85441D - Seven

000) "` J7CAMA n DREDGE & FILL No 85441 ABCD
. GENERAL PERMIT Previous permit
., Date previous permit issued
New 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 -4 4 .)�00 111 Rules attached. El General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Apple t Nat e DY"it 4 V4(A\ VVA\WV', OW A evc %CSO C..- Authorized Agent , r ' 'O EC CA if
Address gl S`VeA1 O(lG s 01r-• Project Location(County): - '111.00
City '),11.16"+^[1"-• State NC., ZIP a yt-1 1 Street Address/State Road/Lot#(s)
Phone#( ) S A Wk C—
Email Subdivision
City ZIP
Affected r CW I , EW C PTA . 4FES pis Adj.Wtr.Body -) U /0 C C. C V e`- €' man/unk)
AEC(s): ❑OEA IHA I I UW SPIMA PWS Closest Maj.Wtr.Body IV (,,C' \C. S 00e,Ck
ORW:yes/notes PNA:yes/no l•
,-'-
Type of Project/Activity \1.(..b�A\\C\ --k\- .�- ca Cv G4-cC. �31G-I.to,yr 1 v: --t yuc SG.1(\IQ - o.4,pv.i•,+--
Y\ kv)(ov\Dorf/-}-(C CAV. Vc-W\ • Cxi s4,,V,� Sicle situ,/\- 4 pla�w1 (Scale:l"`•.30')
Shoreline Length 4-t-a D' VV k\' bC V WI OV+;'CI eilD (C*1'CT.VYP'
Access Length 'r. ' .� .__... _ c T
Pier(dock)length s.S)U i it
Fixed Platform(s) t S 'Jk I b
1
Floating Platform(s) i IVOr
Finger pier(s) ". ' I /, r .
7..........
Total Platform area ;'LI.D--9 O(cvft It =� 0... , , � .46.
Groin length/# itckc1f4-• - I { 1 ! ,
Bulkhead/Riprap length .........._...._...... --1...-_.__-___ ._....__.___ —__
Avg distance offshore tJ.-_..;- _._.._......... .. ...._..-.._. ..__.._._._._......._.._.
Breakwater/Sill : ' I ' ' I I�'� I
Max distance/length S j �sy i I $
4
Basin,channel
1r
Cubic yards
Boat ramp
/--- I -->
Boathouse/Boatlift r 1 � (.�
Beach Bulldozing { \r T/�`" k i',..- 'V I
Other
.... . ..- .."ram_._._..._ ^ . .. �.. —...
SAV observed: yes no .. `-,k STD - t4- Ar j
Moratorium: n/a;. yes no t fx‘yev tip I 1 GgCrt
M
Site Photos: `' (� no IL.. { - � _ (
Riparian Waiver Attacheds y no 54•�t/all pc. i ,/4 1 pC A v l� .
,t, • eArer•oc.V-
A building permit/zoning permit may be required by:Ncv 1�GtinOV CV ((0
Permit Conditions F''1 , ', . J00 i IOLA( 1 s-frAkQ( Clv- ( - c(‘tVal of+lp��t.. pi TAR/PAM/NEUSE/BUFFER(circle one)
'' ""' j�.,i�` ! , Cit.t-i'�.u.M 2,e Ca . i N1C.3 --+Gi�'1s t u- C(t.t4. 1t fri'CAA- ❑ 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)
Agent or Applicant PRINTED Name Permit cer PRINTED Name
a-- ►� -. ck\fir— 5 25-2z.

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)

<..`"--a, )4CAMA DREDGE 8 FILL ',.' ' ' A B C (.5
r
S F Previous permit /
GENERALPERMIT Date previous Dernht issued __`.___
)New __ Modification , Complete Reissue Partial Reissue
As authors-red by the State of North Corot na E)elsy7mer•of f ev,nnie.-tar C).n+.ty an.r ttu'-:<.. Peu.seces Cnnmr.c.on it an area to errere+rirrnentaf concern pursuant to
r SA NCAC_'{ QO( ' 'poles attached General Permit Runts avrtable at the knlbwwng kril, revere OK nc spviC1 MArsol s
S t`VI,t Dv .Lv4a4 4 ►tn} Ownev
C � � -- ri pSty(. 14Mr>riaend Arm I U e h it`NV�tPf�G 1+1 ..
Address g1V J Q sit V' (A tC s 13v • j Protect location ICcvnrr. FJ(L4 I4tkr tW V
CdvW- sr"1 4!/\__ state VV Lr ZIP ,3 1 1 Saver Add•t»stae RoaNlot Pis
Phone+ii( _ I_..----......_ _.. .. A Val G.
Fnia.I Sniltdnt,
�jW (�p CCity /IP
Affected u)C EW t5t PTA ( [sr inS Adt War Body CO(yf- tjv e ►/F- t *un;wnkl
AEC(s) L J MA _lam i i uw [.l SMMA [..] ws Closest Mai Art,Andy 1(AC«F C)C
ORW %.,..rfillS PNA Mrs
Type of Project/Activity a l'.,t_.\c-‘ _� c v AM.rcft 91G.4 4 v W t v+ j 4u Scilly.. II.-4�,�.wrf"
_'J 4'Vk C\h kh t e pueCtkl'cl CA k+ _� ..Y_vy?• en,l r •sic +r(-11G w) (Sca i
le:I 11)
lin Shoree Length_._ r �\N•1, be It w+oNt TD (t^ir•t 6.1,/1sn
121
Access length+t s r ____, r�(1Es C RE ev. �Z� N
Pier(dock)length tD(?
Fined Ptatformis) a'( .1t0 r _
floating Platform(%) l�__S
Finger pier)%)
4'l` r�/ ""�1 15'
Total platform area_a mQ�'ft:yC r_LT):-
Groin length/II _SO► iT 4-,
i
Bulkhead/Riprap length �.[+
Rs
Avg distance ottore
Breakwater/sit, 5 �i
a Mau distance/length. 5 kps
Basin.channel__ -� / ire
Cubic yards H
Boat ramp
Boathouse/Boatl•R / 4
.r—. _ 1`t � ' '-
Beach Bulldozing 1i V, Yr {C {. - ti
Other
SAV observed yes (Q N 1 STA ao--pi
Moratorium n/J i yes nn (wc& jtv) v �Pj �S01 R rt M�
Sate Pnotos Ye nc P G'
Rrpartan Waiver Attatheit.Y no Se�ItM1 Oak 1 ( �� VI in vu C�111E11V ts'
A building permit/tomes permit may be required by 14Qw tsw v LY +�fj�s
Permit Conditions C1J11. N,_'r p0 S •let` l tr.t� 'i Pfi( � S TAI4 PAM'NEUSE SUFFER turtle ones
upp� . N piSt sft.1 au, u,t • N 4 hiia -._ ad. 0 Sae note on back regarding Raver Basin rule.
_.__ _�. _ ---- _._._ ——.- Se addhhonal notes/ccndnnnm.on back
I AM AWARE OF STATUTES.CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (CIrast Inihali. __�
Agent to Appl.tant PRINTED N.4mI Perg ED N.tme ct
vir
S, irr^Plra stateanrrt ,n ck of.crmatr• Signature
$ o e 1 a 83 \ (-a-5 121 a-a- GI act ao.az,-
Appt,attan Feels) Check a/Money Order issuing Date Erpiratsort Otto
1

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: dye I uU( Pfo_i n4.c n a_nr e. Ow-FF> sw
Mailing Address: S(O P 4; ca r
Phone Number:
Email Address:
I certify that I have authorized Zeisdin C,rti\ ck,,n
Agt/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1-)ern n - 44504-re.:6 J,
tlew cock
at my property located at e b'£n `J 5 es" o
in !Jew ,i,c 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 Owner Information:
Signature
�asos N\ 4G, us 'res,dsft k a( Hai
Print or Type Name/
f2rtsi
Title
I / 13 / 22 .
Date
This certification is valid through 3 / i / 7o2Z

I
Cox Ga [ ' :`"la.,'n Dock_
pf,44_0 r e‘r\
X ICcawolJ,� l u 1 Lk
a}15 down "t0 PLW
Skr ' WTXJ!A lOe-
j WIn9uiek vekkx0
1
coy
Svsaut h
S(. ) (3. kk-.5 40A- fse,„r,
1

ADJACENT RIPARIAN PROPERTY OWN STATEMENT_
I hereby certify that I own property adjacent to Dr;vC iy
property located at - • (Name of Property Owner)
on < r (Address, Lot, Block,Roa , etc.)
(Waterbody) in , N.C.
(City/T wn 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 ro
p posal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PRQPOSED DEVELQPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
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.)
l
✓ I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner information) (Adjacent Property Owner Information)
Signe
Sign ure
Print or Type Name
Print or Type Name
506 let/An va k s ct/Mailing Address
W��mi���� Nc 2�� i1 MailingA dress
City/State/Zip �'in• on C 2 >3`(I
02 -5Lf 5-2-eZ City/State/Zip
Telephone Number
Telephone Number
Date
Date

ADJACENT RIPARIAN PROPERTY OWNER STATE�,g
�mtl�1
I hereby certify that I own property adjacent to c i
property located at n (N of Property Owner)
a a
(Address Lot, Bock,Road c • ��M
)
on -3 S CaleK. in
(Waterbody) (City n and/or County) N.C.
The applicant has described to me, as shown below, the development proposed at the above location.
Nsb 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)
�ppk,,rV 1I r I1
(pi ck. 1Couic,-L. itU oc,In 41'te if'e"
I understand that a pier, dock, mooringWAIVER SECTION
minimum distance of 15'from my ara pilings,
riparian accessrunless waived by me.athouse, lift, or groin
you w s set to wave
the setback, you must initial the appropriate blank below.)
x f I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement. J q�`'�'
r
er Information)
(Adjacent Property Owner Information)
f; i Q reL v' e r Signature
Print or Type Nam P1tnt or T
e C S.e.t Cv\ b�� Type Name
Mail Mang Address
.add_ - N L
City/Ststegip
Telephone um er
d Telephone Number
Date
Date
(Revised 6/18/2012)

s
•
l
CA-4.4 n. (
•..„(is _

•
Check
d Date Deposited ' Check From(Name) Name of Permit Hold., Vendor Check number amount PWtnit Numbenrominanta Receipt or Refund/Reallocated
Column2 Colomn3 Columne Column!' Column" Column? COWtms Column9
'22 North End Builders NC LLC Seven Oak Driveway Maint OA SunTrust 1083 $ 200.00 GP#85441D —KE rct.16577
22 Judith Walker William and Judy Walker Wells Fargo 2955 $ 400.00 GP#85442D KE rct.16582
22 Richard Penny Construction,LLC Christopher Crakon Navy Federal CU 1932 $ 200.00 GP#85487D JD rct,16124
22 Jerry Ennett Jimmy Shoaf Coastal Bank and Trust 4449 $ 200.00 GP#85472D JD rct.16553
22 Ken McGraw Cashiers Check same Wells Fargo 6740402505 $ 400.00 GP#854700 JD rct.16551
'22 Nafiseh Hatefi same Wells Fargo 3646 $ 400.00 GP#85561 D KE rct.16580
22 Patrick Laber same Bank of America 2966 $ 400.00 GP#855630 KE rct.16581
22 Pippin Marine Construction LLC Jim Brady Wells Fargo 5995 $ 400.00 GP#85564D KE rct.16579
22 Pippin Marine Construction LLC John Gussenhoven Wells Fargo 5994 $ 200.00 GP#85494D KE rct.16578
22 F&S Marine Construction LLC David Congdon First Bank 1006 $ 200.00 GP#85501 D KE rct.16245