87615D-SUGG

1*U6, ❑EAMA ❑ DREDGE & FILL C� � N9 87615 A B C ;, D''
GENERAL PERMIT d Previous permit
Date previous permit issue
FI New ❑ Modification ❑ Complete Reissu ❑ Partial Reissue airon
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commiss on i an rfien co cern pursuant to:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name I ` l
Address 1"'A
City L`. `; State _ ZIP r",
Phone # (_ )
Authorized Agent ` i � 1 1€_v
Project Location (County): i� C C i 1 LUt`I H 1
Street Address/State Road/Lot #(s)
Email _ !_..iT� '� � \J -� Cl�� is ti'i��'i� . i { -Yl'"� Subdivision
City ZIP
❑ ES ❑ PTS Adj. Wtr. Body ' R ,( l i 1 i',(nat/man/unk)
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body kA\i.)Cl� C Ln I ra(i
ORW: yes/no PNA: yes/no (Q,
Type of Project/Activity ; :�v `:�� -b E'_��L1CF' :i x ► ::�`"� i7\ec r'aCri r1L�� ED i 2.' x
: ., 1 _�.. , t V.
(Scale:X —j0
Shoreline Length
Access Length
Pier (dock) length ;
Fixed Platform(s)
0
Floating Platform(s)
Finger pier(s)
Total Platform area L `
Groin length/#
Bulkhead/ Riprap length "
Avg distance offshore --
Breakwater/Sill
Max distance/ length
Basin, channel —
Cubic yards
Boat ramp
Boathouse/; Boatlift 1 � 4 I �' L; r`..
Beach Bulldozingrr- "—
Other ""'""""
} � i _ ( 1_ t • --i
v a
SAV observed: yes not
Moratorium: n/a yes no
E
Site Photos:
Riparian Waiver Attached: ryeg�no
A building permit/zoning permit may be required by:
Permit Conditions ii
❑ 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 Applicant PRINTED Name Permit Officer's PAINTED Name
Signature "Please read compliance statement on back of permit" Signature ! 11
Application Feels) Check #/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:
F-1 Tar - Pamlico River Basin Buffer Rules F-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)
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)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

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N Lumina Ave
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Requesting
Name of Property Owner Permit: Sam SUN
Mailing
N Lumina Ave
ailing Address:
Wrightsville Beach, NC 28480
Phone Number:
Email Address:
sugg3107@gmail.c0m
certify Daniel Shirley, that I have authorized Agent Contractor
applying for and obtaining all CAMA permits
to act on my behalf, for the purpose of
necessary for the following proposed development:
at my property. located at
207 N Lumina Ave, Wrightsville Beach, NC 28480 ,
in New Hanover County.
!furthermore certify that 1 am authorized Permit Officer act grant permssion and heir agents! to enter
Division of Coastal Management staff, the Local P
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Si nature
Sam Sugg
Print or Type Name
Owner
Title
9 t
Date
a
efrvp.
This certification is valid through 8

N.C. DIVISION OF, COASTAL MANAGEMENT
ADJACENT. RIPARIAN PROPERTY.OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed,by owner or their agent)
Name of Property Owner: Sam Sugg
Address of Property: 207 N Lumina Ave, Wrightsville Beach, NC 28480
Mailing Address of Owner: 207 N :Lumina Ave, Wrightsville Beach, NC 28480
Owner's email: [e-mail] Owner's Phone*
Agent's Name: Daniel Shirley Agent Phone* 91.0-386-8883
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION .
(Bottom portion to be completed by the Adiacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
!f you have objections. to. what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, 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 Certified Mail.
WAIVER SECTION
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.)
I DO.wish to waive same/all of the 15' setback
- Signature ofAdjacentRiparfan Property Owner
-OR-
I .do not wish to waive the 15' setback requirement (Iinitial.:the blan7.k).
Signature;of:Atljacent Riparian Property Own,
TypedlPrinted name of ARPO: �a �. i sUL'e.
Mailing Address of ARPO:
ARPO's email: -T; *k .i t4dTfi it SLL,uy ARPO's Phone#: ? �. � 7 341 g
Date:' ' ZGLZ- "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 DFI IVF*RY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Sam Sugg
Address of Property: 207 N Lumina Ave, Wrightsville Beach, NC 28480
Mailing Address of owner: 207 N Lumina Ave, Wrightsville Beach, NC 28480
owner's email: [e-mail] Owner's Phone#:
Agent's Name:
Agent's Email:
Daniel Shirl
[e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PRUPER I Y UWNER'S CERTIFICATION
(Bottorn 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
description or drawing, with dimensions, must be provided with this letter.
X 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 ►Host notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, 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 Certified Mail.
WAIVER SECTION
I understand that any proposed pier, clock, 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 hulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback '0� ae:
' f
Signature of A acent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printod name of ARP0:.-7---Zin_QPe
Mailing Address of AIWO:
ARPO's email:. /,1-._ ARPO's Phono#:.
Date: /�v X2 _"waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

Def. ReceNed
Defe De had
Cheek Fom(Neme)
Name ofPermh Holder
Vendor
Check number
Check
amount
Permit Number/Comment
Receipt or Refund/Reellc fed
Columnl
Column3
Coumn3
COlumnd
Columns
0o/umn6
Cclumnl
0o1mn6
Column9
8/30/2022
Carolina Development and PropertieE
Goubran
PNC Bank
3261
$ 200.00
GP #87688D
PA rct. 17726
8/30/2022
Overbeck Marine Construction, Inc.
Su g
Truist
5580
$ 200.00
GP #87615D
KB rct. 10359
8/30/2022
Overbeck Marine Construction, Inc.
Friedrichs
Truist
5578
$ 200.00
GP #87637D
BH rct. 17709
8/30/2022
Coastal Dock Builders LLC
Calvert
Bank of America
1034
$ 200.00
IGP#87604D
JD rct. 17688