86083D - Bermeo

c❑,CAMA ❑ DREDGE & FILL Na 86083 A B C
Previous permit
GENERAL PERMIT
Date previous permit issued
❑•New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue L q •Z yZ, ,, AY1w
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 yT�,? ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
AddressJos
a /r
City C State tt�if ZIP 9l r
Phone #� Email f
•
Authorized Agent iza
n I /
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ cW ❑ EW ❑ PTA DES ❑ PTS Adj. Wtr. Body k C . (naunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no ` PNA: yes/no
Type of Project/ Activity i ,t``J©V
;r< '1�'
,�'p� i
✓" f�`'
QG,
�1 ;,
%yg'
(Scale:
��
Shoreline Length
Access Length— AO.i
33
f/
Pier (dock) length
(
i
€
Fixed Platform(s)°
[
Floating Platform(s)
i
Finger pier(s) ' ,121 k - {
i
Total Platform area
Groin length/#
Bulkhead/ Riprap length --
_ —.
E
(
----
Avg distance offshore
Breakwater/Sill
Max distance/ length _..,
4
«
Basin, channel --�-
Cubic yardsIT.
Boat ramp
Boathouse/ Boatlift —
Beach Bulldozing --"
Other
.
i
•f7�
�
i
SAV observed: yesf I 11VI;
Moratorium: n/a yes
5
Site Photos: yes 4
Riparian Waiver Attached: yes C_45
.l 1
A building permit/zoning permit may be required by::::�,%
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions 1
r ` . 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 Permi cer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check #/Money Order Issuing Date 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

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: GV,
Mailing Address: l0
Phone Number: e(( 9
Email Address: O c, v i ct ; ,1
C
I certify that I have authorized AvS t i, , !3,MP'(S forn(rs "g4 -Ind,?-,. L ��
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at ° se 05-4) St oGr- ys tc xk X) - 2244"Y'
in 1h )"Suji c% County.
I furthermore certify that l 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:
� d: lleli�
Signature
Print or Type Name
Title
0 3 l l� 1 2o2.Z
Date
This certification is valid through / /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: D.-, V! i On 4,, 8-4Th e.,o
Address of Property: (7i W ' h 's K '1 S(atvi A- NG Z 8 ij6�
Mailing Address of Owner: S S& QGe- -gIt, k tj
Owner's email:4 "Idi 4Lrme!C rA G°n" Owner's Phone#:
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
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
-OR-
Signature of Adjacent Riparian Property Owner (ARPO)
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
*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 NOTIFICATIONlWAfVER F
CERTIFIED IL RETURN RECEIPT REQUF-STED or HAND D
(Top portion to be completed by owner or their.a
Name of Property Owner:
Address of Property:
Mailing Address of Owner.
Owner's email: Owner's Phone#;
Agents Name: Agent Phone#: -----,--
Agents Emait
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
1 hereby certify that I own property adjacent to the above referenced property. The individual applying for tit' `
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 tt" proposal
if you have objections to must notify the N.C. DIVIS1100 of
Management (De CM) In writing within 10 t is beingd days of recelpt this n COMOSportden sfroufd
mailed to 127 Cardinal Drive EXT, W71mington, NC 2W6. DCM repreWtadveS can also be C003
[phone]. No response Is considered the same as no objection N you have beep no
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Wt, or
must be set back a minimum distance of 16 from my area of riparian access unless wa t. 3his
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, y
appropriate blank below.)
1 DO wish to waive somelall of the 1 F setback
5%ture of Adjace»t f�a ' f1 ' �. `�)w!.►'9r'; .. `W .
®OR-
I do not wish to waive the 16 setback requirement (initial the k
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: D
ARPC►'s email: t4� ..I"+s c ARPo s Phonai•
Date. `7 D a 'waiver is Y. li. one year xo ARPO,&

N.C. I)MS1ON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL � RETURN RECEIPT RFC UESTED or HAt4DUEt wRy
(Top portion to becompletedby owner or their agent)
Name of Property Owner.
Address of Property:
Mailing Address of Owner.
Owner's email. Owner's Phone#.
Agent's Name: Agent Phone4l:!
Agent's Emil:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(gotLpm aortion to be completed by tfie AdlaceM Pros�ert5r Owner)
I hereby certify that 1 own property adjacent to the above referenced property. The individual applying
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 o4jectfons to what is being proposed, you must notify the N.C. D1Ws10n of Coastal
Management (DCU) in writing within 10,days of receipt of this notice: Correspondence should
mailed to 127 Cardinal Drive W Wilmington, NC 28405. DCM representatives can also be c01ntact0
(910) 79&7215. No response Is considered the same as no objection If you have been notifies(
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse,'
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 thtri the
appropriate blank below,)
I DO wish to waive some/all of the 15' setback
S nature of Adjacent Riparian Property fK ARPO
-OR-
1 do not wish to waive the 15' setback requirement (initial the blank) CI
Signature of Adjacent Riparian Property Owner:
Type&PdnW name of ARPO:
maiiina Address of ARPO: I II' t E, % '� JT . i IV— Ts 1 xd N C-
� - 979
Po's Signature"
Revised May 2021

�a.�e�1�M�"'_. �.I

ECEIVE
2022
N.C. DIVISION OF COASTAL MANAGEMENT ' n
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM BY- V �-%
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner- [ALA �ItOAL 0
Address of Property 103 5E A511'
/C
Matting Address of Owner c -21 t
Owner's email _ aq_ V� 6t4" 6 0 rxW4J Owner's Phone# I it QAq 0034
4
Agent's Name ( 310 -1;?1 (1 Icr5 Agent Phone#- q/ 044 6- 013 f
Agent's Emaili 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 descnbed 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
CAA/t.> DO NOT have objections to this proposal. 100 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 FV1
I understard that any proposed pier, dock mooring pilings 'goat ram , , akwater 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 n4rap revetments) (If you wish to Naive the setback, you must si n the
appropriate blank below )
I DO ,Nish to waive someiail of the 15 setback
Signature of Adjacent Ripanan Property Owner (ARPO)
-OR-
I do not wish to Naive the 1 setback requirement (initial th blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: Ifl
Mailing Address of ARPO: G 1 !J to
a
ARPO's email:
ocif it �Y1C G (ARPO's Phone#: `t
I I 'aiver is valid for up to one year from ARPO's Signature`
W.
Revised May 2021
Date:

r
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: P,Vt d -emu 0
Address of Property: 103 Sf A5"1 DL[ Nei C�
Mailing Address of Owner: P 3
Owner's email: dam 6 Owner's Phone#: `� qQ� 00 4 Agent's Name:' 1 , Agent Phone#: y / U 448- 0131
1
Agent's Email: /� K.s�
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.
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 ram/deakwater. 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)
too
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: -to Wrl g> Oak- (Sfa,*1-1
Mailing Address of ARPO: ( , 1211- 'Stafl3 br 1)16 Jc-
ARPO's email: t�-t��tTCt�L is �G(,ilcf}l�(,l�j�ARPO's Phone#:
q to Rig 50 It
Date: q t �5 LA a( *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

f'r

Date ReceNed
Date Oe hed Check Fran Neme
Named P—tt Noklet
Vendor
Check number
Check
cunt
Permk Number/Commentr
Recta t w Rerund/Reellacated
Col —I
Column2
Ce1ulnn3
Colu-4
Co/umn5
Columnti
Cdumn7
0o1umh8
Column8
4/20/2022
4/20/2022
4/20/2022 _
- 4/20/2022
120/2022
4/20/2022
4/20/2022
4/20/2022
133Tarpon, LLC same Wells Fargo - -
Somers Land and See, LLC Bermeo United Bank
Lin Marine, LLC Kraemer BBBT _ _ _
Tarpon Time, LLC _ _ _ _ same _ _ Fidelity Bank _ _ _
John Kopp same _ BB&T __ _-
Brent Shiva same F & M Bank
North End Builders NC LLC Levine SunTrust
Hannah Erwin same SunTrust
1035
3029
7924
_ _ _ 1002
7686
$ _ 400.00
$ 200.00
GP#85750D _
GP #86083D _
GP #86078D
GP #85749D
GP #85544D __ _
GP #86077D
GP #86076D _ _
GP #86074D
PArct. 16145
PA rat. 16139
$ 200.00
PA rct. 16144
PA rct. 16143
$ 400.00
$ 200.00
PA rct. 16138
__
6347
$ 200.00
PA rct. 16142
_ __
1095
155
$ 400.00
PA rct. 18140
200.00
PA 2d 18140