85589D - Ballard

iCAMAADREDGE & FILL • �� o55�yPrevi ermit A B c
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GENERAL PERMIT Dateor previous
previous permit issued
New [—I Modification _Complete Reissue _Partial Reissue
As authorized by the State f North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC-_. 07 '///610 L Rules attached. S General Permit Rules available at the following link:www.deq,nc.gov/CAMArules
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Applicant Name 1(JS f'l �I�:«�/ Authorized Agent (.,.../..44,4,4-t
Address llLjf�/ b 5-1M'rK. Project Location(County).
City 1A,4 ' State tie,' ZIP l/!( Street Address/State Road/Lot#(s) 4j1,44,�
Phone#VP_)/ `7*26 -
Email Subdivision
City iA)i1LH0.- ZIP it
Affected CW EW PTA S PTS Adj.Wtr.Body V -t 4. an/Link)
AEC(s): I OEA __ iHA _UW -1SPIMA 7 PWS Closest Maj.Wtr.Body_ VpCQ i ak
ORW:y P „wow
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Type of Project/Activity " t&,G�.,-' ,( ►. 4 v/A;A.•e-4-d .l e0'i.--
r C (Scale:A/7S
Shoreline Length -ft Zoo _
Access h I �I
t t t �`
Pier(dock) gth4 p I:
t * { ' y l_ _
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Fixed Platforms _ ,�___,___ 1 r t, ' "" -i
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Floating Platform(s) ! W_� l _ 1 __ ..�__ _. ,._ .;
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Finger pier(s) ._ 1 ,r. 1_ t T t_ {.._f t--
Total Platform area ja-„ I l t ---�---}-�--��-
Gr. . •ngth/# S j
Bulkheadl•ipraplength +/-$�J t. ' j a i -? lid-
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•vg distance offshore _F r r-
Breakwater/Sil —�.•^•"-- * r *-, AO/ «.y ( j I -�
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Max distance/len -r- 7- q"
Basin,channel ( _ ! '
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Cubic yards } �' s IBoat ramp - _� +
li t ��� , _ t
Boathouse/Boatiift T r a
Beach Bulldozing._ f ,� J � �� «
Other --1- _ ..,- -f. w.. ._i 3-#..-. i
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SAV observed: yes AO* (tu ,/
Moratorium: n/a yes `ice 1) - / eld4-4 _
Site Photos: yes '�,� 'J`/J �' J
Riparian Waiver Attached: yes /A , , `„ ' Pit,-r(--- �p.-�
A building permit/zoning permit may be required by: ''t/ltt' w__
Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one)
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' 1 See note on back regarding River Basin rules
_.__ ^ See additional notes/conditions on back
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I AM RE OF STATUT ,CRC RULES AND ONDITIONS THAT APPLY TO THIS PROJECT AND REV ED COMPLIANCE STATEMENT. (Please I i-
<_______,
Agen Ii n RINTED Na Per ' Officer' •RINTED Name
`t � .cf aur •• ea a read compliance statement on back of permit" Sigrid 'llkOf
Annlic non FPafct rhor I,emnnna•,()Mar 'ceiling nary GrniraHnn Hato

c°*`°"N CAMA fl DREDGE & FILL N9 85589 ABC C
G E N E RAL PERMIT Previous permit Y
Date previous permit issued
4' New n Modification n 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 5A NCAC 1 /4 Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
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Applicant Name `J l+ +. / Authorized Agent f/i' +r ? ( 4'"r'r'` /4'4
10IAddress /r 14 r' Project Location(County): f !�'f r //''`-
City (A it f I.1' State ZIP Street Address/State Road/Lot#(s) .fit•+.,-‘;
Phone#(7ii1) )'. 71 t.,2-2--
Email Subdivision
City F ZIP 4'9
Affected n cw I I EW n PTA I I ES n PTS Adj.Wtr.Body ti- (t ( Age-4" ( an/unk;
AEC(s): n OEA IHA ❑UW n SPIMA n PINS Closest Maj.Wtr.Body Zt-r /e I" ‹ C_.
ORW:yes/no PNA:yes/no
Type of Project/Activity 1-ef,(E G 44 , /r u /2 /ee.-Le 0 ` c:-7.^..1 t"-L--•
r / (Scale:/J73 )
Shoreline Length —{" ZUO
Access Length !',��
Pier(dock)length
Fixed Platforms) . _ III
Floating Platform(s) : 1111111 E
Finger pier(s) [y1 • Mal 1101: , 1 1111
_...._.... .._......_._ __-
3
Total Platform area 111111111MI MIN F
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Groin length/# allW A
Bulkhead/Riprap lengthMI ,ii -
Avg distance offshore
Breakwater/SillIIIIII
j
Max distance/length L" 111111
1
Basin,channel i
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing r
Other . _.._....
f 1221=1
SAV observed: yes i_ " __�_ I
f
ttt
Moratorium: n/a yes
Site Photos: yes .. . • l { _ /1 ,�.__� / },_0. _ L..
Riparian Waiver Attached: yes o 1111111111.11111111111111
A building permit/zoning permit may be required by: —Of 4 - '
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rules
nSee 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 Officer's PRINTED Name

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
:ompliance. 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:
'lease ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
)roject area and disposed of in an appropriate upland location.
)ivision of Coastal Management Offices
Morehead City Headquarters Washington District
100 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
>-52-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
:ounties) (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
lizabeth City, NC 27909 910-796-7215
152-264-3901 Fax: [phone]
Serves: Bertie,Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

AGENT AUTHORIZATION FOR PERMIT APPLICATION
Name of Property Owner Requesting Permit: Joseph Ballard
Mailing Address: 161 H L Smith Rd.
Wilmington NC 28411
Phone Number:
Email Address:
I Certify That I Have Authorized Daniel Clements
To Act On My Behalf,For The Purpose Of Applying and Obtaining All Permits Necessary For The
Following Proposed Development:
Install new bulkhead
At My Property Located At: 161 H L Smith Rd.
In Pender County.
I furthermore certify that lam authorized to grant,and do in fact grant permission to Division of
Coastal Management staff, the Local Permit Officer and staff and their agents to enter on the
aforementioned lands in connection with evaluating information related to this permit
application.
Property Owner Information:
s gnature
Print or type name
Title
/Z1 /7 � Z1
Date
This Certification is Valid Through: i2/ 29 / 2022

Dail, Jason
From: Dail, Jason
Sent: Monday, February 7, 2022 10:54 AM
To: Daniel Clements
Subject: Ballard and Rudolph
Hey Daniel. I have some paperwork for Ballard and Rudolph that I need to send back if you aren't ready to get the
permits for the walls. If you are going to be submitting the two, $400 permit fees this week, then I'll hold onto them, but
if not I need to return them to either you or the property owners.
Let me know.
Thank you
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
Phone:[phone], Fax:[phone]
[e-mail]
0 y1449tlwtq l0/Hl:tirK
*E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Joseph Ballard 's
property located at
161 H L Smith Rd. (Name of Property Owner)
Futch Creek (Address,Lot,Block,Road,etc.)
on ,in $Cottshill .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)
** Please See Attached Drawing **
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.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Info ation) (Adjacent Property Owner Information)
_ _/ si /-f Sign.A�/ -g��f-4.c /1(gory A/eh
Print or Type Name Print or Type)dame
LG I i414 60.I/ ' / S. Pc Ji 71f/-/,l'l L,'V Q
Mailing Address Mailing Address
ai r /vim y :*i'/ 1-1, c. PC 2 P Y4
City/State/Zip City/StateIZ
e1(o Sic ZGLz g/a 420 -2734
Telephone Number Telephone Number
_ / -(7 W /7 . 17 _2i
Dare.. Date
(RoWeed 8M8R012)

ADJACENT RIPARIAN PROP tTY OWNER STATEMENT
I hereby certify that I own property adjacent to Joseph Ballard 's
property located at
161 H L. Smith Rd. (Name of Property Owner)
Futch Creek (Address,Lot,Block,Road.etc.)
on ,in $ ttshlll , N.C.
(Waterbody) (City/I-own 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)
** Please See Attached Drawing **
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.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Inform (Ad�Pn2p��;tyjfNvner Information)
Signature, re
�1 h--/A42 Srt Gl�,\'L@�tat,
Print or Type Arame Print or Type Name
/6 I 4 a"ifs
Mailing Address Mailing Address
City/State/Zip . (v 2 . Cdy�s�tp g 3 ' H 4 to 9
Telephone Number Teleph
1 741 — 711 ZI
Date Date
(Revised 6/18/2012)

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„Y A Caroline Rudolph t tU'roughly of bulkhead to be ',,,, 1 ,;a3 "t
gy tx 187 HL Smith Rd. replaced
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Joseph R Il:erd _ ,� ' ` � �,
'� 16'I HL Smith Rd. ,X �`' ,"`.. y�,�.
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https://mail,google.com/mail/up3/

Check
ed Dab Deposited Check From(Name) Nemo of Permit Holder Venda Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Cokrnn2 1 Column3 Columo4 Column5 Column8 Colurnn7 Cokunn8 Column9
)22 Land to Sea Construction,LLC Joseph Ballard First Citizens Bank 564 $ 400.00 GP#85589D LI JD rct.16561
122 !Land to Sea Construction,LLC Caroline Rudolph I First Citizens Bank 565 $ 400.00 j GP#85588D [JD rct.16562
)221 Terracon Duke Energy Bank of America 229269 $ 400.00'GP#85498D 'BH rct.15999
)22 Allied Marine Contractors,LLC Blanchard&Wells r First Citizens Bank 10822 $ 200.00'GP#85558D IJD rct.16560
)22 William Robert Taylor Ill same South State Bank 9025 $ 200.00 GP#85590D 'AW rct.14882
)22 Tongue&Groove,LLC Bob Fleury Suntrust Bank 13492 $ 600.00 GP#85402D BH rct.16258
)22 !Grice Construction Ed Read Twist 10864 $ 400.00 GP#85451 D PA rct.16543
)22 IThomas Garcia same Delta Community CU 2278 $ 400.00 GP#85449D PA rct.16501
)22' I Cohen Construction,Inc.(1 of 2) Robert Cohen Uwharrie Bank 21698 $ 100.00 GP#85452D PA rct.15673
)22 'Cohen Construction,Inc.(2 of 2) i Robert Cohen Uwharrie Bank 21618 $ 100.00 GP#85452D PA rct.15673
)22 South Cape Maritime,LLC Terry Wyckoff Wells Fargo • 1146 $ 200.00!GP#85404D •
BH rct.16259