85715D - Ramirez

[�,CAMA ❑ DREDGE & FILL � N° 85715 A B ca
44 'GENERAL PERMIT Previous permit
Date previous permit issued
New ❑Modification [_]Complete Reissue ❑Partial Reissue
As authorize 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 _. _ ❑ ���
Rules attached. General Permit Rules available at the following link: www c1ea nc eov/CAMArules
Applicarrt Name
r _
0
Authorized Agent cv +- 1 1-,
Address
J
V�n�w .r G
Project Location (County): S
City
`c. State
ZIP Ztik �'S
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Street Address/State Road/Lot#(s) fi50 U�,'<?gyp, C✓..� C.
Phone # (—)
art � i j c:
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�Z � & --J
Email
Subdivision
nn
City ©ce-. — kik< V (r.c �. ZIP 7 KyL `i
Affected CW
4 EW
PTA [I Es ❑ pTs
Adl. Wtr. Body Rf (�\,-,) `�"--� unk)
AEC(s): OEA
H
❑ IHA
❑ UW ❑ SPIMA ❑ PWS
Closest Mal. Wtr. Body ,tN \
ORW:yes/no , PNA: yes/no
Type of Project/ Activity
Shoreline Length S1
Access Length 9-15 Y t9,
Pier(dock) length
Fixed Platform(s) I b
Floating Platform(s)
Finger pier(s) 3 Xtg
Total Platform area 771r
Groin length/p
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse(Boathft f
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning 1
Permit Conditions -\ .)
yes
yes
yes
Ye s no /+
nit may be required by:
s( p, n
Agent or Applicant PRINTED Name
(scaler,.) T S I
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Y cIC-
Signature
Application
Signature
LD -il
Issuing 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 Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(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

AG1cNT AtiTNORiZAT€OAi E2R GAMA PERiA€T APPt I TT N
Name of Property Owner Reques* q Permit
Mail; ng Address&qll j ax(N N- r't,, }
e¢kk
Phone Number:
Email Address: i Y ^tt t^,`, %(j%Y
certify that €have authorized rt ice Iftwide �l r 1
AQW ICanhiclar
to act on my behalf, for the purpose o' app►ying for and cVaintnq ail CAMA permits
necessary for the fotlomng proposed development
at my property located at
in
? furthermore certify the! l am auf razed to grant, aUxf do in fact grant permission !b
Cimsion of Coastal Management staff, the Local Pemai Officer and their agents to enter
on the aforementioned lands rat connection with evatuatrV rnformehon related to this
porml application.
r'
So naturs
ryiLi Nt c-A e t t ,ei ws i rt,-z
Print or Type ?l8mme
Titpe
Date
-his ce.rtifrcattan is valid through r 1
RECEIVED
JUN 10 202Z
DCtdl V•tILMINCTON, NC

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATiONIWAiVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent,
Name of Prop" Owner: CNU de- 1112r , t F -2_
Address of Property-- 1950 &W'x& f_o;&K i? ,
Maiing Address of Owner: ,I[V/ 6Et of N 0& :i ^a d'i' . i
Owrnera email: l it sh aii.rG .Cam OwrWs Phoned: !RID ---MT: Jet
Agent's Name: Agent Phond:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be oompl eted by the Adjacent Property Owner!
I hereby certify that I own property adjacent to the above referenced property. The individuai applying for this
permit has described to me, as shown on the attached drawing, the development they are pfoposeng.
A description or drawing with dimerls+on$, mUSt be proryi0ed with this fetter.
yc I DO NOT have objections to this proposal. ,-_ __ 100 have objections to tb4 proposat
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 EXf, Wfntirtgton, NC 2"05, DCM representatives can also be confactedat
(910) 7915-7215. No response is consldered the sane as reo objection if you have been nottfied by
Cerdfled Mail.
WAIVER S£C71ON
I understand that any proposed pier, dock, moorgog pilings, boat ramp, breakwater, boathouse, lift, or gran
must be set back a nnnimum distance of 15' from my area of riparian access unless waived by me (this
dons not apply to bulkheads or nprap revetments). (If you wish to waive me setback, you must sign the
appropriate blank below.)
I DO man to waive someiall o1 the 15' setback
�iginafWV cf ,zdiacent Rip~ Property OwrWW (ARPO)
-OR.
I do not wish to waive the IS! saffieck retpl`remeM (initial the blank)
Signature of Adjacent Riparian Peap" Owner:
TypedlPrinted tramsOf ARPO: 1 ' oe f�� �&'A
Mailing Address of ARPOD:''/rtrL.. f'4.ST- OAJC !)Caro St..
ARPO'smnad:M.41tc� t,�c4f1C..y,f ARPO'sPholte#`: '7iC-yiS Y1c'4.f%
Date: IClli&-11 'waiver isva&dfor uptooMyear from ARPO'sSignature*
ewsed Alay 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATIONANAIVER FORM
CERTIFIED MAEL RETURN RECEIPT REOUES7ED or HAND DELIVERY
7op portion to be completed by owner or their agent;
Vane of Property Ovmer. q �� t 112— r^ �
Address of Property �lp��cinait5,, II ._�
Mailing Address of Owner. V t'1) vl •
Owner's emaii: t?h'i'Wi en PJ [i r i4yv% Ownat's Phone#
Agent's Name:
Agents Emat.
Agent Phone# -
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
,Bottom portion to be Completed by the Adjacent Propefy Owner)
I
ereby certify that f own property adjacent to the above referenced propefi/. The individual applying for this
permit has described to me as shown on the attached drawing. the development they are proposing.
1 DO NOT have objections to this proposai. I DO have objections to tnis 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 notdco. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacreitV
[phone]. No response is Considered the same as no objection if you have bean notified by
Certified Mal.
WAIVER SECTION
I understand that any proposed peer, dock, mooring pilings, boat ramp. :)reakvater, boathouse. ttft, or gran
mast be set back a minimum distance of 15' from my area of riparian access uniess waived by me (this
does not apply to bulkheads or nprep revetments)- (It you wish to waive t.':e setback, you must sign trio
aoVopnate blank below.)
1 DO Wish to waive aomefall of the ' S' setback
7 n of Adjacent P.lparian iaroporty Owner (AR.PO)
-OR-
I do not weah to wave the 15' setback requirement C the„Wmk) ���.
&wisture of Adiaoent Riparian Property Owner.
Typed;Pnnted name
Mailing Address of
6R
ARPO's email: ljf jk4tO AA .V%P t AA'PO's Phone#:
Dow: 'tM�h#r' is valid fW up to ors year from ARPO's Sign4uW Revind US
0 10 ZOZZ

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910-393-9507
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Date Received
Date Depaslfed
Cheek Fran Memo)
Neme of Permk Holder
Vendor
Check number
Check
unt
PennN NumberlCommenft
Re..W or Refund(Reallocated
Columnl
Column2
C.1 m 3
Column4
Columns
Colemn6
Column7
CplumnB
Column9
6/23/2022
Dominion 4and Corporation
SH Village Green, LLC
Suntrust Bank _ _
_ 990754
$ 200.00
GP #87785D
BB rct. 18018
6/23/2022
_ _
_
Donald Barefoot
Oscar Charlies Chewning JR
Truist
5138
$ 200.00
GP #87712D
BB rct. 18014 _
6/23/2022
John CMcClure
Omar Ramirez
_
United Bank.
1040
$ 200.00
GP #85715D _
BB rct. 18013 _
_
6/23/2022
_
Sea Dog Marine Construction
_Whignant___
First Bank
_ __ 1790
$ 200.00
GP #87782D
BB rct. 18012
6/23/2022
Cohen Construction Inc.
Smith
Truist
9691504
$ 200.00
GP #87713D
BB rct. 18017
_
6/2312022
_ __
____
Coleman Building Co.
_ ___
_
_
First Bank i
_ 3611
$ 200.00
GP #87783D
IBB rct. 18015
_
6/23/2022
----Rap
Paleo Properties, LLC
Redmond
First Bank
591
$ 200.00
GP #87788D
IBB rct. 17993