85481D - Williams

w
/-CAK4A F] DREDGE & FILL
GENERAL PERMIT
N© 85481
Previous permit
Date previous permit Issued
A B C
-VVew ❑ Modification J Complete Reissue J Pard Reissue
As authorned by the State of North Carolira, Department of Environmental Quality and the i Resources Commission in an area of environmental concern pursuam to
I SA NCAC j" L I�p.c? n link www dea nc =dCAMAAru
fLale: attached General Permit Ruks availtble tar the folkawing
Applicant Name
Address
Cary _ ��i�
ZIP
Phone tM^(0
Email i --
Authorized Agent I Project Location (County) _HA
Street Address/State RoadiLot 0(s)
Subdivision --
City
Affected L CW V EW PTA ES OPTS Adl Wtr Body _(I A-y.
AEC(s) LJ OEA r, IHA LIW C SPIMA J PWS Closest Mal. Wtr Body-"
ORW PNA yes/ oo
Type of Prrojett/ Activity
..---_— (nat/ a&unk)
Shoreline Length _rl-t _—
Access Length fAaS-hnl
Pier (dock) length _, t� �1� N �► I ��`� L �1O 4Cw1�
Fixed Platform(s) f "!
r s► ip � �; Sr.�13
Floatin latform(s) _$f MIX
XbA a
' ---. / -
Fmger pier(sl
Total Platformarea�r'"""""_!}
� sy_
��` Qr1l
MIMYe'
i1vN
Groinlength/II " __
Bulkhead/ Riprap length
�•�'
rif
Avg distance offshore
igjCL
Breakwater/Sill _
Max distance/ length
Basin, channel
Cubic yards
Boat
us !—t
Boathouse/ Boathft
�('�/}��
�
Beach Bulldozing N
Other l//Q t
- V11��
SAV observed: yes
Moratorium n/a
Site Photos: Yes
tverAttached.
Riparian Waiver Yes
A budding perrrHt/tomng d may
(bn/e`required by _
Permit Conditions
OF STATUTES, CRC RLILFS AND CONDITIONS
Nrsj
I SF-6 d 6tplaa)
SF
TARIPAM/NEUSF/BUFFER (urcle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
Initial)
ri or App cant PRITfj •Ra�9 Prrm t ,c�is NTE am 7
7
ign read compliance statement on back of permit" Signature
I n 0 _y 5hllu �I�IIa
Application Feels) Check q/Money Order Issuing Date Expiration vat _

OCAMA ❑ DREDGE & FILL N9 85481 A B I
s 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
I SA NCAC } - J;A n!> ❑ Rules attached. .General Permit Rules available at the following link: www.dgg.nc.gov/CAM
Applicant Name 11}►/1
Address-1 3 lk V.v', 1
City State A) ZIP _)!21
Phone #
Email (:t I i • ( t1�
Authorized Agent t
Project Location (County):;
Street Address/State Road/Lot #(s) M,
Subdivision
City ZIP
Affected ❑ CW EW LJ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/m:
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/rio . PNA: yes/60'
Type of Project/
tf r
Shoreline Length c.
Access Length Z,47iI �f
Total Platform area
Groin length/#
Bulkhead/ Riprap length oyJrs1,'M!�
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning F
❑ TAR/PAM/NEUSE/BUFFER (circle orn
❑ See note on back regarding River Basi
❑ See additional notes/conditions on b�
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT: <.o
iease Initial)
Agent or Applicant PRINTE�
Permit Officgr's PRINTE amen

!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.
permit must be on the project site and accessible to the permit officer when the project is inspected for
fliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
Jt, 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)
seen 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
mation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
Basin Rules Applicable To Your Project:
—1 Tar - Pamlico River Basin Buffer Rules
1-1 Neuse River Basin Buffer Rules
Jicated 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
division 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).
es/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.
3n of Coastal Management Offices
head City Headquarters
ommerce Ave Morehead City, NC 28557
08-2808/ 1-888-4RCOAST Fax: [phone]
�s: Carteret, Craven — south of the Neuse River, Onslow
ies)
eth City District
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)
Griffin St. Ste. 300
eth City, NC 27909
64-3901
�s: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,

N.C. DIVISION 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: - J � ,
Address of Property:
Mailing Address of Owner.
Owner's email
z
Agent's Name: NA Agent Phone*
Agent's Email:
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.
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 (DCOI) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT,1NilmingLDn, NC 28I05. DCM neprosentadves 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 Adja ent Riparian Property Owner (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
Owner: L -
Typed/Printed name of ARPO: ex
/?7eL / �� 4
Mailing Address of ARPO: 13 p-—CJI��/JA /2f
ARPO's email: RXAf 'yi 4i1�jlp /-t 's Phone4t: C%lU ' SLf4"�GS
Date: 11) "waiver is valid forGp to one year from ARPO's Signature'
Revised May 2021
RECEIVED
MAR 0 7 2022
DCM WILMINGTON, NC

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: -J 0
Address of Property: /36
Mailing Address of Owner. 61-3 /e914'cc A'
Owner's email: Je.l o rj`ez.e °«iOwner's Phone#: ��/� }� 2%K 7s
Agent's Name: 1-1, Agent Phone#:
Agent's Email: A)IA
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-fDCMJ-in writin-recQWof this notice. Correspondence should be
mail 1 ►nal Drive EXT IMlmi 8, 5. �M representatives can also be contacted at
(910 7 pone 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 Property Owner (ARPO)
Ki7G1
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
MAR Q 7 ZON
nrIKA %A111 m+ NGTON. (v

w� �a
41 t
34A.6 LU
.-A-0 4 ; GQ•�a /
t eAlkAL
J
4.1
c�u� �✓��
uU5 vti�-
VP

/ r5- :commercial Other Description -0 A � � -- u,e
ACCESSORY CONSTRUMON: (check one)
Boatlift Dock Bulkhead Specify Use:
Driveway Sauare Feet soQr_ifi,+.,r,e „�.,�..�_ .�_� _, . . _ Value:
SUPPLEMENTAL INFORMATION: (for proposed work only)
Ground Level
Open Concrete Area Under Home:
sf
Enclosed Unheated:
sf
Enclosed Heated:
sf
Floor 1 /wit —'—""
Enclosed Heated:
sf
Enclosed Unheated: 1
sf
Open Deck:
sf
Covered Deck:
sf
Floor 2
Enclosed Heated:
sf
Enclosed Unheated:
sf
Open Deck:
sf
Covered Deck:
sf
NUMBER OF:
Bedrooms
Baths A1114
I9i%hens
CAMA INFORMATION:
Has a minor CAMA permit been issued: yes_ no if yes, permit number
If no, has a CAMA exemption been issued: yes_ _no_
r.��,Rtr rule err �sc�rV�Et7 WOR : (add additional sheets as necessary) /
"k
04 4e Q ,
4ea,01AC,. lleAgJ! at{.r .el
l+�cC AUGLc .aolc�S st4 .��i/e
gf �� �/ ♦ 'lid l
/
Subcontractors must be listed Here:

hereby certify that i have read and examined this application and know the same to be true and correct. All provisloroof laws
and ordinances governing this type of work will be compiled with whether specified herein or not. The granting of a Pon
does not presume to give authority to violate or cancel the provisions of any otherstate or local law regulating constndDA or
the performance of construction.
This permit becomes null and void if work or construction authorized is not commenced within six months, orif constr4on or
work Is suspended or abandoned for a period of one year at anytime after work is commenced.
/4
owner/Agent Signature Date
Printed Name
PERMIT APPROVAL:
Building inspector Date

Amico, Patrick J
From: Planning and Inspections<[e-mail]>
Sent: Wednesday, February 9, 2022 12:31 PM
To: [e-mail]
Subject: 136 Durham
Jon,
We can not issue the permit until the homeowner has a permit or an exemption from Patrick with DCM. Nothing can be
added NEW with a general permit.
However, if you want to remove items from the permit that are for over the water and resubmit. I will put it back
through review. If you are replacing stuff the application must read in the same place and we will need a materials list.
Thank you

I--1"--ruwve13,tv1u%reeXP1rta 1
TOWN �OF
HOLDEN BEACH
BUILDING PERMIT APPLICATION
,,••- v1117.
A zoning permit application must be submitted prior to or at the same time as the application. -
PROPERTY OWNER INFORMATION:
Name:L4,
Holden Beach Property Address:_
Lot Number: Subdivision:
Permanent Mailing Address: Street Address: /-/1 r, -e?4-X
/,A-?,,z
City/State/Zip: _ lc%�� ysPo.-� . rX/ 37,c<1
Home Phone: C.< 7s Beach House Phone:
Cellular Phone: Fax: _ N/�1
Email: �c� rn�t.i/e ^ura, �0.41
CONTRACYOR INFORMATION: wBusiness Name: Qualifier:
Mailing Address:
Street Address:
City/State/Zip:
Phone: Cellular Phone:
Fax• Email:
N.C. State Contractor's License Number:
Workman's Compensation Number (Attach Copy):
Current Holden Beach Privilege License Number Yes No
Contact Person:
Phone: Cellular Phone:
Fax: Email:
ZONING: (check one)
Residential (R-1 Zone) Residential (R 2 Zone) ___ Commercial (G1 Zone)
FLOOD PLAIN It4EggA AT0N .-
FloodZone Designation (X, AE, VE) V Base Flood Elevation
WORK CLASSIFICATION 6ND'1Mf,M (check one)
New Addition
Repair �
$ $ $ List all repoltsln detail
ansPf"1w..-.

C�'Vmi ;P.) '/ n , 0.9/ e , :-,/ r /,/j
,P,Ity 7fl 099
j b_­57
sK
m
)7 -A
waylfg yp
""", "'f 1ry J/0 a*
eq � Jvlv

ed
Date Deoosned Check From Name
Name of Permk Holder
Vend-
check number
Check
amount
Permk Number/Comm-m
rRNund/Reallacated
Column2 Cdumn7
Cdumnl
Columns
Columne
0dumn7
Column
Coklmno
22
22
22
22
Jon Williams
Sea Dog Marine Construction
Anna Clark
Michael Parks Cashiers Check
Randall Mosley
Randall Mosley
Rodn� Clark
Holden the Line
same
Gonzales
Anna and Frank Clark
same
Kim Barring_-
Richard Benson
same
Rodne Dabbondanza
Civis Bank
First Bank
First Citizens Bank
First National Bank
First Citizens Bank
First Citizens Bank
Wells Fargo
Wells Faro
3701
1656
1261
1.04E+08
2757
2756.
8683
1062
$ 200.00
$ 600.00
$ 200.00
GP #85481 D
GP #86072D
GP #85482D
GP #8552oD
GP #85480D
GP #85479D
GP #85533D
JVA
PA Mt. 16521
PA rd. 18518
PA rct_ 16520
_$ 200.00
PA rct. 16130
22
22
22
$ 200.00
$ 200.00
PA rat. 16129
PA rct. 16128
$ 200.00
rot. 165122
A rct. 16516
_
$ 200.00
GG #85532D