85550D - Elliott

i . ►MA DREDGE & FILL N? 85550 A s Gl.�
GENERAL PERMIT Previous permit `ss lo01---
t Date previous permit issued (Q fr a Z 1
New Li Modification *omplete Reissue — Partial Reissue
As authorized by the State of North Caar�lina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC —7 IA •1 a V v Rules attached. Il General Permit Rules available at the following link:www,deo.nc.gov/CAMArules
4.
Applicant Name Authorized Agent 1 �:J1�.u/Y
Addre Project Location(County):
City State ZIP Street Address/State Road/Lot#(s)
�� n
Phone
�/ (0331
, ^
Email Subdivision ��JL L
_ .. City ZIP
Affected 1CW ‘tiEW TA I ES -1PTS Adj.Wtr.Body ' '�a JC�_( A (nest/ an/unk)
AEC(s): OEA J IHA ri UW II SPIMA _PWS Closest Maj.Wtr,Body V v
ORW:yes0 PNA: no
Type of Project/ll..// Ac vity_ _:IA iL i)JAL-_ -1 . r t- 4tv
_ I - r, i
Shoreline Length — t �` ___ ,, ! —_ t
Access Length t X t� # i I
n 1 r
Pier(dock)length (_4 ( 10 Fixed Platform(s) I U I t W I �r ,t p . •
\-Floating Platform(s) C. s`r
f i a,
Finger pier(s) it I ( uw vuJ �t d
'� 31,P rZ
Total Platform area _ ; !
Groin length/ff ?- •ii -----�.� c •
`•
Bulkhead/Riprap length ��
Avg distance offshore .- o �+
Breakwater/Sill v i ��
Max distance/length " , ' / .i' -.r
Basin,channel ,--\' 4' , r_ _ t
Cubic yards
` - ��
Boat ramp -. i. •�io,h. LIni `�
Boathouse/Boatlift
Beach Bulldozingf^S"'
Other j djd� &.� ;•H 3✓t �- `' Aj
-' f• aces �Tv�^P
go3 r Pl
t ,se. z3'!44
NIA AA r SAV observed: yes E,'k5 Nw�
Moratorium: n/a yes r,
Site Photos: yes },
Riparian Waiver Attached: yes1:115i i
A building permit/zonin permtkinnnay be required by: v
w�� �^n � „J a ay p /a� jlr, „ e J I J TARRAM/NEUSE/BUFFER(circle one)
Permit Conditions 1\ YIN C 4rI �V� {'CC
�- � See note on back regarding River Basin rules
/,
A��'r�" "" b I I See additional notes/conditions on back
A ARE OF STA TE , R LES AN'D CONDITIONS THAT APPLY TO THIS PROJECT AND REV ED COMPL A CE STATEM (Please Ini ' ____
or Applicant PRINTED Name Permit cer's PRI T D Name `
Ben Elliott
Nit re"Please read compliance statement on back of permit** 1Si at re

N.C. DIVISION OF COASTAL MANAGEMENT
4
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT RE UESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: BENJAMIN AND KIRSTI ELLIOTT
Address of Property: 403 ASTER PLACE, HAMPSTEAD NC 28443
Mailing Address of Owner: 403 ASTER PLACE, HAMPSTEAD NC 28443
Owner's small: BENELLIOTT33 a©GMAIL.COM Owner's Phone* 305.726.6371
Agent's Name: Agent Phone#:
Agents 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 EXf,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
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
( do not sh to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: NICAS ON ix o iv
Mailing Address of ARPO: 3 97 7J r P/ 4,77.v.e4d, 'Yc ,!0 4/y3
6/n
ARPO's email:S•.SoN•,t.iD ZwAr S?1 is.;1 ARPO's.Phone#:(9S� t31: ?.4'e?3
Date: It) /2 61 tat/ "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 NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: BENJAMIN AND KIRSTI ELLIOTT
Address of Property: 403 ASTER PLACE, HAMPSTEAD NC 28443
Mailing Address of Owner: 403 ASTER PLACE, HAMPSTEAD NC 28443
Owner's email: [e-mail] Owner's Phone#: [phone]
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 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
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
I I�11
do not wish to waive the 15' setback requirement (initial the blank) ,1 t:-r1
Signature of Adjacent Riparian Property Owner iYu-w
Typed/Printed name of ARPO: OA-LW t'1 H i.t`Vyl p k'c i Pi 5
Mailing Address of ARPO: 2 2� tk.4 A L L A 12 (3A Y• 2 D c -4Ati1 )ST�kD N G 2 g "1'
ARPO's email:S i lriilopper57 wa i�.CO4 RPO's Phone* I +�- i- O g g
Date: 10121 1202.1 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

tour% 2 Z'-�_ /,G't,I L
. 1CAMA 1 I DREDGE & FILL ed[x.(..:G i.2-a-1oz( fnu)N • 85607 A B C D
'GENERAL PERMIT Previous permit
Date previous permit issued
r f �/��
ENew I 1 Modification I I Complete Reissue El Partial Reissue -16 i -(<, 2.6 7 I c fy i(t)
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 i—i i - ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name t ., t.` ,, C I + I Authorized Agent
Address -. ,} ' :✓ Project Location(County):
City --a',{4 . State t'- ZIP ' -' Street Address/State Road/Lot#(s)
Phone#( i;S) .,:'.'2;1' 7 't— ..
Email Subdivision + -`,, 1 J*--,
City ZIP
Affected ❑CW I ,l'EW nPTA n ES I I PTS Ad).Wtr.Body (nat/inan/unk)
AEC(s): n OEA n IHA ��,,n UW h SPIMA ri PWS Closest Maj.Wtr.Body
ORW:yes rJo PNA:O/no
Type of Project/Activity
llii f Y, /�' �` .' ,;'
Shoreline Length .,. S_ _
Access Length 1, ! �'/
Pier(dock)length r c;1 16- 6-g/t+f
Fixed Platform '
s) 0s'j 1 ! ':f151)
Floating Platform(s) " ,
r r
Finger pier(s) f ? `� w.�1 -x v r '/ -
^ , \ ,I._Total Platform area l�%L�-
y
Groin length/ft ..---.\? . \'' 4-
Bulkhead/Riprap length
7.— ,'... , _ \-_,_ \L--
Avg distance offshore •,-
Breakwater/Sill l
Max distance/length -_
Basin,channel _ �5 -
Cubic yards
Boat ramp _,7., 4,},Ae LA, `— _
v 140
Boathouse/Boatlift
Beach Bulldozing d� i 30 ' �4``'.,
Other 1,'E ' ' 403 4.51e glace- (`kvv^I
SAV observed: yes no goa 4.3 Na*
Moratorium: n/a yes no I
Site Photos: yes rip 1'
Riparian Waiver Attached: yes no I
A building permit/zoning permit may be required by: I I TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions ,
1 See note on back regarding River Basin rules
riSee 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)
IG-lg-Z)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Z-Z "-22

Check
Id Date Deposited Cheek From(Nam.) Name of Permit Molder Vendor Check number amount Permit NumbeiComments Receipt or Refund/Reallocated
Column2 Column3 Column4 Column Column6 Column? Column8 Columns
22 'John McClure Linda Warren ,Truist 837 $ 400.00 GP#86003D IBB rct.16902
22 Sea Dog Marine Construction Steven&Melanie Otwell First Bank 1647 $ 200.00 I GP#86007D BB rct.17000
22 Hill Properties-1 of 2 David Hill First Citizens Bank 1387 $ 400.00 GP#860060 BB rct.16999
22 Hill Properties-2 of 2 David Hills First Citizens Bank 1807 $ 200.00 GP#86006D BB rct.16999
22 Jill Kenley James and Jill Kenley State Employees CU 7873 $ 200.00 GP#85575D BB rct.16993
22, Allen Murray patricia and Edmund Murray Benchmark Community bank 1036 $ 200.00 GP#16997D BB rct.16997
221 Terry Hollingsworth same Bank of America 4167'$ 200.00 GP#85596D JD rd.14883
22 David Grice Money Order David Vandenberg USPS 2.6393E+10 $ 200.00 GP#85576D BB rct.16994
22 Lighthouse Marine Construction Inc Gerald Rhodes Coastal Bank and Trust ' 4157 $ 200.00 GP#85584D JD rct.16813
22 Charles Fox Homes,LTD Callicutt Banch Banking&Trust 29073 $ 200.00 GP#85577D BB rct.16995
22 Benjamin Elliott same TD Bank 126 $ 200.00[OP 5550D Tmac rct.16280
22, DC Morse Inc. ,CMT3,LLC BB&T 6580 $ 200.00 #8 BB rct.16903