85381D - Hawley

ffo45(OMt` f, 1CAMA DREDGE & FILL N9 85381 ABCD
GENERAL PERMIT Previous permit
Date previous permit issued
;NNew 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:
I 5A NCAC U 1 11.1 L'U U ❑Rules attached. E General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name `- 1) e.T `• 4 (AI'..! Authorized Agent 1 .•r_ ''riMYe_ `(V r) R^"
Address C-�G,1 ,�1 Y r Z V\ h • -� Project Location(County): /` .d G'l..
City 2 ti-" / GAIT State �'j�•- ZIP L ' f Street Address/State Ro diLot�(As)' 1
Phone#(t t l) . `.4'r 'c) - .. I t<V l t.,cl I( 141.lIA1 .
F
Email Subdivision 1 ,t-' , L/R �
City _,fit-' c-'1 \ ZIP '_•:__ Kw!'
Affected CW EW 7 PTA ❑ES n PTS Adj.Wtr.Body _ ' a, I ?l ' (nat/man/unk)
AEC(s): ❑OEA IHA n UW ❑SPIMA PWS Closest Maj.Wtr.Body -70,,, -' '
ORW:yes/no PNA:yes/no
J `
Type of Project/Activity `/I A '�� ✓iM r t Zr� ] kt,,J --A1—.(____
- t `
t cale
/! (5 ' AI )
Shoreline Length r _ ....._.-.._._�,.._._......_._._.___. �,-
Access Length 66 �t
Pier(dock)length `. `_
Fixed Platform(s) - ,'s► tit ',,,
/,, tea.._.._ �,
j�
Floating Platform(s) 1 �
it C, I(
Finger pier 1; ‘I " '
s) 4
Total Platform area i/ Ff ; .�,
( i
Groin length/# ,i,i+,
kM +
Bulkhead/Riprap length a " fr. ,
Avg distance offshore -»
Breakwater/Sill _.. �.� W_..._... _ .,,t:_.
Max distance/length �� � ��
Basin,channel
Cubic yards \ r
. .. .... .. _—__ •» ! �.
Boat ramp ' \ 1
Boathouse/Boatlift 1 Tj ,\
Beach Bulldozing \ f °` Llt:_ ` `:/r I
Other t • *� I
P .N f
/. �I, -' ! i
SAV observed: yes no
Moratorium: n/a yes no-
Site Photos: yes-,, no, l
Riparian Waiver Attached: ;Yes no �;'' . 'S, t `�X
A building permit/zoning permit may be required by:
Permit Conditions I I TAR/PAM/NEUSE/BUFFER(circle one)
nSee 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)_ /�C
Age or licanty PRINTED yam"e / , .
/ Permit Officer's PRINTED Name _�2

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)

AGENT AUTHORIZATION FOR CAV>A PER G'T APPLICATION
Name of Property Owner Requesting Permit: Q,0 er (Ad a k
Mailing Address: E Oct ti e'N L.Am
N C 16 S
Phone Number: 0- 'L 5- - 10 81
Email Address: 0.do-w. @ M 2.d )n.l
I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at i I U {• t rterj.CAmerl cr S C k1 1 L 8t-4L 5
in Pee d £( 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 too enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
Owrux
Title
IZ
Date
This certification is valid through i I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 20b-Gr- * Jgda.w4 \-4 Ciu)I.k.f 's
(Name of Property Owner) _
property located at i 1 ul (A)t hrl;Anti C r Of S\kr ` Al N C �8 yu
(Address, Lot, Block, Road, etc.)
onP‘rckA-e.SCOT., , in ?C.r\dex- , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
XI 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)
See oLA ached S;\\f, 1 r a Il-VS
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 se ck, 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) (Adja : r operty • . ner --ormation)
$ t/
tore Si. .pt-)tyY 1 w
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If
Print or T Name Print or Type ame
30 Tr,VorNUn SO,, lerbl c Mailing '
' f Address C`l� N C- tt4q 5 M�9 gddr ss ` A/C a 7bQ�b
City/State/Zip City/State/Zip
Telephone'4.(0- Z�cS- 10 � tv . — .17I- t /0
t Number Telephone/umber�� n n
t 2- 1 `Z 1 7_07-) L1rI
Date Date
(Revised 6/18 2012)

•
1/5/22,3:28 PM HPSCAN_20211217155519001_2021-12-17_155606962(3).pdf-1.jpg
,/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l?c l).e,Y } P daw\ i-4 a•3l.t 's
(Na a of Property Owner)
property located at 1 I Li in)o nrr(j o m.c c Of- S u - + �L kl f N C Z-8 Lig S
(Address, Lot, Block, Road,etc.)
on Pt r a:VT.1 SCC>r-C.. , in ?c_ndex- . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
S < 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)
See a r ch e S �-e- r 0_LAD Orvc.)
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.)
S < 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 information)
s-4' ,----24,----
i ature Signature
tact P n- Ha�tx. r s,o1f �f-vo US
Print or Type Name Print or Type Name
®q ► r,Vor•\1.-v1 is, C'LrNSkr.,1 fi-
Mailing Address Mailing Address
Sur{' C,l\f N L L84(-1�- d.K, TrU1 NL 2-.75 R 7
City/State/Zip City/State/Zip
CI(0- 1.41,S- 10E5-1 11q 9 .2--Z1Z
Telephone Number Telephope Nu�]ber
I -I 1 7 J Z�Z.1 j Z/) -1 / i_.1
Date Date I r
(Revised 6/-18/2012)

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Done 13 of 13
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10:03 .oi A one'
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Check
Cab Received Date Deposited Cheek From(Name) Name of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Realloc
CoMam1 Column2 Column., Columne COMmn6 Cokmn6 Column7 Column8 Column9
1/7/2022' Logan Marine,LLC David Fitzpatrick BB&T 7797 $200.00 GP#85481D JD Rot.16113
1/7/2022 Roger Teague same Wells Fargo 1618 $600.00 GP#85491D KE rct 16243
1/7/2022 Southern NC Marine LLC Zach Bacon First Bank 1497 $200.00 GP#85484D _ KE rot.16244
1/7/2022 Coastal Dock Builders LLC Frank Hobart Bank of America 1013 $200.00 GP#85389D JD rct.18024
1/7/2022 Harbor Marine Wes Eagles _ TD Bank 552 $200.00 GP#85356D JD rct.15591
1/7/2022 Grice Construction Eileen and Louis Mazzullo Truist 10747 $400.00 GP#85354D BB rct.16041
1/7/2022 Carolina Bluewater Construction,Inc.Greg&Julie Perkins BB&T 24341 $400.00 GP#85426D BB rct 16039
1/7/2022 Sea Dog Marine Construction Steve Nagel First Bank 1588 $200.00 GP#85486D BB rct.16040
1/7/2022 Lighthouse Marine Construction Inc Adam Hawley Coastal Bank and Trust 4102 $200.00 GP#85381 D JD rct 16806
1/7/2022 Kevin Ennis same BB&T 2047 $200.00 GP#85385D __ :JD rot.16807
1/7/2022 E.Pickett milo and emily pickett State Employees CU 2543 $200.00 GP#85480D JD rot.16111