85452D - Cohen

30��`"44f. fCAMA n DREDGE & FILL Na 85452 A B C c D
f GENERAL PERMIT Previous permit
Date previous permit issued
New n Modification n Complete Reissue Partial.Reissue
As authorized by the State of NorthCarolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC O f'_i+ id V H n Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name hip :.- . Ph Authorized Agent N
Address No
Q, 8O r Project Location(County): F 44/4c ftt,C r+�
City No rw'o 0 d State Ai G ZIP o j '2$ Street Address/State Road/Lot#(s)
Phone#( DA 4 i Q460 IM Volphiv1 -Prii'&
Email rob bit (Fi(Qy{h(orLSn't4e.,fiol.avYl Subdivision --'r I•
City Nt Its K1/'l- ZIP 2646,
Affected rim Il EW 4 PTA [t ES n PTS Adj.Wtr.Body ift ' (nat/man/unk)
AEC(s): n OEA IHA 0 UW n SPIMA ❑PWS Closest Maj.Wtr.Body al l4/ 6't,/
ORW:yes/no PNA:yes/no
Type of Project/Activity Ca 7 ' � J( Fill
(Scale:Nt'S )
Shoreline Length 50
Access Len _ {� �� + �,_....._.. L...__.._... _
Length �71r�� ; 1
Pier(dock)length — -
I
Fixed Platform(s) ! �•
e /rrpss..�
Floating Platform(s) ''X lb ! I , —v./ u ��
Finger pier(s) —ow— eybeCFOC-C.0/
Total Platform area ! P 5 ; '6 r' �'
Groin length/# l w j , ,� Q '
Bulkhead/Riprap le h _ ..__. }__._ _____._.__ _� �. er._ __ _
et Ckik..
Avg distance offshore L.._....._ • yl;...._ ........... .._f.
Breakwater/Sill } 1 , , r i -
Max distance/length (.,,/ l G
Basin,channel ' ...• i a..� w I O rJ
Cubic yards ' ,` 4
Boat ramp 7 f t [
Bed Boatlift I aft' i , io f r -
Beach Bulldozing .----
' -I ICI
SAV observed: yes l� frill i t, g. `, n b Co yt$
Moratorium: n/a yes IV) ti,a iy4 r �®
Site Photos: yes ,` r l _��t
Riparian Waiver Attached:�'f) no --Tval �' i 4I�d vZs�
A building permit/zoning permit may be required by: 6 4J t�f�J "2 �,�
Permit Conditions
(� FtTAR/PAM/NEUSE/BUFFER(circle one)
J e
4'/� / 1(/' ne PIIe/lerek / i t ,J 'rria Lff7 q07 Ili See note on back regarding River Basin rules
4 n ,r�; r►�/m sl-yl r ft,-.4 7 1�j j�
� �'t "C../ 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. ease Initi I) /�,
' rktritk,1Wi,Yt) 2-II.2Z
\gent or Applicant PRINTED Name Permit er's PRlme
CV-It-22-
;ianatiira**Plaaca nand rmmnlianra ctatamant nn ban,of narmit**

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)

US MAIL
CERTIFIED MAIL—RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT AN PROP,Ty. OWNER STA EM N
Name r e Owner: //a47,
of P op rty o�r Ac -
Address of Property: //S 2a 1 �, / Pig ,����•/7 /_�/`�/`S k/
Lot or Street%Street or Road,City&County/
•
Applicant's phone/E: �/ ' ,/SAF 2 /-(oO Mailing Address: /S(9 41-1/1,4
on/eif I e`i_e•
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit
has described to me as shown on the attached drawing the development they are proposing. A description of drawing,
with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington,NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boathouse, or lift 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' set back requirement.
1 do not wish to waive the 15' set back requirement.
(Proper(Properel Infor io (Riparian Property Owner Information)
r Signature
Print or Type i t or T Name
YP�YP Name Pr
Mailin A r s Mailing Address l
74-' /417 .eit',.ac Z- ic w,
zs736-F-
City/State/Zip City/State/Zip
Telephone Number 2/./— Telephone Number
Date /6 /.1 zG Z_/ Date RFCEIVED
127 Cardinal Drive Ext.,Wilmington, North Carolina 28405-3845 NOV o 9 2021
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
an Fnu71(r,nnrinnily 1 AHirm�liun Arlinn Fmnlnvar-RA%RPCVr1Pd\10%Pm!Consumer Paner

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CERTIFIED MAIL® RECEIPT
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3" For delivery information,visit our website 5 www.usps.com'.
- FinfttainpitINC'12M05
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Certified Mail Restricted Delivery $ $fj 00 t. He'NI
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Adult Signature Restricted Delivery$
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You may purchase Certified Mail service with signee to be at least 21 years of age(not
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or Priority Mail®service. -Adult signature restricted delivery service,which
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Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
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electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records.
Form 3800.And;2015 Monfess.r anti 7520-02.1100-4047

US MAIL
CERTIFIED MAIL-RETURN RECEIPT REQUESTED
DIV ON OF COASTAL MANAGEMENT
ADJACE ' 2//
RIAN PRO TY OWNER ST TEi LENT
.__.---, /
Name of Property Owner G0/ 1 /f C e /„...je/o f h
Address of Property: //� !� . , �� /� „,,, a,„../7 ;� r
(Lo or Street#,Street or Road,City&County)
Applicant'sAV .1---?e7'•--
hone#: % oU Mailing Address: 7/74//,-, /)'
/-‘ 4/ fe4i ,„--(iC
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit
has described to me as shown on the attached drawing the development they are proposing. A description of drawing,
with dimensions,must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington,NC 28405-3845. DCM representatives can also be contacted at(910)796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater,boathouse, or lift 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' set back requirement.
o n wish to waive 15' set back requirement.
(Prope 0 f a ' (Riparian Property Owner Information)
• ature Signature 1
Sy4r zie.,7
ti /� G9 J c- .�
Print or Type Name runt or Type Name
JJ
/ 5-4 .4/i: ), s-os- /. Y, f' .," C
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Mailin Ayldress Mailing Ad Tess
_� �nJc / xIC -/6 2 ;-,, /t.1 C 2�/ 73-62;
City I State/Zip City/State/Zip
Telephone Number 26/--- ��,?�?Ø',0 Telephone Number RECEI�L [)
Date /d // 26 2/ Date Nn v p . 2021
127 Cardinal Drive Ext.,Wilmington,North Carolina 28405-3845 DCM Wl fMINGTON NC
Phone: [phone] FAX: [phone] I Internet: www.nccoastalmanagemeninet ,

I. . •Os a ervice
, CERTIFIED MAIL° RECEIPT
a Domestic Mail Only
M
T For delivery information,visit our website at www.usps.com''.
✓ wax1r*I"E2817C I A L.
11
Certified Mail Fee $3.75 04r9
u $ t 'li ll
Extra Services&Fees(check box,add fee ks aepppiro-'ate EC EI VE D 6
-9 0 Return Receipt(hardcopy) $ $l l,I-':'
M 0 Return Receipt(electronic) $ it I-on I .Postmark
n ID Certified Mail Restricted Delivery $ Here
• ❑Adult Signature Required $- 0V 0 9 202.1
❑Adult Signature Restricted Delivery$
n Postage rC
Ti $ $I_I._'� DCM WILMINGTO R1NC
J Total Postage and Fees
$ $4.33
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Street and Apt.No. or O ib .
Sass :or
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••••........-......• v p..v u wuvflu IV vcncuw.
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
•
A record of delivery(including the recipient's v retail associate.
signature)that Is retained by the Postal Service'" -Restricted delivery service,which provides
for a specified period, delivery to the addressee specified by name,or
to the addressee's authorized agent.
1portant Reminders: -Adult signature service,which requires the
You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Maily,First-Class Package Servicev, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
Insurance coverage Is nor available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt Is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. LISPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail hem at a Post Office'"for
the following services: postmarking.if you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix It to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt'attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
Form 3800.ADM 2015(Reversal PSN 7530-02-000-9047

N.C.DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion t L ompleted y o er or their agent)
Name of Property Owner: , / / 0 hi e 1 w r
Address of Property: // k /r]�;.. �/
Mailing Address of Owner: . 4 o� y!/WvvC d it/2 7
Owner's email:rd L.e (! Anecj/jfitUCJ c `t 3 Y - L—7 C. 6'
Agent's Name: /" Agent Phone#: /"A
Agent's Email: �j--
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing.
A description or drawing,with dimensions,must be provided with this letter.
4.,/‹—DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT,Wilmington,NC 28405.DCM representatives can also be contacted at
[phone]. No response is considered the samo as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier,dock, mooring pilings,boat ramp,breakwater,boathouse,lift,or groin
must be set back a minimum distance of 15'from my area of riparian access unless waived by me(this
does not apply to bulkheads or riprap revetments).(If you wish to waive the setback,you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Slpnatu ,of Adjacent Riparian P party Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
ffi).-2"-1------A-------
Signature of Adjacent Riparian Property Owner:_
Typed/Printed name of ARPO: 3 L)MCA- NC,- C° c t S
Mailing Address of ARPO: —0
y Ik�etl*Aa •cow'
,7Sou'M'c' iQARPO's Phone#: '4—Z4'4-3-is 7
ARPO's email:JVcrana
Date: a I t 12-1 'waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

79
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BUFFER EXEMPTION
1O'X20' FIBERGLASS
IN-GROUND POOL UNDER 1 3'SYVING GATE

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79
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HOUSE NAIL1
'I'.TWIN(AATF

ved Date Deposited Check From(Name) Nome or Permit Nobler Vendor Check number amount PMm8Nunbv/Conunents Raoolpt ar Rerund/R•Oouted
1 CaWmn2 Column., Column4 Colmn3 Colunn6 Column? Ca&mn8 Coruna
022 Land to Sea Construction,LLC Joseph Ballard First Citizens Bank 564 $ 400.00 GP#855890 IJD rct.16561
022 Land to Sea Construction,LLC _ Caroline Rudolph First Citizens Bank 565 $ 400.00 GP#85588D 'JD rct.16562
022 Terracon Duke Energy Bank of America _ 229269 $ 400.00 GP#854980 BH rct.15999
022 Allied Marine Contractors,LLC Blanchard&Wells First Citizens Bank 10822 $ 200.00 GP#85558D JD rct.16560
022 William Robert Taylor Ill same South State Bank I 9025 $ 200.00 GP#85590D AW rct.14882
022, Tongue&Groove,LLC Bob Fleury Suntrust Bank _ I 13492 $ 600.00 GP#85402D BH rct.16258
022 Dice Construction Ed Read Twist 10864 $ 400.00 GP#85451 D PA rct.16543
'022 !Thomas Garcia same Delta Community CU 2278 $ 400.00 GP#85449D PA rct.16501
022 Cohen Construction,Inc.(1 of 2) Robert Cohen Uwhanie Bank 21698 $ 100.00 GP#85452D PA rct.15673
'022 Cohen Construction,Inc.(2 of 2) Robert Cohen Uwharrie Bank 21618 $ 100.00 GP#85452D PA rct.15673
022 South Cape Maritime,LLC Terry Wyckoff Wells Fargo 1146 $ 200.00 1GP#85404D BH rct.16259