85395D - Ferrell

/ `°ter"` clf'ICAMA DREDGE & FILL No 85395 ABC 0.
J. = GENERAL PERMIT Previous permit
Date previous permit issued
I /'J New I I Modification Complete Reissue n 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 L`)L '- ff ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name i r." 'r r .-t \ Authorized Agent
Address VI,'VV'n✓ ‘2--()* (2 Cl Project Location(County): `.
City ' t w-` 1 )-}P7v" State i`4,-. ZIP 7 S LI L.S Street Address/State Road/Lot#(s)
Phone#( 1lq )T''f 5— ; , l...F
Email -\ C E n R ( ' k l oo ,', Subdivision
City ZIP
Affected 0 CW ®EW 0 PTA ES ❑PTS Adj.Wtr.Body / v ' ! (nat/man/unk)
AEC(s): 0 OEA ❑IHA n UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body . AA '( { I JV r`-1 G1
ORW:yes/9c: PNA:yes)
Type of Project/Activity` ? ( p\Ol.0 -1 Yl( i\k4' CJ ip(C tk C. c.( -I ( aG -hi (',J k....o ,
P.Xt j"�v‘ 1') 1 Lkj'r po v 4 . No Vsi ov v- '-)ti o--) 1(C.t �p„ .11(v for ' + . (Scale: .;)
Shoreline Length G"�' 2 ' 1
Access Length - .: K tr {_._�. EM ( 1
II
IOMlhaliWillrgTg
Pier(dock)length i 1111=11! -��®�� I
Fixed Platform(s) ►
G■ �� i�
r... j
Cl4- 8 r tag
Floating Platform(s) ' i( r4X i h bo S !(,4 4
(_.-__ UN _YVu WO ) C(4���
Finger pier(s) IIIMMIIIIIIIIIIMIIIIIIMI
Total Platform area c,�
Groin length/#i `
Bulkhead/Riprap length / 1 I
, 7.---- -Ell
Avg distance offshore
--
Breakwater/Sill i .411111111.11111111.110111111��
Max distance/length
Basin,channel _ �171 ��—
Cubic yards _.._. 001
it - ... v
Boat ramp AC f 'J t
Boathouse/Boatlift
11111111111111MISMIKEMIIIME11111111111 N
Beach Bulldozing111101111111EW —11111111
Other
MEN 111111411111011NOM1111011111111111111111111111111111111111111111
SAV observed: yes nP aimmis Moratorium: n/a yes no - F, Iiita , ± � ■ M
Site Photos: yes no 71 '�'j
Riparian Waiver Attached: yes no t'rrh rams 1.i,v e , , © N ' s me+a'L'tri9�
A building permit/zoning permit may be required by: C '_1� (. vv k\" v'Thy,
l-�: )•-•-- ) c i I S k I f 1 Q tr p 4-ede k c I ( ovci I.h, ��� n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions 1 '( L` �I t'J'
. U - "'`,_0) r- ,>i)) . ,\;I;} Q)I>60.t,`co 00 i,, i v d t IA ,'( n See 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)
iA t4ta(i 4 Gi M4A0V,Ae C Ik C 12.-7,-21
Agent or Applicant PRINTED Name Permit Otfi er's P INTED Na
. � 1 I 6-- LA-2—zZ

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S.Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie, Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

,� %CAMA n DREDGE & FILL No 85395 A B C 631
1 GENERAL PERMIT Previous permit /Date previous permit issued
54 New ['Modification El Complete Reissue n 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 .444 . 200 0 EilRules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name AV.1511/4i Ve..166toti Authorized Agent C,V 0i.&e.. e la v"
Address S El.A. % l,1 CQV CZ-4-3* 12..4. Project Location(County): 0 Q.1N H OVC/
City1N k\ Lt---rytt,1" Statey R.- ZIP 4Q Street Address/State Road/Lot#(s)
Phone#( )315-• l q iIj CA-!A me
Email J A E n F S ko Lit Subdivision
City ZIP
Affected MCW K EW XPTA I1ES n PTS Adj.Wtr.Body pa Wye/ ( a nan/unk)
AEC(s): I I OEA n IHA n UW I/►, ,r f,
n SPIMA n PWS Closest Maj.Wtr.Body Y vLl�Vt K..
ORW:yes no PNA:yes/no
Type of Project/Activit CLe.?lace e_ `mo d piev Qi-eQ -PI o4--I kqr . (CIOC.dl[_ (In -F
kA s fi h4.V1 i NO v.r �\C. y k6 -F.Jt. boa-4-t 44
i o Scale: 1 v:20f)
Shoreline Length /- 5 Z
Access Length 2 r X 4 � 'NIA)w ✓t_ ..—
Pier(dock)length I2-I1 C Ov'e' N
Fixed Platform(s) /
U.g��r e O
Cet
Floating Platform(s) Z0 r X yt 1a f /r``
Finger pier(s)
/ h° `K°�'C� Pw Po
O 0
Total Platform area I L.0 S .
Groin length/lf
Bulkhead/Riprap length V, jrj
Avg distance offshoreliallP
Breakwater/Sill
Max distance/length
........................1— \________
Basin,channelannel V,
Cubic yards r`
Boat ramp (// rtploVi-14 i2U
Boathouse/Boatlift CVN) /�ri)
(/7 gabs v c✓
Beach Bulldozing ll k
Dther t y/ r'
icittzk
VioAV observed: yes
Moratorium: yes no ).4
iite Photos: no a"l/7 y ,1' 16
2iparian Waiver Attached:i no C tM1ty� '�.-pit, �.�WQ,�1 ? a.41 CPtLbttr-jV (abet/
ic
L building permit/zoningt permit may be required by: .i.'M D1' W htkoe' 17^�j 1 V W
'ermit Conditions.1 t 1}{4 .Za001 t0(�6tt( S' aha ,PC�i4Q 1 �y l-hrG�'1 I I TAR/PAM/NEUSE/BUFFER(circle one)
is itIVka,1S �crP11 . No P u�
t�v � ��t� ��.'1 Yta/!'Lf-(i• n See note on back regarding River Basin rules
nSee additional notes/conditions on back
AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) +. L
C.1• `1 E le-.,,.. _YAP C&A� A E11GS
tent or nt E r Name Permit 0 • er's P INTED Nap
gnature**P '.se read compliance statement on back of permit** , Signature
/1 -

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
kerl " l^ �r 1
Name of Property Owner Requesting Permit: ! 7 1
Mailing Address:
Phone Number: C� 1 10`
Email Address: VIA r •1Z t -- osJA"1Q``‹ CO'
I certify that I have authorized C. k i�
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all (AMA permits
necessary for the following proposed development: P I P,
3
at my property located at � L S�>�""^"'` ` ` ��t )
in \‘‘oA0NrC,,t'"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:
i
Signature
Print or Type Name
`-� h --
Title
lly l
Date
This certification is valid through I 1__

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A1z1 y �' c', "k 1 's
(Name of Property Owner)
property located at L-�,�1 tip.-.ro c-5
(Address, Lot, Block, Road, etc.)
on , in tv-.t_ C 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)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, Ii`t, or groin must be set back a
minimum distance of 15' frem my area of riparian access unless waived by me. (If you wish to waive
\ the s- back, 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 e7y Oyer Infor Lion (Adjacent Pr pe Owner Information)
Signature S Y Whir.1!' r
Print or Type Name Print or T%(e Name
11.1 21( S fai.z.,r
Mailing Address 7 v _ A4at(n �Acki essA 7 A�
t 11 tfirrj '!3 /_ L- `E°�
City/Slate/Zip ! City/Ste io% 2.4
vke61
Telephone Number Telephone Number
- _ 1 ) .14 -- 11 )75 A 1
Dare
(Revised 6/1 a/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ i\-viNci f r --`l 's
(Name of Property Owner)
property located at."1--1 c ()v w v 1- -- -9- . R.,.A . -
(Address, Lot, Block Road, etc.)
on _, in_ 11i� •vcJ-r (curry 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 j __ 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)
L
Y
Ck CLn�,,\--r f.
-' l
u
WAIVER SECTION
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.)
l do wish to waive the 15' setback requirement.
7" I do not wish to waive the 15' setback requirement.
(Pro erty Owner
r infor ation , (Adjacent Propert7i Owner lnformmti`n)
Print or Typep Name Print or
l ypQ NName1 S >�, r 1c r,..~-. ' -S)- r+cJ -i(j. ..�. ' :�//'1'.JC'C
Mailing Address Mailing A,cldress 1
\,-:;lr.. f`ate._IV C Z L L?U s Lb % /T_4 yt'tr T ,'' .-
City/State/Zip City/katefZip
_ r11el - is - 1°1 'C lv.C--
Telephone Number Telephone Num-NNi:,,, '
Dare flaw
(Revised 6/18/2012)

Check
eft Date Deposited Check From(Hemel Neme of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Reallocated
Cokannt Calumn3 Co/umne Columns Columns Column? _ Column8 Column9
)21 Davey Resource Group Inc Buckhead Eight,LLC united bank 2354 $ 400.00 GP#85365D KE rct.15694
)21 Maritime Coastal Construction LLC Ashley Davidson&Emily Roberts CresCom Bank 3437 $__200.00 GP#85324D BB rct.15945
)21 Carolina Bluewater Construction,Inc Doug and Lisa Jubenville CresCom Bank 4165 $ 200.00 GP#85339D BB rct.15948
)21 Thomas Rumsey same USAA Federal Savings Bank 7073 $ 800.00 GP#85370D BB rct.15949
)21 Mart Lennon Clarice Willoughby Bank of America 7953 $ 200.00 GP#85399D _ BH rct.15985
)21 F&S Marine Construction LLC Andy Ferrell First Bank 1004 $ 200.00 GP#85395D KE rct.16230
)21 Tango Whiskey Services LLC John Cromer First Citizens Bank 106 $ 200.00 GP#85396D BH rct.15986