85712D - Upton

�°t`°"'4 VICAMA ❑ DREDGE & FILL N9 85712 Sir i3
GPrevious permit
14 GENERAL PERMIT Z} /
Date previous permit Issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue L 0 2—
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 i ? T 1 �,(�i ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
i
ApplicantName
e -� J f1
Address 5 1 2. CA A A\ 4 e" ,
City No, r, State N c. f zip 71-+S d x
Phone !#
Email tr Ivi c, . rUh
Authorized Agent • + <` <1 �� • 1_ ., -
Project Location (County): �' r f. �-- y
Street Address/State Road/Lot #(s) i �L+ C 0 i r{
Subdivision t '
City ,v zip "? k 11 ,i, CI
Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body r ,,.A t. � (n r nk)
AEC(s): ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: ye no `
Type of Project/Activity �` . j! �+;Xw ey45�_.IQ c,14 �y �'� kP `^ 1`'�t-•�� C��•�J ho����t
(Scale: N TS)
Shoreline Length
Access Length
Pier (dock) length-7-7
Fixed Platform(s)
-r
a
Floating Platform(s)^
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ oatlift j 3 x 13
Beach Bulldozing
Other
SAV observed:
yes
Q3g)
Moratorium: n/a
yes
o )
Site Photos:
yes
o
Riparian Waiver Attached:
es
A building permit/zoning permit a
�o
ere rre wired by:
Permit Condition s
c:
i .nti_ t
�c
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)
Agent or Applicant PRINTEDName
�I
Signatur **Please read compliance statement on back of permit'•*
ApplicatiFee(s) Check #/Money Order
Permit
Signature
7 J3 z
Issuing Expirat n 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 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 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
� � s
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: _ �/ n
at my property located at "5 (7o-hrrrrd om
in iknsw CCk County.
l furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
I Slgna re
fiefs
Print or Type Name
Title
Sy
Date
This certification Is valid through

A
d
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:
n' t + tt
Address of Property: v� �. c�,O
Mailing Address of Owner: PCs rc,,� j� f'1 � N ( 2-O't lR ��33
Qwner's email: Owner's Phone#: � �� ~ U - 6 -- (. ,
Agent's Name: Gr_.\QZ -_Q,,>rv5i0-t.CA-10 Agent Phone#: qlo- S-1 S -Ci U3-5-_.w
Agent's Email:
Ec
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property O ner)
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 (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
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)
-OR-
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: i..__.t r�C'J c 1n
Mailing Address of ARPO:
St
ARPO's email: -Odd 1.3 in - u <<(Pc-) v ARPO's Phone#: 919 (OS (o 3 U I--j- 0
Date: c�- f ILI a0,2Z *waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTEQ ar HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Mailing Address of Owner: -. �u. r. s( NC �%L� C� - 7(933
Owner's email:
Owner's Phone#: U1 cWV_( -��Aq
Agent's Name: cam\ ���t_ tn Agent 'hone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom loortion to be corn toted by the Adjacent F}ro a Owner)
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 prpposing.
A description or drawing with dimensions, must be v
provided tiai,it dtis ,eer.
, . A/ 100 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 stays of'reco/Pt .)f ±! lt' ra llce. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington, NC 28405. ACM representatives can also be contacted at
(910) 798»7215. No response is c0llsid'a-vd the same as ago objection if you have been notified by
Certified Mall.
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 ac e I of ,iparian 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.)
DO Wish to waive some/all of the 15' setback/
Sr�� MH-ra 01 Adiacerif ;�tiliwiart Prop rt
-OR-
Owner (aRPO)
I do not wish to waive the 15' setback requirement (initial the blank) __
Signature of adjacent Riparian Property owner:
Typed/Printed narxee of ARPO: 4d,,41 IV k _
Melling Address of ARR©:Ale L11
ARPO's 8rnaii: /J HCrf,�� rw�,�r,1,_N�^,:���i'U's iataut��':i 1 C 9_-7,1 5�
Date: 2 2 Z *waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

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3/31/2022
AMW Docks & Marine Construction Dennis Hurley Truist
Maritime Coastal Construction LLC Sipe CresCom Bank
Timothy Howard same Wells Fargo
John McClure same United Bank
Sea g Marine Construction Busker First Bank
H5 Contruction Services, LLC Edwards Truist
Gregory Holden Dou Terry — United Bank
Charles Duckworth Money Order Hams Wells Fargo —
Jason Hegge RCDC Holdings, LLC Truist
Grice Construction Emory Truist
Grice Construction Upton Truist
Southern NC Marine LLC Bryan First Bank _._ _ __
South Cage Maritime, LLC ,Winston Wells Fargo _
Delta Dock & Boat Lift Yelverton First Citizens Bank
Southern NC Marine LLC Hanby First Bank
H Edward Wright same State Employees CU-
George Koch same Bank of America
H5 Construction_(1 of 2 _ Wallace Truist
H5 Construction 2 of 2 Wallace Truist
7176
$ 200.00
GP #86013D
GP #88066D - _ _
GP #85710D
GP #85713D
GP #85705D
GP #85721 D
GP 085719D
GP #85709D
GP #85511 D
GP #85711 D
GP #85712D
GP #85413D
GP #85717D
GP #86090D _
GP #86089D
GP #85541 D
GP #85542D
GP #85720D
GP #85720D
BB rat. 16927
BB rct. 16922
BB rct. 16929
3/31/2022
3462
$ 200.00
3/31/2022
_
5301
$ 200.00
3/31/2022
_
1060
$ 200.00
BB rot. 16930
BB rot. 16931
tmac rot. 16283
Tmac rat. 16287
3/31/2022
1694
$ 200.00
3/31/2022
3/31/2022
3/31/2022
31 W022
3/31/2022
3/3U2022
3/31/2022
3/31/2022
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1/20 3/322
3/31/2022
3/31/2022
1011
$ 200.00
5549
$ 200.00
19 018495
$ 200.00
BB rct. 16932
1004
$ 200.00
BB rot. 18935
11048
$ 200.00
BB rct. 16934 —
11049
$ 200.00
BB rat. 16933
---
1507
$ 400.00
BH rct. 17551
1384
$ 200.00
KE rct. 16960
9289
$ 200.00
JD rct. 16317
1508
$ 200.00
JD rct. 16316
4327
$ 200.00
PA rat. 16136
1570
$ 200.00
PA rct. 16137
1018
$ 200.00
Tmac rct. 16286
1012
$ 400.00
Tmac rct. 16282