87573D-THAMES

`°"`r41 ❑ LAMA ❑ DREDGE & FILL N9 87573 A B C `:,Q.
Previous permit
previous erm' issued
GENERAL P E R M I TI P/G
IV
New [:]Modification ❑ Complete Reissue [:]Partial Reissue ��
l
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental�onkr pursuant to:
') A t Z Ll C
15A NCAC (, ❑Rules attached. [I General Permit Rules available at the following link: www.deq.nc.Yov/CAMArules
Applicant Name
Address ( .> !"'1 t, r r,4 1 r.
( :5! t r
City 1aC `t' •-' _ State t•J C. ZIP 2 () ..�
Phone # ( ) fl -7
Email c:(A(d
Authorized Agent
o .v.
Project Location (County): -I ..%1'%oI %-'%L`<-1
Street Address/State Road/Lot #(s) E L! 0 � Al .
Subdivision
City e - ZIP Z `r4G
Affected ZCW EW ❑ PTA ❑ ❑ ES PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): / OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/ho) PNA: yesfno:
Type of Project/ Activity Z `, , i_> (V� \ -,
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) '*I Q
Floating Platform(s) Y, l (-C
Finger pier(s) i -�,
Total Platform area M% 7
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp -
Boathousq Boatliift f Y / 3
Beach Bulldozing
Other
SAV observed: yes ri.�, 4
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes' no
A building permit/zoning permit may be required by:
Permit Conditions +
(Scale: N -\ S )
J4 ❑ 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 O eer's'P TED Name %
Signature "Please read compliance statement on back of permit" Signature I
Applicad Feels) Check #/Money Order Issuing Date Ex0ation 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 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

AGENT AUTHORIZATION FOR.CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit
e�nd .rm8
Mailing Address:i��'1/1/Cyr ,rw
Phone Number:�!'%�—Lj��I _
Email Address:
I certify that I'have authorized
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all, CAMA permits
necessary for the following proposed development: 4,U�'{ir j
4�.14 A� an &Ay, Amer am beG Lf'
at my property located at / 7d � d lTh ,,r44
in N W County.��
I furthermore certify 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 OwnerInformation:
gnafure
Print or Type Name
Title
Date
This certification. is valid through // . (9 I t G>

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COASTAI MAkA"ME#Jt
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_ - - DIVISION_ -,,OF COASTAL MANAGEMENT,
A"DJACENT RIPARIAN PRgFERTY OWNER, ![QT�FIGATIOPflWA11{ER FORM
CFF2TIFIEQ_MAfL f2E`FIJRN'RECEIPTREG STEDEorHAND-DELIVERY
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(Tqp poto'hc COM61eted p_,,., ner o =theii-Ir=agent)
AddrrassofJPraocrly'Y,-/v5'�'�/ �2�[
Main Addrr��'•,Qjil(�jLe -��
fl 1 ss of Owner_.
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Agent:a Na tie c nt p Q fit
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Phoned:=-J�
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AOJACENT RIPARIAN PROPERTY OWNER 5 CERItFiGATION
/ rRQtttlnt id+�effiirtYdi'B' t 4"
'Jn 1 �'((til da �i4tiCd by Iko �diadeht Pt �et�' QaApf!
o t h8teby [eridy Ihal i awn:prgppefY Sdjxent�fp�lhh �1)Ovo re/Brerur tl prafiertyr fhN.,nelrvttli,Al applyin{71or ItiiS 'riJperrrnthes de4ulficd Io ma, ac shown on tru! aUachod drawrnq ,Ih� dovclgpn,enit`thcyyare propos,ng,_AY
Q�c n,or ar�w�ng w�h�ime7nain�rs�m�i syh�.�rywdexf w�[h lnfs;,latfe� m' -.i�" f'
t0U•tUi3TNliav obier(mns I -ihr5 Ur0/mSahN r t)r) h ��e ntstg+yg is la"this prop�ii
you hAve otiJeefrons tocwbat rs bang pioposod you must (tfy{the N C Drviilorr of Coastal j
Magagemenf (OCM) in wriirgg wKhin'fe days ofiaceipfpt this notice Coriesportden�e should be
malted ro 127 Cardinal Drive Er�Wifmfdgton,iNC ?QIOS�8I5, DCM repieseritatfves cari-also be
contacted ai f970). i96-71f5. No response fs Considucd +feelsinie'as no o6jeNeo7fyov'Irave been
n0fied bq"Certihed lkaila-
-: 7
7 °' S,40turc Ot AdjncedFtiparr-in Propo`ily Owner
TyDedlPnnled:name�ol ARPO �AY�, �-��j�y�_
Mailing Address o1 `ARPOY�.r.
ARPO'7,orriail:l! (ram p�4 lfe%��jli�1(�`,L ARPO Ja _Phonoe•
'7w2OZ 2 -,
Dale._ •waiverrs valid (or up,to one year from.-A_,s,Sigrtaturr'
Rease.,.July 2071,
m

Dofe ReceNad
Date De lied
Check From Name
Neme fPermk Holder
Vondor
Check —her
Check
amount
Permlf Number/Comment
Recaft er Refun&Reallocafed
Columnl
11/14/2022
Cdumn2
Cdumn3
McPherson Marine
Cdumn4
Benarz
Columns
First National Bank
Colu-6
4028
Cdumn7
$ 200.00
C.1-8
GP #87558D
Columns
PA rct. 17746
11/14/2022
McPherson Marine
Koziak
First Citizens Bank
5609
$ 200.00
GP #87557D
PA rct. 17745 '
11/17/20221
11/17/2022
Bruce Marek, PE
Land to Sea Construction, LLC
Michaels, Prak, Brooks
Stober
Wells Faro
First Citizens Bank
2307
644
$ 200.00
$ 200.00
GP #87595D
GP #87451D
Tmac rct. 17807
KB rct. 17884
11/17/2022
Jason Hegge
White
Truist
1006
$ 200.00
GP #87596D
BB rct. 18692
11/17/2022
B & B Marine Construction
Hark The Sound, LLC
Wells Fargo
1692
$ 400.00
GP #85804D
JD rct. 17863
11/17/2022
B & B Marine Construction
Van Beuren
Wells Fargo
2004
$ 400.00
GP #85803D
JD rct. 17862
11/17/2022
Pippin Marine Construction LLC
Fig 8 Island Yacht Club
Wells Faro
6138
$ 400.00
GP #85801 D
JD rct. 17860
11/17/2022
Sea Dog Marine Construction, LLC
Smith
First Bank
1958
$ 200.00
GP #87570D
BB rct. 18686
11/17/2022
E Wayne Tew
same
State Employees CU
2212
$ 200.00
GP #87572D
BB rct. 18690
11/17/2022
Dianne Williams
same
State Employees CU
1017
$ 200.00
GP #87568D
BB rct. 18683
11/17/2022
Maritime Coastal Construction LLC
Thames
United Bank
3562
$ 200.00
GP #87573D
BB rct. 18688