87747D - Holding

°`°"k�CAMA ElDREDGE & FILL ?�.Zz
GENERAL PERMIT"'
N9 87747
Previous permit
Date previous permit issued
A B Ceq)
SNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of 1North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC t 1 • F• ❑ Rules attached. ❑ General Permit Rules available at the following link: www deo nc eov/CAMArules
Applicant Name � -p Authorized Agent _ - ckyae. 4un
Address IZ05s j��p 1[.fr Project Location (County):
City to 7t � State N�L � ZIP Street Address/State Road/Lot #(s) ��aeY°rCAJ.�
Phone # (_ )
Email Subdivision /�
city (`i JiJIM� LP
Affected S QN ISEW M"A ❑ ES ❑ PTS Adj. Wtr. Body i.t—'�rT- 11 L ` (j�unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PW5 Closest Mal. Wt, Body
ORW: yesA& PNA: yes/op
Type of Project/ Activity
(Scale:
Shoreline Length J� CGL)
_ , . `
'�"'kN
Access Length -2
Pier(dock) length'!'I--
Fixed Platform(s)
Floating Platform(s)
G7-
Finger
�t'f100
pier(s)
A� ri
t 7�r
Total Platform area
G in length/#
Bul ead/ Riprap length
Avg di nce offshore
Jes
Breakwat Sill
(
�EQ4T
Max distant:length
Basin, channel
t.i.
Cubic yards
Boat ramp
Boathouse/ Boatlift
b
Beach Bulldozing
V
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit
Permit Conditions Mn C
I be required by: CT
i7-cS AtrIle l2
r
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
d;;�
a
I AM AWARE OF STATyIE5, CRC RULES AND CONDITIONS TUAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
or Applicant
Permit
ature ""Please read compliance statement on back of permit""
Sil7en ►tQ3
Application Feels) Check #/Money Order
Signature V
zz t( 4�zz
Issuing Date Expi 'on bate

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:
F-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/ 1-888-4RCOAST 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 Pender Counties)
Revised 6/01/2021

A°"w UCAMA ❑ DREDGE & FILL
14 GENERAL PERMIT
New [:]Modification ❑ Complete Reissue ❑ Partial Reissue
N° 87747
Previous permit
Date previous permit issued
A B C D
As authorized be�y--the
�State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concem pursuant to:
15A NCAC _❑ Rules attached. ❑ General Permit Rules available at the following link: w .deo.m.gov/CAMArules
Applicant Name \�,.f?A')\Cj(,\t ) � c.�
Address 1 -2 c4; r I; "14 l A
Cry state is, Cc ZIP 'r ff(-
Phone # (_ )
Email
�.
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
r
Affected ❑CW ©EW ©PTA DES ❑PTS Adj. Wtr. Body nattman/unk)
AEC(s) : I IDEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW. yes/no PNA: yes/6.0
Type of Project/ Activity
S=
■��■■■■
■■■■■■■■■■IME■■NIM911
-
m
illi
lol
I
®siw�m�i111on
IM
Finger pler(s)
111
ii��i�iii�'M���®�
Other
N�
Elmo
■■■■■H■■■■■■■
®MEMO
®■■■CAV
■li■■■■■■■■■■■■■■■■■■■
0111018N
.E
observed: yes
��
Mora'..riuiiwuiaiism
Riparian Waiver Attached: yes no
...1....■■��........
(
.�
-
_9.,�'
,��■�2tn
ESE
f.-fir■■
permit/zonin permit may be required by: �� T/ (-A. (�
A buildingpermit/zoning - (�
it �
-�4,,
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions \ ` v`
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Lz�
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
9gent or Applicant PRINTED Name
Permit Officer's PRINTED Name
I
Signature --please read compliance statement on back of permit--
Signature
.
Application Feels) Check M/Money Order
Issuing Date
Expliiatkin bate

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)
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

(�DAMA ) DREDGE & FILL N9 87747 A B
Y 3 GENERAL PERMIT Previous permit
Date previous permit issued
bgNew ❑Modification L_JComplete Reissue ❑Partial Reissue
As authorized b,[yy��the
y/State o(No�rt,,h�.Clvdiru. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC LJ`f 0 . >Z;; ❑ Rules attached. D General Permit Rules available at the following link: www.ckbQ.nc.gov/CAMArules
Applicant Name Y_f)V.t;7 A
Address )-zo ] YA"C v-A
City u �'`I ^A^ ' SnteN�4. zip �t
Phoned(_)
Affected figCW b9EW NPTA DES DPrs
AEC(s): 11OEA ❑INA 11uW EISPIMA DPWs
oRW: vese PNA: yeW,
'sA
Type of Project/ Activity ICCO AC-!Q Umx
Shoreline Length
Access Length
�sa[E �ctback _
Pier (dock) kngds'rl-
Fixed Pladwm(s) Ir
Floating Platform(s)
Finger pier(s)
Total Platform area,,,,�,QF,,irio'rl'-
y,�Y
G oin length/g
Bul ead/ Riprap length
Avg di nce offshore
at /Sill
MaxBreadi
Max distant length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ BoatfiR
Beach Bulldozing
v
Other
Authorized Agent C f6e 1;ZLA'l-fA�L
J +V Project Location (County): — K)rj W%'C>ve-r
Street Address/State Road/Lot tt(t) 15 kAAc
city
•
`1 -%t&C[ Ll3c4 (Scale: NI
N�
L
y v �
v V
'I. -MOW
SAVMoratorium:
observed: yes
Site Photos:
n/a yes
Site Photos: yes
Riparian Waiver Attached: yes yn% ilia f�t� K
SigFtazure **Ph
Blt y _
❑ TARMWNEUSE/BUFFER (circle one)
See rote on back regarding River Basin rules
See additional notes/conditions on back
1.1 __ .: 1. 1_,. —

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 66r" FloWf ne
Mailing Address: I-Lo S 4(-I, L W ,
Phone Number:
Email Address:
I certify that I have authorized G�tiu 6I4n.
Agent ' Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: hGPi�l� f lo!L�
roar-s
at my property located at "Lu S A'� Cr: L
in NJ,-V County.
I furthermore certify that I am authorized to grant. and do in fart grant permission to
Division of Coastal Management staff, the Loral Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application
Property Owner Information:
Sil: ignature
nyRO'C&+ lidldfn
Print or Type Name
Title
v C l Z► I 2
Date ----
This certification is valid through

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own properly adjacent to Robert ,�CA J`r ` I
y� , (Name of Property Owner)
property located at S'-°S ��c�=�, `,�,
(Address, Lot, Block, Road, etc.)
011_ _ • in KW Nu-uicd— (�L)"r / . N.0
(Waterbody) (CitylTown and/or County)
�abr 4 Th licant has described to me, as shown below, the development proposed at the above location
I nave no objection to this proposal
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must till in description below or attach a site drawing)
S'e:, 0 , � r b
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, bcathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below i
I do wish to waive the 15 setback repwrement.
! do not.visi; towaive the 15 5=_t'cacl� requrrer'en'..
(Pr Own r Information)
.Cie ,ar,u'e —
RO�`r-F
Pnnf nfor Typpe Naete
t1P k?Zl
Mailing Address
ut 1 3
City/slate2ip
zo6- gtil--
Telepbone Number
Dare
or
Mailing Address
Telephone Number
Number
[Atilt
Owner information) l J 0 Kr1 r
!Revised 8/18/20121

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby Certify that i oum property adjacent to �011icr 4 0OU! `5c —_ s
property located at - 10 �}; (,, CL Q _ (Name of Property Owner)
(Address, Lot Block Road, etc.)
on _ __ , In _ or-u Er\�Tn 't- 000i N.C.
t)o0� C7 (Waterbody) (City/Town and/or County)
The appl cant has described to me, as shown below, the development proposed at the above location
I nave no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must If -if in description below or attach a site drawing)
(Zob t,�k
WAIVER SECTION
! understand that a pier, dock, mooring pilings, breakwater, boathouse. iift, or groin must be set back a
minimum distance of 16 from my area of riparian access unless waived by me. flf you wish to waive
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not •.vish to wairee the 15' setback reauire^�en�.
Ipt^ormation)
or ryr)e Naine
Mailing Address
Citylstate/ZJp
106----148 - 9013
Telephone Number
__6j��f2ti
Dale
y Owner Inf rmabon)
00C)IC r
ter,..\ . v
\1-07 _ c0n 2d_ ._
Mailing Addrrsc
u•ir,t r nIHO�_
City/statelZrp
Telephone Number
_--
(Revised &'1 &2072)

�1
J

Data R—Ned
Date Deooslfed
Check F—(Name)
Name of Permh Holder
Vendor
Checknumber
Cheek
mount
Permlf Numbed Comments
Rece/ota Rdund/Reell—Nd
Column?
Column!
Cofumn3
Columnd
Nelson
Column5
Wells Faro
Co1umn6
24469
Co1umn7
$ 200.00
cwumns
GP #87614D
Co1amn9
Tmac rct. 19340
7/11/2022
7/11/2022
James North
James North
Roseman
Wells Fargo
24480
1 200.00
GP #87746D
BH rct. 18065
7111/2022
Southern NC Marine LLC
Ormond III
First Bank
1633
$ 200.00
GP #87764D
JD rct. 17999 ,
7/1l/2022
James Bucek
same
Wells Fargo
10986
$ 200.00
GP #85641D
JD rct. 18000
7/11/2022
Decks to Sea, LLC
same
PNC Bank
6257
$ 100.00
GP #87763D
JD rct. 17998
7/11/2022
Decks to Sea, LLC
same
PNC Bank
6256
$ 100.00
GP #87763D
JD rct. 17998
711112022
Sea Dog Marine Construction
109 Salisbury LLC
First Bank
1805
$ 200.00
GP #87797D
PA rct. 18048
7/11/2022
_
Sea Dog Marine Construction
Vinrool Family Rev Living Trust
First Bank
1804
$ 400.00
GP #85977D
PA rct. 18047
7/11/2022
Sea Dog Marine Construction
Hegarty
First Bank
1812
$ 200.00
GP #85992D
PA rct. 18049
7/11/2022
Sea Dog Marine Construction
Scudder
First Bank
1791
$ 400.00
GP #87796D
PA rct. 18046
7/11/2022
F & S Marine Construction LLC
Daniels Jr.
First Bank
1024
$ 200.00
GP #87759D
BH rct. 18066
7/11/2022
F & S Marine Construction LLC
Holding
First Bank
1023
$ 200.00
GP #87747D
BH rct. 18063
7/11/2022
The Pioneer Group NC Inc.
Russell
Wells Faro
2662
$ 400.00
GP #87605D
Tmac rct. 19338