71788D - Austin

'3CAMADREDGE & FILL N2 71788 A B C +
GEIV ERAL PERMIT Previous permit #
7New -Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality I
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC oi (4
A ,, ❑ Rules attached.
Applicant Name D U e - ALn7- o
Address 12 2�
City ��� ) State0-, ZIP 2K)(4-
Phone # (�I' E-Mail
Authorized Agent I
XA
Affected ❑ Cw ❑ EW ❑ PTA )`fS ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH O UBA ❑ N/A
❑ PWS:
ORW: yes PNA ye no
Project Location: County P�e N pt If—
Street Address/ State Road/ Lot #(s)
Subdivision
City L ?'--CPC4- zip Z 67 445
Phone # (- River Basin wl
Adj. Wtr. Body f'+"JeFL &!at man /unkn)
Closest Maj. Wtr. Body Ttir-h, t- 5oa,ve>
Type of Project/ Activity l/u /`t it
(Scale:
Pier (dock) I gth
Fixed Platform(11111!1_
Floating Platform(s)
Finger pier(s)
Groin length
number /
hea / Riprap length t�
avg distance offshore�-'r-11
max distance offshore
Basin, channel
cubic
Boat ramp _
Boathouse/
Beach Bulldozi
Other
Shoreline Length J
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes ;4 no
Waiver Attached: yes no
A building permit may be required by: ��/�A / L )0?iE'f C'41— ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) 1
Notes/ Special Conditions (l�M �'�''� o f S d1 a f Gl
O V-
Agen rA
lfpQTt Print e
ignat le e re c pliance statement on back of permit"
265-/ - t l00
¢� e , s 3
Application Fee(s) deck hr
))lf1 f - tL_-
Permit cer's Printed Name
Signa e
/-Z'�-/9
Issuing Date Expiration Date

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use onlj)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS (1
Name IJ�Ougk qIs a WS T1�
Address Q0 h Aklf r_ '5+L
City State
Email l 1 5+,r (toA SstA`IMfQ' l� [-0 vn
AUTHORIZED AGENT
Address
City
Email
State Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Li
SIZE OF LOT/PARCEL: square feet • OC acres
PROPOSED USE: Residential (Single-family ❑ Multi -family ❑) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
exe ling non -load -bearing attic space)
(2)ASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UP SURFACES: square feet (includes the area of the foundation of all buildings, driveways, covered decks,
co _te or merry patrfWtc. that are within the applicable AEC. Attach your calculations with the project drawing.)
r Z
ST.D STO"WATE ANAGEMENT PERMIT: Is the project located in an area subject to a State
Sto M it issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YE ater N emen C
If ye8ist the tdW built area/impervious surface allowed for your lot or parcel: square feet.
Z `'O
9
�3r
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other thage CAMg2
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitaWaste o
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, lusulat m: an' Energy CL>— atiorMl ,A
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile home Park Approval, Highwa�nneet eR and
others. Check with your Local Permit Officer for more information. ~
U z
STATEMENT OF OWNERSHIP: W <
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of propert x an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
owner or record title, Title is vested in name of
see Deed Book y (� 1 page en in th County Registry of Deeds.
_an owner by virtue of inheritance. Applicant is an heir to the estate of 1'n I dL
probate was in
County.
_if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them conceming my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
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
to this permit application.
This the 96�4' day oi�_, 20 1 Ct
Landowner or Person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary; a check for $100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details w411 constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
0-
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to DjLuck Ok-s4i 1 's
� 1 Aame of Property Owner)
property located at �) 9 Iy' X a N �G
y-� (Address, Lot, Bloc oad, etc.)
IS
on )iKS eAIVN�;LL- in /° Sig/L lS E t� N.C.
(Waterbody) (City/Town and/or County)
The applicant 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 till in description below or attach a site drawing)
CAa I
N �yo 0�
h'p- L'i tt
e c' w ct- l �
G19
o ro n
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
V I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
ion) (AdjacepVropi r) Owner
atuFe Si n 'ffe*
uG" 5 2, Qk S%/nl e/,z 6:_ tea,
P��`{or Type Nam Print or T e Name
3 Noj-,6fP- 27- l31 a�r)�r ���loal lQ
M g Address M fling Address
1 A L£ I G PI- N C %(� 1 `I )Ti n a'15 V lle
Ci y/State/Zip City/State/Zip
C 0 J0 -,;? C/o -a30.3
Telephone u er/email address Telephone Number/email address
Number
„3O/`/
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature` RECEIVED
JAN 10 2019
DCM WILMINGTON, NC

y/9
Date / zq � e����S'AI � C �,
Adjacent Property V/ gf(� ge f_cS1 Zn
Mailing Address ah o� �l fi yx O?L
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
Property Owner
Receipts for
Certified Mail
(Staple Here)
have applied for a CAMA Minor
Permit on my property at 617 /y r y0 n Ao —in COUNTY
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at (� F � 3 J — U Y �or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Since
Property Ow S)I—
1.2 43 a CQaj l br
Mailin Ad ress
City, State, Zip Code
RECEIVED
JAN 10 2019
DCM WILMINGTON, NC

CO
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ri
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f-

O •� Q\ � x ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
t
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rebertify that I own property adjacent tojQCt�,
property located at 1(� 1 0 ft , � (N� � � Property Owner)
Q\\ on a (Address, Lot, BlockLRoad, etc.) _
N in J O L ..15 fit, Iq N.C.
(Waterbody) (City/Town and/or County)
�\ The applicant has described to me, as shown
location. below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndhrldua/ proposing development must fill in description below or attach a she drawing)
S�czwnl!
/V100 UC.
2�
I understand that a pier, dock, mooring pilings, boat ramp, 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.
lPr
pertyOwnerr nfQrmation) (Adjacent Property Owner Information)
// JJ jjjj 1
n `-t p am � xjd LD E �.. S /
Md & 1
QtylState/Zrp q (fir ' �} �j 1 7
Telephone�Iyumber/email address
r
Dute
I l.)- /0�'o II corm
*Valid for one calendar year after signature*
Signature*
P 'nt r Type
C fees
Mailing Address
Qty/Statelbp
Telephone Number/email address
Date*
(Revised Aug. 2014) RECEIVED
JAN 10 2019
DCM WILMINGTON, NC

---------------------------------- BANKS CHANNEL
to o
N
W O
W z
� Q
P O O
Y 'i3
!existing
seawall i
702 N. Anderson 621 Nixon Ave 619 Nixon Ave
Edwin Bowden Henry Dail Doug Austin
0 a
normal
high tide
7m
618 Nixon Ave
undeveloped lot
Wyatt Topsail CC
1 WrVATTl --
"L-4" Ll\ L - - - ..............._--._-.------------------
Proposedseawall Contractor:
Darrell Erny septic system
Lighthouse Manne Construction

PARCELS
4228-14-0659-0000
CA.LCACRS
NAME
WYATT TOPSAIL CC
A :)R
-1-41 PIDGECREST DR
Ci7y
DANVILLE
STATE
VA
ZIP
24540AVE
PROPERTY DESCRIPTON LT 8 PB 12118 NIXON BEACH
CYA,T
016-07-2
SALEPB.ICE
Deed Reference4624/2887
tad
13-0120018
ACCOUNT
971974
TOWNSHIP
TOPSAIL
ACRES
0.21
LA D,_VALUE
$407,969
BUILDING VALUE
8,557
TOTAL, VALE
5416,526
1-JEFFR LD.-VALUE
50
St-Al"DIVISION
NIXON BEACH
�)N E
TAX CODES
G01 C54 R40
E,XE M PT
4
RECEIVED
JAN 10 Z019
DCM WILMINGTON, NC
0

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Date
I
Date Received
Deposited Cheek From ame
Name of Permit Holder
Vandw
Check Number
Check amount
Permh NumbedC—m-fa
Reca/ for ....fed
ColuinnI Co_lu-2 Column)
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112712019 DAP-SL, LLC/Doug Austin Doug Austin North State Bank 2653 $ 300.00 GP #71788D JD rct. 6970D
112 i /2019 DAP-SL LLC/Doug Austin Doug Austin North State Bank 2651 $ 100.00 GP #71788D JD rct. 6970D