85710D - Howard

14 &11'❑CAMA ❑ DREDGE & FILL N9 85710 A B C D
3 GENERAL PERMIT Previous permit
Date previous permit issued
ffi-0New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue (f 4 - ((- 2n ZZ Vj
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.dgg.nc.gov/CAMArules
Applicant Name li ``� C'� - %'-^ '" Authorized Agent
Address '' )� c' Z, Project Location (County): -
City <t 3 f4. 2- G Ci4$tate h 1 i . ZIP ,z �`� h� Street Address/State Road/Lot #(s)
Phone # ("l ) 2 -,(n
Email t �� �� A tti"lP r F� ^�. c�©/- i . _ C u n, Subdivision X'
City ZIP
Total Platform area Z $ It
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/8oatlift f T • / 3
Beach Bulldong
Other
SAV observed: yes i " `_ s_
O
Moratorium: n/a yes
I F-
Site Photos: yes - —---
j—
Riparian Waiver Attached .• y"e - no
_
C
A building permit/zoning permit ma be uired by:
1
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions' c. i 1 n ,�
r,
i z
_ `%'
See note on back regarding River Basin rules
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 PRIN ED Name
Signature**Please read compliance statement on back of permit**
Signature
i�-
Application'Fee(s) Check #/Money Order
—' i
Issuing Date
Expiration Date

Statement of Compliance and Consistency A
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Mana¢ement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
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)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
�ERTlFIED MAIt�IZE: TURN F2fGE11'1 KE��ESTED tx HAND pEt,IVLItY
(Top portion to be completed by owner or their agent)
Wine of Pfoperty Owner _. `cM *604Vh
Address of Property :L 6 tO,I4SS-3 --five- . Dr! ftn (1A, ^k 2S4C/
Mailing Address of Owner Z� Gold�b�D��. �UeGtn�e DYJt��C�
Owner's email: walk mctro M t • �+!g ° Cr�wner's Phone#.
Agent's Name:'/-W t el �� Agent Phone#:
Agent's Email: 1`7 iC—< Cs ���0C� �'T Alfa f-6!e,,V7
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that 1 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
j d cri n or drawing, with dimensions must be provided with this letter.
I 100 NOT have objections to this proposal. 4WI 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 (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives 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 to 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 mus n
the appropriate blank below.) 12(yJ �.,M
I DO wish to waive some/all of the 15'
Signature of djacent Riparian Property Owner n j�t(`(4 Wt
-OR- t ` IT fi d ✓1
I do not wish to waive the 15' setback requirement (initial the blank) Q Post to S (�
-6v,c)► t Z7
Signature of Adjacent Riparian Property Owner: ��/� f _ •�I
Typed/Printed name of ARPO:
Mailing Address of ARPO: v f ' (� f ✓c �' ` �� i
yQLt �✓ ICIO W `Phone#: O
ARPO's email• �.!
Date: 02--'4Naiver is valid for up to one year from ARPO's Signature'
�\ Revised July 2021
�7--
J
Sl�.vi7 ���i5 1S
d, K�

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTWICATIONIWAtVER FORM
CI ItlIFILn_MA
Top portion to be completed by owner or their agent)
Nm"r of Prop(" Owner .Vf _._. ?.A y� t
Address of Property -. tri U Wit, � l� f ..�s � � L ti p
Ki&V Address of Owner 2E&gc 1 � OI&A #rf J tjC L tR
owner's emadl timer"s Phones aim- 2_1£`
Agent's Name h Agent Phonell
Agent's Emai+''1 ► c-K 1� 1 eS' +I .GOc�_ �-�-aA L " �'e�wt
ADJACENT RIPARIAN PROPERTY OWNER'$ CERTIFICATION
(Boom oortton to to coma tad by f1w Adiw" Practrty O~
I hereby om* that I own property adjacent to the above relereneed pmpdrty. The ndividual applying for flies
permit has described to n a. as shown on the attached drawing, the developinent they are pnoposw%
f DO NOT have olilediorn to thus propoaat. �. ,: 1 DO have O*Ctk= to will ptopoaal.
If you Aave 04*coons to what is befitg pn*084 d. you must notii y em N.C. DA ion of Coastal
AtaaaRswteat (OC40 in w►dfag w0*1 10 darts of nicafof o(M%c notice Cm -pow tdhatht aboaW h>te
rnadatl to 127 CAMOW Or" Est. M►bn&Vh^ XC 2bIt1 -3"& DW rtp - can also he
coabcftO a1 f*10) IWn15 No resporne is cowsdd~ tee some as no agirction i1 you !ow been
+ra~ by CerNliad mwa.
WAIVER
I understand fiat any proposed pier, dock. mooring pbrhgs aWnW. ' ill, or
groin must be set back a mininsen dstanoe of 119 by rne
(will does not apply to buildwads or nprmp a tJ,( you b
the appropriate blank bdm,)
I DO wish to waive somelall of the 15'
�� ---�►
-OR- &Aaji w" Rovism �p01tr Owner
f b the IS' drunk)
Sigrift" of Adfacent Riparian Owner,
Typsdfflrk sd name of ARPO711/;'
'r'� /
G„rt•Q M&"V Addnmss of ARPO;
�+ ARPO's i1F�GZ3 ARPWs Rw":
/ 7 'Q�L-- 'waiver is valid for up to ane year from ARPO-s Signatory
r_ � t��;1 �� � Revised jL4y 2021
, ,cJ ifs n T- ( +b i S ��AAw

�E---- C IN, N N-

Dafe Received
DaNDe tted Check From Name
Name&Parmk Wder
Vendor
Check number
Check
amount
Pemrk NumbWCamments
Revel or Re/undrRwBacated
Cdumnt
Column? Column3
COWmn4
Columns
Column6
Cot m 7
Column8
ColumnY
3/31/2022
3/31/2022
3/31/2022
AMW Docks &Marine Construction
Maritime Coastal Construction LLC
Timothy Howard
Dennis Hurley
Si a
same -
same
Truist
7176 $ 200.00
_ .
3462 $ 200.00
GP #86013D
GP #86066D
GP #85710D
GP #85713D _
GP #85705D _
GP #85721 D ___ _ _
BB rct. 16927
BB rct. 16922
CresCom Bank
_
Wells Fa o
5301 $ 200.00
1060 $ 200.00
BB rct. 16929
3/31/2022
..
John McClure
—
United Bank
BB rat. 16930
3/31/2022
Sea Dog Marine Construction
_
Busker
First Bank
1694
$ 200.00
BB rct. 18931
3/31/2022
_
H5 Contruction Services, LLC
Edwards
Truist
1011
$ 200.00
Unac rct. 16283
3/31/2022
_
Gre o
DougTer
United Bank
5549
$ 200.00
GP #85719D _
3/31/2022
_Holden
Charles Duckworth MoneyOrder
Harris
Wells Faro
19-018495
$ 200.00
GP #85709D
BB reTmac . 1 3287
BB rot. 18932
3/31/2022
Jason Hegge
RCDC Holdings, LLC _
Truist
1004
$ 200.00
GP #85511 D
BB rct. 16935
3/31/2022
Grice Construction
Emory
Truist
11048
$ 200.00
GP #85711 D
BB rct. 16934
3/31/2022
Grice Construction
Upton
Truist
11049
$ 200.00
GP #85712D
BB rct. 16933
3/31/2022
_
Southern NC Marine LLC
Bryan
_
First Bank
1507
$ 400.00
GP #85413D
BH rct. 17551
3/31/2022
South Cape Maritime, LLC
Winston
Wells Faro
1384
$ 200.00
GP #85717D KE rct. 16960
GP #86090D JD rct. 16317
GP #86089D_ JD rct. 16316
GP #85541D PA rct. 16136
GP #85542D PA rct. 16137
GP #85720D Tmac rct. 16286
GP #85720D Tmac rct. 16282
3/31/2022
_ _ _
Delta Dock & Boat Lift
Yelverton
First Citizens Bank
9289
$ 200.00
3/31/2022
Southern NC Marine LLC
Hanby
First Bank
1508
$ 200.00
3/31/2022
_
H Edward Wright _
same _
State Employees CU
4327
$ 200.00
3/31/2022
GeorgeKoich
same
Bank of America
1570
$ 200.00
3/31/2022
H5 Construction 1 of 2
Wallace
Truist
1018
$ 200.00
3/31/2022
H5 Construction 2 of 2
Wallace
Truist
1 1012
$ 400.00