85595D - Jenkins

,0 "r"` n.CAMA HI DREDGE & FILL N9 85595 A B C [
i GENERAL PERMIT Previous permit
Date previous permit issued
n New LI Modification n Complete Reissue n 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 ' f i Gk", ❑Rules attached. n General Permit Rules available at the following link:www.deta.nc.gov/CAMArule:
Applicant Name?? r' U 0,7I // / l &N/'/A'(; Authorized Agent 1/P t P *V/ '
Address ^7 17 I t- / /I- A nJ IA,/Al 'rye Project Location(County): �'v`' r'F d`
City fn'i'' C A►> State J'( ZIP A Street Address/State Road/Lot#(s)
Phone#(—) •%1/is r.�i�{
97c '' ; /..
e Email Tt.11t'I N 5 11.-q(& Cr' Subdivision
City 14414%'`']1 ZIP '-4 4".7
Affected rim I'• I EW n PTA n ES n PTS Adj.Wtr.Body 7.6-'1°s04 lr ' (nat/man/unl
AEC(s): n OEA I I IHA ❑UW n SPIMA PWS Closest Maj.Wtr.Body 7 J',,''4-/C
ORW:yes/no PNA:yes/no
Type of Project/Activity "N t 7A / f CIO CAL/Ai A: „7-7-,4-0I /I I>
J ,1, '
(Scale: ih
Shoreline Length t '
i
Access Length
Pier(dock)length 'II—et 111
Fixed Platform(s)
Floating Platform(s) "y24.° \ 4 11'1 I
I" i
Finger pier(s) Z�',' N(+
Total Platform area '
r -elR./ 8, EMI
Groin length/# h/ t E-
Bulkhead/Riprap length 1, I W
Avg distance offshore 3(!1 ��"'—"' " /� j� ," .
Breakwater Sill k ism
Max distance/length
t \
Basin,channel
I"
Cubic yards 4 i a
Boat ramp Boathouse[.Boatlift) I 1//
,,. I '4 11 l 1141 ' )f/ ritBeach Bulldozing (_ )7 '/ ( ,
EOther
SAV observed: yes —__- Y__` ,
Moratorium: n/a yes 7all
Site Photos: yes 40 tr_pq.� ......__ T...... .l._..... _ -
rJ
Riparian Waiver Attached: yes `i
t
.7
A building permit/zoning permit may be required by: _ '' r`/2 I�
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rule
nSee 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)
1.E. vv 1 . / (7 C' .. ;El.)LI k,; .
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name

;tatement of Compliance and Consistency
'his 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.
'his 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
)ermit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
a cal land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
las been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
'he State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
iformation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
liver 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:
lease ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
roject area and disposed of in an appropriate upland location.
'ivision of Coastal Management Offices
forehead City Headquarters Washington District
00 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
52-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
;erves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
ounties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
lizabeth City District Wilmington District
01 S.Griffin St. Ste. 300 127 Cardinal Drive Ext. Wilmington, NC 28405-3845
lizabeth City, NC 27909 910-796-7215
52-264-3901 Fax:[phone]
>erves: Bertie, Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

AGENT AUTHORIZATION FOR CAMP PERMl1APPLICATION
Name of Property Owner Requestkig Permit r .Aj s
Ming Address: 311 tf'.___ e (�
lAI .T6Q 'Y3
Phone Number: 9(O y 3? ittig
Email Address: .,..)E-Avi- rjs 112.Q 14'L,•CC441
I certify that I have authorized Zing /r sd, �'►.X 44,0 Aerie dC S c .c
Agent I Contactor
to act on my behalf, for the purpose of applying for and obtaining all CAM permits
necessary for the following proposed development w4prn c_ c ess/ P/(
/ 1 NJ6
"rOPT4-21-1A B e-/ S
at my property located at jn Pp4./E44/ �✓9>�L- .L
in e'IVerA 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 then agents to ender
on the aforementioned lands in connection with evaluating information related to this
permit application.
ProOvnier information:
2tre}"dt-6- -
Signet
107_2_b3Q4.---2
Print or Type Name
Title
fb , , l
Data
through .3 l_l! I LA
certification is validug

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED M L • RETUR CEIPT E TED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: • 7CO.Cfk j • / y``(Nf� /� �} p d __�/�
Address of Property: ✓J t 1"t e1C 4/ k1' 4J4 ' `- / r`7 rt >/ �.it��c 11X y
Mailing Address of Owner: . N}6 4,5 / go
Y-' Q
Owner's email: JtA INS[RWC7Npl'll-'Cilwner's Phone#: //0 �•3M5-S
Agent's Name: / CsWi/-I% l 1-P-t Agent Phone#: 9/f2 'in !3V
Agent's Email: -----7701(i. N->e
,Q 7fA) ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
(�L The individual applying for this
f��L y�l hereby certify that I own property adjacent to the above referenced property.
_ljti / permit has described to me, as shown on the attached drawing,,the development they are proposing.
cA) A description or drawing,with dimensions, must be provided with this letter.
DI O 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
p�f
PCEi7�SEJ *-->1 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
IJf��L 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
oK-•
G�
I do not wish to waive the 15'setback requirement(initial the blank)
XSignature of Adjacent Riparian Property Owner: . ,( ' A "
Typed/Printed name of A�RPO: �b V S b 1'2 S �Or
Mailing
Address of ARIPO; &d
h�,osE
x ARPO's email: • ® M/1/ ARPO's Phone#: � 6 4(1> ^ 7 } 7D
pate: /6//1,/,/ *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

La CJ '
1
t.
1 'r I
fit-, - { ► r
r
' I 11 �,
'--i
i7 �_ ( — iV)iiV(MSC
1 f
i k
t
i` l
-}old , i
L '• 1 1 LI ' -'i�
Az
[-----1-,----- '•- - - - Tr -?•-•- ' 4 1-ff-T+ t 1,._.4.. ...•. : , .,, ,4__t„,,• !___,L+.
-1
— � ,—t_I —I—�—
A i111t
``
c .4`
301
I N�\� L cG
1
i.,;ziipiir„.. .. „___ I __,....,........4.4_-1-4.-!--f—i-44-- • L t , t,:-.. ,
• 1
•
r_i., ,.11 i_j_.til ., LI. 1
} _- tom;- 1 11 I- _1 -- r
f I •
1I I I 1..Ii I I I r 1 1.. __..
:
IT .

Check
id Date Deposited I Check From(Name) Name d Permit Holder Vendor Check number amount Permit NumbeWComment. Receipt or Refund/Reallocated
Column] Column) Column! Coumn5 Column! Column? Columns Column!
i22: Quinn Adventures,LLC Kim Quinn First Citizens Bank 20839 $ 200.00 GP 8860190 JD rct.16573
1221 Dock and Deck Dudes,LLC Robert Jenkins PNC Bank 1268 $_200.00 GP 885595D. ,JD rcL 16570 ___
1221 Steve Hall Commerical Real Estate Steve Hall First Citizens Bank _ 1356 $ 200.00 GP 885597D AW rct.14884
122 Jerry Ennett Ryan Hall I Coastal Bank&Trust 4322 $ 200.00 GP p86018D :JD rct.16574
1 122I Looan Marine,LLC Alex Vonsiatskv BB&T 7873 $ 200.00 GP 8855730 JKE rct.16595