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Stem r*CAMA DREDGE & FILL N9 8-577§ A B c --
1 1 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:
15A NCAC ii ) 1.-j ' 1 "''u I I Rules attached. 2 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
i
Applicant Name -(/ k�•-.I t " u h Authorized Agent
Address �/_ r - f'
f r`2 // r" �-!b- 1114 l�l Project Location(County): I '.' �:' C f ``
City , I/t n r i C.--4*--C State A/c ZIP ?•7 r' ' Street Address/State Road/Lot#(s)
Phone#(//O )1' - 5k;/G- 7 �7,.-.
Email 1' al l' Y I. G 4IIIII7 Al L#t A (J r ° 'M Subdivision
I City 4.�'✓ 77= s''I ZIP ',4'//y
Affected CW n EW fi PTA ES PTS Adj.Wtr.Body / ' (1/1 /' / (nat/man/unk)
AEC(s): n OEA n IHA I I UW SPIMA n PWS Closest Maj.Wtr.Body •
/ rS•��/ / '1.7�1
ORW:yes/no PNA:yes/no
r /Noe of Project/Activity �i,^, c (1 / / /� � r fri^
(Scale:U- c )
Shoreline Length p
Access Length //le'Y'!N/ :
Pier(dock)length j<d1' `-' j �__ L.. . . —
.� I i "
Fixed Platforms / x w,
Floating Platform(s) ---1-------T—r--r--
"
Finger pier(s)
gt area )
i ,1 • " t
Bulkhead Total Platform
nra , } "i•..,- '
Groin len h/# �( (�%a, 1
/Rip rap �' ('
Avg distance offshore F j _ —. m
Breakwater/Sill
Max distance/length § 1
Basin,channel
1_
Cubic yards
Boat ramp �___._
Boathouse/Boatlift
Beach Bulldozing j i l
Other �` ._. .
i r, "? J
. <
r I
I - C/ I I
SAV observed: yes no' d �— _ ��Lb'
Moratorium: n/a yes no' ^^ t +r/ + '
Site Photos: yes no-
Riparian Waiver Attached: yes 11"6: T f.� .; .. I _. r -
A building permit/zoning permit may be required by:
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please In tial , V l''
p�1t i` - L. 1 2.-1 2.(
agent or Applicant PRINTED Name lit Officer's PRINTED Name
(\ "--_--- n,A . �---�- Li `i"ZZ
ianature**Please read cmmnliance statement nn hark of nPrmit** Signature ,

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: Bettie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 5 •a-
Address of Property: Z 2..2- 3�.7 1,0•��_ pr
Mailing Address of Owner: P.o. g c.,y 33 4J 2 8- 1 .6
Owner's email: 1 th,,,.` 3`-(a ya p..•t-;~Owner's Phone#: (`i(0) 4.1 la- i t '13
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing.
A description or drawing, with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.DCM representatives can also be contacted at
[phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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 (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank) —1"kNesTin
Signature of Adjacent Riparian Property Owner: •t•-•
Typed/Printed name of ARPO:— c`cr..A �•_�` �.
Mailing Address of ARPO: 1
ARPO's email:V . t! � ® ARPO's Phone#: % c 6 • �V'�•Abel 1 ekNO V%%•
"N:5"
Date: \\•\al• 9 \ *waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: a,^al 4- Cc.rri. �✓�e P. C.-
Address of Property: 71.2_ 13 “ftriha✓!' l vrt
Mailing Address of Owner: P. D, (boy 13 l..i Irk c.-c N. C. 2 'Y 66
Owner's email: I, n.....n,..' 3 H 6 rii.+7c..hOwner's Phone#: (9(0 tilt%- en 3
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing.
A descripti or drawing, with dimensions, must be provided with this letter.
I pO NOT have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington,NC 28405.DCM representatives can also be contacted at
[phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed 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 (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement (initial the blank "
i-
---
/4,,,,,.__,_——-
Signature of Adjacent Riparian Property Owner/a 4, it • iz-�.
Typed/Printed name of ARPO: cJ 5 4 C-'Gi A/k-1. /
Mailing Address of ARPO: " r ��� /G OCR Af�s7`c �� `- y —�
ARPO's email: .te' .7e A !/5 O&Att -ARPO's Phone#: 970 —2 'O/0
Date:/G'---c 9- 2-io z--f `waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

•
Check
Wd Date Deposited Check From(Neme) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt of Rerund?tMYeggd
•
I Column2 Column3 Calomn4 Column5 Column! Column? CorumM Co/unne
021 Lighthouse Marine Construction Inc Robin Lauren Coastal Bank and Trust 4052,$ 400.00 GP#85380D JD rct.16804
021 Carmen Muncy Brad Muncy First Bank 219,$ 200.00 GP#85379D JD rct.16803
021 Lighthouse Marine Construction Inc Tony and Robin Bishop Coastal Bank and Trust 40201$ 200.00 GP#85639D JD rct.15598
021 Bledsoe Enterprises Inc. Ocean Dunes HOA BB&T 201881$ 400.00 GP#8539713 BH rct.15983
1021 Bledsoe Enterprises Inc. Ocean Dunes HOA BB&T 201891$ 400.00 GP#853980 BH rct.15984
1021 Bledsoe Enterprises Inc. Ocean Dunes HOA BB&T 20184i$ 400.00'GP#85376D BH rct.15982
1021 Restoration Systems,Inc. Carlson North End LLC Towne Bank 18065 $ 200.00 GP#85424D KE rot 16232
021 Restoration Systems,Inc. 1 ML King Figure 8 Holdings LLC [Towne Bank 18066 $ 200.00 i GP#85424D ,KE rct.16231