74532D - Connor

LYCAMA / �,DRERGE & FILL No. 74532 A B C Q
GENERAL PERMIT Previous permit#
lfNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality t�U
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �2r1 . OKA'1c)U
�" ❑ Rules attached.
-
Applicant Name 5ctkAToArJ COO fiJof - Project Location: County�(L►//+IS►c,u►
Address bm N C NE S"l N U T S i Street Address/ State Road/ Lot #(s) (to
CityLu.�OE,t,,,n/ State NC- ZIP 9935b �`boL�- A(L
Phone # (` 1 °) 809 4 I W E-Mail J o,.►R'it \A46
.,.Subdivision
Authorized Agent to E
L nn S
City N \3E A Cq
ZIP
El CW EMW [*PTA
CAS WTS
�N � Phone # (�(l}) Li t/ 3 - f
River Basin �_,, M (�� (L
Affected
❑ OEA ElHHF ElIH
AEC(s):
ElUBA ❑ N/A
Adj. Wtr. Body i A tv AL-
(nat /unkn)
❑ PWS:
ORW: yes / PNA yes /
of
Closest Maj. Wtr. Body
id IJ
Type of Project/ Activity �,�►.fST,i�T
w r-+
�c+c4ttic� t'Ac_t ► i ��j Qca'JILL>
(Scale: WA = 2 O )
Pier (dock) length Y7
Fixed Platform(s)
Floating Platform(s) 1
Finger pier(s)
a
Groin length
number
Bulkhead/ Riprap length TO
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift j T K al
Beach Bulldozing
Other IN L N9 0 :11 r 1 l"
Shoreline Length ►
SAV: not sure yes
Moratorium: 6) yes no
Photos: yes ~
Waiver Attached: es > now
A building permit maybe required by: 16W►3 o %U-NEN LAW ;O See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) S^Ap �kA(L
Notes/ Special Conditions h(( ©� j-I,►�(� ? U�i`, .\ZOO LUCALr $7Al E, A+� 1� �E�1EQ-�L. RC~huc AT, u u S
Ted Nam/"f 5
Agent or plicant Printed Name
Signature ** Please read compliance statement on back of permit **
I1�4°� IZ 88
Application Fee(s) Check #
�QF�►D/t�► �2ock-
PermitOfficerr Printed
Signature
Issuing Date
- 22-2acr
IZ'2Z La19
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: I 1 p lo11af b= P,)�en Icl,, Nc- 2&412
Mailing Address: /00 IN
1_U m 6er40n 359
Phone Number: q 10 -Aso 2. -0 b
Email Address:
I certify that I have authorized <Ci HIS ) rn -S
Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Z o (K > e,) , 6tc-tc ,' A'c:K
at my property located at 110 Sand 'bQ16r 'Br Naid, &-c-1, N(- -29Y62,
in lro"!'W" c County.
I 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.
Property Owner Information:
Signature
—Eves+ *�u� �r � nncf'
Print or Type Name
0A)'e(-
Title
1$ l Za;�
Date
This certification is valid through t Z- 1 31 1 ZO M

CERTIFIED MAIL • RETURN RECEIPT , '.EQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWA1VER FORM
Name of Property Owner. S&m n Co n n-e-r
Address of Property: b 5and d-cU&.l' +y o)d in" 6aG%)
{Lot or Street #, Street or Road, City & County)
Agent's Name #: �e �� i m 5 Mailing Address: 1101 Kirbu 12c1,
Agent's phone #: a �l'J- �%�} �i�q —SU-40121u , kra Vc-o_
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 : ttached drawing the development
they are proposing. A description or drawing, with dimensionv gust be provided with this letter.
� =-� I have no objections to this proposal. I h,? re objections to this proposal.
If you have objections to whatis being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should i e mailed to 127 Cardinal Drive Ext,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. 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 Nan;: below.)
VA:%�O A *'- _ LJ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
l qd0 KI, btj g_ d
Mailing Address
) LlC
City/S a eo
Telephone Number
?/z F/1g
Date
(Adjacentt a Ow nfo ation)
Signatur,
E e r�
Prit or Type PJame
Mailing Address
City/State/Zip
Telephone Number
Date
Revised 611WO12

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. 24 ('�hAt ,r
Address of Property: 11 0 S O4-�dd',A t ay 1461 a e-n L'Ca► rj-)
{Lot or Street #, Street or Road, City & County)
Agent's Name#:Ta I�elm� Mailing Address. 1907 KIYbU y2d .
Agent's phone #: gilt �1�3-�itCq�C 5.�(�pl� I I��, ORS( (o a
A{
I hereby certify that I own property adjacent to the above _._.anced 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 1, ist be provided with this letter.
T �
have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis 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 [phone]. 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
} hack a minimum distance of 15' from my area of riparian access unless waived by me. (If you
"�� wish t waiv the setback, you must initial the appropriate blank below.)
iH0`� ''—� 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
1� d �elr�S
Print or Type Name
Nn i r1
Mailing Address
S 1
City/State/Zi
Telephone Number
Print or Type Name
Maili g Address
G fi bJ ml Z'r, /
CWState/Zip
Telephone Nun r
Date
Date
Revised 611MO12

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)ate Received Date Deposited Check From (Name)
Name or Permit Holder
Vendor
Number
Check
amount Permit Number/Comments
Receipt or Refund/Real
�ch-k
Columnl
Column) ColColumn
Column5
umn6
ColColumns
Co1umn9
8/23/2019
8/23/2019 Allen Peale Construction Co Inc
Robert Peele
First Bank
15655 $
200.00 GP 74587D
Tmac rct. 9184D
8/23/20,9
8/23120,9 Town of Oak Island
same
BB&T
77062 $
400.00 GP 74572D
Tmac rct. 9180D
8/23/2019
8/23/2019 McPherson Marine Services
Frank Hippel
First Citizens Bank
2836 $
400.00 GP 71837D
Tmac rct. 9182D
8/23/2019
8/23/2019 McPherson Marine Services
Vernon Martin
First Citizens Bank
2838 $
200.00 GP 74589D
Tmac rct. 9186D
8/23/2019
8/23/2019 Ted Helms Backwater Marine Constr
Jonathan Conner
SB&T
1288 $
600.00 GP 74532D
TMcG rct. 9108D
8/23/2019
8/23/2019 Ted Helms Backwater Marine Constr
Roger Walker
BB&T
1289 $
600.00 GP 74533D
TMcG rcl. 91440
8/23/2019
8/23/2019 McPherson Marine Services
First S. James Inc/Kennan Wright
First Citizens Bank
2837 $
400.00 GP 71855D
Tmac rct. 9183D
8/23/2019
8/23/2019 Joseph and Tara Milligan
Jim Putnam
First National Bank
6715 $
200.00 GP 74530D
Tmac rct. 9142D
8/23/2019
8/23/2019 Harold (Rusty) and Sandra Garrett
Rusty Garrett and Eddie Julian
PNCBank
992 $
200.00 GP 74586D
TMcG rct. 9141 D