86096D - Diehl

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k VCAMA ❑ DREDGE & FILL N° 86096 A B C /D
4.4. Previous permit
GENERAL PERMIT
Date previous permit issued �
L] New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue C y- Z % ZZ Affitj
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:
I SA NCAC ❑ Rules attached. 0 General Permit Rules available at the following link: www.dgq.nc.2ov/CAMArules
Applicant Name!
Address / f%i'
City J:I=<JL�,1� State "� ZIP
Phone #
Email
Affected ❑ cW
AEC(s): ❑ OEA
ORW: yes/no
0EW EIPTA
❑ IHA ❑ UW
PNA: yes/no
Type of Project/ Activity
Shoreline Length.
Access Length
Pier(dock)length
Fixed Platforms),
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/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no '
Site Photos: yes , no
Riparian Waiver Attached: yes no,i
A building permit/zoning permit may be required by:
Permit Conditions
ES ❑ PTS
❑ SPIMA ❑ PWS
`7
Authorized Agent '
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale: j`JR S )
0
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 Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

Statement of Compliance and Consistency r
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 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

t��Ocour' CAMA ❑ DREDGE & FILL N(i 8fi096 A s�c�
a Previous permit � _
i 3 GENERAL PERMIT Date previous permit slued 0 ' it
New ❑ Modification Complete Reissue []Partial Reissue y ,Z 7, 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:
I SA NCAC �!� I ❑ Rules attached. General Permit Rules available at the following link: www.deg.nc&ov/CAMArules
Applicant Name
h
Authorized Agent —_re._j
Address ql
Project Location (County):
City _AF—�p*-A _ State �L
A
ZIPy
1
/0
Street Address State Road/Lot #(sy
Phone # L(") `�►� .r�d'8'�
�l�� / Q/c /�/l '
Email
Subdivision
City vu __ ZIP zliS
Affected ❑ CW EW PTA
El ES
❑ PTS
Adj. Wtr. Body /"� �� man/unk)
AEC(s): ❑IDEAMIHA �UW
❑SPIMA
❑PWS
ClosestMaj.Wtr.Body SI�(l� s0dA%
ORW: yel!5> PNA: ye 6)
Type of Project/Activity /'r$7—A-I*—
f CA�t fiN0 -170AP � —
(Scale:
Shoreline Length D
Access Length
Pier (dock) length
�
Fix PlatforTms)/�I
z
Floating Platforms)
(� r x 1 f
Finger pier(s)
1AF
00Zt
'.
39L
f Y I �/
Total Platform area
Groin/fl
Bulkhea ipraplength
Avg distancewater /Sill shoe
Break
Max distance/ lengi
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _
Other
SAV observed: yes
Moratorium: n/a yes Site Photos: yes
Riparian Waiver Attached: yes)nko
A building permit/zoning permit may be required by:
Permit Conditions
FA
-791
%h
At
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AJNARE OF STA14JTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please a
Digitally signed by Richard
Richard L L. Penny
nt or Applican PRINTED N me Date: 2022.04.13 07:34:28 ItoINTED NamePenny-04'00'
Si ature "Please read compliance statement on back of permi
Application Fee(s) Check 0/Money Order Issuing Date Expiration Date

Nang of Property Owner Requesting Permit:
Whiling Address: i & 3 A&C t� �
Phone Number. 919491&887_
Email Address: widieht j�rail.com
certify that I have authorized Richard PenMt RE_r, Marine, WC
Agents Contractor
to act on my behalf, far the purpose of applying for and obtaining all LAMA permits necessary for the
following proposed development; New Pier and latfigrm .
at my property located at 12 Dorothy Sox Dr, Surf City, NC 28448
in Cnsiow, County.
L furMermore certify that I am authorized to gram, 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.
Signature
Print or Type Name
Title
� N
Date
This certification is valid through 12J312022

Name of Property Owner Requesting Permit:
Mailing Address: 3 L C<w,____g
Phone Number: 919-491-a8$7
Email Address: widighlCoDgmail.com
certify that i have authorized Mchard Penny. RPC Marine. LLC ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the
following proposed development: New Pier and pllatfo m _
at my property located at 112 Dorothy Sox Dr, Surf City, NC 28445
in Qnslow County.
1 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 t rmation_
%� � (Signature
Print or Type Name
Title ...,, �
:/-
�r a /�
Date
This certification is valid through 12/31/2022
RECEIVED
APR 12 2022
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Wally Diehl's
(Name of Property Owner)
prapefij located at 112 Dorothy B Sox ©r,
(Address, Lot, Block, Road, etc.)
on Intracoastal waterway , in Surf City Pender County, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
rnzcr�omTic%w amninn nRev&NG OF PROPOSED DEVELOPMENT
WAIVER SECTION
I understand that a 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. (If you wish to waive the
setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(PTOPO 0 Information) (Adjacent Property Owner
Info aticn) V
5rgtraszrre Si e
Richard Penny for Wally Diehl n t- $ V - 4 f- 5y Si. t,
Print or Type Name Print or Type Name
2U H00uer Rd 010S we.s} fty- r-.
Mailing Address 44ailing Address
rtebane. NC 27302 'fix.
CWStatelZip cif stata/4
929-491-8887AvtdteIlO,Qtnaii.cotn 9 t o 5924URAe
Telephone Mumberl emah' address Telephone Number / ernar# address
�3-2g L2
I3u1 Diae*
(Revised Aug. 2014)
*111and for one calendar year air signature*

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s nton, NC 28328)
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MARINE
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Connie Clark------ -''`,
910-352-1317
111 Dorothy B. Sox �`.
�w m.
(109 Windjammer D �'`,, 112 Dorothy $: Sox, LLC
1 of 1 J418
Surf City, NC 28445) r,16 '`a 12 Dorotjxy B. Sox Dr
ado%�St f Cjty, NC 2844
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v��ro.nn.mr
,9 `\ /� 72'
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Mte Received
D t.
Check From Neme
Neme of Pernik Molder
Vendor
Check number
Check
ounf
Pernik Number/Comm—te
Recelpf erRefundrReem—fed
Column!
Colwnn3
Col0mn3
Columnl
Column5
Co1umn6
Column7
Column!
Column➢
4/14/2022
David Fax
same
SunTrust 1027 $ 400.00
GP #85682D
BH rct. 17554
4/14/2022
Richard Penny Construction, LLC
Wally Diehl_-
Navy Federal CU 2662 $ 200.00
GP #86096D
JD rot. 17604
4/14/2022
Coastal Boat Lift RePair, LLC
Warne Turner
_-
First Citizens Bank 5929 $ 200.00
GP #86041 D
KE rct. 16961
4/14/2022
_
Vincent Espinosa
_
same
Bank of America 956 $ 200.00
GP #85414D
BH rct. 17555