74347D - Kring

CAMA / DREDGE & ILL„ NO. 74347 A B C
GENERAL PEMIT Previous permit#
XN ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0-4 (100 ? ��"� • Z d�
r-1 Ridac atrarharl
Applicant Name
Address 6445 tt (,p. oc Izc,
City Kia g 4u "�i StateWC ZIP Z�S(DU
Phone # (q(G) -.70 P _Mail WM
Authorized Agent Cx%U 0%&1r C42ki
Affected KCW )"EW )(PTA XES )<PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes C a PNA yes
Project Location: County Q4mw.-y<—
Street Address/ State Road/ Lot #(s) '
161 k4 Fo ),AJ �-
Subdivision
i CityAAOLOCI-4 l _��EQ ZIP 2 &!VA 2�
Phone # (JL0 ) S7M 109 S River Basin Lu„ . E 2
Adj. Wtr. Body C A A) A L gnat /!O�unkn)
Closest Maj. Wtr. Body A ( w W
Type of Project/ Activity iSvt_V--NE Aj--�, AN NO'JC10 4J(g 'r—A�.urry
IN SAMK- r01->TPR%/JT (Scale:
ner (d�tf
'e
Fixed P
atin X �4
Groin length
number
ulkh / Ripyoffsle
avg distaof
max dist
Basin, channel
cubic yards
+�I - 3' x U
Boathouse/ Boatlift
Beach
Other
w.a�n
EMEAR"TWE low M W.
NEW M, ill!R�!����Y.���F3►Il��.�ID��►�/Jn������'1����n'�!a
aID•NONE or.=
• • • - • - -• -• • •L■ - _
1. � • /(
Agent or� Printed Name
** Please rend compliance statement on back of permit **
600 13140
Application Fee(s) Check #
M C G (&Mir -
Permit Officer's Print ame
Signature
7�is�iq It �8�t9
Issuing Date Expiration Date

1 47
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FoRm
Date: In
Name of Property Owner Applying for Permit:
sn NE kwI a
Owner's Mailing Address:
i 44 S K/ i Creek (Zd
moty)Sy! (+e. /VC
Z7SCo D
Phone Number All ) ZI 0 - 0 9 00
N moef Authorized Agent for this project:
i..Q
A ent's Mailing Address:
('�U61
Phone Number�i
i certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install qr construct the following (activity):
For my property located at \21
This certification is valid thru (date) p`e \ L-L
Prop -ems ner Sig 4atu a Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] FAX: [phone] Internet: www.necoastaimanagement.net
An Equal Opportunity 1 Affirmative Adlion Empbyer

6
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT - --
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: U J 1, 1 If �� 1,
Address of Property: 2- i" ► f\ 1466len
(L r Street #, Street or Road, City & County}-----
Agent's Name #:G iCt (kr 5VPL ji�4(D�f� (l Mailing Address:auCh
Agent's phone #: ` 0-- 5-71� - q (3115 kx� ( Z, %q
I hereby certify that I own property ddjacent 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.
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 Diy1 n of Coastal
Management (DCM) In writing within 10 days of receipt of this nodce. Corres a should bQ
-- — mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represe art also be
• contacted at [phone]. No response /s considered the same as no objection teen
C notifled by Certified Mail.
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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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) Adjacent Property Owner Information)
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Print or Type Name Print or Type Na e
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Mailing Address Mailing drys s
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City/Statelzip City/State2ip
2/0 <?4--P% — �-
Telephone Number (�
47' —
Date
ya-z-C)-c\gVV
Telephone Number
Date
Revised 611 WO12

U.S. Postal Service''
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information, visit our website at www.usps.com®.
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or on tr.e front if snares narmite
1. Article Addressed to:
2`6q(D 2
I IIII I IIII IIIIIIIIIIII I I I III III III I III I I I
9590 9402 2219 6193 1046 39
2. Article Number (Transfer from service label)
7017 0660 0000 7487
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Signa
❑Agent
❑ Addressee
B. �ceived by (Printed lme) I C. Date of Delivery
Is delivery address different from item 1 ? ❑ Yes
If YES, enter delivery address below: ❑ No
:s. 5ervice Type
❑ Adult Signature
O Priority Mail Express©
❑ Adult Signature Restricted Delivery
XCertlfied Mail@
❑ Registered Maillm
❑ Registered Mail Restricted
Delivery
Q Certified Mail Restricted Delivery
eturn Receipt for
❑ Collect on Delivery
handise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirrnationTM
0702
❑ Signature Confirmation
tricted Delivery
Restricted Delivery
Domestic Return Receipt

CERTIFIED MAID, • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 1 l 0 J�1''n i I< 1" i (A
Address of Property: � 2_� 1 `0 ► �� JJ6o 6 4er1 5QCC. l
(L r Street #, Street or Road, City & County)----
Agent's Name #:G ICt �hS�('�lC, t��1 Mailing Address:66M BQQt�Ch ►✓ —
Agent's phone #: ` ID— S—Ici -,C�b9J S4�_C71 N( Z"6%q
I hereby certify that I own property ddjacent to the above referenced property. The individual applying for
this oermit has described to me as shown on the attached Orawing the development they are proposing.
have no objections to this proposal. I have objections to this proposal.
Ld fV 0�5- 7?y4e- rief ae:5 . vp,— li/1Tjfr r/ Ar
if you have objections to what is being proposed, you must notify the Diyl n of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Corres a should be
-- -- - - mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represe so also be
contacted at [phone]. No response is considered the same as no objection Jy°been
notified by Certified Mall. .w.,..:....
p, WAIVER SECTION
V 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.
�!OI do not ish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Rroperty Owner Information)
�A" MR�d CC(qe6A
Signature Sign Kure
I (,ia tC\-O- X fl, _ 5 ,o. TO;
Print or Type Name Print or Type Name
Mailing Address Mailing Address
V boc-r y5 x4l(^e 1\1C 2-1S" -g353`
City/state/Zip City/State/Zip
Q la - Z"lu
Telephone Number
Date
7a,of ­�gg� :!5�/Z✓5_
Telephonmber
w7l
Date
Revised 6/1 &2012

U.S. Postal Service'"'
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information, visit our website at www.usps.com . �.
�
Certified Mail Fee
x3.�n
$
4474
('L
E7dra Services & Fees (check box, add fee a te)
❑ Retum Receipt (hardoopy) 11
95
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$ 11
❑ Retum Receipt(electmnic) $ t(_�1_ 00-
❑ Certified Mall Restricted Delivery
POStmark
C3
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$ _ t r i Ar1
❑Adult Signature Required $ �—
Here
❑Aduft Signature Restricted Delivery $ �" •'�'�'
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Postage -�
$11
,cc $
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Total Postage and Fees
$6.85
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114/(I_tr 11119
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_______________________________.

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12-5

Date Received
Date Deposited
Check From Name
Name of PenNf Holder
Vendor
Check Number
Check
amount
Permit Numb-Commenfs
Receipt or RefundlReallocated
Calunml
Co1umn2
Col-3
Column4
Co1umn3
Columrre
Cokarm7
Column8
Column9
7/19/2019
Michael and Leslie Kolcun _
Grice Construction
Custom Design Marine
Harriet Thompson _
BB&T
2027
$ 200.00
GP #74237D _ _ _ _ITMc
GP #74347D __. _
GP #74349D
rct. 9126
ITMc rct. 9128
ITMc rct. 9127
7/19/2019
Kristine Krin
BUT
13140
$ 600.00
7/19/20191
_
Brian Carter
First Federal
1 13861$
400.00