85654D - Peterson

(t0M1\tf'CAMA ' ; DREDGE & FILL IN".' n5O 4 A B C (V:_,
111 GENERAL PERMIT Previous permit
Date previous permit issued
T]New [A Modification (__)Complete Reissue 1,j Partial Reissue
As authorizedb�y the7 State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
/
I SA NCAC 1 -74-1 r 1 IZ0C C Rules attached. 1-1 General Permit Rules available at the following link:vnvw.dee.nc.QoyICAMMuIes
Applicant Name,_`�_�t _"'\, `f!..x.cerT^ Authorized Agent- lht�. i
yJl
Address J �j C� �Sls1� �f i Project Location Coun C
City Ll'J'{iw 401•-• State Ng, ZIP?±11'k�3_ Street Address/State Road/Lot#(s) �f u
Phone#(--_) — — -
Email____
_____.-----------.----_- .__ Subdivision jyt , �er1s s
City 1.4.-3t1 YhM54e,r1 L ZIP n Lq�1G.0`
Affected LJ C W [II EW L1J PTA DES PTS Adj.Wtr.Body---i/kQh-'t �L` Ci r"�►L .._t+(nanat/`IVlistnk)
AEC(s): [ 10EA ( i IHA ill UW D SPIMA 0 PWS Closest Mal.Wtr.Body Pa.1-W L.1/4.)
ORW yesel; PNA:yes/no
Type of Project/Activity__- i-tA..f-Ct-KC d c)C kr Q.t tI 1'.(
(Scale: 'Sr)
Shoreline Length 4 T- ff1_
Access Length
Pier(dock)length
Fixed Platform(s)fI!lsr'f 47 K'y r
Floating Platform(s) r j,Z l_Q E\ 4L hn-
a" 6. 1
Finger pier(s) _Total Platform area .` 9; 2- :)F +I T C t,
Gr ' ten th p
In
Bulkh d/Riprap length •-- T, ��� 1 �-
Avg dist ce offshore _.._. _ L'' I
8reakwate ill
Max distance ngth 1 —{
Basin,channel 3%if- Z'
Cubic yards_ — t N
Boat ramp/ _��. J I� �'
i
Boathouse Boallift S
Beach Bulldozing / --- -
Other V
SAV observed: yes a,
Moratorium: n/a yes Ira
Site Photos: yes /�I�,}���
Riparian Waiver Attached: yes d:.) I - `)L "V �I
A building permit/toning perm may be required by: J •C I
f— ( ]TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions � `WM, e t ___ ��__ rV YAL_VM.c,, fi� n
ti. t f '� l l See note on back regarding River Basin rules
[1] See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATE NT. (Please Indite--"
rezt licant PRINT Nam , Permit Ofhcer'k Rtt$f O e
' _ may`���' , -- 5�+q v 2aZZ
Si iature••Please(ead c awe s atement on back of permit'• Signature
:C9 -1/.131313 111ci12z- ') t z2___
Application Fee(s) Check II/Money Order Issuing a Expi ation )ate

iicoAsr„,it°� trI.CAMA 1 1 DREDGE & FILL No. 85654 A B C Ct4 ,GENERAL PERMIT Previous permit
Date previous permit issued
Itcl New n Modification Complete Reissue I_I 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 SA NCAC 6-4 -\ I 17,010 Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ��, C57^ Authorized Agent LC '
Address 12' t'c�-rh.. " 'bf ����1f Project Location(County): �1CJu.�
City T NL 2 vrN State ZIP 27qC:f‘ ' Pc7IAIE
Phone#( ) 1
Email Subdivision lYLL1 Perr~'l—
City (,J,1w..0.CiJ1 ZIP q
Affected ElCW EW ifPTA 0 ES n PTS Adj.Wtr.Body `Vl.�f-%- ��7YVtf C (nat/eaA nk)
AEC(s): n OEA I I IHA 0 UW n SPIMA I I PWS Closest Maj.Wtr.Body -1.- 1,L,
ORW:yes PNA:yes/no
Noe of Project/Activity Tvl--Ta Qc d cK-fn rcti'{
! (Scale: 1 )
Shoreline Length ` 1i l//��9�
Access Length
Pier(dock)length ~"
Fixed Platform(s)P���l (-bra,'
Floating Platform(s) Eg?x `L_4A-C_` .4
Finger pier(s) —___ Ca-vtrAQ
Total Platform area "-- 31,2 SF
Gr 'n length/# / �,R4T�
Bulkh d/Riprap length -^0 r "� """"`�
Avg dist ce offshore ��
Breakwate ill
I
ti
Max distance ngth iJ elk —�
Basin,channel err ��/
Cubic yards rKi il 1
Boat ramp m� I
Boathouse/Boatlift V ��C}i„,,,,
-1. \.
Beach Bulldozing t8'
Other (
'Alyr q
fk 60114
SAV observed: yes al)
Moratorium: n/a yes
Site Photos: yes ® (2c t) r
Riparian Waiver Attached: yes V L.L J /��ff���'T CCC - '-
A building permit/zoning perm' may be required by: egICMc ,c.c ( C7Vir t-
Permit Conditions " ZQp� 5 S CA tk C ti, 1$'� /'1e n TAR/PAM/NEUSE/BUFFER(circle one)
�� L 1
�C�Q_Q p a♦ vt.c 141--, MC54 Ito (�JA �k �'t'T� n See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE_QE,STATUTES,C RULES AN CONDIT NS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE-LI
OMMPLIANCE STATEM NT. (Please Initif
kA or Applicant PRIN E ame ` Permit Officer' D e

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)

4,0"'"at.t4, CAMA I I DREDGE & FILL No 85654 ABC D
�
1.GENERAL PERMIT Previous p
Date previous permit issued
[1 New ❑Modification P1 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 (!)`f 41 , 17 C..i U Rules attached. I I General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name I,r(il�,��N`''r-�c-?n C ('"Ji•Vc,c �" Authorized Agent L_t--t�-' ';'';1Address 1 k VC. {,-r H �' Project Location(County): 1 'i°'•t '-- k,,,'`'
City ) '' State N,_\C ZIP 2?>'ic.ft Street Address/State Road/Lot#(s) "rV k
Phone#( ) tt
Email Subdivision ' t i4 • 1- /
City }E ZIP 2--�.�41�-el
Affected CW ❑EW I—I PTA I I ES ❑PTS Adj.Wtr.Body - '- YC i'ti 4i Cl.P+'•`CA" (nat/rfj Hunk)
AEC(s): OEA ❑IHA I--I UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body r'1 1 LC)(,k_.
ORW:yes/no PNA:yes/no
rype of Project/Activity
"
(Scale: i�`G'T)
Shoreline Length t„: C ' ' --��
Access Length ,r.lr "
1 1
Pier(dock)length
Fixed Platforms) =/x
4
Floating Platform(s) '" IIIi "�`�
Finger pier(s)
{
Total Platform area
Gro(n length/# l t ,� ���`
Bulkhlsad/Riprap length i ? .._ _ _ .__.!i _F_ -- _,__-- _. .' ._._.._._._._-- �I'" ---.__._.._..
Avg distance offshore } , - •
Breakwater/Sill j t '
Max distance/length i j'1 'r *` i
Basin,channel :__ ._ __
Cubic yards l _.._ 1—. .. yr. I
Boat ramp ,�tl'sBoathouse/Boatlift \ D re V
Beach Bulldozing - - ;_- I, i t # , ,
Other �` I ' il_
--- - ,SAVobserved: yes no __. —�------___.._..____,^ __ i_ ____
Moratorium: n/a yes
Site Photos: yes i e__ ° e >_ _
Riparian Waiver Attached: yes no I r �€ ._ r ---___
A building permit/zoning permit may be required by: "'•,^% Lhat //CX y'>4,k ,
``,,o ii .>• n ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions -` --Tel,c.u' (4-
, : lj. ,''i ((,:,,-t"!, r'tD4 /Vt., '4. _.,I._
,�(v 4({Xt -( -''� 1-re t t' -t,,V . IA" I• f'IC; f''r'1(V C'ii(L. t'')"\-4 ❑ 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 Initial)
1\gent or Applicant PRINTED Name Permit Officer's PRINTED Name r
14 i

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)

on .. NL .f�'o�t q tmuaross,.Lot; Block,•Road, otc,)
/ldi egfi__ , In w ove
(Watorbody)
t©rbody) (City/Town and/or County)
N
The applicant has described to me, as shown be
low, the development proposed at the above
1/4/ I have no objection to.this ro osal.
p P
----- I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OFPROPOSED.DEVE OPMENT
(Individual proposing development must fill In description below or attach a s!t© .drat
t, \A�1-'"1( r
I n ypi,t;r four I l`Po
, Oil
__ __. - • i- I--pi tkIL\ t., a- / 71444i4
LI-
1 [L__
8= j !
.. ____ _.— ____...... .0____......--,-, ..--<zrz-,-,..iez- ..j
1 v�
sECTION
I understand-t � � WAIVER � ��,;
hat a pier, dock, mooring pliings, breakwater, boathouse, lilt, or groin must
minimum distance of 15' from my area of riparian -access unless waived byb h t b
the setback; you must Initial the appropriate blank below.) me. (if You wish to
i do wish to waive the. 15! setback,requirerpent.. •
✓ I do not Wish•to waive the 15' setback e
r quirement,
'Prof i 0 or Wow.. t(on)
Adjacent Property Owner Inlormatlon).
'I ttarura
xSig!Trure. k
Tint or Ty�e lJa�t1 �2rk.
o /� .Print or.1'yP lVam 1
railing Address x ZY i 1 t' 0 .} �,f
' 5 j Mailfn Address

Mailing Address: p r j iT rJR, % prt
LJ�L r1 Alq17'O ✓ ,tx - 7--5(f a1
Phone Number: o - s 5,z1'1
Email Address: PerE@, m4A)vOcl"iAiw7./.46-7-1-ioks.. cG/A.
I certify that I have authorized beie- 6 /C- „gyp& c C 77rn Lei✓<<
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Movti f i$7/t)6
Se
x
/flcCrtr. 9�-) ;r pAC - S rog/.^ ,f6 ') /¢-db / !'PI1rP,
at my property located at JAJL.` ))R
in &i&t-✓ ii4voveKCounty.
I furthermore certify that lam authorized to grant, and do in fact grant permission
Division of Coastal Management staff, the Local Permit Officer and their agents to en
on the aforementioned lands in connection with evaluating information related to t,
permit application.
Property Owner Informae :
Sig ure
•
illitAra ?Cal;
2 3
Print or Type Name
C us L_
Title
w / 3 I 2 (

ors •..�i✓� �/�'�,,�,y • . • '.(Address;.L4�••gi41-4:1 .... ... .: .
Materbody wh�
. ' �Cit}n •,�av� •r' •1lDr
.
� 1'f'� N.
S� 4 ,and/gr.County)
he applicant has described to me, as shown below, the development proposed at the above 1
/— 1 haVe no objection o t lgi.proposal. . •
— .-, I have .ob ectlo '
t ns to this proposal.
(Individual 0ESCRI1T10N AI D/OR DRAWING
preAoslrtg.dsyslopmenl '-U OF=P�OPOS�p'p���.QPMNT'
R? st fill In arestcr7,pllon b elo w`dr attain a site draw
l 50A
D Afo)SON.
•
. _ - i i 1/4:'
I
-
‘ v_ I . ...... .
, ,,....
. r ��+1� . �*
443110.131ma - ritNs
inderstan.1. . a pier, clack, K AlV SE TIO • : .• 1 . .
a d . , h'1Qorink.
' i .+ . bbethotfse, lift, or
n'fium -d�fance of l5�from: my area o�'riparla 8 e���terr
mint a,ck; you must initial the ape 'let art r• cress unless walked by fit. (I mu tWjsh to w
P � �•. r1k belowt) n!'�• pf`You�wlsh to w;
-- •� I do wish to.waive fbe;16� re�q ul .
etb� rerp a �:
'__. • I do nat Wish.f sive the.IS! ketbaok
reOlerneit
)5,w of .'tor thin) • • _
etiAcktnt•Fro7fty p Herr Inform n .
�orura • xisylmiii,‘,--4- --------6.ure
or T C� �.Y/eme
� - Pint B.Ng
�Addrvss •�-- ���i nT D c
d101244-61C"-118-$121. -- Val N, �ss A - r-'1 17-

Check
Dab Received Dab Deposited Check From(Name) Name of Permit Molder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reelfoot
Column? Column, Column.? Columne Colu nM CaMemi Colu n7 Column., Column9
1/27/2022 Dock and Deck Dudes,LLC Hanson Peterson PNC Bank 60-127331: $200.00 GP#85654D BH rct.15997
1/27/2022 AMW Docks&Marine Construction Russell and Angela Parkhouse Truist 7059 $200.00 GP#85488D _ BB rct.16047 _
1/27/2022 AMW Docks&Marine Construction Patti Rubino Twist 7058 $200.00 GP#85487D BB rct.16048
1/27/2022 AMW Docks&Marine Construction Jeffrey and Ginger Wilfong Twist 7057 $200.00 GP#85489D BB rct.16049
1/27/2022 Grice Construction William and Paige Laurie Twist 10885 $200.00 GP#85509D BB rct.16977
1/27/2022 Grice Construction Sharp Family Rev.Trust Twist 10862 $600.00 GP#85503D BB rct.16046
1/27/2022 AMW Docks&Marine Construction Bennett and Patricia Deese Twist 7056 $200.00 GP#85506D BB rct.18976
1/27/2022 Grice Construction Cantoni Twist 10863 $200.00 GP#85502D BB rct.16045