86034D - Bost

❑LAMA ❑ DREDGE & FILL NQ 86034 A B C
GENERAL PERMIT Previous permit
Date previous permit issued
F 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMAru
Applicant Name
PP
i i ' `
. n 4
P�
Authorized Agent
Address
,Ji�i� y/
�l'
Project Location (County):
City
44-. state
ZIP
Street Address/State Road/Lot #(s)
Phone #
Email
Subdivision
City
ZIP '
Affected ❑CW
❑EW
❑PTA
LIES ❑ PTSAd1�
Wtr. Body
AEC(s): ❑ IDEA
❑ IHA
❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body
ORW: yes/no
PNA: yes/n&
Type of Project/ Activity
°A ,
Shoreline Length f
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
SAV observed:
yes
"ho
Moratorium: n/a
yes
Site Photos:
yes
no
Riparian Waiver Attached:
yes
`'` o
A building permit/zoning permit may be rE
Permit Conditions
u 1Aw1-AM/NtUJt/t3U"t:K (circle one)
❑ See note on back regarding River Basin ru
❑ 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) '
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
-742Z

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 F-1 Neuse River Basin Buffer Rules
indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
it 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
)ject area and disposed of in an appropriate upland location.
rision of Coastal Management Offices
)rehead City Headquarters
) Commerce Ave Morehead City, NC 28557
2-808-2808/ 1-888-411COAST Fax: [phone]
!rves: Carteret, Craven — south of the Neuse River, Onslow
unties)
Eabeth 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: T36,5 ('R9'EVbCA6LE TRUST
Mailing Address:
Phone Number:
Email Address:
P o. 20X 7101
,SOU-1 14 5o5 1 c kJ VA 2 + 42
►04. �7-72- 781+1
m6ar9Mal`. C©rvi
I certify that I have authorized A�-- ©Cx LIF- tYM 4 t, i ,
Agent / Dontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: —bx�L
at my property located at 9 3o & UTH At-, tPE O,5 6 i3 O LVD 1QP5.g 1k- B aA6LA ,
in PE-- NYDcR County.
/ furthermore certify that / 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.
Property Owner Information:
Signature
Print or Type Name
1 `RL►STL
Title
22-
Date
This certification is valid through 0 / 8 / 'Z Z-

N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONINVAIVER FORM
CERTIt=.tED NIA1L RETllRN RfC'EIPT RE UESTED or HAND DELIVERY
(Ta9 ootwn to, be mx oteted by owner or their asent)
Name of Property.Ow ner.
Address of Props V:�,
#Mailing Address of Owner X r Eo t�icl! n V4-�`rto7-
L b0�• -, e�►,61, near, Pnoafi#. �7�
I�MtF]6esfLXdit: _ ••
flgent's Name:It lLtiatr! Ll & Age r't Phoneme gle ,fit 21.5 g
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
go"Vai . by 9W A42444 Pt tiv t'}Wa")
I hereby cfy that ! own proWV a docent to Me above, referenced prop". The individual appfying for this
permit has described to me, as shown on the attached drawing, the development they are proposing,.
A description or drawing with dimensions nwst b provided With thrs .letter.
Gb V I DO NOT have objections to this proposal. 100 have objections to this proposal.
tf you have objeCarzs to Fdlrlla^� Is f7e�m prCposed, you Must, ric-9hj the,�slsiiEr'f}it oc` +rtxiStd!
+icof iftfpxf #hie a�ahv_+a� /'Ar ..nrr�foarr+o a1.n;r►;1 h a
a cumtAtad at
'�i+�,f�V@S t:2C) �SO�
(910) T96r7;Z1�i. No response is considered the same as
no ats�ectfar+ � you have beer+ rrotif+ed by
Cerdf/ed Ua&
wAtvER SECTIONI understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
!srilSt be SetbaClk Y i!!i!!li t'r^ +*r� of 15' from my area of riparian access ur4ess Nvaived by me !tt!iw
does not aaoly to butkheads or rigrao revetments}. (If you wish to waive the setback, You must sign the
appropriate D6v* beiaw.)
I DO wish to waive sometall of the 15 setback
Signature of Adjacent f2iparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) ______—
Signature of Adjacent Riparian Property Ow►ner.
Typed/Printed name of ARPO:
Mailing Address of ARPO:
&iD ! ;t.rL L iws•tW'4-I,- ma's Phone#:
ACQ-1 E's bus -
STatye:
Y " .3 3 ;� �+ lw is, vagd for uP to one vear from AR"'-- Sig naWre
Revilsed May 2021

( fop Phi m N4 m)P4* Vv I li€ of
Y Y A
MOW
jAwyc Amm or
�,e"?Ip T.r.t`!+� �"�..�.s� A "5..�� ,s�����°9,�''�l�af�'� °�� � � rw.� x. .,•w+r�.��nml,. ..,..,..,.w,.r.w.�m.
v
.._,,...®....-.r. ,. ., ._�..-.....- . �.Na Kivu. ....
*11L;":°I,WrLN ( MW!1"I'bKIAN ,p A C jq,,b. 9 '1' WJ&.f•t+ ,L 0..K 11 @S�i,,L;A N I0N
1) Ist ON** r 0lfred WXt
,a._.9_.,.A. iv_ ...._.
me" R "Uwe d lK� la eft Papo"! v, Mom,.,- I LK t 11` -S Viral,
�G�Y ' .d.17(r �ilctiY.a �IY;15rri�r �Ct.�,��de
� �r�wY�+o.�.n����°Ire �h�►+�
VON w4tY<@C^o in vaAmly MAIMP10in f & jyj tj e e n f Y f of W! r!�!"Y`^+r►
0 , m E` Y WONWOVAMI 00C 23401 IN24 r"-r TS"I ao,+ol coo W"! 60 r,XWthW N4 Of
19i'P,r 79&r2i _ Nu *ospomse 11 icxjt� Wmd the SM10 #1 DO 000000" N 0tr lh*W* bwn mothed by
Ows.0 Mal,
WMAIRVICTION
S @:�NJ INA ■W,00i* r"#! .�4 :M. �i4M"t'�•. -rya �'�' r:7c'�ii�l.; 1YV��sl r�°a II: !R OW
ONS4 #d lAt l k0 M> dWMMM C4 AV 4g*a +GN �i 1��t+;� vYc c��� ,�r r �l v� ar• y r1V i Mi=.ar��
� PiS�la �v'*A YM1� CN@'•ii" � «� , ; w .k ,. +,a.. ,:b • n Y';,Y Y+@. n 14. �� .�..... &�, `�,a;rm:€:,,.Re+.
Y�
r r
TYPI 1:01"M mimmy of Alter
Mai��! per~ Add mar, of AR
A((�� ``,
.n No•% T, . •�' I 1 d i 1„' A
mf....ie...�.o _ �.i-'`.Y 2llla �firv.+,'14sw,ya
@ v
4A ' 'W 11ir0t I%'SAW fI up to one y0sc Vom A i `s SIgnatzm4p,
May j1OZ1

In, VA
i o TG
W'ne6 Are,

Date R-1veo
D to Doposiftif
Check From N—
Name d P—At Holder
Vanocr
Chock number
Check
amount
Permit NumbaNCommenb
o+
Columm Col-2 Cdumn2
3/10/2022 Permit Pals
3/10/2622 Carolina Bluewater Construction, Inc_ .
3/10/2022 John McClure _
3/10/2022 Town of Ocean Isle Beach
3/10/2022 Delta Dock & Boat Lift_
3/10/2022 Lighthouse Marine Construction Inc
3 - - -
3/10/2022 Jerry Ennett _ .Holmes_
3/10/2022 Lighthouse Marine Construction Inc
3/10/2022 Allied Marine Contractors, LLC
3/10/2022' Allied Marine Contractors, LLC
3/10/2022 Allied Marine Contractors LLC
Col-4 Co/umn5
Hefferman CresCom Bank
Marino BB&T _
same Truist
same I First Bank
Orr First Citizens Bank
Warren Coastal Bank and Trust _
Coastal Bank and Trust
Dail Coastal Bank and Trust _
Hewett First Citizens Bank
Bost Irrevocable Trust First Citizens Bank
Breeden First Citizens Bank
counns
3794
24568
-
836
8927
9267
4181
Co/umn7
S 200.00
Columns
GP #86026D
GP #86028D
-- -
GP #86004D
GP #86017D
GP #86040D
GP #85585D _
GP 7f86020D
GP #85587D
GP #86035D
GP #86034D
GP #86033D
Columns
BB rot. 16913 _
$ 200.00
BB rct. 16914
$ 200.00
BB rct. 16911
$ 200.00
BB rat. 16912
$ 200.00
JD rct. 16819
$ 400.00
JD rat. 16818
$ 200.00
JD rct. 18301
_4550
_- 4180
10915
$ 200.00
$. 200.00
JD rct. 16817
_
JD rct. 18816
10914
$ 200.00
JD rot. 16815
109361$
200.00
JD rot. 18814