85505D - Johnson

o�°``°'�'"'NFICAMA I DREDGE & FILL N9 85505 A B C6.
si 1 GENERAL PERMIT Previous permit 1y�3
Date previous permit issued 1/d 3/2;'
L4New III Modification Complete Reissue n Partial Reissue
As authorized43y the Statea of Northr Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 0 f t 4 `1 n Rules attached. ri General Permit Rules available at the following link:www.dea.nc.gov/CAMArules
Applicant Name \(v i✓l I'. , - t.-r)� ,-; i ? Authorized Agent •
Address ICU 1.w)( 19 Project Location(County):
City Ni e 1(I :Ir State Al '� ZIP 2 Y(JC Cr, Street Address/State Road/Lot#(s) /o'('7 C.
Phone#(-7 If
I(�'1 '�j eri i• L`s00
Email F- ` ?L. ey O. �o"' Subdivision /
/ ( City •, 71 ZIP •G (_/ (,',L
Affected CW n EW n PTA ,; ,I ES I I PTS Adj.Wtr.Body (nits ardunk)
AEC(s): U OEA n IHA n UW SPIMA n PWS Closest Maj.Wtr.Body `18 V ""
ORW:yes/no' PNA:yes/no
Type of Project/Activity -46 v l ! .ti t,,,., n 0t (Scale::A.1 7 S)
Shoreline Length
Bt Access Length , ......
i 4
Pier(dock)length } — " fP, '� " f Fixed Platform(s) ..\ __. ��, .
f _ ., T
Floating Platform(s) c
Finger pier(s) - j '-ly.c, f
Total Platform area I(p c J, I-
Groin length/# ! � _
.. r I H
Bulkhead/Riprap length - c0.) .,--- 4-w ‘445
Avg distance offshore :" ..- b ._ a ,......_ ..y_ .._...__... .._._......_..
M 1 !
Breakwater/Sill _, ' t.
~ 11-41
t ,
Max distance/length �' : q 1111:
Basin,channel (j�' - .Cubic yards , TBoat ramp t
Boathouse/Boatlift },, ,. •.,
Beach Bulldozing
Other I
SAV observed: yes 4 ( 5 0
Moratorium: n/a yes 1 I-
Site Photos: yes 4 - ��° , _ 1 "�� I
Riparian Waiver Attached: yes `,rt� I ! j 1 j
C_1
A building permit/zoning permit may be required by: L)',,A 3 w, ( tC L./
�.,,.
Permit Condition j �-•- 1, <- /fie r4 n TAR/PAM/NEUSE/BUFFER(circle one)
f ,
r !i,..( ?)----
/ 1 / `c,,I/ ! Yj,. I:I i tom, ,i (Z) N el i t/ See note on back regarding River Basin rules
v` r r U.
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. (Please Initial).:,s..... t c,,r'k,.... ... 1-23• 7
Agent or Applicant PRINTED Name Permit O cffi er's PRI *9Name
-\ . \-,/ 5 Z2.22
c,...-.......stet..-,�,..,..,a,.,..,,...r......,,....,.,,....,.......�.....,.,.a..,......:.r* n___...__ _ ` ._.- ,

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)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permi�t 1 e t'� -SvV(-1so�) _
Mailing Address: P {ScJ1C 99 _
`' \e ..i s N(''_ a3UQ( )00q
Phone Number: -I(-t - `t) " q sno
Email Address: kj iC!1 a ekQt 0 , con',
I certify that I have authorized t(10 14 Latex-- Mai t n Q. 13.01 q•f r S
Agent I Contractor -Ts yl.r1. r,q .C 1u( Q
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
i. necessary for the following proposed development: .\Wf\,? re{ 1 G.CQ Men
1.- vt\►,,-, YeptoLe� rnerv4-, harx klv 1 ► _
at my property located at
i,C1 E Sea. are Carlo. I Cupp, Q .,
in fel;tt.1.11AJ1/4{,\S 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:
(
K. 7t
kgnature
\cen cnr')
Print or Type Name
Title
1 , q1 - 7
Dale
This certification is valid through i I

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: K v ‘ --jD\fo nS0i
Address of Property: I R . Se (4 V i f e_ COI► q 1 r S lye,
(Lot or Street#, Street or Road, City&County)
Agent's Name#: e MC C Uu(a Mailing Address: 1)8 Yfl V-CI? I V r i( id,
Agent's phone*: 10-- $7(" Dip (0-7 .i i 2 a b-? 4411<Jt f V)C 32?
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 o*yoetfons 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,284053845. DCM representatives can also be contacted at(910)790.7215.No response is
considered the same as no o0fection if you have been notified loin 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.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Ad cent PrIpertl Owner Information)
Signature Signature
�R v� -YU\ ‘)our\f \
Print or Type Name Print or Type Name
() ()DOA Cj ],� c Parr ' co(1 (eke Yi
Mailing Address Mailing Address
fic[NisiNe) ()) °°(c. Mokyrsvi I NC. _.)8.1 11
City/State/Zip City/State/Zip
()Li- (04- 4S-00 ry - u S ' - 59(). ()
Telephone Number Telephone Number
/
Date Date /
Revised 6/18/2012

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: \Qx\ --\---6\'' r cC11r)
Address of Property: `6 L„--) E seix (Lie. lac \ Sll.)01D ki C.
(Lot or Street#, Street or Road, City&County) p�I
Agent's Name#: )c�1 v, f n e C- I UJ Mailing Address: l X' �'( it PO r • � I I `'—
Agent's phone#: q 1() 7(0 (n �-I ► 76t(n41.,4-(t 1 )✓1 / Ne.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 .A descriotion or drawing.with dimensions,must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
tf you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
wry within 10 days of receipt of this node. Correspondence should be mailed to 127 Cardinal Wye Fart,
Wilmington,n,NC,28405-3845. 0CM representatives can also be contacted at(910)7e0-721 b.No response is
considered the same as no objection if you have been notified hi Certified Wail.
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)
Signature Signature
k _e0 `S6hnson 5L,Q9_ D5br)ir r\0,
Print or Type Name Print or Type Name
P ibms 9. q 16(03 F Sea (tire Ca I
Meriting Address Marling Address
)\\&� ,s I NO_ axon City/State` _ 10 ly IVC. at� �a
�
61 11) L(U c) //5
poi -vyg_Lis-oo clip
Telephone Number Telephone Number
Date Date
/ l' .6/` �
Revised 818 2012

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Cheek
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Cheek minis, *MOWN Permit Number/Comments Receipt or Relund/Realloce
Warne Calmed Column3 Columnl Columns CataruM Colmn7 Column8 Colunme
2/3/2022 Topsail Offshore,Inc. Mary Taylor Coastal Bank and Trust 1403 $ 200.00 GP#85555D _ JD rct.16809
2/3/2022 Washington Acres HOA same PNC Bank 1109 $ 200.00 GP#854730 _ _ JD mt.16556
2/3/2022 John C.McClure Alvin and Janice Johnson Truist . 754 $ 400.00 GP#85505D BB rot.16983
2/3/2022 Logan Marine LLC Hartman BB&T 7828 $ 200.00 GP.85512D BB rct.16982
2/3/2022 Jason Hegge Godfrey Truist 1002 $ 200.00 GP#85510D BB rot.16979
2/3/2022 Jason Hegge Greene Truist 1003 $ 200.00 GP 0855650 ,BB rct.16980
_ 2/3/2022 Alan Marine,LLC Jeremy Haines BB&T 7799 $ 200.00 GP#854300 _ BB rot.16984
2/3/2022 Charles Fox Homes,LTD _Bland BB&T 29037 $ 200.00 GP#85508D BB rot.16050
2/3/2022 AMW Docks&Marine Construction 'Watson Truist 7080 $ 200.00 GP#85434D BB rct.16981
2/3/2022 Rhonda McCall Francis Rev.Trust Bank of America 1134 $ 200.00 GP#85507D I BB rct.16978