Danielle Harris 72755D

GCAMA/ ❑DREDGE & FILL NO.
ENERAL PERMITS ' \1\t� 1P Previous permit# A C
)G C New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 15A NCAC 5
❑Rules attached.
Applicant Name M 2 S Project Location: County %fir.
k �
Address I G ( �� Street Address/State Road/Lot#(s)
City��"V t i/(� tN State W--- ZIP 72iek Ines,—4- .S. g ii
Y,,
i Phone#-)p 11" "4 vA E-Mail Subdivision
Authorized Agent (I2/W tS City )-U r F `4 r ZIP A,tom �,t
V6
❑CW CI EW CI PTA ❑ES ❑PTS Phone#'` .) River Basin r i wt(Q VA
Affected PEA ❑HHF El IH El USA El N/A
AEC(s): Adj.Wtr. Body Vtl nat. man /unkn)
1 ORW: yes / � PNA yes / no` Closest Maj.Wtr. Body
Type of Project/Activity L k ( l COAtc!1 'a.
(Scale: 1/I: 30f )
Pier Osock)length
i.
Fixed P�tform(s) . II
Floating P' tform(s)Finger pier(Groin length 1 number �� Ir �..�� i'L, ��
Bulkhead/Riprap I fgth IIIlII1uii.11i11111&IIAIIIIIINII 11 avg distance offshoremax distance offshore ��
� � ,� ��Basin,channelIIIUIHhIiiIiiu,
IIIIIIlllIIiIiiIII
II
cubic yards t � '�'
Boat ramp iii1ii1HIIIHI
Boathouse/BoatliftB Othcehr 1 Y zing n II1liiiIIIIIUhIIIIIIflhI1l
" IIIuIlil
Shoreline Length ...• linti.�I►�Jii i���.���®.........®....�.�
SAV: not sure yes U 1.1i1,' p.*.'1 ... .... ......�.......
C .Mmii Ifilli inimwJ�C...S=..■.s■....■111M1.■.....
MPhotos: yes IIHhiIUl .iI2CJIIHIHI oratorium: n/a ye5S ! ill 1 III .
Waiver Attached: yes
j A building permit may be required by: t// 6 sti 1 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
6/(1101‘C ✓t 04-e11/t
•
en or Applicant Print Permiipffice 's Printed Name
Signatureo -Ple ad compliance statement oq 4ac�c. f pgrqul;^ Zoo Sig ture 9 r-- — )—2-1 -lc\ 7 , 2?
Appli ion Fr '4 #-72-.-IOC Issuing Date Expiration Date ""

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION (�
Name of Property Owner Requesting Permit: ha) �, .• /J4, r- if��
Mailing Address:
tv/145f, f4i„ /vr J ffl()
Phone Number: •
Email Address:
I certify that I have authorized at (Z_
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: JG y�'
at my property located at
in 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:
'7/L- -
6
Signature
l J � '
Pnnt or Type ame
Title
12A I /
Date i?
This certification is valid through I I
1 �

CERTIFIED MAIL • RETURN RECEIPT REQUESTED r,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Danielle Harris
Address of Property: 1002-A South Shore Drive, Surf City, NC 28445
(Lot or Street#, Street or Road, City & County)
Agent's Name #: Mailing Address: 100 Ridgemere Court
Agent's phone #: Winston-Salem, NC 27106
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.
"Description: Sandbag placement along dune, no more than 20 feet wide and 6 feet tall.
X 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-listinq 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.)
N/A I do wish to waive the 15' setback requirement.
N/A I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature Signature�
Danielle M. Harris Cheryl Hunter
Print or Type Name Print or Type Name
100 Ridgemere Court 9142 Falkwood Rd.
Mailing Address Mailing Address
Winston-Salem, NC 27106 Raleigh, NC 27617
City/State/Zip City/State/Zip
[phone] / [e-mail] [phone] / cherylhunter100i gmail.com
Telephone Number/Email Address Telephone Number/Email Address
1/28/19 / 72,
_ •
L)uti' lhn _
(Rev.sod Aug. 2014)

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a OIrIf4O N OP COASTAL MAIAAQ LENT
o AOJAOENT RAMIAN Pl OPeRTY OWNER NOIIFKATIONAMAIVER FORM
o a
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m • Nome of Property Owner, Dam*►OMO
° tsatbtl aw/e ae.eiDrM.,sue
3 Add d PAprrty C+yNe ra.a
3 fort or Street s.Now or Rost Csr a Caw* n --
so
c Apeett a Nome toMtuattpAddtaM ret►trert.n'r ca,r�
O Agent's throne s earn t.Tsrsr t NC 7rv96
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i hereby certify that I awn property at**, b Pm move re rrenc.ed nrwsm The avdmduat
eppty,ng let des permt nos desaAMA 1e me ea ttho O Mi the.attached dra wng Me On.e*o,,,,..ent
MP/are erePaatad sw dralew&rt.clawnworts must be oronda0 with tits titer
co w **m°A &tomee 1t iceteme Nrx+e aeon.no mare Matt le feat sift.re a OM tat
t ' thvvrn+.t+tc..nsn.t..shiar'rii vl IIur.rlt tx.m to ant TnrMn )
CO
N you Now o6/aCerarra to what is ttsrnqproposed SSW meet rraoey ea.Orraeott dCoaseat ae.mtp.s,.+q
1DC T eti inwrrtlutp rnan of'octopi,to arys 'octopi,of SW.Monte. Carmentaesraseaeer lot OCet edema et
rr ayaeeteeettev':,etr "c`! :'t+tE"+ +tit`f1. . way aMetts14tiLaetCWIST
Cl No rasponea Ie cot der.ct the same as no 010n.c toon A w you ha Seen tweed by Ce ddeed Met
CC
63 WAIVER SECTION
I understand hat a pier,dock..v.,,.r..y per,boat ramp,bnsebetier,boetftrottse.or Mt mull
co be set back a minimum*stenos re f5 from my area of tfpatlan atxaa unfelt*warred by me (If
you wean to wary.the setback,you Noltimagittell6P100n0110,011 Wow)
o
rtA I do wish to wane the 1 s'setback raqurammrt
77
= riA I do not wish to wave the 15'setback rar rlent
00
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(POwner tnlorme on) (Riparian Property Chaser Information)
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lIns 4://". ** Lk.Q.C1-,,• %C?-"—ft—
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-tiller u, .ruXgurttre-;tt.rsaas t 9 x 1 s 's».v bit
90 3 S rRF Cti
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Dame*to Hams Mare Neck �te 44
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Pant or Type Name bird or Type Nem
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co too Rrdgemere Court to Rows Era Dr
co Atts,On Address M�wg Adtllaaa
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o rikrspnSaNm.NC 1T1t#B Ssatalt.4E ipaT3 0
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Telephone Number/&Med Mews TelnW ern Number t E.'n.l Address -o
1r21/19 , Z Y 2 01 5
1Gee
Date
(Reseed Aug 2414)
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• NC DIVISION OF COASTAL MANAGEMENT
SANDBAG REMOVAL NOTICE
1, /t7 /1/!///c f-ler
"r , 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 this case the sandbag alignment may remain in place up to:.
two years after the date of the attached permit approval
Rem Date:
five years after the date of the attached permit approval
Removal Date:
/ >
Address of the Structure Being Protected: ( 42
/ r
4
/t/(
Property Owner:
Firm,Corporation or Individual
If the property is owned by a Firm or Corporation
give the name of the officer or authorized
Representative: Date:
Print Name
Signature
If an agent is obtaining the permit on your behalf the following section must be completed in full:
1, ,give permission to,
Print owner or Officer Name Print Agent Name
to act as my/our agent in obtaining a CAMA General Permit to place sandbags on the property noted
above.
Permit Number:
Property Owner/Officer Signature

Check
Date Received Date Deposited Check From(Name) Name of Permit Holder _ Vendor Check Number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Column2 Column3 Column4 I Column5 _ Column6 Column? Column8 Column9
1/30/2019 Money order from Brandon Grimes Danielle Harris BancFirst,North Amer.MO 161332771 $ 200.00 GP#72755D JD rct.7372D
1/30/2019 Money order from Brandon Grimes Danielle Harris BancFirst,North Amer.MO 161332772 $ 200.00 GP#72755D JD rct.7372D