74705D - Grange

`_,'.CAMA / - DREDGE & FILL NO. 74705 A B C '�D
GENERAL PERMIT Previous permit#o
_
flew Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As auth/orized by the State of North Carolina, Department of Environmental Quality �7�,.�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC C;� l�lD
� / � t ❑ Rules a hed.
Applicant Name ) �' /� AVp %� �f�6 _ Project Location: County k�C r\,
Address O ��i� �� ��'L•
State ZIP
Phone # ) 4 Y��T./6 E-/Mail
Authorized Agent
Affected ❑ CW � ,X'PTA ❑ ES ❑ PTS
ElOEA G HHF ❑ IH ❑ UBA ElN/A
AEC(s):
❑ PWS:
�ICNti<
Printed Name
Si�nature "Please read compliance statement on back of permit"
ZPb 11 Sq
Street Address/ State Road/ Lot #(s)
:75 (t& f72_'� i-Aigil-E &AJ
Subdivision
City IN/ L ZIP �l
Phone # ( ' n ^ na River Basin
Adj. Wtr. Body /4 (//' V ✓�' �Q//� //man /unkn)
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&itfffificer's inte ame
Sig ur
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Application Fee(s)
Check # Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
David and Holly Grange
Mailing Address: 8316 Bald Eagle Lane
Phone Number:
Email Address:
Wilmington, NC 28411
[phone]
[e-mail]
I certify that I have authorized Richard Penny, RPC Marine, LLC
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Repairs to existing
finger pier, floating docks, and platform
at my property located at 8316 Bald Eagle La, Wilmington, NC 28411
in New Hanover County.
l 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:
t
4 -ff
Signature
Print or Type Name
Title
Date
12 15 2019
This certification is valid through / l

AGENT AUTH R9Ml0N FOR CAN& PERMIT APPLICATION
Name of Property Owner Requesting PO
David and Holly Grange
Mailing Address: 8316 Bald Eagle Laney
Wilmington, NC 28411
Phone Number: (6 3 U) 7 2 8- 4 3 4 6
Email Address: [e-mail]
I car* that I have authorized Richard Penny, RPC Marine, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining aff CAW permits
necessaryfor Repairs to existing
g proposed development
finger pier, floating docks, and platform
at my property located at 8316 Bald Eagle La, Wilmington, NC 28411
in New Hanover County.
I furthermore certify that t 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
�. Vib L A-
Prim or Type ,Name
Title
12
Date
12 15 2019
This certification is valid through l 1

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: David Grange
Address of Property: 1816 Bald Eagle Lane, Wilmington NC 28411
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Richard L. Penny Mailing Address: 133 Sound View Dr Hampstead NC
Agent's phone #-. [phone]
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.
I 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 httpalwww.nccoastaimana-gement.net/web/cmistaff-listing 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, boat ramp, breakwater, boathouse, or lift 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.
" 7LA/ 1 do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
Signature ignal urc $.s_._ l �i�i'v 4. •�. •-z
Jt� c nt.
Richard L. Penny for David Grange et1�-6-uw}�
Print or Type Name
Mailing Address
Wilmington NC 28411
Citylstatelzip
[phone] / rick((Drpcmarine com
Telephone Number/Email Address
Date
Print or Type Name
83}QBald Eagle Lane
Mailing Address
Wilmington, NC 28411
336— *e-04 t . _ —Wsrot 4��
Telephone Number/Email Address
Date
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: David Grange
Address of Property: 8316 Bald Eagle Lane, 1lmington. NC 28411
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Richard L. Penny Mailing Address: 133 Sound View Dr, Hampstead, NC
Agent's phone #: [phone]
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. Adescr ` h
ordrav4ng, with dimensions must be provided wiihthis letter.
I 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 htto.IlW ww.nccoastalmanagement.netlweb/cm/staff-listing 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, boat ramp, breakwater. boathouse. or lift must be set
back a minimum distance of 15from 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) (Riparian Property Owner
Inration)
Signature Signature
Richard L. Penny for David Grange �aE� braorCn r�
Print or Type Name
8316 Bald Eagle Lane
Mailing Address
Wilmington, NC 28411
City/State/Zip
(9101, 352-1317 i nck(Qrpcmarine.com
Telephone Number/ t mail Address
09/30/2019
Date
Print or Type Name
A4YV
Mailing Address
Wilmington, NC 28411
Telephone Number/Email Address
loll { Zolq '
Dare
(Revised Aug. 2014)

DALE BRADFORD
8320 BALD EAGLE LANE
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WILMOYGTON, NC 29411
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WILMINGTON, NC 28411
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INTRACOASTAL WATERWAY
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ELOCAlOAT LIFT
\ EPALCE TWO STORY PLATFORM \
W/ 16'X16' COVERED "TFORM -\
\ (256 SOFT) \ \
\ \ NCOVERED PLATFORM \ \
4'X20' AND 41X16' (144 SOFT)
\ {1 X 24' F TING DOCK \
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Richard La Penny, PE
133 SOUND VIEW DR
Hamostead. NC 29443
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Srale 1' = 30
Fle No
lheet No. Ji343
umation contained in this
is the sole property of
Penny Construction, U-C.
roduction In pert or whole
the written permission Of
Penny is prohibited.

Date Rxei-d
Dafe De flied
Check From Name
Name or Permit Ho Mar
VetMor
Check Number
Cne.t
amount
Pevmlt NumberComments _
Receipt or Refur dM-1kxated
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10/22/2019
Richard Penny Construction LLC
David and Holly Grange
Navy Federal CU
1154
$ 200.00
GP #74705D JD rct. 9060