74375D - Goodman

=JCAMA / CJ DREDGE & FILL No. 74375 A B C
GENERAL PERMIT Previous permit#
)eNew ❑Modification ❑Complete Reissue El 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 0114 Calla
���� //�- ❑Rules attached.
Applicant Name CIYYI�{/j M �i 6� L-t� Project Location: County /�/L"
Address 0 — P4
City l�/hlhGtNl State NC 61 —ZIP_aEtfl
Phone # (�W) 17 ES O-E_Mail 59
Authorized Agent LctYk.Se!/�^�'Y�J7a71
Affected ❑ CW $FEW UTTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: n / no PNA yes /
Type of Project/ Activity
Pier (dock) length 4 8'.V
Fixed Platform(s)
Floating Platform(s) 32f X 8
Finger pier(s) —
Groin length
number
Bulkhead/ Riprap length w
avg distance offshore
max distance offshore
Basin, channel —
cubic yards "
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other —ramp
-am p
Shoreline Length
'�4ob
SAV: not sure yes
Moratorium:
n/a yes
/®
4�C
Photos:
yes
Waiver Attached:
yes
Street Address/ State Road/ Lot #(s)
Subdivision '
City ZIP
Phone # (—�--*—River Basin U44
Adj. Wtr. Body /'/41 W ,hiatl/man /unkn)
Closest Maj. Wtr. Body Pis 6-ee
MIMMMMMMigEMENEM
A building permit may be required by: #941
( Note Local Planning jurisdiction,)��Q �%� //
Notes/ Special Conditions (,LY,( 114,E . , 0 -71 /2100, ll ti%
Agent or Appli ri ed Name
Signature lease rea� p�%pliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Fate( k Arm' (G
Permit Officer's P ' Name
Signature
s/e?o/ao/C( ra /4&/ 7
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (.,o�, , ,. ,d in /K,-ddt (e. &vA L_V-
Mailing Address: U p'
W i inn t-�ov� Rl L, 2 S- y%\
Phone Number: R t o 61 7-%"Q or 33 Sgy-4 g s's
Email Address: s� t z Zs 54 Z ao(.C-o� ksfe�nw�av¢.fi�igM4il-
I certify that I have authorized a ,n :21 C\ t w N e v\+ S ,
S k e i9 kt n C 9 ; Ment / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: lZe- hu : l d cl oc_ k
r1 P -s4 ,roq Pe4 bv� Wyd'd`%CA+\t 1F \ oJ'eY\re-
at my property located at 1?0 \ (o S12r�_�!e a Dear W i kw\: -Ann !U L
in ,d ko \AU,n r vt,r County.
I furthermore certify that l 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
Print or Type Name
Du��e �, Se�✓ch.-� db LLL
Title
o8 l 0 y l �o lam►
Date
This certification is valid through I �L l ( 0 1 ZO 11

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Curf ea.fEfut
Name of Property Owner: �T
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name#: Dn+n�e 1 Ci vv%,e'A4.S Mailing Address: _ 1 3o
Agents phone #: q 1 O - (07 — (,0 J G Z Ar. 14c m S leer( tVe , 2. k1l c{3
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� 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. 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 Lou 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 blank below.)
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
-P.O.8 o u 9 -7 s-s
Mailing Address
NC_ 2_7q4F Zc7
C 4§y ate/Lip
3 3 �- 2? If - If ► Zr-j
Telephone Number
/,If9
Date1
(Adjace .Property Owner Information)
Signature
Print or Type Name
Maifinq Address
(::r :>_0 -1.) ,,)
COVStatelLip
Telephone Number
r
Date /
Revised 611812012

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner. Sa(LNra (Yla� a 1'. .Q
Address of Property: mid Sa.•,- !i'tc�.,r, �v-e CJNc. 2><5eps--
(Lot or Street #, Street or Road, City & County)
Agent's Name* -Da+n�t 1 CV*_wxe.n+S
Agent's phone #: q 1 D- 3 fo7 - (o 6 2
Ale-, zrrw43
Mailing Address: I o perr4.6c�
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. 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
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 Inforrma1tion)
Signature
l--e Z. W -0-Jc.-r
Print or Type Name
P0. 6bx �7fS^
Mailing Address
6 &1, iv 27t�-Zet
City/Stateaip
3 3co 1L 2-1 `f - �f
Telephone Number
O©�
(Adjacent Property er "formation)
Si
r i'JTD
Print or Type Name
z 1-/_ " , P,% cl ye,,-- / vg S)t / 7 0
Mailing Address
N L 2) 4Ud
City/State/Zip
Telephone Number
Date
Revised 6/1812012

Car Is 6 ^ Cow-1
I ►11 F-4-a1
Goodw,a ►m;ddle Soo,-,d
901(o S?I-;A5 ?.ef?c�r
L,Q; lv-A;vt3--o^ NC 2f'-I1N
.5'
L L C.
3 %'
2:1.
.5a^4c1 wla,ri oq
L-T 0 ?ay4n ersh; P

Daro Roco/vod
Daro Da shod
1 Chock From (Name)
N.— of P.—ItHolder
vendor
Chatk NumDor
amoChockunt
Pormif Numoer/Comm—M
Recolpt or RofunNRwftcarod
Columnl
Co1umn2
Column3
Column/
Columns
Columns
Cokunn7
Columns
Columns
8/21/2019
8/21/2019
6/21/2019
Land to Sea Construction LLC
Coastal Marine Piers Bulkheads LLC
Kenneth W Futch & Be T Futch
Goodman Middle Sound LLC
Mark Carter
Wayne Futch
First Citizens Bank 89 $ 200.00 GP #74375D
Wells Fargo Bank 22963 $ 40000 GP #74584D
Alliance Credit Union 10652 $ 200.00 GP #74570D
PA rct. 9167
PA rct. 9166
JD rct. 8797