86010D - Beckman

NJ 0 86010
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GENERAL PERMIT C>atm pr&~ pw"t asued — / -
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4 O°CAMA ❑ DREDGE & FILL Na 86010 A B '
GENERAL PERMIT Previous permit
Date previous permit issued
'] New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
R
As authorized by the State of North
%Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant
15A NCAC1� '4� ^ ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAM,
Applicant Name
Address 4 S"' J- ,
City ,"Td«� State fV�. ZIP 2—%LjVS
Phone #
Authorized Agent
Project Location (County): \, t ^ S. c `L—
Street Address/State Road/Lot #(s)
/"� ..,-.fir . (�•• 1
Email Subdivision
i City I
, CiN ZIP 2 0
Affected ❑ CW EW [NPTA ❑ ES ❑ PTS Adj. Wtr. Body �! ^' , (na-
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body f i I W try./
ORW: yes/ r PNA: yes/+ t
Type of Project/ Activity J " S T. 1 " " c o c �e a z �� ��•-L__
(Scale: w y
r
Shoreline Length �—o
Access Length ^� x/ r L ^e
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) `k k2-a
Finger pier(s)
Total Platform area Ito
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
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: eyes,, no
A building permit/zoning permit may be rem_..
Permit Conditions( kCa11
Wc-,.
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE
❑ TAR/PAM/NEUSE/BUFFER (circle one
❑ See note on back regarding River Basii
❑ See additional notes/conditions on ba
(Please Initial)
Agent or Applicant PRINTED Name
Permit Offir PRI TED Name

ment of Compliance and Consistency
)ermit is subject to compliance with this application and permit conditions. Any violation of these terms may
,ct the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
)ermit must be on the project site and accessible to the permit officer when the project is inspected for
iliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
it, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
een obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
,tate of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
-nation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules F-1 Neuse River Basin Buffer Rules
iicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
he River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
)ivision of Water Resources. If you have any questions, please contact the Division of Water Resources at the
hington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
?s/Additional Permit Conditions:
ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
:t area and disposed of in an appropriate upland location.
m of Coastal Management Offices
lead City Headquarters
)mmerce Ave Morehead City, NC 28557
38-2808/ 1-888-4RCOAST Fax: [phone]
,s: Carteret, Craven — south of the Neuse River, Onslow
ies)
eth City District
Griffin St. Ste. 300
ath City, NC 27909
54-3901
!s: 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 (IERMil APPLK&I-10--N
NarnP of prop,-rly Owner Rewesl:Anq Permit:
Mailing Address - J"l " ';A144' 4t't
Phone Numk*.lr: 0
Finaii Address; Inq'i
--------- T--
I ceftily thkit I have authonzed �Akvd
AgE" i CurllWtor
to act on my behalf, for the purpose of applying for and obtaining all C AMA permits
necessary low the follo*ng propospd developinp-ni: J)htlk f(P�tSW-tt—t-
at my property located at , 't (Wffikr'4'Y1 A ` f' Ocok" T* " 0
In t-'Y40*4V, __County,
juHherm&ja uct grant pwftnssinn to
rp . y1ify that I ij;?) aulhorizeef to grant, and do in f.
DMSkm) of Coastal Majwgpawnt stall; the? Local pejrrj# Oft -or and jt?eir agents to enter
On #W albrerr?ento6ned lands in (-onnoctOr7 with OV81Uating i0t0(7 w1i0n related 10 this
pefmit appikation.
Propery Owner Information:
ptihf or Type ka-
fil(' ,
Title
Date
This certification is valid through I '' --f

U PS Tracking It1
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Tracking Number. 70201810000019105184
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Your item was delivered to an individual at the address at 12:21 pm on February 11, 2022 in
DURHAM, NC '27705.
USPS Tracking Plus Available \,,e
OV [delivered, Left with Individual
Feabruarr 11, 202,2 at 12;21 pm
DURHAM, NC 27705
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U.S. Postal Service"
CERTIFIED MAiv'RECEIPT
O.—fev'r VAO Only
il ie,, rnrorrmrtirn, Visit our w,!t,
0 LDrnp&t� ileMS 1. 2, ard , 4,
• Ftint yow naMO aid address or, ttsc rewmn
w* caf, return 0-- Card to You,
• Attach t Gard to Ule bk uf the M,74�00-e
or on thrtZ w.d space*
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WC, DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAP/ER FORM
a FftT1 IE I _LRETUBA RECEIPT
(Top punion to be completed by owrw or their aqerif,�
Name- of Property Qwnet:
Address or Property
O(J
Mailing Addfessi of Owner -..e -C ) S
Owner's email: Owner's Plricmi eill' 4"/ 1 —
AgeIr -C Agent 2C
Agent, Nan* Phone#-
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(MggM R2EbW to be completod-ft the 0k41W&_rd P101111112 Owlreri
I iiereby certify that I O*n ProperlYaqlacent to the abiwe reieta4w*d property. The Kldh4dual apptyiniglarthig
petmit has deserbed to um- as shown an the attached rowinq the oeve)pment they sm proposing.
doWn n or dr4*Mgt jw�di - 111110L _must be-provided#4qr-A!i -Wfter
I DO NOT hiwe objections to Phis proposal _ I LK) have objmti0nR to this PFOPO.Sal
have -objOriiaris to what is btring propox0d. You 171"St "0119Y the N,C, DMSiDn 01 Coaxial
UaFjajMf"*nr fDCAf) in writing within 10 days of recolpt of ttds notice. Coirrospoi%dance should he
mailed to 127 Cardinal Dave Ext., Wknitlgtan, NC 2140.1*-3845. DOW mpresOMMOVOS can MV0 be
contacted at (9 10) 7916-7215. No response is considered the saran its 00 Objection it YOU hr" bowk
riodfied by Certified Mai),
WAIVER SECTION
I understand that wiy proposed pier', dock, mooring Pilings boat ramp, breakwater. boalhouse., 14" or
groin oiust tie set b&;k a minimum "iwe of 15'farm my area of riparian access muess waived by me
(this dcom not apply to bulkneads of rirwar, reveirrients) klf yoyvish to waive the *eitwk, you MMILI&n
the appropriate blank "low.)
I DO ,wish Ix wafve wrneaall of the 15'setbaCk y
Sigmfore of Armor ant R*Wian 07"raperty 5W;?'6_r
-OR-
I do not wish to waive tne . f,' rotback requirement jinilial the bjank}
SogrLaturr. fif.Aajicent Ripa-011 property Owner
Typeclli!Printed name of A RPO: 13 pw-,j
Ustiling Address of ARPO_ -7
A Ak: Z' 7Z,
ARPO's email-
'ARPO's Phone4- __:L
Date: e/" *ivar is valid fcw up to one from AIRPO's Signature*
7 *mRpvised Jufy 2021
J01-

22 I Backwater Marine of NC LLC
22 _ Jeffrey Vogel
221 AMW Docks & Marine Construction
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221 Southern NC Marine LLC
22, 'TODsallOffshore. Inc.
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BB rot. 16915
rat.