Thompson, John

L CAMA / ❑ DREDGE & FILL %0
N. O p
-. 4U L A B C D
GENERAL PERMIT Previous permit#
J New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality .._, f •1 / .,., i .
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
.. ©Rules attached.
Applicant Name 1, , i % 1 Project Location: County
Address h: t h; +'i ( 1 I V ( Street Address/ State Road/ Lot #(s)
City State f'J/ ZIP
Phone # (E-Mail Subdivision
Authorized Agent CityZIP
❑CW ❑EW El PTA /6S ❑PTS Phone# ( ) River Basin
Affected OOEA LHHF ❑IH ❑UBA ❑N/A -� -� i•
AEC(s): Adj. Wtr. Body I li x = ' r (naUr/man /unkn)
❑ PWS. Closest Maj. Wtr. Body ��' Jo'' � ' L lce i' /
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length _ -
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) r
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift i
Beach Bulldozing
Other
Shoreline Length I --
SAV: not sure yes no
Moratorium: n/a yes 'ono
Photos: yes no
Waiver Attached: ,;eyesno
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
j I i
Agent or Applicant Printed Name
r
(Scale:' (� )
r;y ❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature ** Please read compliance statement on back of permit'sa'
Application Feels) Check #
Signature
Issuing Date Expiration Date

ADJACENT RIPARIAN PROPERTY
I OWNER STATEMENT
hereby certify that I own property adjacent to © 41w ¢ Cluj CdCDuMOSO vt , 's
(Nam,ee of P perty Owner)
property located at a 3 �P 00 C�� �C the K A6 L ( J 0v e c , C 92S(�.
) (Address, Lo�y Block, Road 11 etc.
on ^Li (ck � 1� �ti�l in l'rbL2 �CG��I� " /I , N.C.
�l1 (Waterbody) (Cityrrown and/or County)
The applic nt has described to me, as shown below, the 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)
RECEIVED
DCM-MHD CITY
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.)
01q11 do wish to waive the 15' setback requirement ------
- -- ---- — — — --- --- h;✓ h i Elul = �--
_ oc/4
i� I do not wish to waive the 15' setback requirement.
(Property Owr)pr
Ma ng Address ,
�><'S
City/state/Zi
alr
Telephone Nu��ttber
// //`l /,�n/q
Date
(Adjacent Property Owner Information)
City/Statei[ip � r�
Telephone Numb&
/I
Date
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John Thompson's
(Name of Property Owner)
property located at 236 Oakleaf Drive
(Address, Lot, Block, Road, etc.)
on Booue Sound in Pine Knoll Shores . N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as 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 must fill in description below or attach a site drawing)
Repair existing dock with same configuration
Repair existing bulkhead and fix soil erosion caused by breach of bulkhead in Hurricane
Florence. Repaired bulkhead will connect to existing bulkheads on adjacent properties.
RECEIVED
fiLei4-MHD CITY
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.)
11 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si nature
Thomas E Waldrop Jr.
Print or Type Name
238 Oakleaf Drive.
Mailing Address
Pine Knoll Shores, NC 28512
City/State/Zip
_(919) 348-7951
Telephone Number
12/4/2019
Owner Information)
,'ignature
Print or Type Nam
2-3C (9, Alt"
Mails Addr ss 2 S Z
City/Statelzip
R/S-?_Z3-)Zi2
Telephone Number
Date Date