85516D - Lilly

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e,"`°"'N CAMA DREDGE & FILL N° 85516 A B C D
y =-GENERAL PERMIT Previous permit
J. Date previous permit issued
New I Modification Complete Reissue Partial Reissue
As authorized by the State of North Carolina,Department of Environmental Quality and the Costal Resources Commission in an area of environmental concern pursuant to:
I 5A NCAC 0 3 f4, it()0 n Rules attached. Ti General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name (/vt 1I t4 ill L r`! Authorized Agent € e•- !1✓�C ✓lrr C Y1
Address 4 4 (L si i'"i Project Location(County): t }v',`;k,•J i_ L.
City ill tr r,�'((D - State ZIP i. lc e-i StreetAddress/State Road/Lot#(s)
Phone#(j dal l 7/�3D O 114 r.._ c-5-t -e
Email Vti+1 f @ '(t11ov(E' a(,(,C'-fttrr-(tom` Subdivision " "-
City ;,.i.., ( d 'f/..,1', ZIP ,. ,l(.,(
Affected n cw I i EW PTA []ES n PTS Adj.Wtr.Body 'r'.(inGff (nat/itiari/unk)
AEC(s): n OEA n IHA n UW n SPIMA 111 PWS Closest Maj.Wtr.Body f'Jt( (4 kr
ORW:yes/npf PNA:yes/no
�„�� jj
Noe of Project/Activity pi,,) f) sc%�... �'U ��( � �.�'Q�tC1 t�`1 al.S'�-G u
� c i , c a Ct 0 -T(/YY I 10 i P GcL Ii (Scale: V5, )
Shoreline Length `fi.
Access Length , ......
Pier(dock)length -
} .....dl r • - -
k j « A.. "
Fixed Platform(s)
,
. t
Floating Platform(s) ; ; . G.
_ , _ ,
E
Finger pier(s)
r
Total Platform area } i
Groin length/# � --." i i a
Bulkhead/Riprap length 130 b y i --{ ---
g 0 .ram .., 4T' �.4 S I i '\..._.. ,,. t p.3: CK ttCf Ct t / - cil5
Avg distance offshore 11'
Breakwater/Sill i
Max distance/lengt
Basin,channel # i ` " j " �� Lit
Cubic yards /t' --,
Boat ramp 7_ I - �__ jT•�y �Q�.�� ..-.-�� _._ J�f
Boathouse/Boatlift yv _
Beach Bulldozing j
n
Other
j� L t
SAV observed: yes �.tfTflf,k
i { ( i 1` e 6 4" ill
l
Moratorium: n/a yes �' + L )� 1.., `�� "
�I
Site Photos: yes tila II I i } i -
Riparian Waiver Attached: yes f0 i , 1 J ( t / ( j 1
A building permit/zoning permit may be required by: !? 2I I ," ,' � '' ifL'tll i��i
r I 1 TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions* yi" ' Z;ti if 4' P•;/" 1.' /, Al ff r J{� ,(44-Q
;' ,, �' 4•/..( -' `,i e � it ii 6, '!At✓C4 , ❑ See note on back regarding River Basin rules
f .f(1..t. � �
L! n 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)
I-ZO-22
agent or Applicant PRINTED Name Permit Officer's PRINTED Name
52-2 .

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 CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: "\, II 6 M ��L1
Mailing Address: ' 'Mtk (Oc j 1 IRS
CL1 tvc 'Mo'
Phone Number: 1(i — 98 4 tAJ
Email Address: Lj1k1 Crj (41)\1110YSt12UCIth•Ci►l'N
I certify that I have authorized UWv j511u AleyrLsci- Cur o n„,,Q11Ll QIl!)1I(4YL'
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining
all CAMA permits
necessary for the following proposed development: 9d1 (.Ry' d /i)11
at my property located at IN
in fAint,til(,1 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 to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Own nformation:
//
Signature
,jIV( 11- L � ��� �
Print or Type Name
Title
71 12= 1
Date
This certification is valid through

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own properly adjacent to t' !I -r( II , 's
property located at \N)NL- 1((11 (Name of Property Owner)
r
on (Address, Lot, Block, Roajf�etc.)
� �I �\1, , in � ;(- `"\ Lille t'� L- , N.C.
(Waterbody) (City/Town and/or County)
The
applicant has described to me, as shown below, the development proposed at the above location
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)
WAIVER SECTION
I understana 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.)
X I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
.00
(Property 0 er • •rm. 'on) (• dj-,7P op: nfomn.tion)
4111
Signature iS- nature l
Print or Typeiplame' " rMto r pe Narruq ' r,,
Mailing/Address11/C Jili�� rePsf�� � lUC_� �j\ 1/;, r
City/Statei7 6y C18S-C(S:U Cityi7 eeip tot,
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I + Tete tfo e N m
Telephone Numberp u bet
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Dale Dare

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L4JI11 ('flL!/'1 's
(Name of Property Owner)
property located at \N ANIA_ 1111 A
( (Address, Lot, B o k, RQaci, etc.)
on \h')i, \ , in ) �(l; ✓1 )�kIi (^ tl/ C. , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location
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)
r;u
\ '''
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.)
---X--- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property/Owwwnne'r Infor tion) (Addjjacent Propert w er Information)
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d-/
Signature (i_0 1 I \,�111'1 L (IL ,S'ig►r. ure JG- 7 it /t/
Print or We Name i p I a Pnn or TypejVanie ,,
Mailing��d�yr�ss,4 �L 2 �0s Mai g Addres G
City/State i cq, 98s_ iiu City/Stetz;p diz--17 -a
Telephone Number Telephone N mber
tl Z\Z t `Z2:2IZ1
Dale Date
(Ravicuri R/1 Qnnf)i

Cheek
eked Date Deposited Check From(Name) Name etPam*Holder Vendor Cheek number mount Permit Number/Comments Receipt or Refund/Reallocated 0
e11 Column2 Column.? Wound Column Column/ Column,' Columne_ Column9
/2022 Sea Dog Marine Construction John Hamilton First Bank 1604 $ 200.00 GP#85447D PA rat 16528/2022 _ Christopher Morrison Const.Inc. William Lily First National Bank 2038 $ 400.00 GP#855160 PA rot.16530 _
/2022 Logan Marine,LLC Thomas Gallo BB&T 7837 $ 200.00 GP#85471D JD rct.16554 - --
2022 North End Builders NC LLC Kevin Cook SunTrust 1084 $ 200.00 GP#856560 BH mt.15998