n PTS Adj.Wtr.Body C.4-t\'t }S L'c,�(.4 `` ,,�[�v�- (n unk)
I
AEC(s): OEA IHA n UW n SPIMA PWS Closest Maj.Wtr.BodySl\e,t i C)1-L \C.._''V<..--'f'..
ORW:ye & PNes.�.ho r 1
Noe of Project/Activity ; Sic(.�c� rNe..� ;1 S\•e o(V.,. lc.r.k.�t(3 n-A cL.\oc.�..k-c.- a1R•St` gr
0\Uc,�.na, o t!C' `-+ (Scale:01-5 )
Shoreline Length f I5
Access Length "�/T ...
V I t . -}-•- �� __._ � --}--f- '— ��� �,r'`
Pier(dock)length Igo (9
Fixed Platforms) )< 1' c- b_
11� 11111112111
�.
Floating Platform(s) g.Xl2.� p11i � /1 1111111111111111
1, - M r ■
Finger pier(s) (I_F' C 'iMINt ___ ' ........ f c.............
ti kZID i ' \ •f 1111111 .r•,,cSE- 9",
Total Platform area Zia)f'( ' �c.a,V c��
Groin length/# ,- �^• •_ r. ,
` b
Bulkhead/Riprap length `9°- /RtO k � "f �- 111111
■ -
Avg distance offshore
+ �'
no
Breakwater/Sill mc.c g ' ��18�� f‘ ■ ' __
1111
Max distance/length A ampasin Basin,channel ? l '�.
S4,4 iii
��, _:imilii=moor
��i111
Cubic yards , _.. .�� � III
Boat ramp l.._,. _ _' __-_ _ .S" �-C_ a S I f:,' 1 • ����� UM
Boathouse` oatli /2), l2.
Beach Bullc)ozing "1 I 1 e
Other J O 1.........
!1 1 x-- ° ..' i i .."-*It c� .vas
t' ;'1 i' 2`
SAV observed: yes I- _Moratorium: n/a yes n r ,I y.i I *' �. I
Site Photos: yes • ..r.._f
Riparian Waiver Attached: Cye ( no i i ; ,
A building permit/zoning permit may be required by: 1-,_ f VAS_-•,%Ck CUvAi" •
( ( 1 n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions �a4"t+� f;oCl� i..��\C V,�n.V(, ��{eC�( (J�e. r
r� y, (
,of 18 ( a`�►t �'.iL.,S`t•cc,k, CI, T1µ.. VI-c. 0 '+"l- n See note on back regarding River Basin rules
l:S•J C'Ctf,\.4.+1 {.4..�. JCrc C,�C. .1 .! LJr, _.f A,C4_ en.t\\ �6,ve n /4 J (�\ 1 r / _ f L See additional notes conditions on back
�', (y+y, :.'1 J''b S�'„f Lk.io �tJ�o(X�n !,.C,I,t1 L..,\� n;;< -txLfit� i)rc c.-• ,
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) _/1iX
4....,,. /14./06 h.!%v�/r' ,jio(AC- C( N) 2-1\gent p I E ame r Permit Officer's PRINTED Name •
. �__3o.22

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Cc- c"rj
Mailing Address: I 1 2 CliNasALLY Ltiri .tc Tc•
Phone Number: q.5iD '6C711`"(9 7
Email Address: , _ ( iS(3. •ock(irn5J r 6. Cb,rr)
I certify that I have authorized c Q,'C'P..a(7�U 1ck ihtt..v'
1 Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: fZiere0 kx))
I x lc
VIed4zut ‘. */4.A ec;ai. ic) 1143A
at my property located at ric1.3 (')d.. 1.,( tnq '
in New r 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:
--770(1
Signatur
(YARN A r
Print or Type Name
tnev
Title
1 /
Date
This certification is valid through I /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to MAW d ti{4 A 6c 's
/� / ,.�y Nam of Probe Owner)
property located at (7Q eill � aet (.fit .� 67,4)
�_.j�-//��� ` (Address, Lot, ck Ro etc.)
on A�t/l.X� e in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
VI 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)
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 15' setback requirement.
(Pro Owner Information) (Adjacent Property Owner Information)
Si a!✓t�� /1- f SI l 1v l�J lP P�- G
Print or 7'1 a LGG 2 Print�or Name I'i�s CJo '° I 4
Mailing,Add s Z-27 06, MailingAddresa Sr1-11 C7 0 6 l)
City/State/Zip
3 9780 ,, City/State/Zip]s J .3(+3- 11
Telephone Nu ber Telephone Num r
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /n61 '4 L-t 561' fQ>4Y125 's
Owner)
property located at /797 e' e4L J /UJNae } PrtY
(Address, Lot, Block, Road, etc.)
on h.nii SYliZ'.E.f,im geit , in Shh4-a 't i - , N.C.
(Waterbody) (City/Town and/or County)
The applicant 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)
•
•
W 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
t e setback, 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.
(Property Owner Information) (Adjacent Prope Owner Infor tion)
Signature
kC SignatureHv m/K r i
Print or Type ame Print r Ty e Name
Mailin Add es Mailing Address. —
City/State/Zip'// cL City/State/Zip / /1
Telephone Number Telephone u ber
Date Date
(Revised 6/18/2012)

Consent for Use of General Permit 7H.1200
Lot Number/Address: 1l `B C.,kJ w, c`_-- A.,.. , r. S"J ��e`\l , N C
County: V(J^S,i.) 32.-- Subdivision: ----
Criteria:
(check all that apply)
l Primary Nursery Area.
e Less than 2.0ft deep.
o Greater than 2.0ft but less than 3.0ft,
o Submerged Aquatic Vegetation.
o Bottom habitat.
Comments:
el?�S« s �c s -`�.O New act- G,�Qrox P( l.e. l<<�_
ek" /v0 t t.Je‘(( - of a aC CoN.5L, C.tko,45 1 u^ So�'klnerxS4-
e)L/Lr OC-" �(l�C,-I& r(�CO ,1Or I\ 'ins. —/• V 1 AJL� ak le.-- °' erkre \
o L eD i. b kc A.k- c\ _ Ak c°^x•C a t, e i(6•.1 .Nic, c Co',�c�
Cd -
(* .rc' � a�.icla^ S 0n Ncw coq Cam' \.g"csov.k) SJo6W-€,.
Decision:
o Issue General Permit
o Elevate to Major Permit
NC Division of Marine Fisheries Representative Date
NC W. ' Resources Co 'ssi n Representative Date
h't-'4----...._
v to _2 9 Z z i
NC Division of Coastal Management Representative Date

2 l?C A/ ❑I�L�BL UGfE CI FELL 11;4to , �
3 �EL PEM [:-C Previous permit#
Qifew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC /,/ f
fry 0 d .
©Rules attached.
Applicant NaeAle,4 i'f 7'h tr tr•:l/ Ale t 11 Project Location: County 3
m -zZ.t-5'.""t er.
Address f 7 9 ii' C fi A, r4,1,c k I,,..+d.....5 �),t . Street Address/State Road/Lot#(s) ,/7,7;,L�
City. A,,1 is 11( S tate✓Y C ZIP 2
7 Y?G Phone#VA)) 73 `/- 7 NI> Fax#( ) - Subdivision
Authorized Agent "R'. 'h ;3c • ...:'N City .L__ ' "`f -:( ZIP 1'%i e
Affected O [3 CW EW OPTA p.ES OPTS Phone# ( ) River Basin Gr<f I, —
O OEA O HHF ❑8H O USA O N/A
AEC(s): Adj.Wtr. Body_; :Ili r _.5.0 A %.'.. ,d nat /man /unkn}
❑Pws: ❑Fc:
Closest Maj.Wtr. Body /a/Iv
s-/ ...
ORW: yes 'tio_ PNA cief/ no Crit.FBab. yes / no
Type of Project/Activity v7,•, v: / f ..; . F i /D c k
Pier(dock) (Scale:•/ "3 G
~ ' ,
length gt ...-_ -___ --- ___-- _ -- _-__-
Platform(s) ,% r �r'c1
Finger pier(s)__
.
Groin length .
number. --___--- L�
Bulkhead/Riprap length +i
avg distance offshore
Pi
max distance offshore
l
Basin,channel - r ;
i . ..
cubic yards
Boat ramp ,, 1,
Boathouse/Boatlift :_ .. —
•
Beach Bulldozing ._� 1i �._ ; :--' . _ t -
Other : > .'-2. A l2 ,. ' f —
Shoreline Length i 7 -- I--r- MI•
.
- --
SAV: not sure yes ;no + .. —r-y- -
Sandbags: not sure yes ; no .ram ,;_w
Moratorium: n/a yes „..no i
t .. ,/ � .. :' _ ,'.,,.(1ri' tid , ,M .Photos: yes (no -}-" ( f4 r f i t _.
Waiver Attached: yes brio _-_._ _...—. ._.._ i —.--._
-
A building permit may be required by: ?Q .«s .c ` /
(r;,.� ' El See note on back regarding River Basin rules.
Notes/Special Conditions /71 ( et- J r a
•y A-, I;/s . 2 4 )2, G ,r%'s .., 6/! t, s i;,'
az°.•w- / i4
S �-
Agent or A(plicant Printed Name Permit Officer's Signature 9P if,./ 7>. I✓.1.I6✓
L . ' r/ c t E t,'; 1 A G3/7 i./L C. Cj f'/ c,c
Signature "Please read compliance statement on back of permit'` Issuing Date Efcpiration Date
A'7/ .. __ d'f7?c. - a. r. . _/_ Ai/7 771 /fJ.v

C©ii lln'l ffeT Um ®fr C aueir ill I annuna 711-1IOL.206
Lot�ftmrmnlic��'/A�ldr cooTU2_ � �:(: �:� P e S� ��c,��a �e
cCotantyo Sul dilvkaom2
(cheek all that apply)
(4) Primary Nursery Area.
rLess than 2°0ft deep.
CD Greater ii::n 2°0ft but less than 3°0ft.
Submersed Aquatic e Vega,;.ttion.
Bott®m habitat.
Commm entsso
(J� * r "^6 ancb,c cV S tin (few lei e e,(00 S,4044n4t.
lIDensnona
ISS.0 General- Permits
Elevate to Major Permit
l'C Division of'Amine 1 eprese dative Date
NC W° ° R 0UTCO§C 'SS. an Repge,sentcatbve 'eats
NC Division of Coastal Mu;age; ent Reps native Date

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PRELIMINARYPLAT
.td Iw•. too 1MRoca. r^p M.. e.ra4•fe. 1 Mat u1101;0
I Dn.• s'.: wee \ NOT FOR RECORDATION, r"'---- a"•of ____.7021
Q ry No**Swoon.w..w N 1 n.. Sue Pogo.,
0*0*7041,I44.1EIe CONVEYANCES, OR SALES
1M '----
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•
.MI bkwwt 35.Su".to A-13,12
Mop of Wetlands and CAMA Lidos
Donald G. Crews, PLS 1798 Chadwick Londrng l).ve SW
5501 Wrowh.od 01.d. 5 4ONt., NC 28470
147111.93oe4.SC 29579 Lockwood roil>.Township,9tun.wkk County.NC
103-907-,7M
1:1O10400TGCSv..yrn9 4017 Pr.porttd tar
• 3ililialir 071450r:k e04*Maw Moon, 0401 wino SOW JOM MOMS
SC470. I- - 7d DATE:0e-11.2021 IJOD NO, 19020I Seat,ter Ito I

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' ^"'1;' •a.. • • ..,, h ,.`• ram.
"Usti existing 8'x12'floater from other F/ "t '
docking facility ? t ' %$
s _
"Floating dock will have stops at 18"above ,
substrate '' "
i•
*F' 1.8 N LW
212 127 7":* APpfox pierhead line
12
8 12
-3.0' NLW

Check
e1 Dab DwmMad Cheek From(None) Noma d Perm&Holder Vendor Chock number amount Permit Number/Comments Receipt or Refund/Reallocated
Colonn2 Columns Celmnnl Column5 Columns Column7 Columns Colonn9
21 ,Jerry Ennett Town of Topsal Beach Coastal Bank&Trust 4211 $ 200.00 GP#802900 _ JD rct.14094 _
21: I Carolina Bluewater Construction,Inc. Jason and Kim Jeremiah BB&T 23965 $ 200.00 GP#85318D BB rct.15550
21 Steve Hall Com Real Estate,Inc. Steve Hall First Citizens Bank 1331 $ 200.00 GP#85628D AW rct.14879
21, Coastal Dock Builders LLC Patsy Weyher Bank of America 1009 $ 200.00 GP#85626D JD rct.16012
21' I Bradley Hartsfield same Wells Fargo 191 $ 400.00!GP#856270 JD rct.16011
21' ,Mark Adams Mark and Lisa Adams State Employees CU 1097 $ 200.00 GP#856740 BB rct.15549
21. t,AMW Docks and Marine Construction LLCM Donald Denton BB&T 6306 $ 200.00 GP#80235D BB rct.15548
21 !Delta Dock and Boatlift (Tommy Poole First Citizens Bank 9179 $ 200.00 GP#856360 JD rct.15588
21 i Carolous Building Company :Rick Stafford First Bank 1489 $ 200 00 GP#85625D iJD rct.16010