85510D - Godfrey

3"`°"4 '��� CAMA ❑ DREDGE & FILL N9 85510 A B C, D
GENERAL PERMIT Previous permit
Date previous permit issued
14 New ill 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 V 1-A l , O. l ) ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name ,l-C-Vik tf_.A.v,^ l"',\ der Authorized Agent .• t . - '
Address L vrj c.7t (l U Project Location(County): .;,'-'- ;..,c14_
City c State Alt ZIP Z iY j —3 3 Street Address/State Road/Lot#(s) $.4 5 f?,,
Phone#(__) /'/2 `�c[ '
4 D
Email 'V (r-z:L (-r t 6)1.ti I -u Subdivision V (
City r 4-- ( 5. ,c. I (a.c 6\ ZIP / )" ' `l/
Affected I I CW rq EW PTA ❑ES ❑PTS Adj.Wtr.Body r r ^ ( (nalnk)
AEC(s): OEA ❑IHA uW ❑SPIMA ❑PWS Closest Maj.Wtr.Body /1 f tv w
ORW:yes/ho) PNA:yes/ o),
Type of Project/Activity su" !1 t v C+e c 1r ,n� -�"t 1
(Scale 1$)
Shoreline Length
Access Length
Pier(dock)length `( , I 1
;,.��' �A G ���\ •
I,...• )
Fixed Platform(s) .�
Floating Plattorm(s) __ _ -
Finger pier(s) I
l
Total Platform area j6-L-4:1-J± -2 f a- T
Groin length/# I .
Bulkhead/Riprap length i - - ---
Avgdistance offshore ( ..._.__,.._.____ ..__
f
Breakwater/Sill
Max distance/length ) 1
Basin,channel ;
Cubic yards
Boat ramp '1��.. ..N� y Pt) •p w G.,t .
Boathouse/Boatlift A I r �1
Beach Bulldozing f t
Other
SAV observed: yes no I �-- (,,^-� (�
, i (7) ) 'C.t E• ,6 ( 54,,,.11'
Moratorium: n/a yes 4.c lC G Si F,�.M..sr,`A 1 1 i vt l✓ m 4
Site Photos: Y e t, t-- 1.-,�(tA,;k✓ { .
�
Riparian Waiver Attached: es K{
�I t
A building permit/zoning-permit ay be required by: 0�.+,-- 'S,,C 4 C
i ff ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ' ' Lk,,�k ,t IA PY t ) ext..:t't"y pi . ; c.�
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
—T /i
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) --J 1�' 't
`�h � J 'L //'c 1, ✓., -�. , _ c ,L._ I-27 22
Agent or Applicant PRINTED Na fie Permit 0 ' ' RINT D Name
cL,..�r,.e#•Ole�re re�rl r.......li�..fe rr�re...e..r....L.�.-L..f..er..,tr*• ci�..�r ern

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
>ubject 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
nformation 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: Gait\ C oR f<j
Mailing Address: t 3 0 € Lo o y 7 &1 Cyr J
wcwUj NC 2 $ t 17
Phone Number: 1 k 'k7- 5417
Email Address: �e';'� 1, Cio&f-r J@ rkai + . (,off
I certify that I have authorized J QS Df 49 � CA7as IaI 00(J-S ,
g t/C ntractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ALLA) d,0c,Sv, /Olm, b-�i1GL
t two •
at my property located at 4s otnM,O vi + -, d c aAJrLQ aCQ c.ti 1`, C
in 5i.A&'LA(AL 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:
rA
Signature
r Coo J f(` 1
Print or Type Name
Q\Af
Title
f
Date
This certification is valid through 0 5 I 0 1 I so7/2i

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:_ n OV.d L' 1 6 O d 4r G �
Address of Property: kS NA �t r cckt -.4ea! G�'1 J�✓'G
Mailing Address of Owner: J 06 ,,00 (A �,p�,t C'� ,, t % � t+�a ,1 C. `�8
Owner's email:S .GOAf'tfl yvt�ltibdme'Phone#: [phone].+77
Agent's Name: Agent Phone#:_._
Agent's Email:
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.
_ I 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 same as no objection if you have been notified by
Certified Mali.
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
Signature of Adjacent RiparianFort-Perry Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)_
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: • 54 h•:A lir
Mailing Address of ARPO: P t7 (425 3'7 C 1,49 r f.��' ,,2 v15
ARPO's email: c..I.i.Jce,Ae.4ri .c.etARPO's Phone#: 7r,tf 4'7 3^ 1 (,)'7
Date: 12/71 2 ( *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: V1ti Ol^A Cini h ( 0d't'`rt�t p_.
Address of Property: k JC 91 Ct�QAd ctF -u Q`JCt_co if le 1[_cajl )J C-
g 13 0 6 (. ..u+ C I r jt, kA164_t�o►.w. t C B r ' 264 b
Mailin Address of Owner:
A to
M
Owner's email:S k#A f r J e rota urrner's Phone#: 10+ 9 42 $47?
Agent's Name: Agent Phone#:___,
Agent's Email:
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.
‘I I 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 same 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 L.J
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: Bob and Claudia Odom
Mailing Address of ARPO: 601 East Street Albemarle__N.0 28001
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 11/30/2021 `waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

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Chock
Dote Roarlad Dar oapnakad ' Clowk From(Nomol Name of Perme Molder Voodoo. Chock numbs, amount Parma NurnimoCoom oto Roord0 orb.
Catmint Cohnm2 Cokrm9 Column4 COMMIS Coam,I Cokaml7 Colu mM Column!
2/3/2022 Topsail Offshore,Inc. Mary Taylor Coastal Bank and Trust 1403 $ 200.00 GP f85555D JD rct.16809
2!3/2022 Washington Acres HOA same PNC Bank 1109 $ 200.00 GP f85473D JD rct.16556
2/3/2022 John C.McClure Alvin and Janice Johnson Twist 754 $ 400.00 GP/85505D BB rct.16983
2/3/2022 Logan Marine LLC Hartman _ BB&T 7828 $ 200.00 GP f85512D BB rct.16982
2/3/2022 Jason Hegge Godfrey Twist 1002 $ 200.00 GP f85510D BB rct.16979
2/3/2022 Jason Hegge Greene Twist 1003 $ 200.00 GP f85565D BB rct.16980
2/3/2022 Logan Marine,LLC Jeremy Haines BB&T 7799 $ 200.00 GP f85430D BB rot.16984
2/3/2022 Charles Fox Homes,LTD Bland BB&T 29037 $ 200.00 GP f85508D BB nct.16050
2/3/2022 AMW Docks&Marine Construction Watson Twist 7080 $ 200.00 GP f85434D BB rct.16981
2/3/2022 Rhonda McCall Francis Rev.Trust Bank of America 1134 $ 200.00 GP f85507D BB rct.16978