85813D-ALLRED

1*1(OMT4` ❑CAMA ❑ DREDGE & FIL �j N9 85813 A B C ,'D''
s may} �J Previous permit
y GENERAL PERMIT I °Z Date reus permit issued
New ❑ Modification ❑ Complete Reissu/E1 Partial Reissue /� /
As authorized by the State of North Carolina, Department of Environmental Qualityand the Coastal Resources Commissio in r�of environvRiental concern pursuantto:
P
15A NCAC )� ) , / �' ❑ Rules attached. ®General Permit Rules available at the following link: www.deq.nc.Yov/CAMArules
Phone # ()
"I a
Street Address/State Road/Lot #(s)
1 D a. �z�,n-f ad
Email i1("r �Ci {. ♦ i � (� L t i 5 %� Y t LLU H `1t" Subdivision
City { -j (— zip Affected ❑ CW ❑ EW ❑ PTA O a` ES PTS Adj. Wtr. Body f all,1C./i% / (nat6/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ElPWS Closest Maj. Wtr. Body '�i
ORW: yes/no PNA: yes/no
Type of Project/ Activity r
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) —
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length `•) L 1--t
Avg distance offshore , Sayyy
Breakwater/Sill
Max distance/ length
Basin, channel r
Cubic yards ....
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing "P
Other —w
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: M 5 )
❑ 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
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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:0-7 •��'t�
Mailing Address: "S3 I � Sv nY �h� *At �
Noty)044t Yl , C a$ a `7
Phone Number:
Email Address:
I certify that I have authorized M � 7
Agent / Contractor
to act on my behalf, for the purpose of applying for and oobtain1inng1 all CAMMA permits
necessary for the following proposed development: .'f� �1 % {�'e 0C
at my property located at )of
in S��Ul1�, , CO County.
I furthermore certify that 1 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:
Signa ure
�ornes b- Mrt�
Printor Type Name
t�L,)n1
Title
) 1 'C _lam
Date
This certification is valid through --LLl 1/—1)_3

h' C.d / I -
CERTIFIED l�LkIL - RETURN RECEIPT REQUESTED
DMSION OF COASTAL Ni LMNAGEMENNT°
AD3ACE3-N-T RIPARLkili PROPERTY OR-INER STATUNNUENT
Name of Property Owner: _ _)QYh,P'
Address of Property: '1/1 `+,� i �- Y -A �6
:Pc,
(Lot or Street #, Street or Road, City f& County)
Applicant's phone 4. Mailing Address: ?j ? b Si/n n ► n e k I ,
rha,o0A48 V� ,C �2 s) 7
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 of drawing
with dimensions must be provided with this letter.
I have no objections to this proposal. I have objections -to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DC1M)
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 a pier, dock, mooring pilings, breakwater, boathouse, or lift 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
app, opriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
Ji
roperty O Info oration)
gnature
Print or Type Name
..5 i0�sV- nwr Jo�C
Mailing Address
Ae e2.2
i. /State / Zip
Telephone Number
Date
(Riparian Property Owner Information)
'?'I J1, , 2 -e
Si ature
& 1-11A z 4*10'17
Print or Ty$ Name
Mailing Address
City / State / Zip
Telephone Number
Date
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] \ FAX: [phone] \ Intemet: wwa.necoastalmanagement.net

• ! C-d 14-
CE.R.T�'IED �Lk-TL - RETI,�N RECEIPT REQUESTED
DIVISION OF COAST -AL �rIA_�iAGE�1E�-T'
AD.IA CENNT RIPARUN- PROPERTY O��-ER STATENIE'_41
Name of Property Owner. _
Address of Property:
Applicant's phone #:
'%red
(Lot or
#, Street or Road, City & County)
Mailing Address: .3 I W -SJn 6
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 of drawing,
with dimensions must be provided with this letter.
I have no objections to this proposal.
I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Dri i e Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no obiecrion if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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' set back requirement.
I do not wish to waive the-15' set back requirement.
-�aa,m 11,E
Print or Type Name
S % 5yn 1t'1.r Q AGJ e- S�) 4-
Mailing Ad s
do 0
City / State / Zip
Telephone Number
Date /d - ,�;?J- - o 2—
(R=xrian perty Owner information)
VA-V4--
Signature
Print or Type Name 6
Ck
Mailing Address
City / State / Zip 4 Q^
Telephone Number
Date 1//3 % 20 Z Z
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAK: 910-395-3964 l Intemet: www.nccoastalmanagement.net

Oafe Recetved
Date Oep lied
Check From(Name)
Name of Permlf Holder
Vendor
Checknumber
Check
mount
Perms Number/Comments
Receipt w Refund/Reallmated
Columnl
Column!
Cdumn7
Column4
- Column5
Column6
Cdumn7
Columns
Co1umn9
11/21/2022
11/22/2022
Gregory Holden
Roach
United Bank
5592
$ 200.00
GP #87597D
BB Mt. 17915
11/21/2022
11/22/2022
B and B Marine Construction
Fleming 8 House, LLC
Wells Fargo
2008
$ 400.00
GP #85802D
JD rct. 17861
11/21/2022
11/22/2022
CD Jewell
same
USAA Federal Savings Bank
1290
- $ 200.00
GP #85384D
JD rct. 18737
11/21/2022
11/22/2022
Lighthouse Marine Construction Inc
Hilker
Coastal Bank and Trust
4474
$ 600.00
GP #87602D
JD rct. 18736
11/21/2022
11/22/2022
AMW Docks and Marine Constructior
Ward
Truist
8011
$ 200.00
GP #87500D
BB rct. 18691
11/21/2022
11/22/2022
Gre o Holden
Allred
United Bank
5690
$ 400.00
GP #85813D
PA rct. 17749