85506D - Deese

CAMA DREDGE & FILL Na 855 C A B C
J GENERAL PERMIT Previous permit /
.2 Date previous permit issued
ENew 1 Modification n 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 O-t i.t I LUL/ n Rules attached. [f General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name •G✓ A.E T-\ ? 1':'�;r ,c •(. -C[ SC.- Authorized Agent ' '-1 t c 4•- L-,,- r a f
Address
h‘23 r `-C.+ t Y;." Project Location(County): >.- .,n _- ,r(`..
City i, v v t c i)„✓(. . State NI(-. ZIP Zr U T 5 Street Address/State Road/Lot#(s) 'Z(f (-2`( ,` —.et Si
Phone#( ` ^) 7 5"--7>9-3O
Email I..> V Cieje SG 4.J 9/►'t!I' G0"+ Subdivision
/ City (1)Q.µV^ I :(c, t)th( t ZIP f
Affected n CW n EW PTA III
//^^ES n PTS Adj.Wtr.Body ( .'',,-.r.. \ (natnk)
AEC(s): ❑OEA n IHA UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body PA J3 --i
ORW:yes/rid PNA:yes nn 1
t Type of Project/Activity eV!.� L., c t (r•-,,,, A,r t,( L,, C. i 4
�-0
. a (Scale•/ ?5)
Shoreline Length
Access Length iI"5 MOM I 1__
Pier(dock)length Li'�) NI �� ,�
Fixed Platform(s) =I=
�
Floating Platform(s) 7 -1,I(F' , !
Finger pier(s) _ /
i Will 4iSIVP 110
Total Platform area aE/7 2- El -' t
Groin length/# iU R i WIN ..Bulkhead/Riprap length _ .__ .___"....._.__j._.._.__._ _Breakwater/SillIIIIHIIIIMIIIIIIIMIIIIMIIIIHIIIIIIIIMIIIIIIIII
Max distance/length �■
Basin,channel ; ,
Cubic yards Eral
L..
Boat ramp I ' C
/ZiV � AHI
IIII
Boathou Boa ' l MI�IIIIIIMIIIIMII_
Beach Bulldozing MIIIIIIMIIMIIMIIIIIII IMO III ----
OtherMOMMIIIIMEIPM--i, .._. ._.j..__._.linn ............._.
SAV observed: yes n , �t empaimS ___
Moratorium: n/a yes r' ■ ��
Site Pantos: Yyes ■1111�� a��11�Riparian Waiver Attached: l"�_- 12,
A building permit/zoning permit may be required by: _ ' L+- (S 2.-a!
' TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditior�c.y 7--�-` 'c i' + , It ( kn.•S� . y t �qrt•, r ` •( O/t
r 'va. A (,44,.. 2 S l,p.1 ca.ti ,.,•z.e k n See note on back regarding River Basin rules
See additional notes/conditions on back
I A , •WARE OF STATUTES, ULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) iv
A -- ter, A 4 I. ., Ic_.
Age t• •p. scant PRINTED ame Permit Officer's PRINTED-Name
.r�_.- . _. i : .- 1 5 Z l-2oZ2

Statement of Compliance and Consistency
,r
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)

ROW(ALTSOFICAflO$FOR WilitietinaitAnNaigni
kerne of Properly Owner Rogue ttnp P ' e„1,, J
MalangAddress
PRone Number S44 - .VS--J42 _
Email Address ' .
certify fy thou+ Platte 41110110M040 1 'C,� 44.1e417) ;'11 1.j i.. c,k_4
Ciantaklior
ft)apt an My behalf for the pur x*s of aPOting for and otimeuncl att LAMA PaStmla
nociessiery w the fo ow nq Provost('deseetasonent °C a r *
at my property cuats at, Arc,.a P f 4
ttM2tw,rrg?r A cote," that r are 04.101400100 ( want. awl do art tad grant pr7m vi to
ammo of Coastal Marla teerd the.Loral tit Oftirot kti i thott vents qpf tt)enettf
on the a/ rrrrtettfrorted lands on t 9Mtneett on *r1h evAtatrr)Q Inf r€rrafxart rV ah d to Mos
pottrot appcatwon
Prepeny Omer itttiOneeti tM:
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N.C. DIVISION Of COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
C: RTIFIEO MAIL -RETURN RgC T RY
(Top portion to be completed by owner or their agent)
Name of Pnopetty Owner :-)e..,...;, +C mac.'-it-
Addres of Proper:y ', 1',a{.I�jt�af .I.._. 4 !� t;; .. �; =�I .._
Mailing Address rd Owner ,;rj` 1 (' Ali c C_,.:7- A r i/Aeei l-•r'r A--'C- -' 7
Owners emaii Owners Phone*. si y ...:7/1— 2 y A.
Agent's Name, ") c:. 1:_1 e„l A44 4)",( Agent Phone, .r, . 74.:1-:: e.._L
Agents Email .. _1Lj,...'c-.i I -S L i.-c'4 t�Apo i `, '_', "it
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottgrn portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property ai7aotint to the above reterenoed property The individual applying rc r thLs
permit has described to me as shown an the attained drewing, the development they are proposing
A de er in or drawn ,'oath dimensions, must be provided with this wax
i., 3, ,1 DO NOT have ot9ecbons to this propose I DO have objections to this proposal
If you have objections to what is being proposed, you must notify the N.G. Division of Coasted
Management (DCMI in writing within 10 days of receipt of this notice. Correspondence should be
maned to 127 Cardinal Drive EXT, Wilmington.NC 28406.DCM repnesentabves can also be contacted et
[phone] No response is considered the same as no objection if you have been notified by
Ce►ntfred Mall
WAVER SECTION
i understand that any proposed pier, dock, mooring pilings boat camp, breakwater boathouse. lilt, or groin
must be set back a minimum distance of 15' from my area of rrpanan access unless wamd by me(tI1is
does not apply to bulkheads or riprap revetments) Ilf you wish tc waive the setback you mot seat!Ilia
approorrate blank beirjw ;
I DO wish to waive sorrreiala of the 15 setback. ! }
Sit:mature of A t Ripe/Ian Prof rty Owner(ARPO)
-OR-
I do not wish to waive the t 5' setback requirement !initial the blank) _
Signature of Adjacent Riparian Property Owner !'
Typed/Printed name of ARPO: 1,0°N1`S.} - i'
malting Address of ARPO: .!r ' 6194A110.4110 ''/U4.- 2/‘" 2--
'� IE , "'p'1/ ..
ARPO's email: fy jI f!'A O's Phone/ 6 f d 9 '
Date: ,«/2D/2! 'waiver is valid for up to one year from ARPO's Signature`
Revved Mai,' 202 7

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Cheek
Date Received Date Deposited • Check From(Name) Name of Permit Holder Vendor Check number amount PrmkpmbenCo IVnanb Receipt or Relund/Realloo
Column? Column2 Column.? ColunnN Column.? CoMn6 Column? Column. Column?
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 iGP#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 Truist_ 7057 $200.00 GP#85489D 'BB rct.16049
1/27/2022 Grice Construction William and Paige Laurie Truist 10885 $200.00 GP#85509D BB rct.16977
1/27/2022 Grice Construction Sharp Family Rev.Trust Twist _ 10862 $800.00 GP#85503D BB rct. 16046
1/27/2022 AMW Docks&Marine Construction Bennett and Patricia Deese Twist 7056 $200.00 GP#85506D BB rct. 16976
1/27/2022 Grice Construction Cantoni Twist 10883 $200.00 IGP#85502D BB rct.16045