Jordan Dock Replacement

lip- -�� n.166 l , 70809
,,LAMA/ LI
DREDGE & FILL No
6
`wrGENERAL PERMIT ' tkl -, ).04 Previous permit# A B C
EI tsew ❑Modification LI Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources ComOlt in an area of environmental concern pursuant to ISA NCAC U Olt I-00
❑Rules attached.
Applicant Name C I-\'A--L ,S .So A-N Project Location: County (1.4-UNSW 1 C
Address (;S 7_-1 (.k I V• Street Address/State Road/Lot#(s) '
City Co.NW State cc ZIPZ951--(0 UNt4 4 St
Phone.# ( c ti l -L A S E-Mail Subdivision •'
Authorized Agent 1(Ji"C\I J" E-g- City C ail J1 1,CLE 6 /1-C 0 ZIP Z-V''(.C 9
Affected (.11�� � OW VITA ❑ES ❑PTS Phone#:(ll b)(4(43--n els River Basin
AEC(s):
0 OEA 0 HHF IH 0 UBA ❑N/A Adj.Wtr. Body C,4N,4-t_ (nat /r y /unkn)'
❑PWS:
ORW: yes /jio !NA yes / 6Closest Maj.Wtr. Body Al 0/l'
Type of Project/Activity LV LA-(E TNS Ext crlAl(, LA-NO 2. 'Ff,-oAll Al(, PL)r'f1cPM
A-N ta, - -.,,IiNovA Tl -mut) ( \ 4 <riNb -M1- ,o(4 C_ (Scale: 11'rzo ` )
Pier(dock)length
Fixed Platform(s) i .�, I
Floating Platform(s) Xi 0 I r-
Finger pier(s) i I _
Groin length I ^- 1 , i
number — -- r A' '
Bulkhead/Riprap length I j
avg distance offshore I
max distance offsho e �"`'�rI t1lCt 1 a 1-- 1 - �I
Basin,channel 1.. . 1 ` `f—
cubic yards - . ` 1 -•;? /,'l�1 T It ' 14-4-1-14/(�
Boat-ramp
4 ®nCR'ISi��.r'i b � { 63C(at' li p°U�i t F 'lrivT
Boathouse/Boatlift lc� .��' ��D
I I I. I lei / 111
Beach Bulldozing -
Other �lrG }
Shoreline Length �!�(� ( t�✓ r0 �'{' ( r C 1,�jAn L()'(' • , -
4 ;P i N i o)�e .JT-"
SAV: not sure yes ( -
"fi`o .
„Jr," If
ir.,
Moratorium: n/a yes n
Photos: yes noI I I I
Waiver Attached: yes 'b
A building permit may be required by:TO W N Or 'C t'riv SLEI f • ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions . 5(\ Ndr E((,l✓E1 2n' i i1 k Ai Jr(-1 6 F k/4'(-Mkt-
th b H 1A�" f Al g\ r -t �► . fri L AL, /r F-4,--0441t,
i '6 vLAW< �oLV. J
Agent or App(Aa
nt Printed ame PermitOfficer's Printed e
Signature Please read compliance•statement on back of permit Signature
2,01_00 ( • ' 5 k 5'z, Zg 0.5 I �l :07 /tq L o1
Application Fee(s) Check# Issuing D to - 7 Exp)cationa ate

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'at McCrory Braxton C. Davis John E.Skvarla, Ill
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: `U9 I Vn
ame f Prope Owne�s lying for Permit: Name of thorized Ant for this project:
���fir/ )O /4 f--19e41 fir
tuner's Mailing dd ess: -Agent's Mallin Add ss:
(CAQ- '//" - - PO vx
.(_)vt.w b_. S e . 9oJ l6
q,c9
tone Number OtA? ((2 I?2 Phone Number( q,S-7 793
ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
•and obtaining all CAMA Permits neces sa 'to install or construct the following (activity):
cEbrk.-----(Rp-kutp Oriuv •
16f)
or my property located at V// ( 0/I/0-/-1 5'T —67- 3
pis certification is valid thru (date)
Property Ow _ ignature Date
127 Cardinal Drive Ext.,Wilmington,NC 28405 NorthCarolina
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net ;Vat re,
•
An Equal Opportunity 1 Affirmative Action Employer

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: U�2L1- JJ2sorD •
,' Address of Property: -
(Lot or Street#, Street or Road) _
•
()( Ai w 72 ----Vv6pu )c_ic_ .
. • (City and County)
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, should be provided with this letter.
114 i t _ - I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 'Cardinal Drive Extension, Wilrinington, NC 25405 or call 910-796-7215
within 10 days•of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified-IYIail. : . .. .
, WAIVER SECTION -
I understand that a pier, dock,mooring pilings, breakwater,•boat house orboatlift must beset
bck a minimum distance of 15' from niy area of riparian access- unless waived by me. (If),•ou
. wish to waive the.setback,you must initial the appropriate blank below.)
•
I do wish to waive the 15' setback requirement. '
"4) X = �
r, s- - •m I-do-not wish to-waive the 15' setback requirement.
..____ 4: tee- =- : _J .
.,5 Con SigaNam e . .,„ • - - _ _ __ Da/e
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Print Name _ •
4 .
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.,.,1 r, - NCDENR
1 Telephone Number with Area-Code NW+n.Gweur.Cauro•cur c•
.A' •i Fj•+t�CNwpi}MD N410IK Rf1CUACt7

SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY `
• • Complete items 1,2,and 3. A. Signature
IN Print your name and address on the reverse
so that we can return the card to you. X ���_ 00 Addre
• Attach this card to the back of the mailpiece, �`) h Addressee .
p B. Received b ��rinted Name) C. Date,oelivery
or on the front if space permits. � O\I 1�
f D
1. Article Addressed to: �0 AN
D. Is deliv,ry address different fro'item 1? 0 Yes
��ow- D`q�19If YES,enter delivery address below: p No
• X25-311
111111111 IIII III I II II II I 1111111111111
I II II II IIII I III I I III 3. Service Type El Priority Mail Express®
❑Adult Signature
dult Signature Restricted DeliveryRegistered MaIIrM
9590 9402 1363 5285 8760 75 Certified Mal® 0 Registered Mail Restricted
ertified Mail Restricted DeliveryDelivery
❑Collect on Delivery Return Receipt for
2. Article Numberlljansfer fromsandc l.6etMgnature Ce •
n Delivery Restricted Delivery ❑Signature ConflnnatlonrM
1!5 0 9 2]] a 0 fl 0 7 EI 11 '2 D 2 i;-. ail : ; • .. Signature Confirmation
_ ' Nail Restricted Delively . Restricted Delivery
PS'Form 381 y,July 2015 PSN 7530=02-000-9053 r: lover x500)
I3o iestic43eturn.Receipt

:f;,::/(1/, DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
.ik.. •
Name of Individual AppIytn For Permit NAJD S )c)--ropho
Address of Property: j p £u'i (u t-. s-i
(Lot or Street#, Street or Road)
•
.' t , a ' I-1 s• ✓I t�icr--
. . (City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development they
are proposing. A description ' r drawing, with dimensions, should be provided with this letter.
414_6_t0___,y_ _ -_I=have_no_abjectons to this_proposal.
•
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days.of receipt of this notice. No response is considered the same as no objection if
you have been notified,by Certified Mail. .. .
WAIVER SECTION
I understand that a pier, dock,mooring pilings, break-water,•boat house or boat lift must beset
bck a minimum distance of 15' from rriy 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 waie the 15' setback requirement. '
.k4), 4_ --\/AEI' - - - -I do not-wish to waive the 15' setback_requirement.
50n Si¢u Name e
`.-----(TeeriN)---- : - krat---r--2 5
A
rint Name46174.4 .
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. NCDENR
1 Telephone Number with Area Code Ni.c,..,.oaMT..c�
EHe,c„,pre...N.MARia ROCURCea

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Date
Date Received Deposited Check From(Name) Name or Permit Holder Vendor Check Number Check amount Permit Number/Comments Receipt or Refund/Reallocated
Column& Column2 Columna Column& Column& Column& Column? Column8 Column9
3/28/2018 Lighthouse Marine Construction Inc _ Timothy Beane _ Coastal Bank&Trust _ _ _ - 1884 $.- 200.00 GP 70723D _ _ JD rd:5887 - -- — --7
__3/29/2018. Steven Farmer/TRA-COM.Services _ Charles Jordan BB&T. , _ ,___5052-$.---200.00.-GP_70809D SF rd.5861
3/29/2018 Grice Construction Michael Farasy BB&T 11977 $ 200.00 GP 70806D SF rd.5858 --