85454D - Atkinson

�o,cois"` cI CAA DREDGE FILL No. 85454 A B
z
1 GENERAL PERMIT Previous permit
Date previous permit issued
/INew Modification ❑Complete Reissue ill 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:
15A NCAC a 7 I4 l r1 v() ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name t'_plf*t(.k ""n EYiSOY" Authorized Agent'3 k IN MCC L tdi re/ Cdev10ttu- Mafilt1F-
Address �"j!P�1 %2 ixerzt� we.
s A r Project Location(County):�Yir W if.k //////
City )1P,/)S State GA ZIP 30(105 Street Address/State Road/Lot#(s)
Phone#(//Q) ' ( + $' Q[Ola/h FI dc(, We'St
Email CC (,( / ' ' r/ A IA00,(Lh Subdivision ,�/ !�
""v �/J City (iI�P,�'1 B thit // / ZIP A2460`
Affected ❑CW EW PTA I" I ES ✓ PTS Adj.Wtr.Body 7i'!/hit fit,
/l�l r}i/1` '14uf,3Ii /e/ i t 4ia4man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body / t!/i'Y
ORW:yes/no PNA:yes/no/ / / / /
rype of Project/Activity l'1'ej�t75/4�- re/I i ha/I fj/!I/d ih Piti.571/'/i, L7'IPrM�/
/ (Scale:MS )
Shoreline Length 100/
t 1
Access Length
Pier(dock)length
IIIIIIIIEIIIIIIIIHI
Fixed Platform(s) I
IIII—Floating Platform(s) IIIIHIHhIIIIIIIIIIII
ff i
Finger pier(s)
I
Total Platform area j
Groin length/#
i
Bulkhead/Riprap length rvu �- iS •Cj{ �I1NIiIiiiiiIiiiiiiii
a_...._. .__
Cubic yards i f._ .1111 111 MI
Boat rampi i,l i� y..
Boathouse/Boatlift I I MILA
Beach Bulldozing l I ._ r
Other I .',,,I,
+* ' d
1
SAV observed: yes rfa { ! � r
I
Moratorium: n/a yes A iq , f
Site Photos: yes nD k ,/ .►; r �1. 31
Riparian Waiver Attached: yes rid , 'I(
A building permit/zoning permit may be required by: �j
Permit Conditions (: .' i /4. I.r y7 few by //i 'r ipl ,A e A•-i s`iM 4 -rnn t,n-(• i I TAR/PAM/NEUSE/BUFFER(circle one)
�'f y Ci/I/ r 17 rY/( fr 5 11 /1 1, ,?t .-7 4' c ( /i/lr ` 7t ��„r/_n rVf( ]?"C n See note on back regarding River Basin rules
rl,� r:�,r .
}f ❑ 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) "'Yi`7
itkf io•6 2-3 -22
kgent or Applicant PRINTED Name Permit Officer's PRINTED Name
.,/,';.1 td A. , 62-3-2-2
,ignature**Please read compliance statement on back of permit** Signature i

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)

DocuSign Envelope ID:596D0636-5DA9-4D50-93FC-644C8E0FB001
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Lc)c C nSo
Mailing Address: 35;) S' Sr_ OLVC.S
AA 0 ‘r\,S T-\ . ACAA) S--
Phone Number:
Email Address: ,fy,,�n 1
I certify that I have authorized t h rl I \�-l�l Q
Agent/Contractor i a e_15
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at Fog Dcam b\ \J U 1C1Pr ea(*
in VI-U YISuJI C_K 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:
---DocuSigned by:
Lor ci Ilitim01A,
_UL6AbtC,/1U6F406 Signature
Lorick Atkinson
Print or Type Name
Owner
Title
1/110/2022 1
Date
This certification is valid through I I

DocuSign Envelope ID 596D0636-5DA9-4D50-93FC-644C8E0FB001
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: L or l C_ /1-\4 -\0 Sit
Address of Property: gcpg oc.o a I'l 1{J 1\11k. Q ‘1,en 6°0A C (\1
(Lot or Street#, Street or Road, City&County)
Agent's Name#: C14 a Me t
g �c�n 1 t � C�l.��� Mailing Address: ►''�('1� �
Agent's phone#: q ) (-) --"K7 l0 c Q(o 1 N i lc fro,e 1-oux + yl C- gJ 37
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.
� "Replace bu1K.-1 �CNJ I V1 5Cvrru \ Cc
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 pc"in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. CCM representatives can also be contacted at(910) 786-7215.No response is
considered the same as no objection if you have been notified by Certified Mall.
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.
.\)1,--Y" I do not wish to waive the 15' setback requirement.
(Pr dyPwner Information) V7Ijacent Property Owner Information)
Signature Signature
nwn o ist°0 15(00,e1
Print or Type Name Print or Type Name
352 Seagraves Dr ) 1 4yj
l �� I •
Mailing Address Mailing Address/
Athens GA 30605 �1 - Aer a
ty ACity/State/rip'
Ci /State/Zi
8647705834 a ( D C'C
Telephone Number Telephone N tuber
1,10,2022
Dale Dale
Revised 6✓18/2012

DocuSign Envelope ID:596D0636-5DA9-4D50-93FC-644C8E0FB001
• CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 1--Of ( � ('son
Address of Property: go QC'QQ n NON clen hoof J RJl
(Lot or Street#, Street or Road, City&County)
Agent's Name#: 6Qh� 1' 1`-t_ U re. Mailing Address: � � tee{ �t
k I• v)
Agent's phone#: I D-N.-7 - g i-2n DD to 4'n- tAio fc a j337
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
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) 798-7215. 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, 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 Information) (Adjacent Property Owner Information) go(0 Ulan
(side Q{ iwso& r�� ``; fY 6}t�
Signature Signature •k�
1- DC nson 1\f\a\C\( 47 1�
Print or Type Name Print or Typo Name
352 Seagraves Dr 7 Wookre.- Road
Mailing Address Mailing Address
Athens GA 30605 rcw e- \le NC � �J8205
City/State/Zip City/Stale/'Zip J
864 770 5834
Telephone Number Telephone Number
1/10/2022 `- ; _ .1 h
Date Dale "1 tjt
Revised 6/18/2012

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Check
sh'.d Date Deposited Check Rom(Nam) Nam.of Pam*Holds Vendor Check number amount P.vmt Number/Comments Receipt or Refund/Reallocated
mi Column2 CokNn3 Column/ Cekunn5 Column6 Column7 Columns Column9
/2022 J.Scott McMurray Nancy Ray McMurray Coastal Federal CU 4219 $ 400.00 GP#85514D PA rct.16540
/2022 J.Scott McMurray John Stewart Coastal Federal CU 4220 $ 400.00 GP#85613D PA rct.16539
/2022 Ashley Harbin same Bank of America 251 $ 400.00 GP#85553D PA rct.16538 _
/2022, Michael Ouimet LCI Properties/Kathy Lovejoy Wells Fargo 2264 $ 400.00 GP#85513D PA rct.16537
/2022 Barry Golob same Layfayette Federal CU 191 $ 400.00 GP#85518D PA rct.16536
/2022 _Barry Golob _ _ Mark Davenport Layfayette Federal CU 192 $ 400.00 GP#85610D PA rct.16535/2022 Bianca Briola same State Employees CU 192 $ 400.00 _GP#856140 PA rct.16534 _
/2022 MichaelOuimet same Wells Fargo 2263 $ 400.00 GP#85515D PA rot.16533
/2022'' 'Cohen Construction,Inc. Joe Callahan Uwharrie Bank 216691!$ 200.00 GP#85348D PA rct.15671
/2022 John McClure Lorick Atkinson Truist 755 $ 400.00 GP#85454D PA rct.16532
/2022 Michael Shannon same Wells Fe o 1634 $ 200.00 GP#85556D JD rct.16810
/2022 G Bradley Fields same Truist 1247 $ 200.00 GP#85562D KE rct.16586