85714D - Phillips

d`"e" CA; ❑DREDGE & FILL N9 85714 A B CPrenD
GENERAL PERMIT Date Dspermit
Date previous permit issued
�] New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the
ryCoastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC (04 �{ 1100 (SIjlL( I �2-20 ❑ Rules I7.1 attached. General Permit Rules available at the following link: www.deq nc.gov/CAMArules
Applicant Name,`
,'f- t �'...�. . ( +� � + r
Authorized Agent t H"
/", •- ( ( v "f:
Address `, S
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Project Location (County):
�" le
City i r '
State ZIP i 'Y cj ' f
Street Address/State Road/Lot #(s)
(�� 0 � 1st r c.
Phone # (_)
.'} lr Z
Email
Subdivision
city ` -a'rltj
zip
Affected ❑ CW
MEW F] PTA F-] ES ❑ PTS
Adj. Wtr. Body .�P 4
Avr c (natTan/)mk)
AEC(s): ❑ OEA
❑ IHA ❑ UW SPIMA ❑ PWS
Closest Maj. Wtr. Body
ORW: yes/
PNA: yen
l
Type of Project/ Activity •. )n >{'
S(r n
J\ ; 1 ky . o 2 '
Shoreline Length P
Access Length
Pier (dock) length to XG C) N
Fixed Platform(s) 1 Z XI Lo V
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore 66l N41W'
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous��p/ Boa
Beach Bulldozin
,-.Cj WA L---
�` T
g
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning
Permit Conditions
yes o I
yes
yes -
ye� no
nit may be require
(Scale: i S)
( \� r ( , W a��c� (, ❑ TAN/PAM/NEUSE/BUFFER(circle one)
•� q(� {h U y 21 �. { av{� ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Agent or Applicant PRINTED Name
Signature • lepse read compliance' statement on back of permit*•
In o'Tr II ]U��
Application Fee(sl Check #/Money Order
(Please Initial
er t
Permit PRINTS Name
Signature
6 1)n 2C) n
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:
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)
http://portal.ncdenr.org/web/cm/dcm-home
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)
Revised 6/01/2021

T
Name of Property Owner Requesting PemtB: M A'r � f ►' l' I i 4 S
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
�, I I,
Lt(4,� ;N L 2n45-(
`Tk "r Loring 6I,ri maj -
Agent ICon
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at ,_ j_
in L I QSUJI c � County.
l furthermore ced#y that l am authorized to giant, and do in fact grant permission to
Division -of Coastal Management staff, the Local Pernut O/flcer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit appkWion.
Property Owner Information:
-aa P,� k��
Signature
Lj V1, w, Ph, IIt s
Pnnt or Type Name
-- ��Tefnne'' aa
l0l�
Date RECEjvk7C,
JUN 2 3 2022
This certification Is valid through ► /

DMMN QF CneATsI uauenuerwT
♦yY• Af2
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATXWWAIVER FORA
Name of Property Owner. Mark 1 rl i I /lI -S
Address of Properly:
Iff
• � • I � � �tt ' L
IfMW Iwo Ili-�I� i
they We ProPosing. A descripbon of drawina. yft dimerWons. must be avylkled with this
I have no objections to this proposal. I have objections to this proposal.
e you hew okkftw to wiatis 6mvpropossi4you mustnoti/yda Dhtslan of costs! Alessyneent(DCIq
wrltlq/ .�, fo ay, of r� a dw nolkw corrapondrncs should t" �aod a t2f caransr tblw fit,
ice. NC. 2840&3 iQ. OW ,pr.ewdeff .s me abo be oonrere 4w (NO) n&nl& No rwpmw As
cossivorod fhs ssm ar no opt etlrn, tr jrou taw bees as8esd bro CGiSIdiY za—
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or gYoin must be set
back a minimum distance of 16 from my area of riparian access unless waived by ma. (if you
wish to waive the setback, you must MftI the appropriate blank below.) _ _ ._ ._ D
—y=-}- I do wish to waive the 15' setback requirement. JUN 2 3 2022
1 do not wish to waive the 15' setback requirement.
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Talephate Note►
D&V
Revised snSM2

IN
r
MvIg1QN 9F rG�Aays- luewu�G+ c! T FORM
ADJACENT RIPARIAN PROPERTY O'dMER No. I ATiON(WIAIY6R
Memo o! prop" owner.
Madras$ of Property: (Lot or Straat e, SbW or Road, City a counts / / ( �/I
� Malikq
Adder- `
AQerd'sNsfne
to ttw Wove rete propertY• The mmdud
I hereby certify that Iwn v describo � the attached drmxV_1*
appy" for this permd
as ihown On
thsy are proposing
L I/ I have no objections to this proposal. ______ 'have objections to Ihis prupos$1 _
baiarrbsinDProPaegroaerastno*dwDmdaeofCoNew ("�
Mew woo1 orreea4raraYs ne$Ioa eanav � � � rw"&e
wrrre. dC, fe$eR1Ha _ aCY ..... ,,,,weal ev dArJaiaPiK._
WAIIAR GMT"
t w4ertiend that a pier, dock moorno 01,n a, broakMr ", boadtouee, Uk, or jrom mast be set
back a minum dfetan
kace of 15, from my a riparian MWW
bferdc nWegbelowby me (It you
Mah to "W the aeftek, you J
1 do vAsh to waive the 15' setback muaernent.
I do not wish to wavy U» 15, SOWN c rgqu4 ML
(isn$petty Owmr Informad")
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Tefep"Number
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JUN 2 3 2022

6
O
RE
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Date Received
Date Deposited
Check From (Name)
Name of Permit Holder
Vendor
Check number
Check
amount
Permit NumbeNComments
Receipt or Re(und(Realleceted
Column!
Co4umn2
Column3
Column)
Co1umn5
Columns
Col-7
Columns
Co/umn9
7/7/2022
John McClure
Phillips
United Bank
1105
$ 600.00
GP #85714D
BB rct. 18022
7/7/2022
_
_
Sea Dog Marine Construction
Briggs
First Bank
1818
$ 400.00
GP #87791 D
BB rct. 18024
7/7/2022
North End Builders NC LLC
Farrell
SunTrust
1060
$ 200.00
GP #86049D
BH rct. 16273
7/7/2022
North End Builders NC LLC
Waye
SunTrust
1061
$ 200.00
GP #86050D
BH rct. 16274
7/7/2022
Patriot Boat Lift & Dock Maint, LLC
McAdams
A uesta Bank
1212
$ 200.00
GP #86057D
BH rct. 18060
7/7/2022
Southern NC Marine LLC
Lecci
First Bank
1529
$ 400.00
GP #86048D
BH rct. 16272
7/7/2022
George Brake Jr
same
_
State Employees CU
4494
$ 400.00
GP #87743D
Tmac rct. 19336
7/7/2022
Overbeck Marine Construction, Inc.
Pullen
Suntrust '
5566
$ 200.00
GP #87742D
Tmac rct. 19337
7/7/2022
_
Duncan Marine Contractors, Inc.
Marks
Branch Banking and Trust
8439
$ 400.00
GP #87741 D
Tmac rct. 10335
7/7/2022
Duncan Marine Contractors Inc.
Marks
Branch Banking and Trust
8440
$ 200.00
GP #87741 D
Tmac rct. 19334
1