85487D - Rubino

o,4°`°u'1 c CAMA P1 DREDGE & FILL N° 85487 r A B Cc
•GENERAL PERMIT Previous permit ��
o Date previous permit issued ` Z1 (�1
3
New Modification Complete Reissue Partial Reissue
As authorized'by^t� theyState of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
0?I 5A NCAC r�\` tt 2-0 0 0 Rules attached. E General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
r Applicant Name 4 t -L•.+,�W., c- Authorized Agent ‘,4./1 v t C_.. L_ �'3 t S
Address L.2)-2-0 t.J Op(-✓ \J(A\( _\ i/k Project Location(County): /i 1�S g,,,.,,t�C..- 1
City L A. + State I�-- J ZIP 2-- . Street Address/State Road/Lot#(s) LA- 5 1,--- '.oU,
Phone#(1Itt ) 1`t L4 .3'
Email T kCU.A, �? ,�*-J";.C., . - 0 f Subdivision
City `- .) `�eac itl ZIP L *L-1i.oCS
Affected ®CW ❑EW L;-1 PTA ES pTS Adj.Wtr.Body Y"r"-L--r C.c-"c'- (n rn (unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA PWS Closest Maj.Wtr.Body N,^4`S ( u V.-
ORW:yes/riqs PNA:yes/rig.
Type of Project/Activity ( , • \, , t �T ..) ,\ , , 4 44,r •.‘'. 4 ,\,L �-- kr, 141.,. 2 Cb✓ �I,`t`t..� Sj(k O S
(Scale:,i -I $ )
Shoreline Length
Access Length )11 K f _ + ..--r--,_--ram' I 'T... ._.�.... t ..........C;.ee: .s~k... ..__.._"',.-.._ y...........
Pier(dock)length i Li s4 Li
Fixed Platform(s) I z If 0 r +`.i
Floating Platform(s) Y I to
-----4- r--- . . -
� ? r it
Finger pier(s) }
Total Platform area 38 f4.2. - i - qCs
Groin length/# j li �'v
Bulkhead/Riprap length !—� _ _ —
Avg distance offshore r..__ ..... ._.......
Breakwater/Sill
Max distance/length
Basin,channel t� - 1 ( ' '
Cubic yards 1. ..... . !. ....
Boat ramp t - 4 v i ....
t W T 4 A.
Boathouse/BQ� - t ., 't l3 i SIN 1
Beach Bulldozing /i-'
Other "P.O C. 'h l o,,.!- 1 ... . .. ........... i ....._.... _.. ....
SAV observed: yes t,�y� tt_ ( I _ 1 4 c 1,-)•a St / U,
Moratorium: n/a yes 19 - I �•v7 4"(Y j C.
Site Photos: VgQ;� aq7 i { t 1
Riparian Waiver Attached: Y ,,,no ! {.
A building permit/zo ' permit may-Ee required by: SwY`S(,t" e..L.c k
�� \ I n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ...,ri:.- , ' nn"( Q X——4- O. C LAz,q :(iN4
r F ,-L.c r) �'k.np_ ❑See note on back regarding River Basin rules
•
0 >t �11 I� c. , -.'. t_:\\\ •a' e-.'I_L.,,.....„? \2xt o ❑
t' 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)
1f� 'ti 4 u<\('- I-12-2022
Agent or Applicant PRINTED Name Permit Officer's-PRINTED Name- -
- - ; L.,;-�..._ � \'z___w.-- S-I a-212.2.

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)

Tt F PP
Name of Property Owner Requesting Perms ()oct---h !t e.��t't) 0
Mailing Address C , Q {,,, )") V 1t:1' cit
Phone Number: 1 I � �'t- �� / ''
f mail Address: totcxue
certify that I have authorized
Agent/Co rtractor
to act on my behatf, for the purpose of applying for and obtaining all CAN%permits
rosary for the fottosanng proposind development (ecV)
6c:c K,
at my property located at r�v r( :� J'(Iir( off" f;�'"
to e 1 I)J sdireountY
furtherrmare certify that I am authorized to grant, and do in fact paint permission to
Drv7s or? of Coastal Management staff tfirl Locaf Pe nutOfficer and their agents to enter
on the aforemenbi2ned lands in connection with evaluating information related to this
knit application.
Property Owner Inlornnataom
S gnature
} �
• f
r a y.;
„gyp
a {.
- .. ixy :
'Q y.

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTtFICATION/WAIVER FORM
CERTIFIED WILL RETON RECEIPT Ri QUE,51EU or HAND UE.UVERY
(Top portion to be completed by owner or their agent)
Flame of Property Owner'`akk\ v b1CN©
�.- K5 -1#DE Sir , PI." la/
Address of Property
t itsng Address of O wner . 4_-UAW Va.14 r4_.)..Nsd.2 7519) ._
Owners erhai .. _u_, __ Owner's Phone*
Agents Name: , \►`ts,'
Argent Phone* 10 4 ' 3 `b 6C2 r
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Botton _portion to be completed by the Adjacent Property Owner''
I hereby certify that I own property a[ifacent:o the above reterenoed properly The ir'4vidua►applying for this
• c,n permit has described to me, as shown on the attached drawing, the development they are proposing
OiA "" A 4tyscription or drawing. dimeristOns. must be J)Q 1+ded with this letter
1 i I DO NOT have objections to this proposal I DO have objections to this propose.
._._ ...- _o... ____y u_must notify the N.C. Division of Coastal
►f you hire oblecetbets to what is being p►opased lief
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
marled to t27 Cardinal Drive EXT. MI/rung/on,NC 28405.DCM representatives can also he contacted at
(910.) 796-7215. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
understand that any proposed pier, dock, moor Ana pilings, boat ramp, breakwater, boathouse, iift, or groan
must be set back a minimum distance of 15' froth my areaof riparian access unless waived by
me 1
does not apply to bulkheads or rtprap revetments') kIf you with to waive the setback. you must sign the
appropriate blank below
I i 01� I DO wish to waive sornetail of the 15' setback42_
} Sgnature of Adl8nt Riparian Property Owner/ARP();
OR
I do net wish to wave the t a setback cequirement iinrtrrt the blank)
Signature of Adjacent Riparian Property Owner:
9
. j~~ �
�� Typed-Printed name of ARPfi�: NINA il vL.iiL
Mailing Address of ARPO
r r rI�I �, ig �1.RPt)'s P l .. $O G' Co
ARPO's small: f Dr1t�tf y[i 1
1
jDelo: 3 01 JD 2 � .waiver is valid for up to one year from ARPO's Signature'
:Revisod IsArry 2021

'
lr.C.db»IOM OF COASTAL SAISACISMAirf
ADJAPPI 'ISPANAN PROPOIVIT CUM NAMFI r'AVOSAIN uVER FARM
R AIL RE r'tilWECEIT SST 9C tiANCLPELNERV
Tot Dort': tc be coed by immor or Ow ages)
tutu.ar Property o. ' k i Rub its
A.I.S. P.opre, l•IS 140E Svn i-_bear. Pt_ 90ity
waime Amy"or c 20 Vrft, .CAti4 AK. ;1 I I
ow'w s�++ + . Damns r+rsrrsl
Aeries Nw LL 1>icst + 4 —Sit3-_040Y
Awes Cid.wept (co i.cap _.. ..
AfLACs'Pr 1480041*As PRO►f*1Y 018011*$GVR1wicAfMrs
IS!M limier 1s h►+tea r IsSielogi h is vw.wM
1114880a ow*fat t bins t#opexty a►ti ac at sa roe*Coy*NMnerMrres6 t.^q+t► '1,4"atria**state r nii tar sus
reaa dAacrbM 1a -r. as Wo.rr. on roe at ne3 *aw r* Cerreogrreng rer +r• puesosav
to tAa ih,ipuripeaonP►str r•+a„mart_„m 804 rP"v.^' l+l r
1 _
\vt.1.11, f 'tare OdKacmt C Poi p apof,a DC, 'Sar+t oblations b!is Orciposa
rr you rare abrocrorii in what ► bor►0 Prows." lcW R1...rrally M +lt+c►i+ of 40.1140
Mtanap.ww.a1 fDCilr 0, wrong iimPart 10 airs of~owe Of a>ww aISIs Cv.M/UJEUr*ra atwatt+be
—0 aes 1 t7 C.anwi Ovrw Est,MMa1N,a ".atC iMR!#__0110110111101111104011 can atlr M p NSOCONt at
010 TN ?VI Ale osayerrae s owM/a a M ISM as tls iMalbaa R pee Riau*Mote nlmilbe
Cawleof�K
,rnbr►jtanp rat aelr orcoc»ea Per,O. mown penes.non ramp banh.aar aowmwa, * at raw
+lull M est Mot a avawrf/r+MOM*Ot AS'from alp Nee d unarm acz On"OM varrll4 tip milli Mrs
O MNI npt of tvltr b wravwoa cr rot.NIPOOPPlerillkt fit treo>.alll liP 411."IP.ooOUS Nw lalatille Ire
a0o+apetwa 0 1trR WW1
rI OCR milt r oMb amillartal ar!+f 'S veMalaljig
M»a wen to oar.*true 'S be .i i -410 re ararsa) t n„ :W
sprrsnrr of Acttacart Rowan t r* timer t'.l •w_s _ 'r—! ••
4 �/eiear/MOW Of�0!' 1 -!:� >>
die Address et A t11 f✓f
AIMp s •�" a R►0"s Ph ant L(1, i.
OMK ��'� `� � *rs rand P r +.o b ow*row tram AROV"s 3gnadu.e•
Y. ..�....1 Ord, 2021

\". clAtP 17 - . #--11-7 i $
19, e„e s�I..-ws-
t
b
I
\ . ,
\ I
66
*""'711 th-1 * 41 i ttt
tt
t
i IIs #!i
r—
\ , _ >• 1-
r ',t4r41.14(1> I-`7.1 ?,,) \'Li X \11, ‘......A.r0- .../''''' dp
1ki -) . } f .
4
C-1 \ i
i
\ \ 1 iiii.............. ...........A
0\
/C) 4.4 1
L,f.1 ! \1-
I ..„,..;\ / - .) *k".'1 , i'911 'Iliti
tle____________
i
1

Chock
Dab RaCalaid Drab Depaaitad Check From(Name) Name of Permit Holder Vender Cheek number amount Permit Number/Comments Receipt or Refund/Raalloc
Column! Column2 Column3 Column Column6 Cobnnn6 Cabam7 Column8 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 Truist 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 rot.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 $600.00 GP#85503D BB rot.18046
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 10863 $200.00 GP#85502D BB rct.16045