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,A`°"'° O` CAMA Q DREDGE & FILL N9 87717 A s c D,.:
GENERAL PERMIT Previous permit
Date previous permit issued
New [:]Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State` Carolina, North Colina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC o } \ 4, cro❑ Rules attached. M General Permit Rules available at the following link: www.dea.nc.eov/CAMArules
Applicant Name
w �),, G n <, l �-
Address i' r$ x .i(.1
City 0 ",;. ¢_ state N r_ zip 2`n Im U�+
Phone # (ram) "1 0 `j i 1 N
Email r'V i ? J f
Authorized Agem F,fsh/icr iC
Project Location (County):
Street Address/State Road/Lot #(s)
-J
Subdivision
city r.p1 21P 2�Y(oZ
Affected ❑ CW ❑ E W ❑ PTA IX I ES ❑ PTS Ad]- Wtr. Body A `t.) U% u�aflsitan/unk)
AEC(s): F ❑ OEA IHA ❑ UW /F❑ SPIMA ❑ PWS Cknest Mai. Wtr. Body
ORIN: yes / PNA: yes/,ILO
Type of Project/ Activity ; \ it u , f ( a L4,9
Shoreline Leneth
Agent or Applicant PRINTED Name
(Please Initial)
,.,(_tiC_
Permit O ����pl(yNTED Name
\
(Scale:N TS )
Signature '"PI se read compliance statement on back of permit'' Signature v
U7, , IZ i l 0-2 i 2-1-I c; 23-2-Z_
Application Fee(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 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)
http://portal.ncdenr.org/web/cm/dcm-home
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(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:910-395-3964
(Serves: Brunswick, New Hanover and Pender Counties)
Revised 6/01/2021
AGENT AUTHORIZATION FOR CAMA PERMrr APPUCATION
Name of Property Owner Requesting Permit 1 "I e"F ides Ph")-) t f f1J
Mailing Address: __Z� LkAc4gnL- b-f- :5y i
Phone Number.
Email Address_ G Nt� %(1 t; AI o64GA-0u p , CwA
I certify that I have authorized " ns /J --�$4t'U4,0n _S)0C-fNCZ- S
Agent t Contractor
to act on my behalf, for the purpose of applying for and obtaining ail CAMA pemf
necessary for the following proposed development , ns)w, l Z l o
L-)n LET JF IL4yet Y
at my property located at �� �S1Cfo JI ctJ
-- in_ 'RSUcC4,1Ck County-
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission fo
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 Ownerinformation:
PAW orrAe Name
O&M EA-
1 71b1e
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-t—� Dals
MVMM W COMTAL
ADJACE iWPMWMPF40PEW00t 1
swim FORM
Alo . Abi c J)A.• l I l,6,,VuA
Nww of RQWV Oaa1r
Address of PMPelY-
e 1.ly' +1 + 1
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Bru n' .,
1 hosiby amity W 1 awn p WmV @*Mk to to above raeueroed P OWV- ThO AVIYiduel
eppAVlpftitOwllthsdMikbaAbareassfawlantweatvdWdmdri todw.a. awrer'R
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/ l./ihevyootot6asp1- — Ilraitte�sg°Q�ai'
npwaYss aim sjso
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CERTIFIED MAILO RECEIPT
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�1 hsn m oblahgo>D this per,
I haveobjcc&m to this proposal
Waswdsysw,sn,p'� ��now�ds �btt7�
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my areaaf dp®Ien aoaasaontess
i 1 wwttbWdvethe you MMKIPM " �bt"bWow.j �m&�Y011
./*„� �15 { do wish to waive the 1S setback req�ement
i do not.�ytoMufratt►e 15 aetbedc�egtienat
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Track your package
Data provided by USPS
Tracking number 70211970000174861192
Delivered QQ
June 08, 02:52PM
Supply, NC
View details on USPS
Call1-800-275-8777
P& Track another package
Track your package
Data provided by USPS
Tracking number 70211970000174861192
Delivered (2)
June 08, 02:52PM
Supply, NC
View details on USPS
Call1-800-275-8777
lft Track another package
F
. Postal Service'"
RTIFIED MAIL® RECEIPT
estic Mail Onlyelivery information. visit our welasite at www.USPS.COm".
s
CmtlOeri Mail Fea
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Defe ReceNed
Date Deooelted
Check From Name
Neme of P—H Holder
Vendor
Checknumber
Check
amount
Permlf NumherlCommants
Recelof or RefundfReelleeafed
Cdumnl
Cdumn2
Cdumn3
Colu-4
Column5
Columns
Column?
Columns
Columns
715/2022
7/6/2022
Gregory Holden
Town of Holden Beach
United Bank
5632
$ 400.00
GP #87753D
PA rct. 18043
7/5/2022
7/6/2022
U hthouse Marine Construction Inc
Faircloth
Coastal Bank 8. Trust
4327
$ 400.00
GP #877750
JD rct. 17686
715/2022
7/6/2022
Li hthouse Marine Construction Inc
Hill
Coastal Bank R Trust
4326
$ 400.00
GP #87776D
JD rct. 17685
715/2022
7/6/2022
Delta Dock 8. Boat Lift
Let 34 Slip Owners Assoc.
First Citizens Bank
9356
$ 400.00
GP #87774D
JD not. 17684
715/2022
7/6/2022
John McClure
Barnes
United Bank
1037
$ 400.00
GP #87729D
PA rct. 17951
7/5/2022
7/6/2022
John McClure
Kelly
United Bank
1110
$ 600.00
GP#85762D
PA rot. 18044
715/2022
7/6/2022
HIS Construction
Duke
Truist
10166
$ 600.00
GP #85990D
PA rot. 18045
715/2022
7/6/2022
Jahn McClure
Gray
United Bank
1102
$ 200.00
GP #877310
PA rct. 18042
715/2022
7/6/2022
Sea Dog Marine Construction
Williams
First Bank
1810
$ 400.00
GP #85976D
PA rot. 18050
7/5/2022
7/6/2022
John McClure
Baker and Arnold
United Bank
1103
$ 600.00
GP #87730
PA rot. 18043
7/5/2022
7/6/2022
Permit Pals
Rowe
CresCom Bank
3808
$ 200.00
GP#85991D
PA rct. 18040
7/5/2022
7/6/2022
Dwi ht Bur ess
same
United Bank
1050
$ 200.00
GP #857840
PA rot. 16148
7/5/2022
7/6/2022
Gregory Holden
Town of Holden Beach
United Bank
5635
$ 200.00
GP #85975D
PA rot. 18035
7/5/2022
7/6/2022
Richard Penny Construction LLC
Sinclair
NAVY FCU 1 of 2
5216
$ 200.00
GP #877980
RM rct. 15507
7/5/2022
7/6/2022
Richard Penn Construction LLC
Sinclair
NAVY FCU 2 of 2
5215
$ 400.00
GP #87798D
RM rct. 15507
7/5/2022
7/6/2022
RG Marine Contracting LLC
Armati
Bank of America
1109
$ 200.00
GP #87784D
BB rot. 18016
7/5/2022
7/6/2022
Permit Pals
Walters
CresCorri Bank
3812
$ 200.00
GP #87786D
BB rct. 18021
7/5/2022
7/6/2022
HS Construction
Vignola
Truisl
10121
$ 400.00
GP #877170
BB rot. 18020
71512022
7/6/2022
Delta Dock & Boat Lift
McKenzie
First Citizens Bank
9357
200.00
GP #877730
IJD rct. 17543