74641D_Franck, Samuel

er CAMA/ 0 DREDGE & FILL No. 74641.
NERAL PERMIT s c D�
; Previous permit#
- i,►. ew UModification QCompiete 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
DApplicant Narne /!7 I �A? L+ Rules attached.
�/ /,��.� _ Project Location: County
Address_, C2 Pg Street Address/State Road/Lot#(s) .2 AO SO/p/ ice
city Wi/ A,`wi//e Ed, state/ye zip2UTO i 'r Rd. .SI/P "E/`
Phone#( O),22?3O 2 E-Mail Subdivision
Authorized Agent_Ckese ELAr7 City VI t/n,1!710/✓ - ZIP 27V '5
Affected oCW SEW OkfA Q ES 0 PTS Phone# ( ) River Basin ahi e c}t
AEC(s): 0 OEA 0 HHF C IH 0 USA 0 N/A 1W,- /
C PWS: Adj.Wtr. Body t_ V /man /unkn)
ORW: yes no PNA yes / no Closest Maj.Wtr. Body 81/VW
Type of Project/Activity "s /J ,( O LI P71 /t' LOSZl/✓� SLIe ¢- E1c/PNC/
Pier(dock)length ` (Sethe:1 Jo' )
Fixed Platform(s) 1 1
J
/ j ..„..1._
Floating Platform(s) 'X I �. _.r 1 t _ _ —i s�_ �i
Finger pier(s) r, r- ` i i '-` �i•
Groin length ? t jill i
number ' i YP 4_ , ......4 , __ ' _l_...._'_4____,,__ )
Bulkhead!Riprap length .----•-- - - gill , , - . ;_.__ --.--j--i .- -__•._k i-j I
-■ i
avg distance offshore "` 'zj - - 1 ___._.1 t.
1 , i
max distance offshore- k - ��'+ � 1„ Ili •- - � f �#` 1 I ` .-(({_...--t--:
Basin,channel—__ - , �,a> , Iai1 r II
i l
ti
cubic yards 1 �. f r, i t -� ;- . 1 t
Boat ramp 1 j y J.....ar/i•■:a
Boathous tuft ' I t I i R t ... ��
t ; .
Beach Bulldozing _,_.. i —I `� 3 -i E-_. # --C _ _- ___I_ i
�o-Lt i , i i i T.
Other 0 W '^ !2 7 f�y,i�• � s + r i € pja � � t now a__ rain .
4
Shoreline length_2 1'3' -�?-rj - ; I �- ) , i
,M;. i i
SAV: not sure 1 ? , ' 1. i t i r. '*.. 4 I i I _�
yes [ -f� ! �. _- t j
Moratorium n/a yes ® 1`{ 1 , I , - ,_I_ l 91 L (1, _ i t t
S ttt
Photos: i i i ' � � � t ` �!�i -i.�.,..� ,..
Waiver Attached: yes Y""�° , ; i V, _•ow.r. tall..► ‘-----1--� ./---NM*
A building permit may be required by: /Veld //,9,101/ Cpu.✓1, . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
C/c,.5c._ CA i"--_ 77)e64009.- M L-C'.1''
Agent orApplicantPrinted Name — Perm icer's Printed Name
/ / �.
Sign . **• •ase rea.compliance statement on bac off permit** Signatur 0
, 7/2
Application Fee(s)
Check# ngDat Expirati n a

41 CAMA/ ❑DREDGE & FILL No. 74641
NERAL PERMIT Previous permit# A B C D
�� ►: ❑Modification ❑Com Complete Reissue ❑Partial Reissue Dateprevious permit issued
` ew p
As authorized by the State of North Carolina,Department of Environmental Quality �n
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / 2 ace
❑Rules attached.
Applicant Name s,9r7 uLL //zg,Iv eK Project Location: County/Veld 1/#r0✓e
Address 30 y 'I-COX tPX. Street Address/State Road/Lot#(s) 2 J D tS.0 n'I '4
City I,A/,e/ !1$V///e ECA. StateNG ZIP 285 O 1&�T X . Sl/ram "El'
Phone#(Po)227 092 E-Mail Subdivision
Authorized Agent CAese ELA/' City A /L/77,/1C10/✓ ZIP 2 T' '3
Affected ❑CW W IITA ❑ES ❑PTS Phone# ( ) ✓ River Basin W'Ii7 Q a9
❑OEA ❑HHF ❑IH ❑UBA ❑N/A / /man /unkn)
AEC(s): Adj.Wtr. Body �W�1� CO
❑ PWS: /7/ j, /
ORW: yes / no- PNA yes / no Closest Maj.Wtr. Body 7 �'YfY
Type of Project/Activity . j✓ �2ll SO L/r i /f"� k,X I5 7" '- SL ip cf- Ex T P ✓�
/ /,v 6--/Z DdCam, (Scale:/ ".— ?v/ )
Pier(dock)length / r/
Fixed Platform(s) P 1_1 f✓f ���
Floating Platform(s) I I
r I lI- I ' ;
Finger pier(s) 1
Groin length I V) ;
ti-
number j ' 14 r/ I 1 I I
Bulkhead/Riprap length l QR' 4
avg distance offshore N�I'i_ 17 • �l
max distance offshore CICj/e°/ r fjffl� ,I
Basin,channel -- t �-��� _i � ilk � ' - � _
— "?
cubic yards 1 ; 1 !p _`'
Boat ramp I V/ , II�r
i /
Boathouse oatlift : / ram- -�
1 , _mow 6% .um ,
Beach Bulldozing /!� 1
Other O('✓ y /2 l — f
1
ai � � �i>'' r7
Shoreline Length .27'3
SAV: not sure yes ® --- -------
Moratorium: n/a yes -Photos: yes ® P 8 V
Waiver Attached: yes 0 ,,•�'` ` --rt"_\'
Nei./ ll'�A building permit may be required by: Nei./ Coos✓, See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
TDe .009- M LS''''
Agent or Applicant Pri d Name #7,..-ritcybip
Perm' fficer's Printed Name
Signature **Please read compliance statement on back of permit** Signatur
"7 6(�• _ 37 z7/2 1�f c(a7Applica��ee(s) � Check# ss ngDat� �� Expirati e

Pietila, Tanya K
From: Chase Elam <[e-mail]>
Sent: Thursday, May 2, 2019 11:06 AM
To: Pietila,Tanya K
Subject: Fwd: [External] New general permit summer rest rd.
Attachments: Sam Adjacent owner 2.pdf; Sam agent authorization.pdf; Sam Adjacent owner 1.pdf;
sam summer rest.pdf
CAUTION: ;=-- Ps '.0.ft.lttritvnIT
Sent from my iPhone
Begin forwarded message:
From: "Spears, Courtney" <[e-mail]>
Date: April 18, 2019 at 9:11:27 AM EDT
To: "Wilson, Debra" <[e-mail]>, Chase Elam
<carolusbuildingco@,gmail.com>
Subject: Fw: [External] New general permit summer rest rd.
From:Chase Elam<[e-mail]>
Sent:Wednesday, April 17, 2019 7:19:10 PM
To:Spears, Courtney
Subject: [External] New general permit summer rest rd.
CALM* External email. Do not click Iin 7o'r open attachments unlessyou verify Send all suspicious email as an
attachment to
Hey Courtney,
If you are not will you forward this to who is handling summer rest rd in New Hanover county.
This is a general permit not an emergency general.
Let me know who is now responsible for this area if you can thanks!
1

1,
t AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
1
i . -, ..--
Name of Property Owner Requesting Permit:
Mailing Address: Z,az--+ c_� Ai_ o p-
i C.....,(z Lc.,,,kles,.),4.A.1_ c-4,A,,,,,,A, v,...±.. "Zee-k8e.,1
•
Phone Number: � ,, zz "7-74q 7—
Emaill Address: r-Azhit-.- Q C A-4.�. . I-`4.�
I certify that I have authorized (-:"` -#r- t" - `'`"` j '` '-`'1-``'`; 1}"e., z_``-'°
a
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
i
necessary for the following proposed development: 1 w , ., --4«--,
i
1 ( L'a p. l0+I Cs C.f-:kO L.4., -F-7--t ae-1 '.nip-r 6t "'C.}. `T-F.`)IN) ZA2'.` f.1 1'Jc-tom= i7t
at my property located at 4 '=..� 4 �' ` .`( 1 �. '5�-+r r k
in ti to. i:- t---County.
l 1 furthermore certify that 1 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,
I
Property Owner information:
Y -� � J
__ —. Signature
Print or Type Name
Title
`f , i G l 1
Date
RECEIVED
This certification is valid through `l / ,M / 2-4 MAY o 2 2O19
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY O
rz WNER STATEMENT
I hereby certify that I own property adjacent to I\44c ,x , , t st_ ,A. s 's
(Name of Property Owner)
property located at L
(Address, Lot, Block, Road, etc.)
on - �.t ,�.. ;;;� , in _s.,._�..,. � .^ N.C.
(Waterbody) (City/town and/or County)
The applicant has described to me, as shown below, th
e development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
f -'t4cenc
1
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 Information) (Adjac rt P Owner Information)
Signature- ignrature
Print or Type Name Print or Type Names7,�v
((Z (it 9 I e.i.ge._Mailing Address Mailing Address
_
City/State/Zip Clly/Sttato/{p �7� �r
�- t = Zze-Zit", �. -( JU"ue4--2 CDD
Telephone Number Telephone umb r
'�' 4(i6/jI RECEIVED
Date Dale
(Revised 6/18/201i)AY 0 2 2019
DCM WILMINGTON, NC

I .
ADJACENT RIPARIAN PROPERTY OWNER STATEMNT
,vnN�ta� sic 4,t Ew.s�e• 1�c.Etc't ._
I hereby certify that I own property adjacent to caw,.i.tecc, A.e.,-a s Pe—, k Sri t=—b i v ma's
property located at '+n c.atAA0- 2- t >e (Name of Property Owner) -
4-
(Address, Lot, Block,Road,etc.) •
on {r�(75 cot iti� v3fi'tieu a �.
j (Waterbody) (CitylToWn and/or County)
The applicant has described to me,es shown below,the development proposed at the above location. •
X I have no objection to this proposal.
I have objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development mast fill iti description below or attach a site drawing)
�..-. kg t,kz%ct
'
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)
X I do wish to waive the 15'setback requirement,.
I do not wish to waive the 15'setback requirement
(Pro nor Information) _ (A scent Pr•• .caner • on)
Signa7�e fur'
tur: `C�,L////�
9ouw L L-4Z�SOJe.�- 111,e
akin.7.. 17VGtC�Gr/
Print or Type.Neme P .or e Name l t
Mailing Address Mailing Address
e.+¢cek 4-+U.ai v. ,)c 'Zt3 ,._`a‘e.,+,e>ve,s-ia.a 4c. 2Jo
City/State/Zip City/State/Zip r-
Telephone Number Telephone Num erV6r`
Date • Date
(Revised 6/1z�EIVED
MY 0 2 2019
DCM WILMINGTON, NC

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DCM WILMINGTON, NC

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 Column! Column5 Column6 Column7 Column6 Column9
6/5/2019 Carolus 6uildino Company Samuel Franck First Bank I13721$ 200.00 GP#74641 D TP rct.8275