85901D - Channelbend

°t°"r"I CAMA L ) DREDGE & FILL
�NJ
GENERAL PERMIT Previous � mit
`{AVeVv ❑Modification Date previous Permit issued —
As [J Complete Reissue ❑ Partial Reissue Sued_
As authorized by the State , orth Carolina. Department of Environmental
ISAN O Quality and the Coastal Resources Commission in an area o/ EJ Rules attached. General P environmental
a , Permit Rules available at the td COncen
Applicant Name T/t[ JS4ag O owing link:
Address horized Agent
Project Locatton (County):
city t// State ��� ZIP
Phone # Street Address/Scat d/L t #(s)
Email RI./ /
Subdivision �'vw
City—Z✓ //yr
Affected 0CW yI IEW PTA �ES �PTS Adi. Wtr. Body —
AEC(ORW: : EJOEA %❑IHA �UW �SPIMA �PWS
oRW: yq no Closest Maj. Wtr: Body
L PNA:y no
Type of Project/Activity ►�i✓ ii. '/_ _ _ _ _
Shoreline Length V Tom/
Access Length
Pier (dock) lengt
Fixed Platforms)
Floating Platforms)
Finger pler(s)
Total plot
la rm area a�
Groin lengt
Bulkhead/ Ripr length
Avg distance offs e
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ BoatliR
Beach Bulldozing
Other
(Scale: /
T, �A'N� GL`�frl✓l�J� �
C�tL
th'11 h:—
SAV observed: yes U rAOMoratorium: n/ayes
Site Photos: yes no
Riparian Waiver Attached: yes o
A building permit/zoning permit may be required by: sd/ (�( ,•'moo(/
Permit Conditions — --
_. ❑ TAWPAPyNEUSE/SUFFER (circle one)
EJ
See note on back regarding River Basin rules
— See additional notes/conditions on AM EVSTAT�S. CRC RHLFS Awn mun........ �..-____.__. back
se read compliance stai6ent on back of permit••
(Please
Order
Date

NISNew
CAMA ElDREDGE & FILL N° 85901 A B CPrevious permit
GENERAL PERMITDate previous permit issued
[:]Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State f,North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
n
15A NCAC / L pal �C- - ❑ Rules attached. ❑' General Permit Rules available at the followwing link: v vdea.nc.gov/CAMArules
Applicant Name C 4 G /4 / 11 164f , '-'t' `"c c�yt r +'_Authorized Agent
City _
Phone
State Ne- ZIP
Project Location (County):
Street Address/State Roac4
City
nt
Affected ❑ CW V] EW PTA ❑ Es ❑ PTS Adj. Wtr. Body .'z-N L < GV �!a' <" nk)
/LVJIr
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Mai. Wtr. Body
Ci yef/not PNA: yes/no
Type of Project/ Activity
(Scale:
Access Length
Pier (clock) length
Fixed Platform(s)
CNE
ANN
■M■
�
j
Finger pler(s�
.
Groin lengtb�f
Bulkhead/ Rip�w length
Max distance/ length
Basin, channel
Cubic yards
NONE
FPAF
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■■■For,
I■■■�■■■'■■■■■■■
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I&
mon
oil
NEW
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■�■11■�i::�■■■■■■■■■■■■■■■■■■■■
wh
CAV observed: yes r1c)
n/a yes no i
Cite Photos:
Riparian Waiver Attached: yes no
iiiii■i
iiiiiiiiiMoratorium:
HIIINNNNI
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A building permit/zoning permit may be required by:
-/ / r
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Signature "Please mad compliance statement on back of permit-- Signature ,
(65
Application Feels) Check #/Money Order Issuing Dale 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:
Tar - Pamlico River Basin Buffer Rules 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 Manaeement 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: Channel Bend HOA/ Susan Thompson
Mailing Address: 124 Channelbend
Surf City, NC 28445
Phone Number: 919-218-4090
Email Address: susanmcthompson(dmsn.com
I certify that I have authorized Richard 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: Channel Bend HOA Dock Replacement
at my property located at: soundside HOA common property in Channelbend Subdivision, Surf
City
in Pender County.
I 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:
Q
Signature
_Susan M. Thompson
Print or Type Name
President, Channelbend Home Owners' Association (HOA)
Title
_1_/_19_/_2022
Date
This certification is valid through 01/31/2023
RECEIVED
MAY 12 ?07
DCM WILMINGTON, NC

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. Channel Bend HOA/ Susan Thompson
Mailing Address: 124 Channelbend
Surf City, NC 28445
Phone Number: 919-218-4090
Email Address: susanmcthompson(d.)msn.com
I certify that I have authorized Richard 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: Channel Bend HOA Dock Replacement
at my property located at: soundside HOA common property in Channelbend Subdivision. Surf
City
in Pander County.
I 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:
A4W., 7n, 24-74,�
Signature
_Susan M. Thompson_
Print or Type Name
President, Channelbend Home Owners' Association (HOA)
Title
1_/_19_/_2022
Date
This certification is valid through 01/31/2023

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: Channelbend HOA/Susar, Thompson
Address of Property: Common Area PB 15/40 Channelbend Surf City, NC
Mailing Address of Owner. 124 Channelbend Surf City NC 28445
Owner's email: susanmcthompson(cbmsn com Owner's Phone#. [phone]
Agents Name: Richard L Penny Agent Phone#: [phone]
Agent's Email: RiCkarpcmarine.com
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.
—X_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have 015Jec9ons to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) In wrft/ng 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.)
100 wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-O R- ©fj
I do not wish to waive the 15' setback requir4(in'e blank)Signature of Adjacent Riparian Property OwTypedlPrinted name of ARPO:) a maS tT • lY1�71 Sr
Mailing Address ofARPO: '7Z1 �fo(A j�es r�� �n� � )C A(t z7s?-;
ARPO's email: 1 i_vve s �el�SouOt,nFiARPO's PhonelV: C414 5 ZZ 4S! U
Date: 5 Z 022 `watver Is valid for up to one year from ARPO's Signature`

ostal Sen
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UCERTIFIED
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RECEIPT
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or on tFW&nt if space permits.
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PS Form 3811, July 2015 PSN 7530-02-OOD4 3
Domestic Return Receipt

USPS. Trackir
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Track Another Package $
FAQs
Tracking Number:. 701'9.1640Q00174270.793 Remove x
Your item was picked -up 'at the post office at. 10:11 am on May 2, 2.022 in WLDSBOR4, NC
27530,
US' PS Tracking PlusO-Available, v
m
�✓ Delivered,. Individual Picked Up at Post Office Q
May 2, 2022 at 10:11 am
GOLDSBORO, NC 27530
Get Updates �✓
Tiext &Email Updates Ne
Tracking History
May 2, 2022010:11 am
Delivered, individual Picked Up at Post Office
GOLDSBORO, NC 27530
Your item was picked up at.the. post office:at 10:11 am on May 2, 2022 in GOLDSBORO, NC 27530.
April -30, 2022,12:31 pm
Notice Left. (No AuthorizedRecipient Available)
GOLDSBORO, NC 27530

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Date R—Ned
Date Denosked
Check From Nemel
Name of P—It Holder
Vendor
Check —her
Check
ount
Permh NumherIComments
Recelnt or Rofund(Reellacetod
Column!
Column?
Column3
Column4
Column5
0o1umn9
Column?
Columne
Column9
5/19/2022
John McClure
Dale Ramey III
United Bank
1128
$ 200.00
GP #85904D
BB rct. 17598
5/19/2022
S&ME
New Hanover County
Bank of America
503482
$ 200.00
GP #86043D
BH rct. 17570
5/19/2022
Moose Construction
Krzemien
Truist
2240
$ 200.00
GP #87710D
JD rct. 17669
5/19/2022
i
Richard Penny Construction LLC
Channel Bent HOA
NAVY Federal CU
2663
$ 200.00
GP #85901 D
JD rct. 17660
5/19/2022
Moose Construction
Lazorik
Truist
2241
$ 200.00
GP #85965D
JD rct. 17657
5/19/2022
Pamela Howze
same
State Emplo ees CU
1123
$ 200.00
GP #85902D
JD rct. 17664
5/19/2022
Logan Marine, LLC
Andrews
BB&T
7923
$ 200.00
GP #85702D
JD rct. 17666
5/19/2022
Steven Farmer
Byrd
Truist
5481
$ 200.00
GP #85928D
BB rct. 17590
5/19/2022
Backwater Marine of NC LLC
Goldsmith
_
BB&T
1482
$ 200.00
GP #85968D
BB rct. 17588
5/19/2022
Backwater Marine of NC LLC
Woodcock
BB&T
1466
$ 200.00
GP #85907D
BB rct. 17596
5/19/2022
Sea Dog Marine Construction
McAnulty
_
First Bank
1741
$ 200.00
GP #85727D
BB rct. 17594
5/19/2022
_
Backwater Marine of NC LLC_
Scott
BB&T
1481
$ 200.00
GP #85969D
BB rct. 17595
5/19/2022
Town of Ocean Isle Beach
NCWRC
First Bank
9332
$ 200.00
GP #85971 D
BB rct. 17593
5/19/2022
Dominion Land Corporation
re
SH Village Gen, LLC
SunTrust
990753
$ 200.00
GP #85978D
BB rct. 17591
5/19/2022
Vance Morgan Money Order
Lykins Rev Liv Trust _
USPS Money Order
2.78E+10
$ 200.00
GP #85970D
BB rct. 17592
5/19/2022
_
Oster Bay HOA
same
First Bank
1153
$ 200.00
GP #85418D
BH rct. 17567 _
5/19/2022
_ _
East Coast Sports
Doug Medlin
Coastal Bank and Trust
4904
$ 100.00
Minor Fee, 411 Roland Ave, Surf City PnCo
JD rct. 17667
5/19/2022
_
B&J Construction of NC, LLC
Silva
_
BB&T
2497
$ 200.00
GP #85973D
PA rct. 17634
5/19/2022
_ _
B&K Marine Construction
Ries
BB&T
1723
$ 200.00
GP #86081 D
PA rct. 17636
5/19/2022
Sea Dog Marine Construction
Howell
_
First Bank
1745
$ 200.00
GP #87718D
PA rct. 17637
5/19/2022
Sea Do Marine Construction
Swan
First Bank
1722
$ 400.00
GP #86073D
PA rct. 17628
5/1912022
Red Rock Builders
McFaul
Fidelity Bank
1661
$ 100.00
minor fee, 102 Waterfront Cir (Lot 41) Hampstead
PnCo
JD rct. 17671