86024D - Dooley

t°"rk cOCAMA 0 DREDGE & FILL N9 86024 A B C
GENERAL PERMIT Previous permit
Date previous permit issued
,,,, New ❑ 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 4 - �' Cei ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMAru
Applicant Name
Address
City 1 e YYr 1 ✓t L fib` State r,J (- ZIP C> - 7 f t=
Phone # (�'fy! lj s (x.) 1.) 1 tJ
Email
Authorized Agent �k V� y'� `{
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA %S ❑ PTS Adj. Wtr. Body '� 1 Y V �Aat/man/L
A
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity VZ.L C '�cw � L �Ac& a , Gio. C4 vo V L'l iQ C V ( I/\ d IG w d
(Scale:
Shoreline Lengtht)- (ice
Access Length
Pier (dock) length _
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing /
Other, - L O D ;G 6VVv s tit
SAV observed: yes
Moratorium: n/a yes no" 1 �"
Site Photos: yes no }� }
Riparian Waiver Attached: yes _w
A building permit/zoning permit may be required by:
Permit Conditions ; ! ! i J. S L
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rL
❑ 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)
Y CA-t;ni%Y irk i.1'u 2-242Z
Agent or Applicant PRINTED Name Permit qff, er's PRINTED N

itement of Compliance and Consistency
is permit is subject to compliance with this application and permit conditions. Any violation of these terms may
bject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
is permit must be on the project site and accessible to the permit officer when the project is inspected for
mpliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
rmit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
:al land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
s been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
e State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
ormation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
rer Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
>r the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
C Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
lashington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
otes/Additional Permit Conditions:
ase ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
eject area and disposed of in an appropriate upland location.
rision of Coastal Management Offices
irehead City Headquarters
) Commerce Ave Morehead City, NC 28557
2-808-2808/ 1-888-4RCOAST Fax: [phone]
rves: Carteret, Craven — south of the Neuse River, Onslow
unties)
!abeth City District
1 S. Griffin St. Ste. 300
!abeth City, NC 27909
2-264-3901
!rves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: r io'- % c-
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Loy hl"r i;z i2of,
Agent f Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1`C `i r4 c%
at my property located at / ,� c7 -) 4 • /,` e r4j
in County-
/
furthermore certify that 1 am authorized to grant, and do In fact grant permission to
Division of Coastal Management stag 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:
Signature
/ ) Lam+e-
D f
print or Type Name
O'Ajwe'�
Title
r l1.),_1 J
Date
This nartification is valid through I l

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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: 1` r ;a i
Address of Properly: % r i f y ; f r 1'� .Y�` L 1 ,.r.�-^ ���,,. d- C . ,3 / i ) S
Mailing Address of Owner: 1 '.� �% ? /� :' : /; r. i? 'Awl . L i; �,, r �t j �,✓r yh.( 1 j'�/ o
,
Owner's email: Owner's Phone#: 1 u
Agent's Name: -i J,f ►.. Agent Phone#: �' /(°-3 • 01 'S/ - �., � ,� �;
Agent's Email: J i it2 r 1 i'l
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.
'-_ I DO NOT have ®hje0om to thi@ proposal: I DO he" abledom to thie pr-apoml:
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 mgfl sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback / /
-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:io�p
Mailing Address of ARPO: lot 'L 1��r�,]o0�1 �QC�Z�` c1vr� IJL 2� `EoS
ARPO's email:yjhot�SCr►'!� e-ONRPO's Phone#: Z0( - y�� ' �S
Date: Tit'L2Z 22 "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: o ov Ir
Address of Property: % .!y ) � ; ,- i t -c I`Z. L.. ; �,�,�.L
Mailing Address of Owner: J '! < r / / / �� + . (.� ; %,�:. sit(�,.� ✓�%, 1 J'C/O r>
Owner's email:
Owner's Phone#: 4 J
Agent's Name: i`i , i %� ` 1'�-- Agent Phone#:
Agent's Email: , •/
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(BottoM oortlon to be oofnoloted ly tho Adigont Prorso )
I hereby certify that 1 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.
.y/ 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
C@rtlfled 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' setbac
Signature of Adjacent Riparian Property Owner
-OR-
1 do not wi@li t© wgiv@ th@ 15' §@1bg@k f@gulf@ffl@ftt (iftl(i@l th@ bl@nk)
Signature of Adjacent Riparian Property Owner: C,6-,17 GN
Typed/Printed name of
Mailing Address of ARPO: % 2
ARPO's email: S�ZJ-� Kul-c �tS's Phone#: % �L 3 S
Date: Z v a z -A-71 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

and
rMb DaMftd
Nam. of Pr ff Nokfar
V.ndor
Chwk number
Check
ounf
P.—M Numb.dComm M
Rece/pt or Refund/Readmated
Cdumn3
Cofumn3
Cdumn/
C.Wmns
CM-6
Co1umn7
Column
Column
)22
Preston Vemon Collis III
Ligay
BB&T
1108 $ 200.00
20243 $ 400.00
GP #86027D
BB rot. 16908
m
' Bledsoe Enterprises Inc.
Ocean Dunes HOA
Truist
GP #854101)
1 BH rat. 16264
322
Coastal Marine Construction
Marie Dooley
Wells Faro Bank 2507 $ 400.00 GP #86024D
'rct. 16594
322
Matt Walker same First Citizens Bank 107 $ 400.00 GP #86008D
Sound Side Marine Construction LLC Steele First Citizens Bank 142 $ 20000 GP #85580D
Sound Side Marine Construction LLC Steele First Citizens Bank 138 $ 200.00 GP #85580D
BB 16901
722
BB ret. 16987
922
BB rct. 16987