69153D - Heider

XCAMA / i- ! DREDGE & FILL
GENERAL PERMIT
Y-New :::Modification ❑Complete Reissue
El Partial Reissue
A B C
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC % N t2g 0
I —(Rules attached.
Applicant Name J ()i.1 iv 1"1 E 1 D EYZ
Address 0594 Fr-5TIVAL. LOOP
City C IAATTA VC',)C,A State Tit/ zlP 37419
Phone # (3N( 213- 6450 E-Mail fJ1A
Authorized Agent C AAR_At r_ S Fix
Affected El CW )EW K PTA ❑ ES ❑ PTS A4L- ,/T
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / 5 PNA yes /©o
Project Location: County I KXIIA/.%u1 c K Q
Street Address/ State Road/ Lot #(s) ' O
(,70LD5Q0IZ» STR-MM'r
Subdivision
City OCCAW e-ft Ur-AcIa ZIP 2_?4-G9
Phone # ( til ) 443 -4801 River Basin LurKBG,c
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Agent or Applic intecMarne
3
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Signature ** Please rea co pliance statement on back of permit"
2L"? O 3�5
Application Fee(s) Check #
1 YL1714 MCIGu
Permit Officer's Printed Name
Signature I
��5 /Iq AC1
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: John Heider
Mailing address: 8594 FESTIVAL LOOP
Phone Number:
I certify that I have authorized
CHATTANOOGA, TN 37419-1471
336-213-6450
Charles Fox Homes LTD
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of single family residence with
boat dock and boat lift
at my property located at 18 Goldsboro Street. Ocean Isle Beach
SI
in Brunswick G ��;oun
HERE tY
This certification is valid throu�`�""12-31-19
9P
Date
(Property Owner lnformatloxir... . .
4, - a
Signature
John Heider
Print or Type Name
Owner
Title
3-27-19
Date
336-213-6450
Phone Number
[e-mail] _
Email Address

N&
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m
CY

c'.:,,"
AWAt4t14I 1 M.MKIAN NKLWUK I T tMNtK * I A I tM 1 I
i hereby certify that I own property adjacent to zO A b. + el e r Is
(Narna of Property Owner?
erty proplocated at � <� s �•
on (Addrwn, Lot, Block, Rooa 4, ebc j
_t. �. (� in PC ew n le N.C.
(W*terbody) (Citytrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.A.,
r
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(1rxkvkkW proposing development must fill In description below or attach a site drawing)
WAIVER SECTIO
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 ou wish to waive the setback, you must initial the appropriate blank below.)
t do wish to waive the 15' setback requirement.
I do not wish to waive the 16 setback requirement.
(Property Owner 1 n)
Signcuur �%
r
Print or Type Name]
r<_
- ` Telephone Numbr emaiy
Date
i
(Adjacent Ppperty Owner Information)
�1l�ng Address AM,
Gf�g-,cJ �5(r_DG
.�. Cffy/Stat&zP
Telephone Num /email
z 2-0(
Date'
(Revised Aug. 2014)
�.:_
- 4-4

Heider Residence
18 Goldsboro Street
Parcel ID: 2440MO40
L-40 B-CANAL I S-B OIB PLAT H/314
I
Ferguson Residence
16 Goldsboro St
Miller Residence
20 Goldsboro St