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'GENERAL PERMIT
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°``°"S'4lNCICAMA ❑ DREDGE � FILL N6 87698 A B I
Previous permit ) ('r
s = GENERAL PERMIT Date previous permit issued ' 1 2 �--
[ New [:]Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North �C�arrollina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC old \ JJ ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
ApplicantName
y aa-)-, LL C
Address
City i 11 State A I zip
Phone # ) t'n�/ "I b
Email
Authorized Agent L
1 Project Location (County): CIS^'t
7 Street Address/State Road/Lot #(s)
Subdivision
City f k I t. C i ZIP -2 �5 `L14
Affected ❑ CW EW PTA ES ❑ PTS Adj. Wtr. Body 06. t c' k ff (n mt/ unk)
AEC(s): ❑ OEA IHA '�❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body f El W
ORW: yes/6o,�,' PNA: yes
F.
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)"
Floating Platform(s) �i11
Finger pier(s)
Total Platform area % too
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
4
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes teno !
Moratorium: n/a yes
i
Site Photos: 9?s
Riparian Waiver Attached: K o
A building permit/zoning permit may be required by:
Permit Conditions ) I�- !n f"
-1 (,..�z..
❑ 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)
Afc i,-L
Agent or Applicant PRINTED Name
Signature **PI se read compliance statement on back of permit**
Application Fe s) Check #/Money Order
Permit OffleeftPRINTED Name
—J-
Signat��
Issuing Date ) EXpirakion Da ,

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 F] 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)
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

a
Au t NI Au t NQMZA I IQN i O.R IWAA PTRW T APPIK:ADOt4
oWrxx Roquoelan POrrntt 1 r
Monw of INrvpofty 9 rr
QAwhng AddrossO_c'
Phone Number,J Q cf �"�' G �• t !�
Email AddreSS:
I oortoy that 1 have suthortred .l?' C* I— ell '
Aper+l / Corwtc�
to©C on my beha►f. ttx the ptxpoae of opWng for end obta#WV an LAMA perrnd>s
rw-essary for ttve toNowrng proposed devetoPr'eft
et my property located at
in { r a v StN '-*,County
I furthermore cart ty that I am authorrled to grant, and do to fact gnW porrmtssron to
DivisKx) of Coe51e1 Menag&rrrat)t staff, the Local Permit Officer and their ageMS to enter
an the aforernentrotw-wl lands xi corx�eciron with ewelu8bng tntcxmatron related to ttus
permit appbcetton
prop" Owtwr lntornwWn:
47 Z4
S,Qneturo
Pr>Int Of type
zz
o.e.
Tht3 certiftabon is valid through.-_ Yt _P____-_-.._-

P-\n Ire! F-no/

N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND Q LIE VERv
Top portion to be completed by owner or their agent'r
Name of Prooer y Owne-
Address of Propertyr
c q lcv L G.L.
Ore 0--IS440'
MaAling Address of Owner ��O � ��•` � �' `-�- �'' ����`�` �1i �'� "� i�61 �l
9 i y- C. v 9- eArle
owrer's email _ _ Owner's Ptionex
Agent's NPmRr Agent Phone* ! J - 4 3 to is (..
AWs' ,fit
Agents Emag. ` `"
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Adl#stint PrO922 Owne()
nereby oeMly that I own property adjacent to the above referenced property. The indrviduai apptpng for ttlis
permit has described to me as shown on the attached drawing. the development they are proposing A
descnotion or draNnnq wqh qemnnsion`3_ must be 2rov16e4 wRh Mrs lette'
100 NOT have obtecWns to this proposal I DO have ootections to this proposa
./rave objections to what is being proposed, you must notify the N. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. CorresporMa►ce shouts be
mailed to 127 Cardinal Drive Ent., Wilmington, NC 2W5-3845. DCM representatives can also be
contacted at [phone]. No response is considered the some as no objection tf you have been
notified by CartKfed Mail.
WAIVER SECTION
i undw stand that any proposed Ater, dock mooring pilings boat ramp. breakwater, boathouse lift or
groin must be set back a mrnrmum distance of t 6 from my area of riparian access un+ess waived by me
;thts does not apply to bulkheads or nprap revelments) (if you wish to waive the setbaicX. you must tii
the appropnate blank below �.
I DO wish to waive 5omeiall of the 15'
Signature of
-OR-
do not wish to waive the 15' setback reouirement (initial the blank)
—I, ♦ �r.
Orrr� �viM9er C ,
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4
Signature of Adtaoent Riparian Propowner•
Typed/Printed name of ARPO: }�;12U Sky 1j A
M111110It+p Address of ARPO rt—Gb�.1-r �1l g 31 f+
ARPO's email: � � .C�-- - ^^PO's Phor�as: i (� - c /..
Date: 0-1--_.._.'watver is valid for up to one year from ARPO's Signature'
Revised July 2021

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Date Recelved
Date Deposited
Check From ame
Name ofPermlt Holder
Vendor
Check number
Check
amount
Permit Number/Commems
Recel t or Rofund?teallocated
Columnf
Co1umn2
Columns
Column4
Columns
Columns
Column7
Columns
Columns
8=022
John McClure
Starfish Rental Mgmt, LLC
United Bank
1179
$ .200.00
GP #87686D
PA rot 17972
8/22/2022
Sea Dog Marine Construction
Bullard
First Bank
1865
$ 400.00
GP #87685D -
PA rat 17971
8/22/2022
Sea Dog Marine Construction
Goss
First Bank
1841
$ 400.00
GP #87683D
PA rct. 17970
822/2022
Gregory Holden
Simpson
United Bank
5565
$ 400.00
GP #85959D
TP for PA rat. 17777
8/222022
Logan Marine LLC
Kraemer
Truist
8080
$ 200.00
GP #87684D
PA rct. 17968
8/222022
8 8 J Construction of NC LLC
Cohen
Truist
2547
$ 200.00
GP #87682D
PA rot. 17969
8=022
Grice Construction
Oldham
Truist
11300
$ 200.00
GP #87403D
BB rcL 18094
8/2212022
Jarrod McCracken
same
Coming Federal CU
91
$ 400.00
GP #87406D
BB rot 18098
8/222022
Permit Pals
Caudle
CresCom Bank
3813
$ 600.00
GP #85775D
PA rot 17965
81222022
Michael Kostello
same
Pinnacle
268
$ 200.00
GP #85776D
PA rct 17966
8222022
AMW Docks 8. Marine Construction
Bogley, LLC
Truist
7339
$ 200.00
GP #87698D
BB rot 17927
8222022
John McClure
same
Truist
756
200.00
GP #87407D
BB rot. 18099