85703D - Medley

00MU1&❑CAMA ❑ DREDGE & FILL
y GENERAL PERMIT
❑ New []Modification ❑ Complete Reissue [:]Partial Reissue
N° 85703 A B
Previous permit -z 141I.PS �o
Date previous permit issued r"!
Lf ?c: z 2_
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuai
15A NCAC A H - t �0k-° ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAI
Applicant Name Sk01Qh + A(Ail,eynl,^e Authorized Agent !`/ : �-> I1 i 42%V11
Address J Ty: D � , a , V CI Le Project Location (County): tJ Q1 J ffi'ss' oy, t'-, i- { y
City r' V `l State t. ZIP S 'i Street Address/State Road/Lot #(s) "1 C ixm c S o 1 k
Phone #
Email Subdivision
City,, _�, \v`•, <� .�,., zip Y11
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body12
'
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body m � A CW'
ORW: yes/no PNA: yes/no
Type of Project/ Activity byrSC.1/"V'iV C � VAC�9- -y-\ 0, CL C' S S V-r v,,,,p 1 :;if(
G ` _ r^, V-10 -1 x l , , �I tro ?�L e
� • S � (Scale:
Total Platform area f
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ BoatlifC
Beach Bulldozing
Other
SAV observed: yes"-�" — -
Moratorium n/� yes no
Site Photos: V no __ . 1. _.: ,
Riparian Waiver Attached: yes �✓ `` -
t
A building permit/zoning permit may be required by i" KOV Q EA.W+ E St)iAVa Vip A tt
Permit Conditions
TAR/PAM/NEUSE/BUFFER (circle of
See note on back regarding River Ba
❑ See additional notes/conditions on I:
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 Namg�

nent of Compliance and Consistency
ermit is subject to compliance with this application and permit conditions. Any violation of these terms may
:t 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
Hance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
t, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
and use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
yen obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
:ate of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
cation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
Basin Rules Applicable To Your Project:
ITar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
icated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
ie 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
iington 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
area and disposed of in an appropriate upland location.
n of Coastal Management Offices
ead City Headquarters
mmerce Ave Morehead City, NC 28557
8-2808/ 1-888-4RCOAST Fax: [phone]
: Carteret, Craven — south of the Neuse River, Onslow
�s)
th City District
.iriffin St. Ste. 300
th City, NC 27909
4-3901
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)

CAMA ❑ DREDGE & FILL N9 85703 A a C
Previi GENERAL PERMIT Date ussous permit � sued
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 t
15A NCAC_+H -1 2,00 _ ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo^nc ov! A
Applicant Name Sy kvAoh 4- Authorized Agent
Address �`� t1 O SS 2 t t I Vi't Pla(-e Project Location (County):``yY _ p
City Ca '"'1 V-1 State N L _ _ ZIP } S i _ _ __ Street Address/State Road/Lot #(s) ��,v,, �{ s f () t h�
Phone#(? Vli a53- r �(
Email Subdivision L\ VVA_
City�t`iM—� —4 _�✓� _ZIP
Affected ❑ CW EW ) PTA ES pTS Adj. Wtr. Body �Gtn k i w{�nan
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body m\ Ack\-A Eox,�,.d
ORW ye no PNA: yes no
type of Project/ Activity _
Shoreline Length
Access Length Q
Pier (dock) length 7 r x 2 VuPi
Fixed Platform(s)�
GGr
FloatingPlatform(s)
R X11,rr
Finger pier(s)
Total Platform area
Groin length/#
Bulkflead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous / Boatli 13 S A 1-3• S(
Beach Bulldozing
Other
kl.
SAV observed: yes (9
Moratorium: yes no `
Site Photos: e no
Riparian Waiver Attached: yes 0 15 `
A building permit/zoning permit may be required by:
Permit Conditions l�Aik 9_ - 1Z00 . tVC .___
ca`Cf.. e S S �-c�►�.
l7 �rX Zy' ti
9 4
pncdl'Cl
4 Soon ck
(Scale: n:
aQ L�� 'CAl,/
�Vr�t
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1
❑ TAR/PAM/NEUSQBUFFER (circle one)
❑ See note on back regarding River Basin
❑ See additional notes/conditions on bac
I AM AWARE F STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPUANCE STATEMENT. (Please Initial)
tie
Agent or Applic PRINTE N Permit O "c is PRINTED Nam
Signatur **Please ead complia c statement on back of permit** Signature
nN)i ca 60;�__I '41'_t 1-.0'sv i9�1�'Zoaa-

N.C. DIVIS110h OF COP STAL MANAGEME
ADJACENT RIPARIAN PROP RTY OWNER NOTIFICATI /WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or FiAND DELIVERY
(Top portion to be complet$d by owner or theirl agent)
�. 1A / i
Name of Property Owner ">/�
Address of Property:
Mailing Address of Owner -
Owner's email: �c1 "J/"'Zz', GP6"L
Agent's Name;
AgeWs Email: , f s
ADJACENT RIPARIAN
; Phone#:
Agent Phone#:
OWNER'S
i hereby certify that I own property adjacent to the above referenced property he individual applying for this
permit has desedbed to me, as shown on attached drawing, the devel ment they are proposing.
A descriotion or drawing_ with dimm-ninnt nti mt ha nff,uMr H with thie Inftnr
✓ I DO NOT have 1proposal. j� proposal. to this { DO have ob' cfions to this ro osal.
If you have objections to what is being! proposed, you must notify t N.C. Division of Coastal
Management (DCMJl in writing within 10 flays of reiceipt of this notice. orrespondence should be
mailed to 127 Cardinal Drive EXT, IMlminoton, NC 2$405. DCMrepresentaf Ves can also be contacted at
[phone]. No response is considered the same as no objection ' you have been notified by
Certified Mail.
WAIVER S XTION
I understand that any proposed pier, dock, mooring piti igs, boat ramp, brew ter, boathouse, Crft, or groin
must be set back a minimum distance of 15' f om my of riparian access L nless waived by me (this
does not apply to bulkheads or riprap revetrrients)- (if wish bo waive the sE thack, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback !
5i mature of
-OR-g latent Riparian PropE Hy Owner
I do not wish to waive the 16 setback requirement (initial the blank) JE
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: John Edw rd s'
Mailing Address of ARPO: 6 Castlewood Dr Durharm NC 27713
ARPO's email: [e-mail] ARP(Ys Phone#• 919-889 6206
Dom; 2/14/2022 *waiver is vabd for up 1 O one year from AR 's Signature*
I Revised May 2021

We or
ADJA ` ARIA,t
(N=0'r 1 f=n KAAII - Df
(Top portion to be
Name of Property Owner:
Address of Property: _
Mailing Address of Owner_
Owner's email:.5AIM 'Ili
Agent's Name:
Agent's Email: a J
ADJACENT MPARiAN
• • : .« i• of • • r tLim
by owner or #* agent)
t - �
YI 's fU'c Ci �U �1
Phone#:1
Agent Phone# 9,71 "
OWNER'S CERTIMCATION
referenced property individual applying for this
i drawing, the deve4ment they are proposing.
i
I DO NOT have objections to this proposal. _ I DO have obji wtions to this proposal.
If you have objections to what is being 11pn)poSed., you must noif#jr ff e M.Q MvWon of Coastal
Management (DCAI) in uniting within 10 Mays of receipt of this notii<ae. Correspondence should be
mailed to 127 Ca raknalDriveEX3', Wilmington, MC 24405. DCM representiv Wes can afscr be contacted at
(910) 796-721 *5- Ara response is +considered the same as no objection you have been notaled by
Certified Mait I
ANE P. SiCTloN
I understand that any proposed pier. dock, piffdrgs, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of I& m my atea of riparian access i inhess waived by me (this
does not apply to bulkheads or riprap revetrents). (if y wish to waive the st lback, you must sign the
appropriate blank below-) I
i DO wish to waive somelaH of the 16 setback
Signature of A iacent Reran Propi Tty Owner
-OR
t do not wish to waive the 16 setback requirement (init2f the blank)
Signature of Adjacent Riparian Property Owner: l-
TypedlPrinted name of ALRPO:
Mailing Address of ARM rO q r S G 1 s
ARPCYs emal v� i �� �'��7 ' G t' K ARPd s Pam:
Dafim 1 -7 -waiver is valid for up one year from
Signaturex
Revised May 2021

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N.C. DIVISION F CO
AGENT THO
Date
Name of Property Owner Applying fq� Permit:
f '
I
AL IVIANA13E
MON FO�M
Mailing Address:
n `l
C N - 275
I certify that I have authorized (ag
behalf, for the purpose of applying
install or construct (activity) d li
at (my property located at) A
This certification is valid thru (date)
do
ing all CAMA
(%
T
to act on my
its necessary to
11 .�n,
Property Owner Signature ! Date
2xy\

DREDGE & FILL
GENERAL PERMIT
jNew ❑Modification ❑Complete Reissue
As authorized by the State of North Carolina, Department of E
and the Coastal Resources Commission in an area of environm,
Appl �
t Name 4 iMd+'� O�+'U 40(tl a nr�
Addri s_ a-b C Ross L t(I ^1 fto cQ
City State _tJ (,ZIP
Phon # C29P53 397—1 - E-Mail
Auth " 'zed bent �! oDi+� 1't.ar inY __���
i Cl CW SEW (#TA ❑ ES F1 PTS
AEC ❑ OEA /Ci HHF /C 1H a UOA N/A
J© Pw • _
OR i no PNA no
Ty �of Project/ Activity
s
Pier ) length
length
Krrnber�
Fad/ ROV length
v¢ distance offs14
Shon Length 3 i ia I I
SAV: j not sure yes nQ . _ l - . --4`
M n/a yes no
Photos: yes no
Waiver Attached: yes 0 Tiff
A building permit may be required by:
( Na Local Planning Jurisdictio
i �
No Special Conditions All I t, t $ [;j�
111111lii33k����, j�
— t r r 1 1
Agent ; Appli6nt anted a e
Si Hato 4 Ple area co pl' nc�ment on back of permit*"
dv
concern putsuant to I SA NCAC
/
Project Location: Cc
Street Address/ State
Nal�.Gs
Subdivision_
City�j
Phone #
�,z�ut•e. T
i. tr . Boay--jpf
Closest Maj. Wtr. Bo(
�. 74656 A B c
vious permit # /
:e previous permit issued /
#,/ L'Oo
LotVIj
#(s)
h _
ZIP a99gll
River Basin /. �% -ko 6 aK
2� O4l
(Scale: )
i I
See ,
note on back regarding River
�Baasiinnrules.
Permirpfficer, FPled Nai
Signature
q/ae aoaa

red
Defe
Check Fram (Name)
NYme of PKmlf Holder
Venda
CAsck numbw
xk
amChount
Pemnf NumbeNComments
R*­Ipt w RefunddRWe fed
Column2
Column]
ColumM
Columns
Column0
Column?
Coi—
Column8
122
Matthew Dowdy
same
First Bank 1652 $ 200_00-
NOV #22-08D, 1278 Riverbend Dr, Shallotte-BrCo
TP rct. 17526 (for Tmac)
122
Harbor Marine
Thomas Moriarty
TO Bank 635 $ 200.00
GP #86088D
JD rct 13310
122
Pippin Marine Construction LLC
Medley
Wells Fargo 6029 $ 200.00
GP #85703D
KE rct. 16957
122
Sea Dog Marine Construction
Sauls
First Bank 1658 $ 200.00
GP #86011 D
BB rat. 16925
122
Tidewater Marine Builders, Inc
Freyer
First Bank 1071 $ 400.00
GP #86071 D
BB rct. 16924
122
Patriot Boat Lift & Dock Maint, LLC
Weirsky
Aquesta Bank 1043 $ 200.00
GP #85578D
BB rct. 16928
GP #86068D
122
Maritime Coastal Construction LLC
Ship Wacch�Bdck Landin
CresCom 34 Bank 42 $ 200.00
BB rct. 16923
GP #85603D —
122
James North
Scot
Wells Fargo 24336 $ 200.00
BH rat. 16269
122
Savannah Smith
same
Bank of America 2085 $ 200.00
GP #85303D
PA rct. 18522
-
—
GP #860820
122
-
B&K Marine Construction
-
Ries
- - --
BB&T 1714 $ 400.00
PA rct. 16523
GP #80196D
122
Rhonda McCall
Thrift
Bank of America 1140 $ 200.00
PA rct. 16515
122
Vance Morgan Money Order
Harold Bland
BOKF, NA R2098106£ $ 400.00
GP #86012D
BB rct. 16926
122
F & S Marine Construction LLC
Kenan & Sand View LLC
First Bank 1012 $ 200.00
GP #85574D
KE rct. 16955