85587D - Dail

�]CAMA ❑ DREDGE & FILL
y
GENERAL PERMIT
N9 85587 A B C
Previous permit
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue [-I 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 w
I SA NCAC ❑ Rules attached. /E] General Permit Rules available at the following link: www.deq.nc.gov/CAMArt
Applicant Name I
a Authorized Agent
Address; %'` I r �� ' a ( r' "� Project Location (County):
City f Ll { l ul + State ZIP Street Address/State Road/Lot #(s)
Phone # 7' t/ C'
Email Subdivision
City ZIPS e
Affected ❑ CW ❑ EW ❑ PTA ❑ ES R PTS Adj. Wtr. Body (nat/man/t
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no, PNA: yes/no
Type of Project/ Activity
Shoreline Length,
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 1
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no - . - "- -AL
Riparian Waiver Attached: yes no ^=�i
A building permit/zoning permit may be required by: h S
Permit Conditions
(Scale v ,.7-
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin n
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
- d Iva
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
-5.27.

itement of Compliance and Consistency
is permit is subject to compliance with this application and permit conditions. Any violation of these terms may
)ject 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
-npliance. 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.
►er Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules F-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
Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Iashington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
3tes/Additional Permit Conditions:
ase ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
ject area and disposed of in an appropriate upland location.
ision of Coastal Management Offices
rehead City Headquarters
i Commerce Ave Morehead City, NC 28557
.-808-2808/ 1-888-4RCOAST Fax: [phone]
wes: Carteret, Craven — south of the Neuse River, Onslow
inties)
abeth City District
S. Griffin St. Ste. 300
abeth City, NC 27909
.-264-3901
-ves: 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 Fender Counties)

AGENT AUTHOREATBON FOR CAMAS PERMIT T APPLICATION
Name of Property Owner Requesting Permit:6�2 CV�
Mailing Address:
Phone Number:
Email Address:
1.3
. & /I C., " 7 '5� 1--) I)a N e-- 2,F 5 (,-,' 7-
A*17
I certify that I have authorized Jre y11.-;ne 12G,�„ /
�— Agent/Contractor r�,
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following prdposed development:. % r r & 4"2L. C P
910y�7/cf6,�e- Fla et i )'P? 5:�' d�c
at my property located at
in County.
M
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Pen -nit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
�`
Prinf or ype Name
Title
Date
This certification is valid through

P
ENT
I hereby certify that I own property adjacent to _ I'let7 r V A---,-Icv / s
�� ) Name f ro rtyner)
property located at _ �� % / V� j�a t•� %v�? ; �P
yy / (Address, L91 Block, Ro , etc )
on �rY1d15 (— es/�!a e. , in I©r�. J l L), ��,��vr 1��, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
-C)N? I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
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
t s back, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. Otto
I do not wish to waive the 15' setback requirement.
(Property Owner Informatio )
Signat e
Pe ns^ v
Print or Type Name(
13 / & i -"C -- ScY�7n o l J Z �
Mailing Address
nP ; //� na c e-q�9
City/State/Zip
9i6 IR cs 3
Telephone Number
_45' 4A- ,;z I
Date
Propejty/pwner Information)
Print or
PO "--5 'x � Le % _s-
Mailing Addre s
City/ ate2i
Telephone Number
Date
(Revised 611812012)

00, cK of . -
,6;l NxC-4flee
a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ' ` cy s
property located at
on �y / (Aaaress, LotB1
q�� ��nfa l in
(Waterbody) —T
oamid. of Property Ov+fner)
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
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.)
XT14 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)
l l�
Print or'Type Name( / ,z)
Mailing Address
Y&O ew'.- id /f
City/StatelZip
Telephone Number ,
Date
Sr a#a -
.�larrC
P ' t or Ty a Name �y
Mailing Address
36--7prj riG
City/State/Zip
ci t 0, -7 -7-7 , `5
Telephon Number
G zt
Date
(Revised 611812012)

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40
fives
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Dab R-W-d
Dab
CMok Fran Nurse
N.—d Pamk Holder
Vendor
Chock numbu
Check
+moon(
Pvmn Number/Comments
Receipt or Rerund/Reallace
Cckmnl
3/10/2022
3/10/2022
Cdumn2 Columns C.1-4
_ Permit Pals Hefferman
Carolina Bluewater Construction, Inc. Marino
_ John McClure same
_ Town of Ocean Isle Beach same
Delta Dock 8 Boat Lift Orr
Li hthouse Marine Construction Inc Warren
Jerry Ennell Holmes
LLhthouse Marine Construction Inc Dail
Allied Marine Contractors, LLC Hewett ___
Allied Marine Contractors, LLC Bost r evocable Trust_
Allied Marine Contractors LLC Breeden
Columns
CresCom Bank
Columns
3794
Column?
$ 200.00
Columns
GP #86026D _ _ -_-
GP #86028D
GP #86004D _
GP #86017D
GP #86040D
GP #855856 _ _ —
Column9
BB rct. 16913
BB rct. 16914
BB rot. 16911
BB rd. 16912
BBBT
Truist
24568
$ 200.00
3/10/2022
836
$ 200.00
_ _
First Bank
8927
$ 200.00
3/10/2022
JD rd.16819
First Citizens Bank
_ _ _
9267
$ 200.00
3/10/2022
JD rct. 16818
Coastal Bank and Trust
4181
$ 400.00
3/10/2022
3/10/2022
Coastal Bank and Trust
4550
$ 200.00
GP #860200 _
JD rct. 16301
JD rot. 16817
Coastal Bank and Trust
4180
$ 200.00
GP #85587D
3/10/2022
JD rot. 16816
First CiBzens Bank
10915
$ 2 00.00
GP #86035D __--
3/10/2022
JD rat. 16815
First Citizens Bank
___ 10914
$ 200.00
GP #86034D
3/10/2022
3l10/2022
First Citizens Bank
10936
200.00
GP #86033D
JD rat. 16814