87432D-MOORE

���`°"'4 ❑CAMA El DREDGE & FILL N° 87432 A B Co
Previous permit r ' +
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� l GENERAL PERMIT
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC , fit ❑ Rules attached. General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
Address
City 6._ State� N C ZIP
Phone # ('IL-6) ! i7 6 4 3 LP
Email i On , r u n
Authorized Agent �k, C c <. i c>�'c•
Project Location (County): c. \
Street Address/State Road/Lot #(s) 6:-t_c_-4-jCce o .S _
Subdivision
City K b t ��L c. C ZIP "7
Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body (naV6�qunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yesfn4.' PNA: yes`nQ.1-
Type of Project/ Activity
IN= =Mmr MEN
Floating Platform(s) rA 019INNINE11ri,
MIMMMEMmoom MM MMMM
Finger pier(s) MEME M No
Total Platform area ME mimmmmm
Avg distance offshore 04 Iran 1110010-1
Max distance/ length flawwk sommoomm
Basin, channel
Cubic yards poon mull I
Boat ramp MINIM I i
NONE mom�mmon
Beach Bulldozing
FM navolli'm
Moratorium: n/a yes no
Site Photos: yes no�' M
Riparian Waiver Attached: no INN Ell 1110-
'14
A building permit/zoning . perSy be required by: parv, I e-e-C TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions k
At, F-1 See note on back regarding River Basin rules
FSee 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) r
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name s7
Signature **P ase read complianfi�t�ment on back of permit** Signature
t � 0 41 Z 0 f 2 3 J1 L 3
Application F js) 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:
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

Narne,of. Property Owner Requesting
Malift Address:3rS-1 .S�
to ad, on my behalf; fbr,the putpose of applying fot.60d obtaining all CAMA permits
necessary for the q proposed development
atiny", property locatedle
in Rd;I_"eI_St,L.c'4,toUnty.
1, ftqffiertrjorp cedify.that I am authorized to ' nt and do.,In fact grant, permksibn do
Oren
DNWon-of Coastal Management staff, the Looa[Pam9f0fiker and their-agents.foenter
on ft. aforementionedlands. :in connecdqn with. evaluaft Infumadon related to, IN9
permit:: eppliceoton.
go
Pneor T)" NAM
Me
Debe
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This certification Is valid -through
I

ADJACENT RIPARIAN PROPERTY OMERBTATEMENT
t hereby certify that I own property adjacent to ,S�r,..e CY1UC?r�— s
property located at -
(Address, Lot, Block, Rosa, etc.)
on,0 (�t�p in ronsj,), r YY . N.C.
aterbody) (Clty/Town endior County)
The applicant has described to me, as shown below, the development proposed at the above location.
t--- ____ ► have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndvlduaal proposing development must till In descr(ptlon below or attach a site drawing)
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.)
—!� I do wish to waive the 15' setback requirement.
I do not wish to waive the IS' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
SlgrratLre
Print or Type Name
3 S-1 5 P Lrn
Matting Address—
h/tZt;...r. l't)C—
Telephone Number
Date
I�cL'ec„
or Type Name .
12
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(Revised 6/1 NO12)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT.
I hereby certify that I own property adjacent to 0r)f-(L'_ — s
(Name otP­_Propel Owner) property located at /_X, ryreens lnrr-2 "o- 14;1,10r,
(Address,_ —Lot, Block,Road, etc.)
on in N.C.
(Waterbody) (City/Town and/or County)
The applicant -has described to me, as shown below, the development proposed at the above loc
ation,
have no objection to this proposal.
J
I have objections to thin is proposal.
41
DESCRIPTION AND/OR DRAW
r.#nd1WqdaFpmp"1# g: development must I
0 OF PROPOSED DEVELOPMENT
In description below or attach a site drawing)
WAIVER SECTION
Uunde'rt'tand thbt a p1dr, dock, mooring pilings, breakwater, boathouse,, lift, or groin must be set back a
--minimum distandd of 15! from my area of riparian access unless waived by me.. (If you Wish to waive
the setback, you'must Inidal the appropriate blank below.)
ckA 1 do wish to waive the 15.' setba& requirement.
do not Wish to waive the 15' setback requirement.
(Property Owner Information)
Telephone Number
Date
(Adjacent Property Owner Information)
Print or Type N
Ve.
0 Ai
Mall'Mallia Addf&SSL
C.,L e. 13 a /L4 'S/ 6 ck /1J C, ZA2IT
city1scletz"
Telephone Nymber 1
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(Revised 6/1a,2012)
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Check
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Side Marine Construction LLC Reitzel First Citizens Bank KB rct
Marne ConsUuction LLC JW Brooks HOA Wells Fargo 6174 $ 200 00 GP #856si u RB rcmt
—} n�cl c inn nn I[`P #85865D �
i• __ en�.o- nnviricnn Ffals tuna y United Bank BB