85593D - Caison

atQ1yCAMA [1] DREDGE & FILL No 85593 A B C 0
GENERAL PERMIT Previous permit
Date previous permit issued
04 New ElModification C Complete Reissue P Partial Reissue
As authorized by the State of/N�h Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
i SA NCAC 07Cf ' (2 00
J Rules attached I J�! General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
r 1 f �`ut
Applicant Name >'��✓� Authorized Agent
Address (r��{ .J K- • Project Location(County):
City fy' tr State it le" ZIP C/ Street Address/State Road/Lot#(s)-
Phone/////#(
__ )J�' / —
Email tE i i re1jt a t Subdivision -- — —
!EW
iCity / d ZIP /40'f r3Affected 0 CW PTA ES L PTS Adj.Wtr.Body_ A+4rlf4 Aer-e A (na v lunk)
AEC(s): -O I EA IHA UW C SPIMA PWS Closest Maj.Wtr.Body- f - OQ�„pm.,�
.g...
ORW:yes/C) PNAo f
Type of Project/Activity !N�#4 // bf t 4 t&o? re -- / , c.t;l4 7 d cZ eit.-,
/ ! (Scale: /V�►-r.
Shoreline Length 1/"-75-
Access Length Pier(dock)length j�l
Fixed Platform(s)
1
Floating Platform(s) i g itV C A- V"
Finger pier(s)
Total Platform area t ft` it '"'
Groin le h/# ^_ `_ — /
Bulkhead/RI ap length
Avg distance offs re
•
Breakwater/Sill
Max distance/length
•
Basin,channel y-
Cubic yards ih..7\ e714
l�/L
Boat ramp
Boathou r�r no ,_---- •/
Beach Bulldozing
Other
SAV observed: yes C.4-/SIN
Moratorium: n/a yes 4011
Site Photos: yew Q.► u
Riparian Waiver Attached: ,/hs) /
A building permit/zoning permit may be required by: PEA✓Quei -- co •
(circle) I TAR/PAM/NEUSE/BUFFER one)
Permit Conditions t
See note on back regarding River Basin rules
_ See additional notes/conditions on back
I AM AWARE OF ST T TES,CRC ULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEW t COMPLIANCE STATEMENT._ (Please Initi ` "..-
e or Apf,ant PRI Per• Offi -r's PRI TED Name
CO-IB-ZZ
ig atufe Teas ea pli nce state nt on back of permit" Signa e

3S"rk4' CAMA DREDGE & FILL No 85593 A B C
G'E N E RAL PERM 1 T Previous permit
Date previous permit issued
n New n 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:
15A NCAC U Jll G (.n L n Rules attached. fl General Permit Rules available at the following link:www.dea.nc.gov/CAMArules
Applicant Name 1/4I14 Al l ''a f re'7L• Authorized Agent A/'� r � 7'' 4--
/ / f
Address {'� //l�`� ,4( Project Location(County): /2-2^C.-e...•i.
City r -, bt. ` State /' ZIP - f'y. � Street Address/State Road/Lot#(s)
Phone#(� ,y,'`.-2
Email (/61Gair cry"(> ee't4
4A1 Subdivision,/
City /''-F rif......,,,
ZIP rY
Affected n CW EW I :'I PTA ES PTS Adj.Wtr.Body /l b `it'11 k`'j/C-0,4„. */ (na /uni
41
AEC(s): f OEA ❑IHA UW ❑SPIMA n PWS Closest Maj.Wtr.Body f ''/9<�-*��J ,z....c
f
ORW:yes/no' PNA:yes/no J /
Type of Project/Activity U^ lT A // Jr7 !%4^c✓ /:2 c-G wee" ? ^ '''e* eVO C.4. ,
(Scale: M-j ,
Shoreline Length
Access Length }-j -__ {____
Pier(dock)length " j
f11111111111111111111
Fixed Plafform(s) i ( 6 + i E .-_ • .1_ - i__._ .__.....
I
Floating Platform(s) / d� ! .
Finger pier(s) j
/ cJC/ ,
Total Platform area i ,
Groin length/ti j I'
Bulkhead/Riprap length j _.. +... ' i..._...._
Avg distance offshore
1 ,
amimmiIII
Breakwater/Sill III 3111111111111111111111
Max distance/length
Ma
Basin,channel �... ■
Lk
Cubic yards I' l Iki ,h
Boat ramp I ' IIM_ L -. .-----1111I1 ������ �1
Boathouse/Boatpft' ' _
111111
Beach Bulldozing
Other
SAV observed: yes [n�� 1` S,o ,,
Moratorium: n/a yes "no Site Photos: yes %no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: / !-!t-_ ," • e -4 •
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
nSee note on back regarding River Basin rule!
IIISee 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)"•.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name

statement of Compliance and Consistency
"his 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
: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
ocal land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
ias 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.
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
project area and disposed of in an appropriate upland location.
)ivision of Coastal Management Offices
Morehead City Headquarters Washington District
[00 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
152-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
Serves: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
i01 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
:lizabeth City, NC 27909 910-796-7215
152-264-3901 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: '' L( uT. .'4;t 6:7 C2` .
Mailing Address: j'►0�61/4 1 kt ct
Phone Number: '1/ 6 / / t (-( r;
Email Address: r(_'c, i`cap s' ei• A. , /, l_'( <n
tt
I certify that l have authorized / - l I;C tic; -t,L )R?; cp{
Agent I Contractor
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 r •1 41 I a et � ' ( c:ck
in L i.< e r'' 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.
Pro Own r Information:
Signs ure
t`te.• t • C�tc � U� ._.1 .
Print or Type Name
L� t4..)n C I�
Title
i
Date
RECEIVED
This certification is valid through t I FEB 17 2022
DCM WILMINGTON, NC

•
N.C.DMSION 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. _ ~ �:t"1/ LT
Address of Property: / 0 4\6 ci I- ' D-
Mailing Address of Owner: /(../3 4 114 c r c
ctS
Owner's email: L )1C Cf I5c�4''`l e s Phone#: `7/ a !�'/ 7
e/C-C`-i4
J'1 I l I C'ciC Met Agent Phone# ` /©SC"7 v21�
Agent's Name: zzt�
Agent's Email: A� 1 1E lJ "�"`�
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
i dance should l
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence
e
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 Properly Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: ( C
Typed/Printed name of ARPO: L, ari le `' Lc L_
1i 1V\� f 'u J) t{at s±e ei Iv .th'`�`t.5
Mailing Address of ARPO: � � �
ARPO's email: C' tqt cifliii5c.eoC74t4i(' ma's Phone#:
Date:.L - T oZ *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
RECEIVED
FEB 17 2022

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: �-- Cie1C
Lt(Sty IN
Address of Property: I C' 3 Atka jet(- 1),c
Mailing Address of Owner: /( 1 AM!ki i' a�� / ( 4" '+* �t�'/L "� 9,8(013
Owner's email: \Cck l"qr C164'0wner's Phone*. CPC 6 f 7-
Agent's Name: flf"&(/'Ltrr Agent Phone#: Gl /C 3 7
Agent's Email: /lai fit e/viai3(✓d /-O
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 r'
Signature of Adjacent Riparian Property Owner
-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: l"Qr�r-8 <trx� l�cZc�t�<�c:r�lrri rui��C l j V 1 j�`��Lard C�'l
Mailing Address of ARPO: `5C j t-r,-, cxWz_L l Dr. ; Gt ex-1\- t1C'a
` «£'_( ` ARPO's
Pho e#: C`Z 1 c��
tYM
ARPO's email: K1x.� ,�`.i't1i�lC\t..;t
Date: J\ -I *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
RECEIVED
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Check
Date Received Date Deposited Clack Fran(Nana) Name of Permit Holder Vendor Check number amount Permit Number/Comments RaceMt or Refund/Reallacat
Ceaann1 Column2 Column3 Column) Columns Column Column? Columns Column9
2/22/2022 _ Jayne Nicholson same First Citizens Bank 6875 $ 200.00 GP#8 lN57D JD rct.16812
2/22/2022 Chad Gamer same First Citizens Bank 7014 $ 200.00 GP#85592D JD rct.16566
2/22/2022 Allied Marine Contractors,LLC Donald Cason First Citizens Bank 10884 $ 200.00 GP#85593D JD rct.16567
2222022' Christopher Gaddy same Suntrust 16668'$ 200.00 GP#85594D JD rct.16569
2/22/2022 Southern Envionmental Group Glenn Hodges Wells Fargo 8509 $ 100.00 GP#85409D BH rot.16262
2/22/2022 1Robbie Hodges Glenn Hodges State Employees CU 1200 $ 100.00 1 GP#85409D BH rot.16262
2/22/2022 harry gross same BB&T 2430 $ 200.00 GP#85547D PA rct.16531 2/22/2022 Sea Dog Marine Construction Bridgewater POA First Bank 1640 $ 200.00 GP#85528D PA rct.16545 _
2/22/2022 Sea Dog Marine Construction Timothy Anderson First Bank 1642 $ 200.00 GP#85527D PA rct.16546
2/22/2022 Bledsoe Enterprises Inc. Ocean Dunes HOA Twist 20242'$ 400.00 GP#85407D BH rct.16263
2/22/2022 McPherson Marine Services Grubb First Citizens Bank 4911 $ 400.00 GP#85529D PA rot.16544
222/2022 H5 Construction Services,LLC Allen Westbrook Twist 1004 $ 200.00 GP#85526D PA rct.16507
2/22/2022 Bruce Marek,PE Bald Head Island Club Wells Faro 2153 $ 400.00 GP#855480 i Tmac rct.16278
2/22/2022j Bruce Marek,PE Bald Head Island Ltd,LLC Wells Fargo 2154 $ 400.00 GP#855490 1Tmac rct.16277