85643D - HOBART/WEYHER

3&000A`41 FICAMA ❑ DREDGE & FILL N9 85643 A B C D
s Cr Previous permit
GENERAL PERMIT Date Ffeviops permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue��� j /� ,�
As authorized b the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission i n ar a of environmetstal conc n urs nt to:
Y P Q �' P
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name 1 t
Address (�
City �`� 't fi'' State
Phone # (�f
.
f
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
SAV observed: yes no: � (tt Moratorium: n/a yes no,,
Site Photos: yes no. LL±
±EJ±LLLL.-
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
r „ t, �" J� , ❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions __ )
t �T !C -4 %• ❑ See note on back regarding River Basin rules
I
❑ 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 Oft
Signature "Please read compliance statement on back of permit" Signatur,F
Application Feels) Check #/Money Order Issuing Datt
PRINTED Name
�. Z
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:
Mailing Address:
a
ii
Phone Number: q i D ASS ?7 i "7 )
Email Address: P,�>A w`­) ln---w' C.3, 6;-4 rx--? . C_.;jVM
certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: TM-1 I-E AUS -)y�ZILLIZr
at my property located at ,i�/�i;� i��Z�,.!� ✓�-� ,
in F ;�a�c� County.
1 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:
LU ,
Signature
Print or Type Name
Title
),7e, i G, I -;�- ?/
Date
This certification is valid through 1 '2-- I 6 I ­-7 -��

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
,CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: tAqT-
Address of Property: Z
Mailing Address of Owner:
Owner's email: (�� 1®�/ G Owner's Phone#: �IT� �'�� I ?
Agent's Name: 1FDQAlr- C-v4vl4 I Agent Phone#. Ilb- /oZf • !c r✓
Agent's Email:' •� �tG.�iS ti��.vt� ���r!°,�1 �ibY S%'�G . G9-n-
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom 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,
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 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
I 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 some/all of the 15' setback
Signature (trll
ipanan PropelOwner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPPOO/
Mailing Address of ARPO:
ARPO's email�M9lR'rSSIfS�`n�c�%Go±L ARPO's Phone#:
Date: //-4 d Z-OZZ *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. EM31ON OF COASTAL_ MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTWICATIOINWWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner
.Address of Property:
Mailing Address of Owner.
Owner's amail:
Owner's Phones:
Agent's Name: Agent Phone#:
Agent's Email: ME
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(t3ottorn portion to be comoleWd by the Adiscent Property Ovrmer)
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. 0
DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have objecdons to what Is being proposed, you must notify the N.U. UIVISron Or %1WOOL•N
Management (DCM) In writing widlin 10 days of receipt of this notice. Consspondence Should be
maAed to 127 Cardinal Drive Ext., Wthrington, NC 28405-3845. DCM reprosentmoves can also be
contacted at [phone]. No response Is considered the same as no objection If you have been
notifled by Cerdf/ed Mall. ;
WAIVER SECTION
I 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 Dian
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address
ARPO's
Date:
is valid for up to one year from ARPO's
i
Revised July 2021

N.C. DIVISiON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner
-or their agent)
Name of Property Owner:+}I�-° P'E C7 ire-�v
Address of Property: -A vO,-
Mailing Address of Owner:
Owner's email: -Nr4,rti)L t� Owner's hone#: z6 % I
Agent's Name: V - CzR-tif ),AAAI'
Agent's Email: 'Fci v
Agent Phone#> 1� 1 t> to Z V [o 6-7J
h G- .6-41w
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that t 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.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
1f 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. DCM representatives can also be contactedat
[phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
1 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 some/all of the 15' setback- /09
-OR-
Signature of A ace t Riparian Property Owner (ARPO)
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: 6
Mailing Address of ARPO:�
E' �- j V ,Q'
ARPO's email:ftj YI °1'� / _ `" Z.
I 1 P 5 Phone#: �1� �`�-- ��o r
Date: Z 1 d Lz_ *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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:
Address of Property: ?70-L P4XA;J -AV*,
Mailing Address of Owner:
Owner's email: 'C YUAC Y1OXx l Y&0V6ner's Phone#:
Agent's Name: aV.-ja e— C-64-y;,AAJV
Agent's Email: 'PA e,v )Gt ,a,✓L
Agent Phone#: 6) 1 t> to Z !U Zo 6-3
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom 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.
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 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. 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.)
DO wish to waive some/all of the 15' setback 1
-OR-
Si nat ,a en a t Ripa ' n Property Ow er (ARPO)
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: -T e
Mailing Address of ARPO: 2 �"��Y�✓'S /e��/2.
ARPO's email: Wey%�o�' �� ,C�n, ARPO's Phone#: cjl0 tS 33 0171
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

m&vl

Data Received
Date Deooalfed
Check Fram(Name)
Neme fP—M Helder
Vendor
Checknumher
Check
ounf
Pe —If NumhedCommenta
Recel for RafuadlRe 11—ted
Celumnf
Co1umn2
Calumn3
Column4
Column6
Column6
Column7
C.1-8
Column9
12/19/2022
Sea Dog Marine Construction, LLC
matthews
First Bank
2000
$ 200.00
GP #85777D
PA rct. 18635
12/19/2022
LBI Property Management LLC
Welch
Bank of America
1823
$ 200.00
GP #85782D
PA rot. 18634
12/19/2022
Figure "8" Beach FICA, Inc.
same
First Citizens Bank
10128
$ 200.00
GP# 85855D
RM rot. 15509
12/19/2022
Coastal Dock Builders LLC
Malpass
Bank of America
1044
$ 400.00
GP #85644D
JD rot. 18740
12/19/2022
Coastal Dock Builders LLC
Hobart/We her
Bank of America
1045
$ 400.00
GP #85643D
JD rot. 18739
12/19/2022
Coastal Dock Builders LLC
Cox
I Bank of America
1042
$ 200.00
1 GP #87546D
IJD rot. 18738