85720D - Wallace

�°*tM741 ❑CAMA ❑ DREDGE & FILL N9 85720 A B C
Previous
4. GENERAL PERMIT p
Date previous
permit issued
❑ New ❑ Modification [:]Complete Reissue ❑ Partial Reissue LF
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:
A \
0
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.Yov/CAMArules
Applicant Name -, % (.4, '% �N �.1 r V\.-V\ UkN:.X Authorized Agent
City t N Eitat-en ZIP 1y
Phone # Ohl-() to ap
Email
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW dEW EYTA OS ❑ PTS Adj. Wtr. Body ` (,i` \l�� n i (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes%no
Type of Project/ Activity
Shoreline Length
Access Length _
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) /
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
a- -
Avg -distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
~
Beach BuI,lld�Pzing
Other
1�
SAV observed:
t
yes nD�
Moratorium: n/a
yes
Site Photos:
n_o
Riparian Waiver Attached:
ye no
A building permit/zoning permit`rh
l be required by` .
Permit Conditions t•"
HU�111M�
(• `
❑ 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 PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
t/
Pertnit-Officer's PRINTED Name
VaW
Iss ing Dat Expiration 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

EN U tZATlON FOR CAMA PE MR AppLl gTtON
Name of Property Owner Requesting Permit_
Mailing Address:
Phone Number:
Email Address:
i certify that 1 have authorized - _
Agent / Cont etor
to act on my behalf, for the Purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development y
at my Property located at /
-
I f"therrnoro eertify that 1 am authorized to grant, and do in fact rant e
Division of Coastal Management staff, the Local Permit 9 p rmission to
on the afort"nentloned lands in connection with evaluating8nfo atlontheira elated otoenter
thls
Permit application.
Property Owner tnformatlon:
Signafure
Si45,Q� fvACL/�G�-
Print or Type Name
True
3 1 -- 1 l v22
Date r
This certification is valid through // / Z
vs

DWMM OF COASTAL MANAGMAT
ADJACENT RtPAR1/W PROPERTY OWNER NOTW"TWKIWAMER FOR1V1
t.- xae of Proomw Ownet: ""Z,�6g
Addrsam of Proper%
tlotar9trsetA SbealorRnad, C11yiUasrtjlj
Aeerst�err,.5s�nlregAdcke� Z18.4 yur �►S613tF
1 hereby certify that 1 own pmpQIV ad*em to the Qbove rsf wioad pWwe r. The kKUvldusl
zk- amtAng for thls permit tma deacrit)fA to mb as shown on the a2ad►ed drawirtg_the developmaret
they an Pmposhig. A dear with dhrtettA}a} 1� m tat be titav4�4ed wier th(a kakrr
1. but no oM=tiam tD tiispropoasl. I hai ckccti=to thlsp opwaL
Hym bnvr aQ�/opstoM►oS4baiaQPrajw+rctf'�+�yt/�'�9'� dCoQ�ll4r�wrnt�?CflJii
rrtt8agr40d»1DdrrySuYrrro�t�rtaVBrlsnofka Cwrspordoocr.ahwtdDrara5�dbi27Qur�oalDAw0t4
N lkniggCoq l(C, L?L7i mgprombe., s nn siso be cua*edat Prrq "&MM No trRponssls
aralderedfbatrfsasnoal?Je�eBooKY�baw6een byCartl�dYol
WANBi SEC WIC!
1 undarsiand that s pier, dock moaft pUUV% brookwaW. tom, tdt, or groin mud be set
track a mbVnuirn d3affinca of 16horn my area of riparian ac cesumSesav+a)ved by tree- tit you
wfah to waivothe aett»dG.YW anwtisettt�t the aPP+oPr'afl' btantbetorsr)
I do wish to vmhm the IV setback requlrssrrent
S, ^ Idonawlshtowaivalhal3setbackrogkdr r
(prop" OW rW tntoraeatf )
e
.:�.sa�l GuNd1Ae�
P&g or Type Mvw
/16w L5cznvD
bfmTvrgAd&vw
oAx-
C+h'�Ze✓ZlP
910 - -6,ZC - 7715-
relaphoneJ omabW
3-1- Z2.
Date
(A�osretHsp tlulatemUon)
S�
Prfnt or 1 ype Nana
Addrera
Tetep one Af -h
0 3 l zc' 2-e?.2—
Mae *�
S 4-uavI .Ite
106 by«l Pike Ct,
Curer tJ - 27 518
7/9- 5V; 62-G 4
Revised tV18M2
Scanned with CamScanner

/r i
DMSM OF COASTAL tlRANMOMENT
ADJACOW Rt'PARN111t PPAWFR7Y OWli M NOTWOMIONNOMM !'OltM
Nam of PtepmV Ow nur. �,9SD�I ip�•'�L �"
Addrsas of Ptoperky: //d � ,�
��� � �(tatar � sbceetoiRood,gy►looud}tl .
AgeffsN ma# A5 $ ml— �i56f3f�
,i"Wophons* JAO $ -- 81 _ t� � RSt� ice_
t hereby as* that 1 own pmpalgt lasoo m to the above nsta uww pop". The�tndlvklue►
apptrhto tortl@s pamA lies dMorl�lto aea are on t!w at�wsd drt�rhrp,jtw denreiopment
per•
• thavenoott}nciiamiolhispcnporal- Thaitoo6jbathiapmpwal.
wArmsEamm
t undaMand #* a pkw. dock. nrooft FlIn , brsWwmbr. fie.Ok OrgraW must beset
back a mWmam di tanoa of t8 fmm my ams of riparian aooasaWism Wild by ma. (If you
btankt W.)
valelr wsSvetheaetbad�Y� 1 PmPd�e'y` 1 d
To vulsh to wadmthet$ setback t*qubw"0 nt.
1 do notvvish Ea wava Utn 15 setback njquiro+rvrx
- �'ropa�rOwarMorrr�tla) � �
.Sr4San1 !.y _�C��t7itR�1'� s-r�illf%Ddi't
or'fype erns - H3rKarTypeNamo - -
11,6 A/ r ,44. D -t -
AddressUWWAddm-
c
914) - 4'0 — 7g
ref r
.3-r-x2 �Z
r�«►enani»z
m
I
0A%

�wsri�lG i2X/4
A20AMA To .�fir3lry
© n 4
4c
M
A�X'9(16 6X lZ 6- O
I wc� aoc,�
,I
y'�-/ S,,rAA, ?JOCK ALLOW;--L
,vz-w 4 ' PvPd&O U`94A' -�,
J14S0111 )Xl:vz eA49
X16 A I&-G,*ND Ae
0,,W-7Y44s/D
4XI'mlo- /0 K GF>"
�/rN/ AGo Ss9 Gs/AL==
SEA AIW
f/iG�/E�3'" Gzv� dF
Z3 '

Date RecoNed
Dete DP,,ftd
Check Fran Name
Name d Pwmk Holder
Wndor
Check number
Check
meunf
Pernik NumbeNCemments
Receipt ar Refund/Reellocafed
Cdumnl
3/31/2022
3/31/2022
Cdumn2
Column3
AMW Docks & Marine Construction
Maritime Coastal Construction LLC
Timoth Howard
John McClure
Column/
Dennis Hurley
S
same
same
Busker -
Edwards
CdumnS
Truist
CresCom Bank
Wells Fargo
ColumnO
7176
_ _3462
5301
Cdumn7
$ 200.00
ColumnO
GP #86013D
GP #86066D
GP #85710D
GP #85713D
GP #85705D - --
GP #85721 D
Columno
BB not. 16927
BB rct. 16922
BB rct. 16929
BB rct. 16930
BB rct. 16931
tmac rct. 16283
$ 200.00
3/31/2022
$ 200.00
3/31/2022
United Bank
First Bank _
1060
$ 200.00
3/31/2022
Sea Dog Marine Construction
1694
$ 200.00
3/31/2022
- -
H5 Contruction Services, LLC
Truist
1011
$ 200.00
3/31/2022
3/31/2022
3/31/2022
Gregory Holden_
Charles Duckwo__rth Money Order
Jason Hegge
Doug Ter
United Bank
5549
$ 200.00
GP #85719D
Tmac rct. 16287
BB rct. 16932
BB rct. 18935
Harris _
RCDC Holdings, LLC
Wells Fargo
Truist _
19-018495
1004
$ 200.00
$ 200.00
GP #85709D
GP #85511D _
3/31/2022
Grice Construction
Emory
Truist
11048
$ 200.00
GP #85711 D
BB rct. 16934
3/31/2022 Grice Construction
3/31/2022 Southern NC Marine LLC
Upton
Bryan
Truist
First Bank
11049
1507
$ 200.00
$ 400.00
GP #85712D
GP #85413D
BB rct. 16933
BH rct. 17551
3/31/2022 South Cape Maritime, LLC
3/31/2022 Delta Dock & Boat Lift
Winston _ _
Yelverton
Wells Fargo
First Citizens Bank _
1384
9289
$ 200.00
$ 200.00
GP #85717D
GP #86090D
KE rat. 16960 _
JD rct. 16317
3/31/2022
Southern NC Marine LLC
Hanby
First Bank
1506
$ 200.00
GP #86089D
JD rct. 16316
3/31/2022
3/31/2022 _
3/31/2022
- -
H Edward Wright ----same
Geor a Koch
H5 Construction 1 of_�_
--
same
Wallace _ — _
State Employees CU
Bank of America
Truist _ _-
4327
1570
_ _ 1018
$ 200.00
$ 200.00
$ 200.00
GP #85541 D
GP #85542D
GP #85720D _
PA rct. 16136 _
PA rct. 16137
Tmac rct. 16286
16282
3/31/2022
H5 Construction 2 of 2
Wallace
ITruist
1012
$ 400.00
GP #85720D
Tmac rct.