87713D - Smith

]CAMA ❑DREDGE & FILL N9 87713 A B C
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GENERALPERMIT Date PreviouspermitDate previous permit issued �
JNew ❑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:
I SA NCAC V Ijf � 1100 ❑ Rules attached. PX] General Permit Rules available at the following link: www.deq nc.eov/CAMArules
Applicant Name �� • L�:, < ` ..a S —. 1
Address Ay 2�
city (")-.Icho'o state N ➢P
Phone # ( —T—
Authorized
Project Location (County):
Street Address/State Road/Lot #(a)
C, PJ �
Email rC% (Ai. &-,—n Subdivision
City 1 i[ ,_ C I 1 LP
Affected ❑CW EW PTA ❑ES ❑prS Adj. Wtr. Body .(nat/man/unk)
AEC(s): ❑ OEA 11 INA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body f /{ t f " "J
ORW: yes/db"?' PNA: yes
Type of Project/ Activity
(Scale:
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
■■....MMMMMMMMM
■■..■..■■::::
Sol
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Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Ripmp length_ 41'
Avildistanceoffshore
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Max distance/ length
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RAM
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A building permnymninNg Permit maybe required jby: 'vJU'c" I,S 1e
Permit Conditlohs ` 1 `�C Ili —1
❑ TAR/PAM/NEUSE/BUFFER (circle one)
S ❑ See note on back regarding River Basin rules
❑ See additional notes/wnditions on back
IAM AWARE OF STATUTES CRC RULES AND NDI IONS THAT APPLY TO THIS PROJECT AND REVIEWED CONIIIIIJANCE STATEMENT. (Pleas initial)
711
Agent or Applicant PRINTED Name Perrfd Offici�s PRI TED Name
r�/ � G� y�.. \ r�
Signature ••P se read compliant tatement on back of permR•• Signature ^� I�
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Application Feels) Check p/Money Order Issuing Date Expiration Date
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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 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
252-808-2808/1-888-4RCOASTFax: 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 Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �5 - VC-) ^ �►�
Name of Property Owner Applying forr Permit:
Mailing Address: .
I certify that I have authorized (agent)�!Ob\ 'L to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) W YlU-� Uns r,%L-=hbrl
at (my property located at)
This certification is valid thru (date)
Property Owner Signature
S- k rA-
Date

US MAIL
CE, IITIFIED i tAll.-TRc°r(ritiN-Rx� CEIP'r RC4uESTEJ)
UIVPSION OF C,OA.STnI_, i,-> ANAGCiW.CiNT
ADJAC I %NT RIPA tl;A-i PRQP -,WI'X OiA/N'CR S'I'ATE1rlviv,T
Name of Property Owner: V\
:Address of Property:
(Lot or Street 9, Street or Road, City & Col,114) 1
Applicant's phone #
`el� \_ M;tiling Addressxl�_��r-�--__:_��c�-��—��
° thereby certify that l own properly adjacent to the above referenced property. I'hc individual applying for tills permit
has described to me as shown on the attached drawing ilia development they are proposing. A descrintjon of tlrnwinrz,
with dimensions, n >tgbc provided with this letters
•- T liave no objections to tills proposal. I have objections to tii;s proposal.
If .you have objections to what is being proposed, )-oil must notify the Division of Constal Management (DCiYn
in writing 7, , titiu 10 hays of receipt of this notice. Correspondence should he nrailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405=3845. MINT representatives call also be contacted at [phone]. No response is
considered the same as pro objection if you have been notified by Certified l•Inil.
WAIVER Sr c 1`I0 iv .....
I utiderstand that n pier, dock, mooring pilings, breakwater. bonthouse,.or lift must be. set back 1 minimum distance of
1.5' from my area of riparian access unless waived by me. (If you wish to waive ilia setback, you must ini Hill the
appropritlte blank below) "
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owrie►• Information)
\signature c
k S '�
pritil or "Tyke Nanrc
lviailittr'Address
city I.Slaw /Zip ,
Telephone Number `!oA—
Date
(Riparian Property Owner Information)
S;bnaatre .
Robert W, Roach III
Print or Typo Name
PO Box527
Meiling A'ddross
Kdrnersville, NC, 27285
City I State]. Zip -
Telephone Number 919.413.1201
Dute 8116122
127 Cardinal Drive Ext., Wilmington, North Carolina 28405.3845
Phone: M-79672151 FAX: [phone] t Internet; w>v��.nccoaslalntanagernenl:net
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US MAIL
_CERTIr,II;D NIATL — RIB TURty RECEIPT REQUESTED
DIVISION OIL COASTAL NNUti AGCylENI Ti
A;DJA �N .r RIPAYIIAN PItOPER7'Y OWNER STATE'Vl NT .
Name: of Property
Address ofPsoperty:�1t11e--
(Lot orStreet fJ, Street or Road, City &eCounty)
Applicant'sphone {1 ��~ �0�"` ` `J _ Mailing AddressAo
I hcreb ce 4 tliipermit
y . rttfy that I own:propert} adjacent to [tie above referenced property. The individual applying fors p {i
has described to as shown on the attached drawing tiie development they are proposing. A dcccrintion ofdrnw.inu. !
with dimensions mist be provided with this letter.. 6
_Tr_ ye tto objections to this proposal. ]Lave objections to this proposal
If you have obj ections to what is being proposed, you -must notifythe Division of Coastal Management (DCI1�
in writing -within 10 dsiys of receipt of tf is notice. Correspondence should be nailed to 127 Cardinal.Drivc7✓tt.
Wilmington, NC 28405-3845. DOM representatives ca 'also be contacted at [phone]. No response is I
w considered thceSa ne as no nhiection Tvou 1►nve been•notitied LV Certil:ied M-1il.
WAIVER -SECTION
I understand th3t2 pier, clock, mooring pilings, trrert{nvater,.boathuuse, or lift must beset hack a minimum distance of
IS, from illy Area of riparian access unless wnived by me. (Ifyou wish to waive the setbaeik,you must initial the
appropriate blank- below)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 1'5' set hack requirement.
(Property Owner Inform:atioa) f j--1t (Riparian Prope ty Owner Information)
l
_w
Sin c Signature
c�
Print or Type Name Print or Type Natile.
off.
Mailing Address Marhn9 Address T
City —state / Zip `d `f rP� , . City I State /Zits t�
TelephoneNumber ' `' =eN
1 Teleplion� Number
Date r .► / ``v_____— y Date
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3045
Phone: [phone] rAX: 910-395.39641 lnternel: %,A-Ni.necoastalntanagemeni.net
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Date Received
Date Deooalted
Cheek From Name
Name o/ Permit Holder
Vendor
Cheek number
Check
amount
Permh NumberlComments
Reeelpt or Re)undlReall—ted
Columnl
6/23/2022
Co1umn2
Cdumn3
Dominion Land Corporation
Column4
SH Village Green, LLC
1
Columns
Suntrust Bank _
Co1umn6
990754
Column7
$ 200.00
Columns
GP #87785D _
Column!)
BB rct. 18018
6/23/2022
_
Donald Barefoot
Oscar Charlies Chewning JR
_
Truist
_ 5138
$ 200.00
GP #87712D _ _ _
BB rct. 18014
6/23120 22
_ _
_ _
John CMcClure
Omar Ramirez
United Bank
1040
$ 200.00
GP #85715D
BB rct. 18013
6/23/2622
Sea Dog Marine Construction_
_ _ _
Whignant
First Bank
_ 1790
$ 200.00
GP #87782D _
BB rct. 18012
_
6/23I2022
.
Cohen Construction Inc.
Smith
Truist
9691504
$ 200.00
GP #87713D
BB rct. 18017
_
6/23/2022
Coleman Building Co.
Rap
First Bank _
3611
$ 200.00
GP #87783D _
BB rct. 18015
_
6/23/2022
1 Paleo Properties, LLC
_ _
IRedmond
First Bank
591
$ 200.00
1 GP #87788D
IBB rct. 17993