Stamey Taylor 72378D

e*qAMA/ ❑DREDGE & FILL (k ,, (, I> i 1L 1) 0 No 72378 A B C �D
GENERAL PERMIT Previous permit#
��-= MNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality —7 `, ^/l �r
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 0 /4 , 2 1(�JC.) ' IOIY ct) +
�❑ s ules attached.
Applicant Name !�STG ri C vi T 1(a - Project Location: County S \(X
Address .)0 BOX 2.(9 I Street Address/State Road/Lot#(s)
City Li<<it -Dr State/JCZIP 27Si-i(a 1ZS St..)o<-c St '.
Phone#(J(1) Pj SQ-(p SO 4 E-Mail Subdivision i
Authorized Agent , Jae 14(itsS City 0O�dPM Z.{Ad/\ ZIP 26‘162.
Affected ❑CW MEW YPTA t1 ES ATIPTS Phone# ( ) River Basin L.-vw-
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body C.A Y\CC 1 (nat "V /unkn)
❑PWS:
Closest Maj.Wtr. Body f-� L,,..1 t,-.)
ORW: yes no PNA yes II/ no
tt J /
Type of Project/Activity 2FA t .CP S t�� CIAr11 id �k.a G` l(V1 C.� t A Li �{/
I tt 1
i, SarA4 iL(1i SYtYv 4" AM c 4" z,,,k r . (Scale: \ ='--0 )
Pier(dock)length (0'X I Z J
Fixed Platform(s) l
Vs.
Floating Platform(s) Io X Ups
Finger piers) 11111 ■_ I U __ ■UU �■$
Groin length
number ,li � `
ulkhea Riprap length Covg distance offshore 0 `
�
max distance offshore 0‘
O
Basin,channel ,'
l I III
IPP!1II
- IIIEI!1
_Ri -
Boathouse/Boatlift _ .J! 1'R _ 11
Othe11
Beach Bulldozing lHh1HiiiiZ1UfflhP1IFh1dHIJI II)I II 1 Ft
1111111
Shoreline Length 50 I L
SAV: not sure yes no Moratorium: n/a yes e ` . \ ► I 1 Photos: -s a i11 -II- I - L 4 ' . 1'; .'' II
Il I < .i
Waiver Attached: 0 no II •• •
A building permit may be required by: ((1 V k 3.Qe(jA . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions CO t t O 4I. 1500 are ci a II o Mt r -A(( ,v I) S f-C / a"h CI
0 U cal Pm I a'1ln nS Aif\L . /l�i Loa\AA( l.A°'a c1 NIA c A-g a ki4-I ar V CI .
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Agent or Applicant Printed Name Pe ' Officer's Prin ed Name
PC i'l(''*e'a ,Pdil
Signature **Ple e read compliance statement on back of permit** i nat re
(,,la;\re_ — 17 19‘' 1 I 't 1 V \\ CI
Application Fee(s) Check# Issuing ate Expiration Date

AGENT AUTHORIZATION FOR CAMA PE1 MIT APPLICATION
Name of Property Owner Requesting Permit Stamey Taylor
Mailing Address: PO Box 261
Lillington, NC 27546
Phone Number: 4tWn:clet0.6504
Email Address: evl w,14$2i4Vvi'C"s.cow
I certify that I have authorized Joel bass
Agent 1Cotit x
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: replace existing bulkhead,walk, ramp,
floating dock,and boat lift
at my property located at 125 Swordfish Dr. HB ,
in Brunswick County_
I 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
Print or7yrpe Name
• Title
VZI 51 J tqp
Date
This certification is valid through 1 f

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Stamey Taylor
Address of Property: 125 Swordfish Dr. Holden Beach Brunswick
(Lot or Street#, Street or Road, City& County)
Agent's Name#: Joel Klass Mailing Address: PO Box 279
Agent's phone#: [phone] Supply, NC 28462
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.
q)e--yn
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.)
YleV I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
12y...hea....e....„ a . Denmark
Signature Signature
Stamey Taylor Charles F. Edwards Jr. & Rebecca E. Denmark
Print or Type Name Print or Type Name
PO Box 261 224 Ridgewood Ave.
Mailing Address Mailing Address
Lillington, NC 27546 Charlotte, NC 28209-1632
City/State/Zip City/State/Zip
1 04 LO
Telephone Number/Email Address Telephone Number/Email Address
1064 le)
Date , ,� arc_ cd 127 5 W OY'_g-ii (Revised Aug. 2014)
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