Joseph Clayton Wine III 72285D

.v ✓CAMA 0 U ICI
Tll�
DREDGE& FILL T
NERAL PERMIT �LUtENC `l! 72285
New Modification Complete Reissue A B C As authorized by the State of 'Partial Reissue Previous Pit
and the Coastal Resources North Carolina,Department of Environmental Quality Date previous permk Iswad _
Commission in an area of environmental concern -
Applicant Name f$ep rl r.1 pursuant to 1 SA NCAC s'1Yw► Wine
Project Location: County l �w,a .
•
Address btu Trails end
City ��l/T111) Street Address/State Road/Lot#(s)
_State NG ZIP amyl
c.
Phone#(S4 4
S1530 E-Mail j...0 mile Cog 40A Subdivision ---
Authorized Agent N IA -- .-_- —_
Cw i�W City-----=— - _______ ZIP
Affected "a► DES Di"
1H D UBA D WA Phone# ( SC�IM�I! - River Basin AEC(s): OEA i HHF C1 _.
Pws Adl.Wtr.Bodyikkaa" et. 6"mn—ltiteu'a
ORW: er, no PNA in// no Closest Mal.Wu:Body. 4/r► 1 - _________--
Type of Project/Activity f jvity ii i to aba,/,/ q iteek oil-lic *fetid d
lorencp
Pier(dock)length ---,
•
Fixed Platform(s) •
_ / _ 1,,) t Floating Platfor r' 4 ( i f
` Finger pier(s) I ! ! ,
Groin length if:.
I !
•
t
number —r- — - /7� "� �+_ { _ .
Bulkhead/Riprap I •/ t. ( h( g Cige, I
avg distance offs _._.. _..` ., , \
,
max distance offst- -_ ._.t
Basin,channel
cubic yards _
aal
at
Boat ramp -_ �oQ i411— I .� r - 1 - -
Boathou Boadift N
-
Beach Bulldozing _ _ I f� ! 't
axe . ----'- _
Other 'tV ! W n AX-- • 1 pixteJ
---- 4oZ'.�4'
y /;
Shoreline Length '"�'9.1. ¢Hn t�.tiirnl 1/ jg
) v
SAV: not •
sun yes no , !
I
Moratorium: n/a yes no wor 0� !
Photos: yes no . . et, G
Waiver Attached: no -- '- _
I See note on back regarding River Basin rules.
A building permit may be required by: 4/ •
Ct✓�� yX pith(
7
(Note Local Planning Jurisdiction - p
Notes/Special Conditions ��,�
4 i
•• rl i'
'Pain w
� � • P
er's Printed Name
%ntg Crr iicant Printel me `/� __--- .
ii ..Permi
t Signature/ O/ �
,,_.._... d /wI --- "--- ExpitationDate
--- Chock#1
Issuing ate
Apphcationfee( ,.

0 CAMA / DREDGE & FILL WEEP.c NO 72285 A B C 7D
GENERAL PERMIT Previous permit#
)Z '--'New -_Modification ❑Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality fir_'
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 01 H aSt_ .
Rules attached.
Applicant Name Jose'h C,1a n Wine, El Project Location: County �w � i( Am"
Address 610 Trod Is End Pd Street Address/State Road/Lot#(s)
City OntMlnlgtnn State NG ZIP as.401 v,.,,
Phone# (843) 44a Q530 E-Mail
C_ jn egtinUt,LaMI Subdivision
Authorized Agent fJ I A City - ZIP
Affected ❑CW 34 " "` ❑
6' ES ❑PTS Phone# ( ) ,SG �VV _ River Basin
AEC(s): ❑OEA HHF ID ❑UBA ❑N/A /fir,
Ad'i Wtr. Body5),�L' L /man /unkn)
❑ PWS Al wyv
ORW: es / no PNA es / no Closest Maj.Wtr. Body
Type of Project/Activity j th///r 4 9r/Nie ocC 1(y 19cildy AS7'�tI 4,
/1&►Yf I f ik li Florence V (Scale: I :WO )
Pier(dock)length �+
i i I
Fixed Platform(s) , rt AIVO
L-� fv I
Floating Platform@ WIC 6 Mix'.• Ai �oq
1
Finger pier(s) I _....._... — —
Groin length .
number yf �/►_ I,
Bulkhead/Riprap len h r/ �' �•!(_
avg distance offshore l
max distance offsho'
Basin,channel
/ WIcubic yards l X 14 f
Boat ramp 4 _ i
Boathous- Mx 14/ �i4i
i
Beach Bulldozing ".—.... • I e
iii / 32 644
Other 1�Y "0 j I
en 111111 I
Shoreline Length `LSD b`'� ('k' I -7
SAY: not sure yes no
Moratorium: n/a yes no I �, PRO�.I.pyiI��„ Cd4I,;
Photos: yes no �D E� NE rc'F►7 V^D�Ki
Waiver Attached: es no
r F
A building permit may be required by: �C/{/4.022716e r' .O L 'See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction �1,��,�/ [ ,,! ,�j
Notes/Special Conditions 4//iç.43 i/e i/ 87/•/ 12 OO j/�.�d AS IdJe� � D/'&+ /n,'a
-fv ICI eP x'g kk s. C101114 -°!o{uws shga 'WI' i i 4 01iKrQ
,,t- - .
Pa* k 4n p
Agent or Applicant Printed Name Permi fficer's Printed Name
: Al447
Signature **Please read compliance statement on back of permit** Signature g P P g
....,-------. i'1/2404,0 7/01004
Application Fee(s) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
o
Name of Property Owner Requesting Permit: e' - -
Mailing Address: 6/a y it, r i. _t 7 �
R
i 71 i 41,,^, )-IL-k 11 2 e- d '9
f '
Phone Number: tS 41 3 ` 41`',,,2 — ).5.3&5
Email Address: 1 C- .1 .. „.- v�r.'/. C'�%,_
I certifythat I have authorized . L .f �1h' /
ozed f� c �/<
Agent t Contractor
to act on my behalf, for the purpose of applying for and Obtaining all CAMA permits /�
necessary for the following proposed development: pti4". (X i i r4 H tal ie 1%-
4t f,./l r C S f , 3'c y, t'f {V J� it/e,,zi s�� %c�r✓ Ti/rt�..L� ,t
at my property located at id pie- /S / �"'`' ``f
in t J 42t,� ' County,
I furthermore certify that t 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"-e;)..../../.4,/,-3 , z)/:_____:. , _ ///7
,—y _ -.�''� �Srgnature
Ci/. -4. / ,
Pfint or Type Name
�q Title
// 1
Date
This certification is valid through t t
ECE: EL I'
DChiI WILMINGTON, NC
NOV 232018

2
Lo0
CERTIFIED MAIL • RETURN RECEIPT REQUESTED o
cv
U N
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
0
oq '
Name of Property Owner N C AA NV
Address of Property Lv 1 KAi iJ EA,a 14, ifs)i)r% M.A.4 Ans cw6p.,
(Lot or Street#, Street or Road City&County) J t
Agent's Name# Mailing Address:
Agents phone#
cC
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. -Alt Awm J
I have no objections to this proposal. 1 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. Correspondence should be mailed to 127 Cardinal Drive Ext..
Wilmington, NC, 28405-3845 DCM representatives can also be contacted at(910) 796-7215.No response is
considered the same as no objection if you have been notified by Certified Mail.
CC
ct
WAIVER SECTION
g, I understand that a pier, dock, mooring pilings, 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
wisn to waive the setback, you must initial the appropriate blank below.)
NJ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adja t'Pr pe er Information)
Signature Ire
Sex cLAr
ozs Print or Type Name Print or Type Name
(9794 8,ek oKtak Kt)
Mailing Address Mailing Address
N S•S r+a i� ti NL
Cit yrState/Zip City/State/Zip
M 13ca - ze7- `fSYl
71- Telephone Number Telephone Number
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aw Revised 6/18/2012
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