85324D - Davidson

. i
"J`` L 9 5324 A B❑ DREDGE 8L FILL .a!' CAMA
GENERAL PERMIT Previous permit
Date previous permit issued •
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authortz by the State of North Carotin*.Department of Environmental Quality and the Coastal Resources Commission in an area of envirwanental concern pursuant to:
I SA NCAC O 1 G� c�^^ Rules attached. i T4)General Permit Rules available at the followinglink.:stemclecmgcmc.,611,8aks
Appkcant NamekI,1 .,Js S e.t -s C..,.,1 0.,A-5 Authorized Agent \J 1 1k `K►----s
Address i s 6s I Project Location(County): /in(,.., -c
City, ,t-An1.s.. State ha ( ZIP -7,q 7O I Street Address/State Road/Lot if(s) 1 6-V 1 !2`vc'st&Q„
Phone#(-IL y)2,30 WSJ 7 2- -p/y./-L.--
Email �- Subdivision n
City cii.ii-rri (2.C.c Cl" ZIP 21`,L,S
Affected plif PTA ❑Es 0 Pn Adj.Wtr.Body t-es.&,./` C,re.l\ (nIMunk)
AEC(s): _OEA ❑IHA UW ❑SPIMA ❑PWS Closest Mai.Wtr.Body )`•sV-S Cv -c-t!(,r-_
ORW:ye o ' PN Co
A:1 . \ n
Type of Project/Activity l oIAs�c.,.c\- ill..a <\ 1�N^� Cr.0 s\. ~s 2. c '.a ,\t'Z.r-c
S Vl S V ..)(scale: .S)
Shoreline Length S-V��11 i /+
Access Length ' '*S[`t 1\1
�-1. 14C. CG.m •,sc.1 ��Pier(dock)length �( r 7 /
Fixed Platform(s) ID/10 y ,
Floating Platform(s) D'i 1 I•P }fit e t
t
Finger pier(s) 1
r I
Total Platform f' I orm area
—. I
Groin length/a a 1.--1. 3/(, �^ Qau t
Bulkhead/Riprap length LA 1A
Avg distance offshore r„` .Q. `
Breakwater/Sill �+
Max distance/length
Basin,channel
Cubic yards .Car 1
Boat ramp 7t ✓�"=! t `�z
i
+Ne( ..a 4‘•�c15
Boathouse L b /1 r 11 /J ti-
Beach Bulldozing Q f
Other
SAV observed: yes 4l, s,�.csAs d.. 1C)t..."...s t L[a,t•\-S L/t 3 0
Moratorium: n/a yes `
Site Photos: yes C.
Riparian Waiver Attached: .•s{{((s �' �(
A building permit/zoning permit rftay be required by: '�V (`
^S C V ,.0
Permit Conditions lab _- s,s �.. ��1.. tt�C.,t.4 O t. ❑TARfPAM/NEUSE/BUFFER(orckone)
cr.,/ V'• ❑See note on back regarding River Basin rules
❑See additional notes/condi/ti
ioons on back
I AM AW RE OF OF SSTAATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT{ (Please Initial( / /), J
-i 4i// [" c \Z.,A,.► •ul L ``-Jc a'
Agen ppllcant PRINTED Name Permit O 1 T Name
_31 Zz
�are Picas ad compijance statement on back of permit" Signature
O0 `". 3� II-Ls 2.Uz1 -19'2oL1_
Apphcano cols) Check a/Money Order Issuing Date tip.ranon Date
Scanned with CamScanner

.°'1'14kj�Ea CAMA DREDGE & FILL No 85324 A B D
GENERAL PERMIT Previous permit
Date previous permit issued
I ,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:
�,_.J
15A NCAC \ 1 2--°r) I I Rules attached. F—'4, General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name j\,�,�-- .v, o —0 ,` �( Ao i •r Authorized Agent \J }E \ C '•�c,-----
l i 1/
Address 1 l eN Cf A 6 2� J Project Location(County): \7/,, S..,l-•c\C_ ;�
City �� A r,-. State Ni ( ZIP --I-4-4( ( Street Address/State Road/Lot#(s) L t)4 3 F 1<,v(.._,Si dq„
Phone#(I1/) 22SO 2 on- "Q).••, .
Email Subdivision
City SshS--e1 't <Cv. ZIP 6L\G.cc
Affected cW f EW PTA n ES PTS Adj.Wtr.Body C(n \ ` ' (naf/r7pan/unk)
AEC(s): ]oEA I I IHA UW SPIMA n PWS Closest Maj.Wtr.Body J�^``S C ii-•<-trV•
ORW:ye� PNA:ye OP
Type of Project/Activity C 'vhSkNt.,.ck cDcA-`^-c\ 4-+.c,\.� 2 �vp-,-.\ \'��.
'`;�',P c J (Scale;NT S)
Shoreline Length �g
Access Length 1 x 5 N
--1 r i A e r, -.,,e_ f1 —"``-.�-
Pier(dock)length 'r
Fixed Platform(s) ID 110 N. t
Floating Platform(s) $**I ko r`i, ° --
p •
yew ._...._n
Finger pier(s) ( . .-
Total Platform area 7.2-$F4`1-
B ,
,`a G t
Groin length/tJ 1 •��
Bulkhead/Riprap length / `ti ( -., i
Avg distance offshore fit
i I
Breakwater/Sill
Max Basin,' length
channel
Cubic yards ��_ ,
_ • i i w ``� ,'_9 i ..:s C
Boat ramp t
Boathouse Boatli 1 v r3 ---•-.____ .. - .- " (4 ---
Beach Bulldozing
Other I i`
„
L i
SAV observed: yes `n• ,. �. N.) ,, r t;:
Moratorium: n/a yes 0011P I .
Site Photos: yes A• I
Riparian Waiver Attached: I .� o I
+�Ylr- act \ tr..c V
A building permit/zoning permit ih`ay be required by: ` v
1 piTAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions 1A.--' -c--...ctV ‘,.% A.,V -Cxc-.t-I ec-A•c�k,C4~+-
I-c ' -4, t`," n See note on back regarding River Basin rules
riSee 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 Name Permit Officer,�s-PRI`rTE Name
`?
cionatiin.AP Plaaca rpari rmmnlianrp ctatement nn back of permit** Signature ))4

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)

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date //`/z(j2/
Name of Property Owner Applying for Permit:
67/4 Zie46. /-'A/el 4vqIsavt_
Mailing Address:
/00/ aeAolde ,4-✓v,
t t kw, ,L 2 7-7 o /
/� n53,71-
I certify that I have authorized (agent), iZe>pi j- / /tIy/j. e (,,.OA t act on my
behalf,for the purpose of applying for and obtaining" all CAMA Permits necessary to
install or construct(activity) /cif)-/p)G'1ep0/ �41h4 p i,, Do 6 7t4fz
at(my property located at) 6:01' 3 Side k. 5—.4,S-?," e cJA . ZV9' 9
This certification is valid thru (date) //��p2
____g-xz,d, 4-751.21 /44 a‘,,,,...,..._ // /j'1
Property Owner Signature Date

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DigiSign Verified: 308AA91 F-4454-47A4-97F3-B 157705A54C0
ADJACENT RIPARIAN PROPERTY awN_ER STATEMENT
I hereby certify that 1 own property adjacent to r.. (Name of Property Owner)
property located at )oZ "lb Fi
—T (Address,Lot,Block,Road,i etc.) 1 JMAns.N.C.
on_ 1r7 � t` Q4 6[
(Waterbody) (Clty/Town and/or Co nty)
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)
PQ•.)e j1tre.. J
r*ac d J1 ! )C/�
Q!'
WAIVER SECTION
I understand that a pier,dock,mooring pilings,boat ramp,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.
(Property Owner Information) (Adjacent Property Owner Information)
alere ,
. }!ncuru•r ) Sitmature•
/c tefm IMF-'d,ati..nr'L,T k ,Li/ .i fh ,p)S A in of .1,••nA,re(C.tr,.d
Print or Type Name Printq or Type Name
/001(-leo,.h le t F11
e '2 ue.1-� L 2Sj
Mailing Address Mailing Address
t)./Irrn_ -no (IA 1104l
City/Statoalp Cify/Sfateiip
919-280-2072
Telephone Number/email address Tolophono Number/email address
11-Z.0"LoZ It '2,12:'2.aZ.G
Dar Kure'
(Revised Aug.2014)
'Valid for one calendar year after signature'

•
)igiSign Verified: 308AA91 F-4454-47A4-97F3-B 157705A54C0
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own properly adjacent to psl't 411)s1,rl•x•n". n.�)�/ je,A.1)e '-k 's
(Name of Property Owner)
property located at I cZ L-3 U-)C) t
l/ (Address, Lot, Block, Road, etc,),
on �i ,'N • � ( , in J(+t f���c t ��racll/;''
F- ; �r t-n', woLL . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
X 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)
pitq,e. 61,z),41_,
pi., IN
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
t-do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Si:vvrullsF ) Sigll4:sMr•ahlr./ fn)w.AA,,v fk of Lrrr,,LiJo atr.eac Won6on
Print or Type Name /� Print or Type Nat G�W
Name
)(ICI A-ie 53'� �z 4�lSut1..-1,=ui
Mailing Address Mailing Address
1 , NC ,17161 L, Ir y-*_;.It
City/State/Zip City/StatelLp
919-280-2072 .57 3 — 3 i 4'— 2 7z.6
Telephone Number/email address Telephone Number/email address
)1'2.0• LOZ ) ))- Z0'Zp7
Dare- Dare'
(Revised Aug. 2014)
'Valid for one calendar year after signature'

Check
d Date Deposited Chock From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Cdumn7 Column) Column) Columns Columns Column7 Columns Columns •
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 rot 15948
21 Thomas Rumsey same USAA Federal Savings Bank 7073 $ 600.00 GP#853700 BB rot 15949
21 Mary Lennon Clarice Willoughby Bank of America 7953 $ 200.00 GP#85399D BH rct 15985
21 F 8 S Marine Construction LLC Any Ferrell First Bank 1004 $ 200.00,GP#85395D KE rot.16230
21 Tango Whiskey Services LLC John Cromer First Citizens Bank 106 $ 200.00 1 GP#85396D Bit rct.15986