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77555D - Carpenter
0 . CAMA / DREDGE & FILL N° 77555 A B C GENERAL PERMIT Previous permit# )C VNew Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality tY `� O and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC U ❑Rules attached. Applicant Name '`,CA✓ e A+L .i1A KA S LLC (/t Project Location: County , C.�n Sw ,c\i!. Address L1 ii5 L4 iC)CIA n d KA-S6.r'-✓ :Street Address/State Road/Lot#(s) 1 3V C. City I &ke,jaki I Ake State IA ZIP..-340(j 9(0 .,-C.C u,v Cf..: Phone # (woo 522.-+ E-mail C..,4-%(0 -a-kko e yA 4.1.6aSubdivision - - Authorized Agent YL,/\ 4v.,, G" t ,s'-c-S City ( )( PGA-• ( SLc. acAc1i1 ZIP '7J ICLI C9 CW ❑EW ❑PTA ❑ES OPTS Phone # ( ) __ River Basin W- b:--- Affected OEA ❑HHF ❑IH ❑UBA ❑N/A A , 1 JJ AEC(s): Adj. Wtr. Body ik�c"A-1 Gr Out-'*--- ii(j:EI#/man /unkn) PWS: //�� � Closest Maj.Wtr. Body !"`k"`�`�'- VC-a-A ` . ORW: yes / no PNA yes /4 Type of Project/Activity ,A S \t r' -. e'i . ,. -,c 3 S, •. ti' i �;,, j 'cli n' a\-e c F '�l 1(n t tic P 0 ,.`i—c �u✓el" 1 (Scale: t v—i ) Pier(dock)length . . Fixed Platform(s)_ j A C�.ck1G bN Floating Platform(s) f ' + - Finger pier(s) II w® Groin length i t...— i - - number — _...._.._ ,_ l i ° MG.".. , Bulkhead/Riprap length T it_i (*cm ' (� �q. avg distance offshore _ E-74!Li►, 5gnpbAlS : - \* 1 r 1 max distance offshore ',, �JJ � �,� �1 �,iiiiiiill—Basin,channel ti ± I„ �� ,1I Y� ,Nit ►1— u cubic yards /A,111,.,,111,'.Atr.:,F Boat ramp jlMii411M INUilt`�i��+ ' -..«� Boathouse/Boatlift ! L!I'!IP '•,� . _ o�r_s� A.s'� �-- ' On Beach Bulldozing i ! [i© A‘t i • tJ rAv' Other_ SA•-��oa S • Mn1 4 I�3,'4 2 d �, - , : ,rim+. ;S !� thVtkJ'iu.. frof �— • % c...}. Shoreline Length _ _ ..... SAV: not sure yes � ! -�- ... f . } I Moratorium: n/a yes no i I _.._... rot'tt.. ~LS L L Cif I Photos: I— I CGe Waiver Attached: es n 0 C. A building permit may be required by:OW \ L\{. C e( See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) `, Notes/Special Conditions t1.1-p \emu.\t- 1 Qe-ro:,\ M,. .t, de 0..,. c„ ,-z.eA \ eicion ��) (3ez.c (Ur,- cAiO<- S4., , bK.. b,uv. �..` 0� c, -C.. \ ((j -r" L S cc ,,NV-A \� O.". `✓ ` en �ctct 0- 1r..,\\ �.a it; �t,,,., h h.., o4 I..,.,.-c4- �a.1 s 0 ucACE ach.cI- (are)(..i,el 9(0-523-1t 5I °`-,4- Agent plicant Printed Name PermitIff 'nted ame -' r____i__ 6-. f f) ,s- Si re **Please read compliance statement on back ofpermit** Signature ��0 `-a—� / 9-O8g3y �323 J2-I(o2vz0 \ ,..,\( _______ I -/ -2vz1 App tion Fee(s) Check# Issuing Date Expiration Date • Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific 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 I)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 or certified mail return receipt has been obtained from the adjacent riparian landowner(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: Tar-Pamlico River Basin Buffer Rules Other: 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Berrie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ); ( .. 1.1 cici � fL ' 72 s . , r y. `/may [4�� �, !`.. 'f f ° yr• j�'' '�,7 i ./ xr; • iCr l i f yy p 4. 1 tie _, „. ' �1[:;«• 1 1 •'. S y} �, t F ! 411124 I. y L p _3 5n.,Via• •i`f F 1»kr -1 K +� }44"4 _f��t A.. 4++,;,. ' .21 a `�� '' V. d'N � L aye .. -- .}i's' i-^t4{`,�1 5'�ry��[�. , 1,,,yz ,,,. $ ��.. i 3 ., JC" ART ,t f d *".yT`i i4' N AJ>y�'�'.g �' { _ -s 1 R SYq r • - _# 's ':R�-. t �,��yr t -, .ms r�P '�,, kpi-. ,4'. a $p.K ,f.r aQa y `r -'• ,ar ,.F 3•r j.'"i; fi .o J"r w r�T'A*f nt . • .� F "r:,6 Y'rii5S t.,, m 1 ? aa. 3 tr, t ± fir a °' ti nf,i•, s1 :› 1. " j R .v ey+�F K�i.i . "::: s L,; f, :,:Yj. - 'Yh ,, ,'�,Y a,a ; ,C°a 11,v4 t T t. i F' d,.� A rp a vP F ; y� p'xT N+3^{ '+s - -,:I-Yrsf . ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to '4tCC,1 X(4y8Arci- 's (Name of Property Owner) property locate -a . d t E- (Address, Lot, Block,Road,etc).1 4t. • on tAl 16.1410 , in C'-c r , N.C. (Wateroody) (City oWn and/or County) The applicant has described to me, as shown below,-the development proposed.at the above location. I have no objection to this proposal. I have Objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development-must fill in desCription below or attachia site drawing) poes. 40. 541'4)605 /A1 /c2DTVeWooSe_ Cix40/ I (*Pali ‘ierHe/2-. iglAcll it'l4VS/D t • Pgvi-61-7- WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area ofriparian access unless waived by me. Of 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 15'setback requirement. (Property Owner Information) (Miacent PrAperty-awnatinfpotalionl -Fka S gnaitire twiature* L,-- 1461.4-0•R , 12 Ja.mfag_ tof. lie 11 CP 011).-' Print or Type Name Print.or Typtixre Mailing Address ,‘ i1spgAddreAt... 7in r-4 r1C ." Cr I ger pi:61'1*g City/State/Zip City/State/Zip —1614 - c1ril - C Telephune Number/email address Telephone-NuMberl email address 11 I g4 I 'a6a0 ft5--e Date Date!, t r-ee (Rein§Lad Aug. 2014) *Valid for one calendar year after signature* • ADJACENT RIPARIAN PROPERTY OWNER STATEMENT • r--„� I hereby certify that I own property adjacent to (N.( f>t (\`%Thi\(CC ,s _ (Name of Property Owner) property located at �`, 3n �'- 7.t>�1 (Address, Lot;-Block, Road, etc.) on N 1tV\\ r'\ , in Cc' \Sla (>( 'i\ , N.C. :(Waterbody) • (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc tion. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.) JI do wish to.waive the 1.5'setback requirement. I do not wish to waive the 15'setback requirement. (Property Owner Information) ( d' cent Property Owner Information) r *c,re,-t UC 'trrd& graft r ame Print or Type Name Print or Type Mailing Address • Mailing Address City/State/Zip . ` e ip • -trA )nt„ "pal). Telephone Number/email address Telephone Number/email address f j.z r,:-� �, f'� carp®go!_c� Date Dale* (Revised Aug. 2014) `Valid for one calendar year after signature* AGENT AUTHORIZATION FOR.CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: <O.c0 J().n\Cc C l . Mailing Address: 1 ery \ Phone Number: 1c�U - c'n( r - :�'l Email Address: \.rnr r-;Y ra J+c ( Ty c, C(�rY I certify that I have authorized r,ce n'�.*r+»t r� Agent!Contractor To act on my behalf, for the purpose of applying for and obtaining all CAMA permits Necessary for the following proposed development:. ( ')1(\1 41 v\4 at my property located at Li-fin E- _ Z r1(� • in 1 )Ct_1C1 ),:MC V, County. 1 furthermore. certify that I 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 o\ro-k -A sm rMc Print or.Type Name Title � 1. ILA 1 . Date This certification is valid through I I . ADJACENT'RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to rn (vvcrk—1( 4k 117 's (Name of Property Owner): property located at •471.90 F; etiel (Address, Lot, Block,Road,etc.) * on hi-hni--10 QC , in Cc \ \ 9CCV' , N.C.: (Waterbody) (City/Town and/or County) The applicant has described to Me, as shown below, the development proposed at the above location. / I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development most fill in description below or attach a site drawing) WAIVER SECTION I understand that a 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. (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 15'setback requirement. (Property Owner Information) (Adjacent Property Owner Information) (,Q LA-AkarM4-T-..- S gnafyre Sipatures /4.6krak ,J0...M.(.14... e . Print or Type Name Print or Type Name rvyS %.:c3:1-111.@1;ry,,,Z1, Mailing Address Mailing Actftss r\f, t s cit..: 4-- City/State/Zip ; City/State/Zip. e I -161-4AimAim.u..ALL; C., r Telephone Number/email address Telephone NuMberlemall address 11 1 29 I .a.co 7,3 a'Ve - 36 7 Dale Date; 4,1 2_1 ,•1:-;• (Revised Aug. 2014) *Valid for one calendar year after signature* Check Crete ROCeived Data Deposited Chock From(Name) Nurse of Permit Ho/der _ Vendor 11/ amount Permit Numher/Commcnfa Receipt or Refund/Reallocated Column1 Cclumn2 Column.) Column4 f Column& ColumrM CoBmn7 Column8 Column➢___ 1202021: CoNman Building Company.LLC Wade Coleman Fnst Bank 3122 4 200.00 GP477725O BB rot 13503 1/202021.._ M5 Construction,LLC Byron Walsh BESOT 2535{ 200.00 GP177747D BB rci 13648 1202021 RG Marine Conlraclmo/Ronnie George Robert Hair Jr Bank of America 1051 $ 200.00 GP 877714D BB rct.13647 __ 1/202021 _ Paul R W runes th same BOOT _ _ 2 37 $ 200.00 GP 077724D _ •BB rct 13850 ._ __ 1202021 _ Blandon Grimes Money Order Carpenter Rentals LLC Wells Saran Bank _ 19-088347323 $ 400.00 GP d77655D _ BB r61.13649 _ 1/202021 ,Brandon Grimes Money Order Town of OIB Wells Fargo Bank 19-088347324 $ 400.00 GP 877722D BB rot 13502 1202021 Jill and James KenIBV same Slate Employees CU 7788 $ 200.00 GP 177712D BB rtl.13843 _ 11202021 Clements Manna Construction Edd Gunther FCB 5836 $ 400.00 GP577749O KE rct 13664 _ 1/202021 Lighthouse Manne Construction Delmar Pollert Coastal Bank and Trust _ _ 3577 $ E00.00 OB1777350 JD rut 13604 1202021 Vance Morgan III Money Order Jack Morgan •BOKF.NA 20983003434 $ 200.00 GP 0775380 Tmac rct 13576 1202021, McPherson Mann!Services.LLC ,James Banks ,FCB 3887 $ 200.00 OPI770260 Tmac rct 13577 1/202021 McPherson Manne Services.LLC Jacob Sulovskr FCB 3858 $ 400.00 GP/77827D Tmac rel 13578 _ 1002021 .Moose Construction Edward Dail .BOOT 1771 $ 200.00 OP t77732D JD rct 11750 _ 1202021 Bune Sniff Money Order Douolas Gay •We/1s Fargo Bank 5918722580 $ 200.00 (7P0777330 JD rct 13602 1202021. •Aaron Burleson Money Order .same •PNC Bank 779189 R 200.00 GP 077731O JD rct 13601 120rz021. -Marilyn F Day ,Brian Dar Citizens Bank and Trust 4424 $ 200.00 CP•77740O B8 rci 13646 1202021 Jerry Ennett Jason Dixon Coastal Bank and Trust 3608 5 200.00 GP/1777340 JD rct 13603