92522C - Mellstt, Randy

_
tfre-'494.* , CAIVIA [ii DREDGE at FILL No 92522 A 8 D
) ENERAL PERMIT
Previous permit
Date previous permit issued -----
>r--------." :II New ci Modification HComplete Reissue ci Partial Reissue
As authorized '. the S%I h C rolina,Department of Environmental Quality and the C stal Resources Commission in an area of environmental concern pursuant to:
trt, too
I SA NCAC____ --' . — 0 Rules attached. General Permit Rules available at the following link.
Applicant ,,_ - Authorized Agent PF
csrne
Address, 14:3,_. calyx • —
Project Location(Countyy
City Ot,4XWN ,__, State M __ZIP Street Addres State Roe.+rot CO
_ / p -
Phone#PO) AC-n-Q509-- P 0001 •
Email ---------7. *--- Subdiv'Alt.a. mi:ja — " e•
. i ITO
City III, , '.0.,Air gadisisir. . ZIP ...d.,* •
Affected 0 cw /6 EW .1 PTA DES Ds VIVI INV MOP. OA
AdL Wu.Body A , A i .____ 1171,11111111re man/unk)
AEC(s): El OEA IHA UW 0 SPIMA El PWS Closest Mal.Wm Body
PNA ye/
ORINeo
Type of Project/Activity hit
(Scale11-3) )
_ , ---
Shoreline Length
Access length
Pier(dock)length "•••-"-.. 1 4 1 , ffNi
Fixed Platforms) %----- fl‘
- )PP 111/1/4A ) iliAti
.... \‘‘,,
Floating Platforrn(s) _, \ '. dif'. /DI° I
..11111. ...".
SY, '
Finger pier(s)
# si bi L
, \ . ...
Total Platform area
Groin kingthM ----..
Bulkhead/Riprop length ."---. illopp, 1
Avg distance offshore
Breakwater/SIII.* 1 --T'''----
Max distance/length'"—
Basin,channel v .7'm bill-
Cubic yards -----
, , _i_ \fl()J\
Boathouse Bo li° NI
Beach Bulldozing
SAY observed: yes 0
Moratorium: nia yes
Site Photos:
Riparian Waiver Attac ed: ,s Q, /
A building perrnit/z; ': ;•• 'it m Yie4 require"'d iv' i,, ,4101,‘ • Aliiiii-oas'• Ej TAR/PAM/NEUSEMFFER(circle one)
Per it Cond ` 1. itaffillil' r.• rdrOffliri..1 1 , A A.
afar A /
See note on back regarding River Basin rules
. .
[1 See additional notes/conditions on back
I AWARE OF STA ES,CR ULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND R VI WED /se NIPLIANC:o6 T. EMENT. (Please Initial)
45
-... i A. 1 Aii
MAI il'
Agent or n RINTED Name Per it Officer's•' • 0 Name
r is •-•"---'
' ' ase rei iii; ',hence statement on back
A ollcation Fee(s) 'Check a/Money Order issuing I Expiration Date

,*c"(OASIq'q'4y CAMA I I DREDGE FILL N . 92522
Previous permit A B J�D
�
3 EN E RAL PERMIT Date previous permit issued
Y
ll New I 1 Modification I I Complete Reissue ❑Partial Reissue
As authorized • the S of orth Caarrolliinaa Department of Environmental Quality and the C astal Resources Commission in an area of environmental concern pursuant to:
15A NCAC . I c"VV ❑Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant ame n Authorized Agent FL-
Address
Lq2 T t,9 TCr /�Q�"��(� Project Location(County):
City rn1n State u )LCC// ZIP• ( i`� Street Addres/State Road of#(s)
/�� �� �� 0/ a� Ia.
phone#919,) �I"{-.. _
Subdiv
Email �--�"'
•
City / � ZIP
Wtr. 1, �,W l
Adj. Body Cl WI �- �s 00 man/unk)
Affected �CW EW PTA � I ES I I PTS =`,�n. '
AEC(s): 0 OEA j IHA UW SPIMA I I PWS Closest Maj.Wtr.Body (�/l/lAi
ORWelo PNA:yes/g
Type of Project/Activity NellJA (Scale t I)
Shoreline Length ' 6(Al vI
Access Length4 --Xj.4.6)WililiL v 10 {V
Pier(dock)length `-
Fixed Platform(s) APiLl
Floating Platform(s)---- �" /�/V
a\
0 ra b, L
Finger pier(s) , '.
Total Platform area'.
Ai W
Groin length/# HIPPP-t
J
Bulkhead/Riprap length 1
Avg distance offshore
Breakwater/Sill,—
Max distance/length / y /`�
Cubic channel V
�`11/1 //
\--\1-63\--/
Cubic yards \\\P\I\
Boat ramp ^— 1 1Boathouse Bo tli
Beach Bulldozing "---A � /
Other M 1�/A°p'C "'1'�•_L ` `//
OVA.%1r1*-vJ \./
SAVobserved: yes
Mo0ratorium:
-'/
Moratorium:orium: n/a yes � /
Site Photos: Y'
Riparian Waiver Attached: es 0 i
•
A building permit/zoL ,,':;6 it m•y fe requir•d •y: CIA I 1 e 1, A _AA n TAR/PAM/NEUSE/BUFFER(circle one)
ire . . 1 6 ' 1 _ - rd MJ�i�' .� IL° ,
Permit Cond. ••ns I / j' / I / ri See note on back regarding River Basin rules
I I See additional notes/conditions on back
I AWARE OF STATUTES,CR ULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND R VI WED OMPLIANC�NC IT. EMENT. (Please Initial)
J. 4a Z/. /Lr L.i
Agent or Applicant PRINTED Name Per it Officer's• /•D Name
Od
A AI
Si natu a** ase read�iampliance statement on back of pe it* Si ur -
(�LJ -�� /a/02/./A2-3
�� Order Issuin Date Expiration Date
A plication Fee(s) Check#/Mon y

��`°"S'^1 I ICAMA n DREDGE & FILL
No 92522 AB CD
o Previous permit
GENERAL PERMIT Date previous permit issued
n New I I Modification I 'Complete Reissue n Partial Reissue
As authorized by the State of North Carolina,a Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC
4 a� n Rules attached. I-1 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Authorized Agent
Applicant Name
Project Location(County):
Address
State ZIP Street Address/State Road/Lot#(s)
City ' ii44)))��I !'�/`
Phone#(_)
Email .,--' "" Subdivision
City 1 )r. /'?l H ) ,L LL// ZIP :21 "i6 L.
Adj.Wtr.Body • I/ nat/man/unk)
Affected CW n EW PTA n ES n PTS 1
AEC(s): n OEA n IHA cl UW 111 SPIMA PWS Closest Maj.Wtr.Body 1 f U I V/
ORW:yes/no PNA:yes/no
Type of Project/Activity
i, !
(Scale; _-) )
ri
Shoreline Length r d`1 "� �`
i ( ... l Access Length ,� ll 1111NI _p
Pier(dock)length . --- 1 i
IgiMi'
Fixed Platform(s) --- � � ilIlis1
_........._
_
' i.
Floating Platform(s)"` � _ ;._ _ -_._-;-- - _ ,
_____- ���. l�
4/ i
Finger pier(s)''� � 1 ., ._ �
_ill
Ir
Total Platform area-•*---
Groin length/# i f
°ft
Bulkhead/Riprap length '"---'
Avg distance offshore ail
Breakwater/Sill
Max distance/length
Basin,channel_-_
1111111111111111111i di
., r,
,,,„„,„,,,,,,i , Ism
Cubic yards
Boat ramp )3 /V`�+ �� ��
rllIlgIl a'MOB
Boathouse/Boatli I
11
Beach Bulldozing
Other , ,>c)-'p(( ) I y`1��.)l'
SAV observed: yes no
1111 Ilan II
Moratonum: n/a yes no
Site Photos: yes no MU t
Riparian Waiver Attached: yes MI „•,_.
A building permit/zoning permit may be required by: 1 i El l
TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions n See note on back regarding River Basin rules
nSee 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** Signature s / ' /
Application Fee(s) Check#/Money Order Issuing Date
Expiration Date

.111•111111111Pr
0`°"4144, l ICAMA I I DREDGE & FILL No 92522 ABCD
a Previous permit
GENERAL PERMIT Date previous permit issued
•
New I I Modification I I Complete Reissue I I Partial Reissue
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:
I5A NCAC I I Rules attached. II General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Authorized Agent
Applicant Name
Project Location(County):
Address
City
State ZIP Street Address/State Road/Lot#(s)
Phone#( )
Subdivision
Email
City ZIP
Affected I I CW I I EW I I PTA I I ES 1 I PTS
Adj.Wtr.Body (natJman/unk)
AEC(s): I I OEA I I IHA I I UW I I SPIMA I I PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale: )
Shoreline Length I8 ,
Access Length _ V
Pier(dock)length
Fixed Platform(s)
L 11111111111111 all
Floating Platform(s)
Finger pier(s) :,
Total Platform area 1
L - ii it., e#rr ,
imiumms . r �`� .
Groin length/# _ilmirmaimmommeaumma
Bulkhead/Riprap length
Avg distance offshore - ""
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards
'---I iiiiilliWiriall ilkillininlitElllifigniTii -
Boat ramp r
Boathouse/Boatlift ) ,.
Beach Bulldozing ,---- ....... allE111111111111.1111MITINITTIMIUM011111111111111111111111111
Other ,`.._._,....,_ iimi lin i limn 1 iimummium
SAV observed: yes no
1111116111111111111111101111110111111111111111111111111
Moratorium: n/a yes no ■11 1 . ;'j '
Site Photos: Yes no
Riparian Waiver Attached: yes no _ � 1 J � �
.� -.
A building permit/zoning permit may be required by: I I TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
I See note on back regarding River Basin rules
riSee 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** Signature
Application Fee(s)
Check#/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Oyster Requesting Permit:
Mailing Address: IA{
J
T Phone Number: 1)u 9
9
Y I4 2 iQ r r\ • C.,tNk
I
Email Address:
WillreM
I certify that I have authorized IllargffigAgent/contrac ,
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
►��t�nth— � .1��-
J,r
(641
at my property located
located et
'`1 ter (. ,ti1 �`�
in
l furthermore certify that i am authorized to grant. and do in tact grant permission to
Division of Coastal Management stall, the Local Pemnt Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit apphcation,
Property turner Information:
P for Type Name
T+tle
Dote
This certification is valid through

11:08 LTE
5 of 5 Pr4ake
N.C.DIVISION OF COASTAL MANAGEMENT
NER NOTIFICATIONAVAJVER
ADJACENT R
PAIL RETURN RECEIPTARIAN FORM
RENESTED arr AND DELIVERY
(Top portion to be completed by owner or they agent)
Nome df Property Owner. Randy Mellott
Address of Property 178 Biel Hammock Point fZ0.
Alarkng Address of Owner
rmellou82 9ma�l porn Ownee's Phone) 919
Owmersemsal_.__.._.+,. .....-.
Agents Name Josh er+ �BarbPFL Constructor nt phones gIO 33O 564
M...+.s�a-•---_..�.
Again s Entail plimanneegmad cona
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
tlett0m other to be completed by the Adlecent Property_
The u drra/dot apPInnd for evs
I permit
comes er t i owe meproperty sshown
to the above refd ne*swag
meetly a r lr
has aeurtcd to me as ahowry on Lire ehacrx'd draweuJ.the oerotopmeM.t.oy are P 9
cologIatqLdreariond veto throbJsifoo..,lnusr tab tx dad teed+fors kMet
NOS have obtatt+ona to thus proposal 100 have eeyacb ►a th
ans is propostd
If you have ogjsctions to what b being per,you must notify Me-N C.Divierbe or Coastal
Managorrrenb(OCMI in vribnp within TO days of receipt or this notice. Corresponds
nes should be
CM
so
cant
at(�)to 400 SO8.2lD$.No rresponse as considered Ma sam Ave..Morehrod City,NC e as no objection representatives It you have Ibeenan tilted by
Cinched Mail.
WAIVER SECTION
urders^ard that any proposed per,dock,rrmoonng goings.boat ramp.breakwater,boathouse.it,of
gee-h m w
ast be set back a mrrarvm detente of 15'from my area of Mi rran access unless we veil by me
itMs does rot apply to bulkheads or rrprap revetments).itt yoi wish to waive the sebaek..you welt
,lsag
the appropriate bark be1rw.}
I DO wish to weve(ome)n of the 15'setback
Owner
g�nagura d Adaacenr Referral Proparfl'
-OR-
I do not vesh.Is o im O the'5 setback requirement Imp me blank!
7*a
grgneture+$Adtacena Ropanan Property Orx+s[r/�+/_�,
K .r '
Typsd4Printed name of*APO: wrf'
blotting Address of ARPO 44LARPOi ail; 'l
Itt ty Ihturnerdit'Caftt"® ARPO'e Inmost: In gi j
44.
Qate:
1•I d-23 ,�„ %'waiver is valid for up to one year tram ARPO's Signature'
Revised May 2021

11:08 .11 LTE NJt
5 of 5 Retake
N.C.ONISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIYER FORM
C RT Rcn tRN RECEIPT REQUESTED or NAND DESIVERY
_.
(Top portion to be completed by Owner or their agent)
Name M Property Owner. Randy Mellott
address ct Property 178 Brl Hammack Pad;,99,8
Mafing Address of Owner
Owner emu] tmello1182@grnal CO goner's Phones 9,9-3.97519
apatite Na .__�.
Josh�arberrPFL CdnslrrrCtion Agent Phnnea 9 f 0.33©•55E9
rrse
Agents Email p8marinetgmad corn
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Derwa et Dodo°to be completed by the Antitank Property Owner)
I hereby coney that 1 awn property adjacent to the above referenced poperty The uvAbval OPPITIV Irk Ihrs
pem,it has described to me as shown on the attached Waving the ddvetopment May are proposing.A
Panurptwts of grawpsa units d,rrorstp,s�mus7 be don
erg xr 1Rrs Neer
7
+� NOT have oblectsuusa to this proposal I DO have ab)ectwas to lari°.proposal
N you have payiections in what le betntt prppdsed,you rroust rustily ilia fa Divishan of CwstaI
Man ant(DCM)in writing wutmn 10 days or recoipr of this nonce. Correspondence should be
CM representatives can
at( t p -285 No response is considered the same 7 D ) beso
iled 400 COMIVNTOP Ave..Morehead City,NC no objection you have beermoaned by Certified Mail.
WAIVER SECTtON
unders'ane that arty popnsed pier,dork.woofing&infs.boat ramp,breakwater,boathouse.Art,or
gran must be set back a mmmntm defence a 15'from my area of npanars access Pane waved by me
tens does not apply to bunheads or oprap revetments)(it You wish to wave the setback.:you malitym
the appropriate bank below)
DO wee to rane(imeel Mine 1Y urmack
```�-�Y---- eine:trro"� oiktacerrt Rrpesan Property Owner
I do not rash to wa+ra the s S'setback requirement umbel the bloat .
Signature of Adtacent Riparian Property Omar
Typed/Printed name of ARPO. 1-14
•
meting Address al ARPO: 441v
ARPO'semall:1fi@IhtUrneratt:;T� ''2 AllpCri'Planet I6•5-
''j welder is lid nor up to one year from ARPO'e Signature"
Data. !� _P -� va Revisert May 2021
0

ct
Tracking Number: 1 \
v=n
to Copy Add to Informed Delivery
Latest Update
Your item was delivered to an individual at the address z
pm on July 20, 2023 in DEARBORN HEIGHTS, MI 4812!
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