85711D - Emory

t0"r4 ' CCAMA ❑ DREDGE & FILL N9 85711 A B C(�
Previous permit
GENERAL PERMIT
Date previous permit issued
M New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of Northt Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ( i'� { 2 0C- ❑ Rules attached. General Permit Rules available at the following link: www.deg nc.Qov/CAMArules
Applicant Name 1,�`�
Address
City 1,11 U C i v t, State �%G zip V 7
Phone # (`) 2 1(G
Authorized Agent 4 • )' , �\ l--?r ,, C .f[
Project Location (County): —���,E � c— t--
StreetAddress/State Road/Lot #(s) TC) cdc c w k!rG _
Email Subdivision
City (: p t, S` a `) t (� zip L H(,
Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body Cr,
AEC(s): ❑ OEA ❑ IHA MuW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no.' PNA: yesQ
Type of Project/ Activity
Shoreline Length t3 U
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) >
Total Platform area )�Jo {
Groin length/#
Bulkhead/ Riprap length
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
\ C-, (-V— Q
(Scale: tit �i )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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) Lk : L
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name —� f
• —sue' � � , -�_
Signature**Please read compliance statement on back of p rmit** Signature , f
Applicatio_ir ee(s) Check #/Money Order Issuing Date ExiSiration Date

Statement of Compliance and Consistency
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:
1-1 Tar - Pamlico River Basin Buffer Rules F-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 Management 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

0
AGENT AUTHQRIZATION FOR CAMA PERMIT APPLICATION
r`
Name of Property Owner Requesting Permit:C V
Mailing Address: U% 510LjL o"gcA
J
u� t� el L)(? Cf W c_ a 3 779'1
Phone Number: ?3 0Q.9 o; b 1Z3 -':� a
Email Address; t � /ram -E!' " Ci4D ✓✓I
certify that I have authorized r Ge Co', 54
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: e [a(-2 -(fib ; n� i
O
at my property located at 10 L
in oru n' iLv "C.K County.
bur) 510-el onlwi �-sl P
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Offlcer and their agents to enter
on the aforementioned lands in connection with evaluating Information related to this
permit application.
Property Owner Information:
Wnnature
Print or Type Name
4�
TWO
1 �_._L�f a aaa
Date
This certification is valid through

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: �1rr� mkt
^T �l
Address of Property: t^�U�i R cA I �Qar i V CRfi� y6lQ &4bn
Mailing Address of Owner: \7 24 W4,WjtCr 4 t'� C 2$76:1 - -721­�
Owner's email: Owner's Phone#: $2-? " 2- N " $33Z
Agent's Name: ��'t� �^��n�c�yr� Agent Phone#: (�P- S-l°1_1 4695
Agent's Email: \.pc3,-,Aq cxc, ua QLk nnC , T
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing.
A description or drawing, with dimensions, must be provided with this letter.
C
_J_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at
f' [phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this
4 does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
(� appropriate blank below.)
W I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owne . \._ �.-
Typed/Printed name of ARPO:
Mailing Address of ARPO: V",5 '-Nifl'I cc,q L--�J , )IAOC) C. V kfL 2$ f � 1
ARPO's email: V_C_2- IZC✓IdVA-][(0 02�, ARPO's Phone#: '1 Q 9
&-A44t L-, c b r\
Date: Zt L 1- *waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

1
OFFLCT
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:ertified Mail Fee ' " • r j
xtra Services & Fees (check box, add fee as R101,11919, 1 I6
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101-/1 8.:'2022
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.erimea man service Provtaes the Touowing oenents:
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of delivery (including the recipient's signature).
of this label, affix it to the mailpiece, apply
You can request a hardcopy return receipt or an
appropriate postage, and deposit the mailpiece.
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt attach PS Form 3811 to your mailpiece;
IMPORTANT: Save this receipt for your records.

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
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9590 9402 5492 9249 3651 30
Certified MailO
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Delivery
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Merchandise
2. Article Number (Transfer from service label)
❑Collect on Delivery Restricted Delivery
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Signature ConfirmationT"
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7 017 0660 0000 7486 9607
Insured Mail
Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
PS Form 3811. July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

i�SPS 80 I IIII
9590 9402 5492 9249 h51 30
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box•
GRICE CONSTRUCTION
6618 BEACH DR., SW
OCEAN ISLE BEACH, NC 28469
'.IIIIIIIIIII"IIIII"IIIi'l-hIIII'I'llllilll,Illlill.11l"iiil,

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 11rYN F r~(\arSJ
Address of Property: -1b %G,ur in�wrcA I'�Q�r� CQS� �6`QyegC
Mailing Address of Owner: `y h o ZL4 WtcxNtCr 4' �, NC Z �-1161 - ►`72L�
Owner's email: Owner's Phone#: $2.? - 2- N " $ Z
Agent's Name: Agent Phone#:
Agent's Email: ON rnC -'e
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.
C
_ 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 (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington, NC 28405. 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 be set back a minimum distance of 15' from my area of riparian access unless waived by me (this
4 does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
(� appropriate blank below.)
fit' I DO wish to waive some/ail of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner (ARPO)
I do not wish to waive the 15' setback requirement (initial the blank) 9W
Signature of Adjacent Riparian Property Owner: , e,,- 0 !�-]
Typed/Printed name of ARPO: Wo S 15, `�L. ` ""Ly
Mailing Address of ARPO: rl 2- L Ary R I hi F3 u 'R- (� S T • cvCc.z-�3 f 3 t 2
ARPO's email: ram'` oak, gt4 C� l ARPO's Phone#: `4 l � u! q "3 -f 5( Lt e)-
Date: ( - 2- t - zo -iZ *waiver Is valid for up to one year from ARPO's Signature'
Revised May 2021

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Certified Mail Fee
$1.75
'459
$ $7% - Cici
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Extra Services & Fees (check box, add fee alfr6tie)
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Postmark
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Here
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Postage $0 .58
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A I / 1 '123/2) 22
Total Postage and Fees
$ 7 37 8
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Shipt To
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owl ancu Man Owl vrcc Nrvvwca
A receipt (this portion of the Certified Mail label).
A unique identifier for your mailpiece.
Electronic verification of delivery or attempted
delivery.
A record of delivery (including the recipient's
signature) that is retained by the Postal Service -
for a specified period.
mportant Reminders:
You may purchase Certified Mail service with
First -Class Mail®, First -Class Package Service®,
urc wuLOwury ucncuw:
for an electronic return receipt, see a retail
associate tot assistance. To receive a duplicate
return receipt for no addtional fee, present this
USPS®-postmarked Certified Mail receipt to the
retail associate.
Restricted delivery service, which provides
delivery to the addressee specified by name, or
to the addressee's authorized agent.
Adult signature service, which requires the
signee to be at least 21 years of age (not
available at retail).
or Priority Mad® service.
- Adult signature restricted delivery service, whict
Certified Mail service is notavailable for
requires the signee to be at least 21 years of ag
International mail.
and provides delivery to the addressee specifiec
Insurance coverage is not available for purchase
by name, or to the addressee's authorized agem
with Certified Mail service. However, the purchase
(not available at retail).
of Certified Mail service does not change the
■ To ensure that your Certified Mail receipt is
insurance coverage automatically included with
accepted as legal proof of mailing, it should bear:
certain Priority Mail items.
USPS postmark. If you would like a postmark on
For an additional fee, and with a proper
this Certified Mail receipt, please present your
endorsement on the mailpiece, you may request
Certified Mail Rem at a Post Office- for
the following services:
postmarking. R you don't need a postmark on this
- Return receipt service, which provides a record
Certified Mail receipt, detach the barcoded portion
of delivery (including the recipient's signature).
of this label, affix it to the mailpiece, apply
You can request a hardcopy return receipt or an
appropriate postage, and deposit the mailpiece.
electronic version. For a hardcopy return receipt,
complete PS Form 3811, Domestic Return
Receipt attach PS Form 3811 to your mailpiece;
IIIIPOIRANT: Save this receipt for your records.

■ Complete items i, 2!rand 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
�CQun�514AU� NC
IIIIII II III IIIIII I I I I I III IIIIII I I
9590 9402 5492 9249 3651 47
A. Signature
X 4� ❑ Agent
❑ Addressee
E3. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type ❑ Priority Mail Express©
❑ Adult Signature ❑ Registered MaiIT ^
❑ Adult Signature Restricted Delivery El Registered Mail Restrict(
*Certified Mail® Delivery
❑Certified Mail Restricted Delivery ARieturn Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (transfer from service label) ❑ Collect on Delivery Restricted Delivery 0 Signature ConfirmationT�
7 Insured Mail 0 Signature Confirmation
Q 17 0 6 6 0 0000 7 4 8 6 9 614 1 Insured Mail Restricted Delivery Restricted Delivery
_ (over $500)
PS Form 3811. July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

USPSTRACKNG#
9590 9402 5492 9249 3651 47
United States
Postal Service
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box•
GRICE CONSTRUCTION
6618 BEACH DR., SW
OCEAN ISLE BEACH, NC
28469

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Date DoposNed
Check Fr Name)
Name or PamN Ibldr
V hdr
Check numhw
Check
amount
Pemrk Numkw/Cammenb
Roc4dpt r RefunWRe&Hocated
Column?
Cdumn2
Cdumn3
CrumM
Columns
Columns
Cdumnl
Column!
Column➢
3/31/2022
3/31/2022
3/31/2022,
3/31/2022
3/31/2022
3/31/2022
AMW Docks & Marine Construction Dennis Hurley_-
Maritime Coastal Construction LLC 'Sipe
Timothy Howard same___ _ _
John McClure same
Sea Dog Marine Construction Busker
H5 Contruction Services, LLC Edwards
_ Gregory Holden Doug Terry
Charles Duckworth Money Order Harris
Jason Hege RCDC Holdings, LLC
Grice Construction Emory_
Grice Construction Upton
Southern NC Marine LLC Bryan_ _
South Cape aritime,_LLC Winston
M
Delta Dock & Boat Lift Yelverton
Southern NC Marine LLC Hanby
H Edward Wright same
George Koch same
H5 Construction of 2) Wallace
1 H5 Construction 2 of 2 Wallace
Truist
CresCom Bank
Wells Facer o
United Bank
First Bank
Truist
United Bank _-_
Wells Fargo _
Truist
Truist
Truist
First Bank _
Wells Fargo
First Citizens Bank
First Bank
State Employees CU
Bank of America
Truist
ITrui3t
7176
3462
5301
1060
1694
$ 200.0o
$ 206.00
_ $ 200.00
$ 200.00
GP #86013D
GP #86066D
GP #85710D _
GP #85713D
GP #85705D
GP #85721 D
GP #85719D
GP #85709D
GP #85511 D
GP #85711D
GP #65712D
GP #85413D
GP #85717D
GP #86090D
GP #86089D
GP #85541 D
GP #85542D
GP #85720D
GP #85720D
BB rat. 16927
BB rct. 16922
BB not. 16929
BB rct. 16930
BB rct. 16931
tmac rot, 16283
Tmac net. 16287
BB rct. 16932-
$ 200.00
1011
$ 200.00
3/31/2022
5549
$ 200.00
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
3/31/2022
19-016495
$ 200.00
1004
$ 200.00
BB rct. 16935
11048
11049
1507
1384
9289
1508
4327
1570
1018
1012
$ 200.0o
BB ret. 16934
$ 200.00
BB rat. 16933
$ 400.00
BH rct. 17551
KE rct. 16960
JD rct. 16317
JD rat. 16316
PA rot. 16136
IPA rct. 16137
I Tmac rct. 16286
Tmac rat. 16282
$ 200.0o
$ 200.00
$ 200.00
$ 200.00
$ 2 00.00
$ 200.00
$ 400 00