87726 BARCI

Ilk
°i`°"S'"1 ❑CAMA ❑DREDGE & FILLQ' 11a2
GENERAL PERMIT Q
)On
MNew ❑ Modification [:]Complete Reissue [—]Partial Reissue
N9 87726 A B C
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coa�tal Resources Commission in an area of environmental concern pursuant to:
15A NCAC U?Y - U00 ❑ Rules attached. General Permit Rules available at the following link: www.dgq.nc.yov/CAMArules
Applicant Nanme22 Ja U Lhal Authorized Agent r f
Address ( U 7 _ IMIN"l I FA- _ _ Project Location (County): J1 er f~_
Street Address/State Road/Lot #(s)
2�0 4 ris# i T,'�-iy6
Subdivision
City -A L_ _h5 W r l ZIP
City il
OOStOt,ate ��/ ZIP 7
Phone # ( ) -9910
Email a flT r/! iri +/1�-d"Y�t_
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yesijm PNA: Lesyno
Type of Project/ Activity
Shoreline Length `A
Access Length
Total Platform area
Groin length/#
�ulkhea Riprap length
Avg distance offshore QbDjK u 14 W..
Breakwater/Sill
Max distance/ length �!
Basin, channel T
Cubic yards +r
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
[�ES ❑PTS Adj. Wtr. Body Lf i1 a�C7*, A d" I ij?O&�man unk)
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body a W YI/
(Scale: )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicant PRINTED Name
(Please Initial)
Signature **Please read corppliance statement on back of permit
Application Fee(s) Check #/Money Order
Signature/; /M
Issuing' ate 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:
F] Tar - Pamlico River Basin Buffer Rules
F1Neuse 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)
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

'3o�`oEtuns❑CAMA L/ DRE®GE & FILL N9 87726 A B C
GPrevious permit
GENERAL PERMIT
Date previous permit issued
dNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by they jState of North Carolina, Department of Environmental Quality and the Coas I Resources Commission in an area of environmental concern pursuant to:
15A NCAC I Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Xi rk Authorized Agent.��r0
Address f) � i i 1 s 1 6y�'Xi� G Project Location (County): �� ►R%lj �.
City State N6 ZIP 2 5 Street Address/State Road/Lot #(s)r
Phone # () l ►J� ! '� 1 �1 .�I V e/
Email rffY%'s¢' a M A), 1/4LJfl���, /"�`)4�1, SubdivisionP7s d, ` �'�i Fd
City i�n� ZIP
Affected ❑ CW ❑ EW ❑ PTA [�fES RfPTS Adj. Wtr. Body ff/�'11 /'3r W, i��Gi/F�1�. na an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body. l��fi0
ORW: yes/0 PNA: es no
y a
Type of Project/ Activity
Shoreline Length *A &
(Scale: )
Access Length �' i �7Qj®� ` n(
Pier (dock) length i Ii J
Fixed Platform(s) , i' j�j,
Floating Platform(s)
Finger pier(s)
Total Platform area �=
Groin length/#'°"
Ikhea Riprap length
Avg distance offshore z4 1,rQ.k" �) b
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
rv1-i/�/
< t
It
ka
I !1
Boat ramp 1 �'
it j6d,ro
i
Boathouse/ Boatlift o M
Beach Bulldozing �
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning 1I
Permit Conditions AN
yes
yes
yes
yes
I
� !
oil
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Ap icant PRI ED Name ' Permi cer' P lNTED Na, e
J�
Signature **Pie a read co Hance statement on back of permit** Signature l
#�a0� �I ?��p -
Application Fee(s) Check #/Money Order Issui g �e Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: glae. l'G
Mailing Address: AM.S�
Phone Number: 151b 770- ' 089'd
Email Address!
I certify that I have authorized
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
in 81a,14�A County.
I furthermore cettify that I am authorized to grant, and do in fact grant. permission to
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 Owner Information:
Signature
Print or Type Name
Title
Date
This certification. is valid through

f'
a 53.0
N.C. DIVISION OF COASTAL.MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM,
CERTIFIED MAIL RETURN RECEIPT REQUESTED .. HAND DELIVERY
(Top portion to be c�otnpleted by owner or their -agent)
Name of Property Owner. T L` l
Address of: Property; ' �a.©1 �AG�NA "b Y }
Mailing Address of Owner. 1� `� ` l 1 J�
r (� Owner's email: 6) nw lI /amyAoI .C* 6'M 6Wner's Phone#:.� I
^�
Agent's Name: Agent Phone#: �D ` o`��U
•Agent's, Email: T Cfi? �1GY> :
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed. by the Ad acent Pro a Owner
1 hereby certify that I own propertyadjacent to the above referenced property. The individual applying for this
permit has described to me, as.shown on the, attached drawing, the _development they are proposing. A
description or drawing with dimensions must be provided with this letter.
1'DO NOT have objections to this proposal. 100 have objections to this proposal. .
If you havib. objections to what is being proposed, you must notify the N.C. Division of Coasts/
Management (DCM) In writing within 10 days. of receipt of this notice. Correspondence should.'be
mailed to f27 Cardinal Orlve Ext., MIMIngton,. NC 28405-3845. DCM representatives -can also be
contacted at [phone]. No response is considered the same as no objection if you have been .
notified by Cert/fled Mal/.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse,lift, or
groin must be setback a minimum distance of 15 from my area of riparian access unless waived by me
(this -does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must stem
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
MOR-
I do not wish to waive the 15` setback requirement (initial the blank)
Signature. of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO{ - X
4 •
Mailing Address of ARPO: I: Vic
XRPO's email: L7 1�L����y1t-P AA ARPO's Phone#:
bate: 4RIQ_..,_*waiver Is valid for up to one,year from ARPO's Signature*
Revised July 2021

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 Property Owner:�.Gh Av�VGI
Address of Property: _a©H C VAc,hi *by-.
Mailing .Address ofOwner: ©3 N 1 ST 0
A�51►�4_ ayes
Owner's email: GUS 1I ®��� •��� Owner's Phone#:
Agent's Name: Agent Phone#: �� ` , a5 30
Agent's Email: T .arZ� AGY> ,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me; as shown on the attached drawing, the development they are proposing. A
d I DO NOT have objections to this proposal.. I DO have: objections to this proposal.
If you have objections to what is being proposed, -you must nodly.the N.C., Division of Coastal
Management (DCM) in writing within 10 days of receipt, of this notice. Correspondence should be
.'mailed to-f27 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM. representatives can. also be
contacted at [phone]. No response is considered the spine as no objection if you have been
notified by Certified Mail.
WAIVER SECTION ,
I understand that any: proposed pier, dock, mooring pilings, boat ramp, breakwater,. boathouse, lift, or
groin must be set back a minimum distance of 15' from my.area of riparian access,unless waived by me
(this does not apply to, bulkheads or riprap revetments). (If you wish to waive the setback, you must sign .
the appropriate blank below.)
baw. ish- to. waive some/all of the 15' setback
61'IiLIJ �/� y
Signature of Adjacent Riparian Property Owner
-OR-
l do not wish to .waive the 15' setback requirement (initial the blank) .
Signature of Adjacent Riparian Property Owner: 42&09 y
Typed/Printed name. of ARPOt�
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:.
Date: 0 as *waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

4
14

Date R—Ned
I Data Delwalted
Check From Neme
Neme of Permit Nokler
Vendor
Cheek number
Check
amount
Permit Number/Comments
Reeelet or Refund(Reallcnated
Columnl
Colu-2
CNumn3
Column/
Columns
0o1umn6
Column?
Co1umn9
0e1umn9
9/9/2022
Richard Penny Construction, LLC
Cooling 1 of 2
NAVY FCU
5218
$ 200.00
GP #87640D
BH rct. 17717
9/9/2022
Richard Penny Construction, LLC
Cooling 2 of 2
NAVY FCU
5217
$ 400.00
GP #87640D
BH rct. 17717
9/9/2022
Kyle Dixon
same
Truist
5027
$ 200.00
GP #87681 D
PA rct. 17729
9/9/2022
Gregory Holden
Dodson
United Bank
5650
$ 200.00
GP #87463D
PA rct. 17730
9/9/2022
Jeffrey Maynard
same
State Employees CU
8254
$ 200.00
GP #87464D
PA rct. 17733
9/9/2022
Allied Marine Contractors, LLC
Barci
First Citizens Bank
11390
$ 400.00
GP #87726D
PA Mt. 17731
9/9/2022
John McClure
Alexander
United Bank
1151
$ 200.00
GP #87690D
PA rct. 17732
9/9/2022
Town of Wrightsville Beach
same
First Citizens Bank
121825
$ 200.00
GP #87465D
RM rct. 15508