74288D_Gould, Martin & Erin

E CAMA/ (i:IREDGE & FILL411
No. 74288
GENERAL PERMIT Previous permit# A B C
)� % CEVew, ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
i
As authorized by the State of North Carolina,Department of Environmental Quality �w �/�O
and the Coastal Resources Commission in an area o environmental concern pursuant to ISA NCAC
�, Rules attached.
Applicant Name MOM &t-�'Il Project Location: County nAer
Address ;! /071 in J NJ/IQ Street Address/Sta a Road/Lot#(s)
q, "
City Wig State At ZIP A940 //6 fifw 9e&
Phone (�./1(� COp� 9.�5 E-Mail p.,,� Subdivision''/ �d ����C�� gA p
AGGu�,t prized Agent cieiv� iVlOfl 2kI5f itin City W(11 r�I/S ZIP Y'O ti
Affected ❑CW ❑EW E PTA 4� GIt+rTs Phone# ( )// �� / River Basin (, e
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body iW/it afriy /man /unkn)
❑ PWS: •
p
ORW: FY14PNA yes /� Closest Maj.Wtr. Body /I W
Type of Project/Activity Pie .4C hi 4,`j44 1. ,44,dre ,' /I'✓arl4� b,I vIt/Lhc i
1
(Scale: /3v )
Pier(dock)length _
Fixed Platform(s)
Floating Platform(s) 111111. 1.11
-rt7-- .
MEM
Finger pier(s)) ' . IIIMIIIIMIIIIIIIriagP.I/nrl/ ArilMIM_MINIIIII.1111111111_
' Groin length all- J IffieiMalil®_ IIII-
number Ili 11111101ri✓L.iifylla_.-IIMMIII___
'iprap length 100 ' -.1011=►�illil .i4,1,. tirl I ME�
avg distance offshore A _■11111 ■111111_ _-�
max distance offshore Al , 1 iiiii® =-M INN=IMMONEI_
Basin,channel NMI i ' —111=-11111111111MEN MO NM
I ; Ell III
cubic yards 11111 I 111111111 _®_II._
Boat ramp ® i _1111- U -®_-_
Boathouse/Boatlift MOMMIIIIIIIMMINI i - _--
Beach Bulldozing ...... 111111M11111111111 E11I.-.®_ MEN MI _
Other : 2Od S. ' _N®_��� �� MI MI
16: a o Sr . ���■� �MEIN®=� ��
J —_ UUIL =1__Shoreline Length QC) / � i -�� N�.I —® 11111111M
SAV: not sure yes 0 �� E +..: •' •F • 71r, ,
--. -�ri ii ii i/.ci ii ii,a.iiiiriAMIN=vi.oririir.-....-��.•.. ...,ram
Moratorium: n/a yes yp IIIIIIIIIIIIII21iill______ G�� � ��7�u!
Photos: yes c ___! -i - , '7IrrJ• �' /
Waiver Attached: yes ( i-iia - ,:
A building permit may be required by: TpKM eKWe-7' 6 Qd j 4 . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ` y ��f�
Notes/Special Conditions 6�t �fvd gAr (OWL UN iFielO d. h -S7,11 l6
v+/ 7Ii /� t4€ a .. ,49//,o0. 40a/
Al-ric k lim fro
,gent or Applicant Printed Name Permit Officers Pr ted N e _,r._�_�
! x ���
Signature **Please read compliance statement on back of permit** Signature
4"° 9t i q lalzo I i 1 i,ap C'I'1
Application Fee(s) Check# Issuin Date Expiration Date

Address 'e Street Andress/5 e Road/Lot iitYST
City ''.;it ' '.' "/Cl' State J� ... ZIP. ‘; .If �_f tti c'
_ .....„
. .,
{, 5 _ Subdivision . , _Pone.. !i of_) . Lf �, E Matt _- r jj
Authorized Agent cki i;'3 ti/tlt tit )f3't city �`i' � f`f! ZIP 4. ..'' f
.CW EW PTA 7l'ES ,c'a'rs Phone # ( .. ) River Basin it,e
Affected OEA NHF IN USA N/A
gale,'AEC(s): Adj.Wtr. Body it 4 . .a ./man /unkn)l-
Pws j
--._._ ____..___._ Closest Maj. Wtr. Body f J'�
ORW ark,.` PNA yes no // f
Type of Project/Activity '~, , I: , ' ,' /i f ' ' ►
, 1 ,Zi t `t e ` i
y (Scale: f.3(1 )
• Pier(dock;le
Fixed Platform(si
Floating Platforms) fj
Finger piertsi .,
Groin length +
number
Bul Riprap length l �'-\t 4)'' L(Ei/td
avg distance offshore t• rn
max distance offshore 1.
Basin.channel•
cubic yards '
Boat ramp
Boathouse,'Boatlift \
: ,f ,,i,F
Beach Bulldozing ----
Other £t ` , ne �-'
ht: • .?i-c-t- '
tf
:h
Shoreline Length i'-(- 1
�33 2 '.t' M�J Z ltl 1
SAY not sure yes (no, i
i'Ji►/r %siii.rsiAri.ri's.ri alir.ri,iirsrrsrossis.-.•s.
- Moratorium. nia yes - 'IL,
r - -s_��
Photos yes Co. ,a f'dt`p iita lv.44 A ,4
Waiver Attached yes (r�`' de rein 4e li iIi.,./
7 • £)
A building permit may be required by /t.;,-4y) y' /fri.: -4}r`,i, L . +-I1 Ji - See note on back regarding River Basin rules.
'1 Note L.ocalPlanning Jurisdictions �„ f I , �-7// j,�•/
Notes/Special Conditions ? . 2.t, '.$) did G y�J; .//L° >7 7 ti •/Ii t lit 1 eu/ 7 , ( 4/. t
�f ii s �.
r t C_t.-- v it '1 �/�+ /�; 3 t t U l r�'�' r :: ��y? 1 lfJ �fr ...,
' ,(, ��
.Agent Panted ame Permit Officers _ .......
cure ar`Please read compliance statement on back of permit*'' Signature
' —
i- r - ` '' - fIIi)J,2iill
_ s
Applicattnn Feels) Check# issuing Date A Expiration Date

Letter of agent
I Mc hvi SC01 I £tad have retained Mark Clements DBA,Clements
Marine Construction Inc,to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina,CAMA,DWQ or any other state and or county ordinances.
P �S prr.n
ature j
Sid - 2-14-9-goo date 2
Contact information
101 Petrei ck 61✓J • V
(1/ri,h43h(le j3cact,� NC JUN Z 1 2019
2`3ttibb k
1
3

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Jco77 -6f'i,1 , V4/
YGi,-,✓le-/e- L z ,c1) A4. �i/� a.. /C`' 2r 5
Address of Property: /1l �
(Lot or Street#, Street or Road, City & County)
Agent's Name#: / / eV* Mailing Address:
/2 C/rG/e Ma // A ea //jG 2 '/.�
i
Agent's phone#: q/d .620 9�p3
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.
ave no objections to this proposal. I have objections to this proposal.
If you le 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 www.nccoastalmanagement.net/contact dcm.htm 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, 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
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 Owner I .for�tion) (Adjacent Property Owner Information)
Signature / ign . / /,/

Print or Type Name Print or Type Name
//7 �i'/ ,) l h,Q > j?t✓J
Mailing Address Mailing Address
.e•/s/4Qc/ nn 2-6W3 y�/ y, 1 ;� a s/2 '27 '
City/State/Zip City/State/Zip
Telephone Number Telephone Number
ei9 �f�� /
Date Date
Revised 6/18/2012

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 5Co 1`f (D►A.1(\
Address of Property: !I e7a-r Me-(e aloe • 3 .
r� (Lot or Street#, Street or Road, City &County)
Agent's Name#: i�� C �i6'MeI' Mailing Address:
)(ZGlrLfF_ dr^ .uJ-
Agent's phone#: lb ((zo'q57 5
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.
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 www.nccoastalmanagement.netJcontact dcm.htm 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, 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
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 Owner Info ation) (Adjacent Property ne n rmation)
d/C7
Signature ignatu ��p `
���C 1// I I-� 1�1 fY/6.

Print or Type Name Print or Type Name
//Z �i�=��� / z_4 7), L ft/6'
Mailing Address Mailing Address
11/1/ _Act 44& L(%D t
ity/S te/Zip City/State/Zip
Y p
9\i, 6ZP-9�� 725jil - .7? 56-r1v
Telephone Number Telephone Numb r
f40 /
Date Date
Revised 6/18/2012

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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 Column.? Column4 Columns Column6 Column? Column8 Column9
7/12/2019 Davey Resource Group Parkside WF Investors United Bank 1465 $ 100.00 minor mod#23-18,221 Summer Rest Rd,Wilmington CS rct.7975
7/16/2019 Davey Resource Group Echo Farms LLC United Bank 1480 $ 200.00 GP#74698D PA rct.9153
7/16/2019 Clements Marine Construction Martin and Erin Gould First Citizens Bank 5179 $ 400.00 GP#74288D PA rct.9151
7/16/2019 Kristy M Dixon William and Kristy Dixon BB&T 271 $ 200.00 GP#74296D PA rct.9152 _
7/16/2019 J L Property Management,LLC Johnny Hodges BB&T 1089 $ 600.00 GP#74269D JD rct 8791
7/16/2019 Coastal Marine Piers Bulkheads LLC Susan Creasey Wells Fargo Bank 22907 $ 400.00 GP#74363D DW rct.8502
7/16/2019 Grice Construction Ronald D Hoke BB&T 13134 $ 400.00 GP#73536D Tmc rct 8768
7/16/2019 Holden Docks and Bulkheads Lorie Whaley CresCom Bank 3552 $ 200.00 GP#74340D TMc rct.8765
7/16/2019 Carolus Building Co Maritime Way Property Owners First Bank 1382 $ 200.00 GP#74510D JD rct.8789 _
7/16/2019 Coastal Marine Piers Bulkheads LLC Don DiGiulian Wells Fargo Bank 22908 $ 400.00 GP#74512D JD rct.8788
7/16/2019 Jane W.Wilson Daniel and Jane Wilson Wells Faro Bank 10262 $ 200.00 GP#72305D TMc rct.8764
7/16/2019 Arlen and Kathy Carpenter Men Carpenter 792 $ 600.00 GP#74665D JD rct.8786
7/16/2019 Jon Blank Money Order same Wells Fargo Bank 17-6686064 $ 200.00 GP#74376D PA rct.7974
7/16/2019 McPherson Marine Services LLC Peter Vigil First Citizens Bank 2650 $ 600.00 GP#74374D Tmac rct 8473
7/16/2019 H5 Construction,LLC David Shehdan BB&T 2318 $ 200.00 GP#74338D TMc rct.8781
7/16/2019 H5 Construction,LLC Roy and Ruth Stewart BB&T 2317 $ 200.00 GP#74339D TMc rct.8762
7/16/2019 Springsteed Reality Co John and Taryn Springsteed Wells Fargo Bank 13783 $ 200.00 GP#74341 D TMc rot.8766
7/16/2019 Grice Construction Annie Enterprise LLC BB&T 13137 $ 200.00 GP#74342D TMc.Rct.8769
7/16/2019 Grice Construction Jill Taylor Hams BB&T 13136 $ 400.00 GP#74345D TMc.Rct.8772
7/16/2019 Grice Construction Clinton Creed BB&T 13138 $ 200.00 GP#74343D TMc rct.8770
7/16/2019 Grice Construction Travis Stone BB&T 13135 $ 400.00 GP#74344D TMc rct.8771
7/16/2019 Brian and Grace Landau same Bank of America 1935 $ 200.00 GP#74514D JD rct.8790