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❑ CAMA ❑ DREDGE & FILL N9 90504 A B Q�
GENERAL PERMIT (L
" "'� ��� S Previous permit
_ a !I � Date previous permit iss d
J New El Modification ❑Complete Reissue ❑ Partial Rei
As authorized 'by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in area of en o6 ntal concern pursuant to:
15A NCAC � � 100 ❑ Rules attached. General Permit Rules available at the following lin : www.dgq.nc.gov/CAMArules
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Applicant Name
Address
City c4 t* l^ state MC_ZIP
Phone # (ll�) (00 - U 8
Email \ 0V) r % P ✓IC SAC,
Authorized Agent < <.
Project Location (County): V c.i,[ <,
Street Address/State Road/Lot #(s) L o _ q 5 fC I v vj r L.
Subdivision U
City .ti " C c C (^ zip
Affected CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body �� c� 12\✓ Iln + (^�)
AEC(s): ❑ OEA IHA ElUW ❑ SPIMA ElPWS Closest Maj. Wtr. Body 1 ` n is S. & e-c- C1
ORW: yes PNA: yes1
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Type of Project/ Activity
(Scale: N S
Shoreline Length
Access Length —
Pier (dock) length Lo 1Kb oe_
Fixed Platforms)
Floating Platform(s) �Q
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
i
Avg distance offshore -
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse . Boatlift f A*.1)
y .,
Beach Bulldozing
Other Q
SAV observed: yes
Moratorium: n/a yes ©°
Site Photos: ye - -
Riparian Waiver Attached: o
Qaess
A building permit/zonin permit may be required by:
Permit Conditions
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1 AM AWARE OF STATUTES, CRC RULES AND
Agent or Applicant PRINTED Name
Signatur ••Please read compliance statement on back of permit"
3L 1
Applicatid Feels) Check #/Money Order
(Please Initial)
'I S11 -, J4 Loc iL
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Permit Offi I INSla:m�e �ti t
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Signature
Issuing Date Exp'iratio6 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 [-� 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 Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

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LAMA DREDGE & FILL No 90504 A B , C(
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��"'� Previous permit
GENERAL PERMIT Date previous permit issued
NUINew ❑Modification ❑Complete Reissue ❑Partial Reissue
As audwrher the State of North Carolina',
otipartment of Environmental Quality and the Coastai Resources Commission In -an area of environmental concern pursuant to:
1 SA NCAC ,_ _��' 11-D / ❑ Rules attached. l5d General Pem* Rules araihble at the following link www•dea nc'gVLC tMArules
Applicant Name . .)Ar-,:; ? ,ice o j% CA
Address ci , •
City— .c^:ch Slue N C ZIP 294G9'
Phone # (141 ) o OS 8
Email p Ac C,,. P o+7r►c, ( IL
V
Affected 3 CW LAd
EW PTA ❑ ES ❑ PTS
AEC(s): ❑oEA DINA ❑UW ❑SPIMA ❑PWS
ORW: yes PNA: yes/ 1
Type of Project/ Activity
Shoreline length J V
Access Length S
Pier (dock) length L9 %IJ
Fixed Platforms)
llil i� Aar
Floating Platform(s) 1�`r W -
Finger piers)
Total Platform area
Groin length/4
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse Boatt t r 3 ,$ :—
Beach Bulldozing
Other
SAY observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/
Permit C3ndidons (
Project Location (County): , %-C..
Street AddresslState Road(Lot N(s) _%_ -1— 95 &
Subdivision
City Siw 7JP
Adj. Wu-. Body
Closest Maj. Wtr. Body
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(Scale:
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❑ TARMAKNEUSE/BUFFER (circle ona)
❑ 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 PROTECT AND REVI COMPLIANCE STATEMENT
fr(Pkase Initial) ' :r
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Agent or A licant P D Name Permit ORijar+s'PRINT ame
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!Please read compliance statement on back of permit" Signature
Fee(s) CheckP/Money order Issuing Date Ex0ratiolk Date
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit. —Idl e17
Mailing Address: y ,le 01e74 &I
284168
Phone Number:
Email Address:
I certify that I have authorized Qil� / ft oirtci s' ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: %C1/?.QA �w _ 4
at my property located at G 0 &—iiwS>zc .& -5� <;-.,-Aewd 4� ,
in County. Z� 8
/ furthermore certify that l 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
"'W S 0 `If I e4-.
Print or Type Name
Title
l l-LZl_ 23'
Date
This certification is valid through 17

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: �7-amps
SC— () 4- 1`/e4l
Address of Property: C:fDf
Mailing Address of Owner: /U7 u7UOy -Ie!`
Owner's email: fdOwner's Phone#:
Agent's Name: w", 77AJK4CS' Agent Phone#:
Agent'sEmail: �7/ltC���QS'fZlC.9AS�1/lr'f7D1Lr Co/�'►
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
fl, (Bottom portion to be completed by the Adjacent Property Owner)
f} 1T9 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
1 �t permit has described to me, as shown on the attached drawing, the development they are proposing. A
f� / description or drawing with dimensions must be provided with this letter.
/L 4 GB 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
1�5Q 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 sion
S(5 the appropriate blank below.)
'"kZL-� I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
KeT:a
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Glenn Bruce
Mailing Address of ARPO: 231 Pinecroft Dr, Dunn, NC 28334
ARPO's email: [e-mail] ARPO's Phone#:
910-385-6996
Date: January 15, 2023 "waiver is valid for up to one year from ARPO's Signature*
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
Address of Property: .
Mailing Address of Owner. 9Ty©9S1Z4er/ f:,� t P1, 511aC A�Lg�bg
Owner's email: Owner's Phone#: ?19p60y— y08jp
Agent's Name: ���� l h%Zas Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Donlan to be completed by the Adjacent Property Owner)
1 hereb icerti that 1 own roe y ty property rty adjacent to the above referenced property. The individual applying for this
permit s as bed to me, as shown on the attached drawing, the development they are proposing. _A
dascbt rawina. with dirnerislons.us be Providedwith 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.0 01Wslon of Coastal
Management (DCMj In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext, .Wilmington, NC 2#405-3845. DCM riepresentatives can also be
contacted at [phone] No response 7s considered the some as no objection N you have been
notified by CerWed Mail.
WAIVER SECTION
I understand that any proposed pier, dock. mooring pilings, boat ramp,
groin must be set back a minimum distance of 15' from my area of p
(this does not apply to bulkheads or'riprap revetments). (If�Ca �u wish o
the appropriate blank below.) �1 / ^
I DO wish to waive some/p)1 of the 15' 'set f 1
-OR-
Slgna of Adjacent
I do not wish to waive the 19 setback requirement
Signature of Adjacent Riparian Property
breakwater, boathouse, lift, or .
arian access unless waived by me
waive the setback, you must scan
Owner
?lSg
Typed/Printed name of ARPO: _t'iLi
MailingAddres ofARPO: Cr
ARP O's a ail: (� ARPO'99 Pone#;
Date: (.� �� •waiver is valid for up to one year from ARPO's Signature•
Revised July 2021

Date Received
Date Deoo.lfed
Check Fromm Nemel
Name of Pwmlt Holder
Vendor
Check —her
Check
.moon[
Pennh Numb.WComment.
Recel t a RefundlReallocafed
Column!
1/31/2023
Celumn2
2/1/2023
Cdumn3
Maritime Coastal Construction LLC
Column4
Bruce
Column5
United.Bank
Columns
3614
C lumn7
$ 200.00
Columns
GP #90503D
Column9
BB rct.'19872
1/31/2023
2/l/2023
Backwater Marine of NC LLC
Worsley
Truist
2561
$ 200.00
GP #90506D
BB not. 19874
1/31/2023
2/1/2023
Maritime Coastal Construction LLC
O'Brien
United Bank
3615
$ 200.00
GP #90504D
BB rct. 19871
1/31/2023
JJ/2023
William Miller
Miller
State EmployeesCU
11086
$ 200.00
GP #8589OD
BB rct. 19868
1/31/2023
2/l/2023
John McClure
Furber
I United Bank
2103
$ 200.00
GP #90502D
BB rct. 19875
1/31/2023
2/1/20231
Pamela Wrenn
Isame
IBB&T
2557
$ 200.00
1 GP #85834D
I KB rct. 18953