Beth and Thomas Johnson 72232D

1CAMA / n DREDGE & FILL No 7223 A B C D
ENERAL PERMIT Previous permit#
f�New Modification Complete Reissue —Partial Reissue Date previous permit issued �'
As authorized by the State of North Carolina, Department of Environmental Quality 11 (4 • 17 CO
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V •
❑Rules attached.
Applicant Name "6e 7fr( f 7/70444 S /A/51,IJ Project Location: County (!'1�j/(•hi'
Address 1'>7 31' PA16 t)A L- d,P7 ,9/• Street Address/ Road/ of#(s)
F�/i G �e2 Sate {'Y[ ZIP /> 4 -1 S�M1 II �/�l I,�'
City �� � � � ��
Phone# ( '')9b3- doh) E-Mail Subdivision / ,'/
Authorized Agent /�; q f4A f we--- City .✓ . ' D,�7lt i ( +'/j 64 ZIP Z4 7"/�,�/G/1
ES PTS Phone # ►V �j 3-- ‘5U Rive Basin ►f��t Iv�1/7t7 (f�
_CW ❑EW ❑PTA ❑ ❑ ( 1 )
Affected OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body ilf(04fft(.... CL /14t- man /unkn)
PWS. Closest Maj.Wtr. Body 1 o1/(( c/C7'4 y`
ORW: yes / no PNA yes 3
Type of Project/Activity /Al 57 f1 /L /, /- i.:•t,,'"
• (Scale: (f'" ie. )
Pier(dock)length
Fixed Platform(s) I
v 1.I /
Floating Platform(s) __
Finger pier(s)
1111-- 1111111Groinnlmber 11111 pp ,
� _
Bulkhead/Riprap length ■■■■■■■■■M■H,I"1.��.lAli1�1an7�1��r����Ilik�
avg distance offshore _- IIIIN
max distance offshore 111.11,11i.i.,,,,,,,,,u,„,,,.„..........,...... .:
( � 1 � �Basin,channel ( �1 �'� It �� ■I 1 11 I■lilitita r ik uw w. . ■ ;'i,1■ft■IVIIIII iw►,in�,up►v,i,,►,a■■■■■■■■■■
cubic yards ■■■■■■■■Waill il�►l ;i� litlif1i,��.�i'i�l���IMMIIIII■■■■■■■
Boat ramp _
Boathouse/Boatlift
Beach Bulldozing HIiIDIIIIIIIIII
Other Al 4- *7.-¶iNollIllil
■■■■■■■■■■■■■■■!/1■►iA■■■■■■■■■NI I I.uu■■E■■■■
■■■■■■■■■■■■■riV■■■■■■■■■ir11i■C/f /" l
Shoreline Length �� �. �j.�111121 / 1 .
-
SAV: not sure yes /� 11111111
IIIIIIIIIII - .:l!hillEE I.II
Moratorium: n/a ,6fe' ,' no j I
Photos: yes no
Waiver Attached: yes no I ,_
A building permit may be required by: N • 7O1 .,4-/(-- /I Alt4 L I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
i rN 6' (, atFS ( ✓
Agent or Applicant Printed Name Pe it Off cer's Printed Name
I ; .
1-9
Signature **Please read compliance statement on back of permit** Signafure \
t ,
L ' I 1 ?f
i ( 0 /o • 56/ /� 4 3° • R
�
Application Fee(s) Check# Issuing Date Expiration Date

C 1
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: aErri ��ONN UII�
Mailing Address: 13S (p PATERNAL GIFT bA
)0777
Phone Number: 1//0, Q o i ((0 SO
Email Address: AE7M( MAh,EI,u/N/tSTO/NI°,(11N
I certify that I have authorized R* (In)/M Uk10 TIN BAANNN 0/k114 ES ,
Agent Vontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
S(ar tiivEAM FEeT d'F SA/4 LA65
at my property located at 4' si( ISLANb 1 k /\ U(?T'H TDt' IL8EP'&
in Q/V SLO(/) County.
I furthermore certify that / 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:
nature
L3r Tt•f 1 s4tfNSON
Print or Type Name
t7 (INF&
Title
1U I I )0t
Date
This certification is valid through I I
•

CERTIFIED MAIL • RETURN RECEIPT REQUESTED •
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: THOMAS ? AEU.' JOj1NSQ,v MICA tfl:1LE MAN elk
Address of Property: 112 y(0 ISIAN i1 RJVg, NORTH TOPSAIL BEACH J ONSlow e•
AA (Lot or Street#, Street or Road. City & County) r�1\
Agent's Name #: pa. eop44rRUtTION Mailing Address: 33g St_A MANORNAG^1 vomes
Agent's phone#: 910 .Syp, ci35 311AF L i T NO 2 /'/S
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, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athttp://www.nccoastalmanagement,net/web/cm/staff-listing or by calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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 ner Information) pn Property r Information)
4u_L e
Sigiralure Sigira rare
L3ETH F. 01-1NSim /3iy'a , -i/(/
Print or Type Name Print br Type Name
13531, �"trek,I1L GIFT ��. li )0ro,4o Q
Mailing Address Mailing Address
I1i&fLMi M b 20 777 �'�(° . /71,7/ P/1- a9/7
City/State/Zip City/State/Zip •
Irt.M. 42.CO flerii iPmA i;ivihhs (7- (?),_ q 3 Y f
Telephone Number/Email Address .44 U bi0 Te ephone Number/Email Address • . i
10 -4N-it / -/2- /5)
Date Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: THOMAS ? JETH JOHIVS0N t M1atwwLcE PAnNeR,
Address of Property: 112 Y(0 /SL[ f' 6 RtVe Alf)RTN ToPSA1L EACH O/4S)-0t et/'
(Lot or Street#, Street or Road, City & County) ,1\
Agent's Name #: Mailing Address:_�kg &EA MANOR I k
p*ileopLiriwtrioN ANAa1 CiRIMES
Agent's phone#: 91q .S'lO, S13S .SURF LiT yl NO 2 '/S-t
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, must be provided with this letter.
I have no objections to this proposal. _ I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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 ner Information) (Riparian Property Owner Information)
4aie
Signature Signature
l
SETN F. � OHNS,O/ti "'(i �irlt�`)
Print or Type Name Print or Type Name
1353(0 rek JA . (Jlrl . /it •r/1,. / '�—
Mailing Address Mailing Address
iiI6NLAx1N Mtn 20 777 çAe//c A//1 /V( 2'2P7
City/State/Zip y/S ate/Zip
yob,q19& klogb t9MPtglihm �� � �Y2 O y('C1
Telephone Number/Email Address �ruhi() Telephone Number/Email Address
I>ate Late
(Revised Aug. 2014)

Estimate; 10/16/18
For; 4246 Beth Johnson
Item Measurements Price per bag Total
Mobilization 500
Front sand bags 40-5x10 625 25000
Side Bags 14 4x8 550 7700
Total 33200
Been a pleasure doing business with you we look forward to bidding any upcoming
projects.

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Data
Date Received Deposited Check From(Name) Name of Permit Holder Vendor
Check Number Check amount Permit Number/Comments Receipt or Refund/Reallocated
_
_ Colunnl CokurnS _ Column. Column? _ Column8 Column9
Colutml Cautmt Colima Tmac rct.4018
11/1/2018 McPherson Marine Services,LLC Peter Vigil First Citizens Bank 1456 $ 600.00 GP#71013D rct. 4
11/1/2018 Lighthouse Marine Construction,Inc Jeffrey Riecken Coastal Bank&Trust 2409 $ 200.00 GP#72228D JD rct.6 50
11/1/2018 Coastal Maine Piers and Bulkheads LLC Elizabeth Coffey Wells Fargo 22554 $ 200.00 GP#71762D
03
11/1/2018 Joel Klass Money Order Roger and Colleen Paul USPS Money Order 2.5129E+10 $ 200.00 GP#72298D TP rct.6993
11/1/2018 B and B Marine Construction Beth and Thomas Johnson Wells Fargo Bank 1991 $ 400.00 GP#72232D JD rct.6749
11/1/2018 HELMS 20 LLC/Lane Helms Gregory Pringle BB&T 1237 $ 200.00 GP#71740D TMc rct.7024
11/1/2018 HELMS 2 0 LLC/Lane Helms Orin Homer BB&T 1229 $ 400.00 GP#72238D DW rct.7013
a

NC DIVISION OF COASTAL MANAGEMENT
SANDBAG REMOVAL NOTICE .
I, &ETN 43 MAt SO N , understand that sandbags are temporary erosion control
structures that may remain in place for up to two years after the date of approval if it is protecting a building
with a total floor area of 5000 sq. ft. or less, or, for up to five years if the building has a total floor area of
more than 5000 sq. ft A temporary erosion control structure may remain in place for up to five years if it is
protecting a bridge or a road. The property owner shall be responsible for removal of the temporary
structure within 30 days of the end of the allowable time period.
In thisis case the sandbag alignment may remain in place up to:
V two years after the date of the attached permit approval
Removal Date:
five years after the date of the attached permit approval
Removal Date:
Address of the Structure Being Protected: _ 41211(e /.LAN M ve
ORTIf ToNAtf. 1EACN
Property Owner: TOM % �ET DJ NJJi} [A L>r,L-C
Firm.CorporaticitOr frefirvIdual
If the property is owned by a Firm or Corporation
give the name of the offs er or authors d >>
Representative: /.Sp1hh `4HIv1i") Date: /0'3/i+"
At*cPart
!!1!11IN{NNlIN'lN11Nf!lINNINNfIK11llKN+1!►!!N1!!{INKK�N�NNl1lNlNHlINIMN!'NllsfNliKltNllNfilJileINNMKItl1111iNNfrllfl/11M1i I!!1N
If an agent is obtaining the permit on your behalf the following section must be completed in full:
I, , give permission to,
Pnr*owner or Officer Name Print Agent Name
to act as my/our agent ,n obtaining a CAMA General Permit to place sandbags on the property noted
above.
Permit Number
Property Owner!Officer sigrature