87780D - HUTSON

04,;,V&❑LAMA ❑ DREDGE & FILL G* V N9 87780 A . B C D
GENERAL PERMIT C p� Previous sous
Date previous per it i sued
❑New El Modification ❑Complete Reissue ❑Partial Re J )AX2V
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of erinvirgohmental concern pursuant to:
I SA NCAC ng -tzyo ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.Yov/CAMArules
Applicant Name Authorized Agent
Address
City State ZIP
Phone # ( _ )
Project Location (County): - 1e
Street Address/State Road/Lot #(s) _ 9 CILA " q k n S. node CSon.
Email Subdivision i
City zip �`-4 4- -S—
Affected ❑ CW ❑ EW ❑PTA ❑ ES ❑ PTS Adj. Wtr. Body - ! �'-1 r�( i lip: (? (nat/inaA/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body _ V
ORW: yes/no PNA:;lE /no
Type of Project/ Activity [ _ i (A n
Shoreline Length
Floating Platform(s) ;A
Finger pier(s)
Total Platform area '• �i�.
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore t`-I 1 t �
Breakwater/Sill
Max distance/ length i •) % �i
Basin, channel
Cubic yards
Boat ramp
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building4 permit/zoning permit may be required by:
Permit Conditions ❑ 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 PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Fee(s) Check #/Money Order
Signature
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:
F1Tar - 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 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: 5 /j r
Mailing Address:? �G DS�� •
Phone Number:
Email Address:
I certify that I have authorized
Im
Agent
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: S�Yr/
Tp .c ecru � z
at my property located at
in ?EA-�k fL. 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 Owner Information:
Signature
_ Print or Type Name
OW 00 kfZ-
Title
RECEIVED
SFP of 1 2022
DCM WILMINGTON, NC
2-1
Date _._._.__...
This certification is valid through

-A

0 QVxA1 Gry 1 rU At(I"
I hereby certify that I own property adjacent
property idcated at Y
1JAddressy
in
(W��y)
� AA , ar���'s
(N a of Property Owno
County),
�vr � The applicant has described to me, as shown below, the development proposed at the above location.
,_�eN� l have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
_ SEP 41 20%2
DCM WILMINGTON, NC
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lik 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 do wish to waive the 15` setback requirement
©rV�
i do not wish to waive the 15! setback requirement.
(Property Owner Inform o) (Adjacent Property Owner Information)
;7,647,
i/
S /e, SignatureuWn aF�'D/pSat1 Q
Print or _JLType Na a Print or Type Name
Nfailing Address Mailing Address
_ Go ;?
Telephone NUmber
Az ---
Date
110 Sag-5gHl
Telephone Nymber
B-3a-aa
Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
0 043V- e---
I hereby certify that I own property adjacent ai AA-) 's
property located at ( (Narpe of Pro rty O� )
an � ,� . f+ �,�' ddress, L ck, Road, '} � N.�� in'om
(Wderbody) (CIWJTowm and/or County)
sr�u� The applicant has described to me, as shown below, the development proposed at the above location.
(`v i7fkLi I
JN�l I have no objection to this proposal.
B
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
SEP 01 2C"1
DCM WILMINGTON, NC
WAIVER SECTION
i understand that a pier, dock, mooring pilings, breakwater, boathouse, 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.)
ev
L I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner inform o )
Print or Type Nafqe
Mailing Address
2-41,1k AA -it A.)0-:0 5oIxq
city/State/Zip
0 �©
Telephone N�
(.� -7 70 AQ
Date
(Adjacent PmpertyyyOOwrner information)
Signature
Print or Type Name
Mailing Address
C?"/0 State�?0o ' Z s'
Telephone Number
00-
Date
(Revised 6/18/2012)

Defe Reeetmd
Defe D—Ited
Cheek foam Name
Neme of P—If Holder
Vendor
Cheeknumher
Check
amount
Permit NumherlCpmments
Reeelpt or Refund/Reell—W
Columnl
Column2
Column3
Co1umn4
Co1umn5
Co1umn5
Ce1umn7
Co1umn9
Column9
9/8/2022
Land to Sea Construction, LLC
Pirates Tale, LLC
First Citizens Bank
632
$ 200.00
GP #87606D
KB rct. 10360
9/8/2022
Delta Dock & Boat Lift
Hutson
First Citizens Bank
9404
$ 200.00
GP #87780D
JD'rct. 17692
9/8/2022
Charles Fox Homes, LTD
Swanson
Branch Banking and Trust
29884
$ 200.00
GP #87430D
BB rct. 17939
9/8/2022
'
Sea Dog Marine Construction
Briq_gs
First Bank
1870
$ 200.00
GP #87433D
BB rct. 17936
9/8/20221
Jerry Ennett
Siddi ui
Coastal Bank and Trust
4970
$ 800.00
GP #87439D
JD rct. 10361
9/8/20221
North End Builders NC LLC
Wong & Lambert
ISunTrust
1074
$ 200.00
GP #87638D
BH rct. 17715
9/8/20221
North End Builders NC LLC
Thetford
ISunTrust
1073
$ 200.00
GP #87639D
iBH rct. 17716