87714D - Sigman

VCAMA ❑ DREDGE & FILL N9 87714 A e C6?
€� GENERAL PERMIT o pousptermitissued---
foNew []Modification ❑complete Reissue ❑ Partial Reissue LF (a I-7'2Zrtm0
As authorized by the State of North Carolina, Department of Environmental Quality and the Cox" PARK,,"Cwsentsslon in an era rataMrtaenasd tonurr amto:
ISA NCAC 61" nno ❑Pule. teachatk 50 Genvai Permit rules aaAabis at the( mAng grit
Applicant Name.+
city Cr- Q'- xH Scam fiJ 4 LP
Phone # (S'Z) ')i6 i$b9
Prow Lootion (Country _
Street AddresslStats Poadllm
Email S3^11 C.cce . ('2'/w? n raw' f den Subdivslon
c � _— Gty L ZIP '7 INN
Affected [�qCW NEW ®PTA (]ES []pTS Adt•Wm aody trA Clan s N!--.f unk)
AEc(s): ❑OEA ❑IHA ❑UW []SPIMA OPWS closest Mat. We.. Body 41,
ORW: yes/19 PNA: yes&
type of Project/Activity t
(State: r✓
.. I _i
Amess Length )
--°'r---1 �
Pier (dock) length
Fixed Plasform(s) 1; x22 !
Floating Plade n(s) VYl V
Finger pier(s)
Tout Platform area 9 Sir
Grain length/q
I i
Bulkhead/Riprap length
Avg distance offshore
l -
ereakWater/Sill
i
Max distance/length
- -
Basin, channel
Cubic yards
j
Boat tamp
t�
_ - JVQUUVo o D O
6oexhouse/Bwtfh..4
^ �^� 0 J
_0
Beach Bulldozing
— . .. ! 0
Other
, -_ ... - .....
SAV observed:
yes n f y y. 4c, /!rc_ V
Moratorium: n/a
yes � -
Site Photos:
yr
Riparian Waiver Attached:
.
��o.—/�
AbuRdingpermIt/ Parmd ma/yI be require : t /Cal
Permheonditbns t
o(.LU-s per r
- r IV IL —.
n
r-
U
V
Juj(rUw Ettr�.e_-.
li i4dc?. "
Lu3M—
,.IYI CCu, tcJc W �_� RatJ. T•.s�
6I-e- ite-W
t r TAWPAMMEUSEIBUFFER(ckda ome)
[1 See note on back regarding River Basin rules
^— See addNonai notes/condittons on back
N/Money Order Issuing Data Expiration Date
Scanned with CamScanner

"(Wr* VCAMA ElDREDGE & FILL N9 87714 A B C
GENERAL PERMIT Previous permit
� Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
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 A i�1 izoo ❑ Rules attached. X] General Permit Rules available at the following link www.deo.ncrov/CAMAruIes
Applicant Name M �t't' ' K h, ri.n r if fh A h
Address
City state P C ZIP a''' GI as
Phone # (S2) ?So "l8by
Email M`r,r7 s..C4.
Authorized Agent
Project Location (County): .•+f ^ • . b
Street Address/State Road/Lot #(s) / YI O Gz c ![
Subdivision
City / cc' / ZIP 2 Z°( (o y
Affected [ CM ©EW PTA ❑Es ❑pTS Adj. Win Body CCjtrr, (Ac... 1 r�u manlunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wt, Body A ) 1 a , C O oc_-�..
ORW: yes/O PNA: yesa
Type of Project/ Activity 'EYar . t' e -'t, 0, -
(Scale: r.'C; )
cr.,..en.,e +e�Mti t In
Access Length -
■E■�i
■■1■■■■■■■■
SSm0iii
■
Kam
SEEM■■■■
ME
■
�■�
0■■00=■E■`
ME■■■■■
MM
imEMENNEMEMEN
Finger pier(s)
s,
r■EM
mom■M■■■
M■■■■E■E
MMM
ME
�91■■n■
011
■®
l�l�Jlgl1)■�11M�E■E■■
SEEM'
ism
`- r 4..
A building permit/zoJng permit may be
require • a( CI � ). G" C'i)
Permit Condkiansi/ ^ `I
❑ TARtPAM/NEUSEBUFFER (circle one)
0))"' (/I; roi' 1..,+�� - �1 l'>r �J�•(i ovri (C-'i-.l ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 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 PRINTE77
SignatuQ••"Please read compliance statement on back of permit" Signature )
Appli�wtio Pee(s) Check N/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 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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Properly Owner Requesting Permit: Ma44- Ej' m Gy
Mailing Address: 5*9 i 6 Qe /l on k L n
Phone Number: [ sra -2s0- 7T67
Email Address;
I certify that I have authorized 14-41 J
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: klan:wg% a¢�K ���.�...�V
dock w..c� C(oc-k
at my property located at 111 r C7ce a A I sl*- ives I- d lv l
in B rLm s ,. c K County.
1 furthermore certify that f am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Offlcer and their agents to enter
on the aforementioned lands in connection with evaluating Information related to this
permit application.
Property Owner Information;
Signat e
RA+4'VLo- w l n1a �l
Print or TyP6 dame
Title
i i Z-1 i ZZ
Date
MAY 16 2022
DCM WILMINGTON, NC
This certification is valid through $ / a ° 1 a o a a

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: Ma-/+ S 5 M C'.
Address of Property: 1,41 ocee, i s (� l,.es 4- /�(�� pc � i s [� 6-!..(-
Mailing Address of Owner: ' 9 /6 to /i,,/-1 a r\ Pa l e y , �✓ c 2-7 6 i
Owner's email: S(�"r, , a eeo C.,^Is RL q ma 3- Owner's Phone#: s!a Aso- 786 g
Agent's Name: !aerie., 6r411 (�G+ri At Agent Phone#:
Agent's Email:_- pq-frio�r%,kS,&c,;sa- (q-\
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Ad• jacent 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.
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 (DOM) in writing within 40 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington, NC 28405. DCMrepresentatives 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' se#back
-OR-
S no atur -of Adjacent Rtn padan Property Owner (ARPO)
I do not wish to waive the 15' setback requirement (initial the blank)
RECEIVED
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
'rcl; Gross MAY 16 2022
fllailing Address of ARPO: as 1 a �� erl.orn �� lNz� for (�aq 150 WM WILMINGTON, NC.
ARPO's email: CL dl , Q &-IQ Q 4--SGA-.c. ,C0ARPO's Phone#:
Date: � --)-1-, *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 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: Mao+ Sli/. L
Address of Property: 1v1 Dcea, ia& is(� (Sec�L,,,� agy6y
Mailing Address of Owner ,r9 / 6 R e-1 /c^ c, I r,, Pa I e y � , N c 37 6 / �?
Owner's email: 5r�Ati . acco—is Owner's Phone# s'a j Aso— 786 y
/� W1
Agent's Name: I4erle.i tides (3a4rti 0t Agent Phone#:
Agent's Email: �w(r io docks p Jsa� (91 �na:l- (vim
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.
I DO NOT have objections to this proposal- I DO have objections to this proposal.
it you nave objecnons to what is Deing 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 of
[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 (ARP04� E C E I V E D
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: M ( I(e_
MAY 16 2022
DCM WILMINGTON, NC
Mailing Address of ARPO: yy X Foor Rd. P_ hLn S 6�i /y -,T
ARPO's email: ARPO's Phone#: I908) 3Oy — 9b 3 3
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

17-
-rT4-
-
1 3
L
I
n
-T
_FrL1
FT
_
! '
-
!J
I
i
n i i-I
!_I-!-i
i F
i
n--
II�_n, !
I j-I_LII
n
i
nnl
[_
I_
I_i_I
I i
;.:
I
nnln!
I
i
nl
I
�-n-_I
n
--!
-
I
a1n'
- -
-
-,-
-
-
. f--4�
MAnP-
I
n_� ►
-nnZGW
n
O
!n
!Ij_�n__►.In!
Li
NC

Def. ReeeNed
Defe Deposited
Check From Neme
Name or Permlf Holder
Vender
Check number
Check
amount
Penult NumbedCOmment5
Recelot er Rerund/Reellccafed
Column!
Column!
Column3
Culumn4
Column5
Co1umn6
Co1umn7
Co1umn6
Cp1umn9
6/8/2022
6/9/2022
Jerry G Mills Builders
Hager
First Bank
1208
$ 200.00
GP #85924D
BB rot. 18004
618/2022
6/9/2022
Patriot Boat Lift & Dock Maint, LLC
Si man
A uesta Bank
1206
$ 200.00
GP #87714D
BB rct. 18002
6/8/2022
619/2022
B & K Marine Construction
Smith
BBBT
1727
$ 200.00
GP #85972D
BB rot. 18003
_
6/8/2022
6/9/2022
JJ, LLC •
same
First Bank
1760
$ 200.00
GP #87723D
PA rct. 17645
6/812022
6/9/2022
Lighthouse Marine Construction Inc
Don Jordan
Coastal Bank & Trust
4274
$ 200.00
GP #85963D
JD rot. 17681
6/8/2022
6/9/2022
Luco, LLC
Milne
United Bank
5280
$ 200.00
GP #85996D
PA rct. 18027
6/8/2022
6/9/2022
Robert Layne
same
Truist
2002
$ 200.00
GP #87735D
PA rot. 18032
6l8/2022
6/9/2022
Richard Chilton
same
BB&T
5737
$ 200.00
GP #87734D
PA rot. 18031
_
6/8/2022
6/9/2022
Sea Doq Marine Construction
JR Huntley Homes LLC
First Bank
1770
$ 200.00
GP #87732D
PA rot. 18033
618/2022
6/9/2022
Wayne Rooks
same
Aly Bank
1255
$ 200.00
GP #67708D
TP for JD rct. 17537