74330D - Kissal

-_'CAMA / ❑ DREDGE & FILL NO. 74330 A B C Q
QNERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑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 n
�.lc.// ❑ Rules attached.
Applicant Name CAFOL. & cr— KISL uals� SAProject Location: County EA
Address %D05 RAcr-ys LA41151,JG Street Address/ State Road/ Lot #(s) 140 7 \\
City_ iR,Ar, LA,,mwc, State-MDZiP ,2o7.11 iJRTN SNoFE DR-wr- (Lor*�J
Phone # (•10"3)2J3- S7/S E-Mailbklssal GVerizoa.me+ Subdivision N /A
Authorized Agent City :5"XSC-f FMAC-H ZIP 2 8 46 d
Affected
XCW XEW L*TA ❑ ES ElPTS Phone # (`i 1 O) 171- 45,10 River Basin LK µ1wvk,
/�
AEC(s): ❑ OEA HHF ❑ IH ElElUBA N/A Adj. Wtr. Body C,- (nat man /unkn)
❑ PWS:
Closest Maj. Wtr. Body �� CRmsK
ORW: yes /� PNA yes no - /
Type of Project/ Activity CO^15TrtP-oT N r ►A !:)d c Wwlc-2 E�ALIL MX
Pier (doc ngth f 25
Fixed Platform(s)
e--:71. r,.� ,�
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
46b�� .¢' X 16,
Boathous oftatli13 X 1 7 '
Beach Bulldozing Other p W III -Al
15'.CA 2-
Shoreline Length JC
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no T
Waiver Attached: no
A building permit m De required by: 671.'J5C'r IIL.4C M
( Note Local Planning jurisdiction)
(Scale:111 : 20 11 )
d
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions 0 7 N . 1 Z o 0 A AU- OTC e- it- l-a. CA s- . STATLr . & Fr -OF -PAL
Rf_GfkLw-rio.-/S APPLY.
C
or
R- / l G Q LAI 1 R
Permit Officer's Printed Name
Signature Please re4dfompliance statement on back of permit*
2O0 #�1�08
Application Fee(s) Check #
Signatur � �/
S 3 0 2 019 9 30 2a19
Issuing Date Expiration Date

AtaENY At!-11-HORIZATION FOH CAMA PERMIT APPLICATION
Name of Property fawner Requesting Permit: (�Oc. k5sAL, 4"Ve-0—
kiSS�-�
Mailing Address:
ze)-77 9
Phone Number: 709 2�3 3�7r r
Email Address: !?�P-.! (�' �/Zr/ z•a��,�,���G�roL.�%lr�r� k'ssn/��,ary, ��v
I certify that I have authorized 0, ! tV�c,�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at�
in L UIA 0= County.
I furthermore certify that / 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 /^
���U-1 /�,� /SSP. (/
Print or Type Name
Title
Date
This certification is valid through/_/J

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
t I/
I hereby certify that I own property adjacent to:bw �Ii 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
�
on:stl LSPA-ae L 6A in_ -� C�1-�Cl .(� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatliftiboathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement
-----------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
q'2 q -9 &OLkr-Dy
Mailing Address
Urc-ak-1 Etc C�17
CitydtatelDp
�11D �75�7/©b
Telephone Number
Date
(Rarian Property Owner Information)
(7�
CL"'L -L�13-j C�-_
Signature J
Ch 0-rl es J +c- K
Print or Type Name
9rD-�Lo y, q
Telephone Number �+
1 -fit-1-1e!/
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to l(! Q CQ ��, 1 's
property located at 1 I U� Ko1
M
of Property Owner)
I' (Lot, ;Block, Road, etc
k.)
on Y1 5 II'' K� 0Q r� �V l t/ i� � in N. C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlif /boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-----------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Information)
q I D STS -70
Telephone Number
Date
Property Owner
Signature
or Type Name
Telephone Number
Date

CAROLI NA BLUEWATER CONSTRVCTION
4 Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr. SW, Ocean 15le Beach, North Carolina 28469 [phone]
JINKS CREEK FEEDER CANAL
Edge of Dredge Channel
13,�, 1.
18'-0"
14 Y
PIER HEAD ALIGNMENT
— -- —(6 6FFSETFI M 95M T
I
X 8'
OF CHANNEL) I
I I I
. Floating
Alum.
Dock w/ 10" Piles
I
o
I ,—Ripanano n Li
Ripanan Lin
I
'fi
I 12'tiLift
Baal
810" Piles
s
I
I
o �I
— +
MEAN HIGH WATER LINE
RUNS ALONG BOTTOM OF
a
�I
15'-0" Setback EXISTING BULKHEAD
I
l
15-0" Setback
m
p
iD i
K S 5'x5'
Platform
II
55.48'
_....�... N71°52'OB'E
CEJ HOLDINGS, LLC
DEED BOOK 3871, PAGE 1179
LOT 19
Deaneo.e
ria,.se noo.e
w
w CEJ HOLDINGS, LLC
DEED BOOK 3871, PAGE 1179
I LOT 21
LOT 20
5,261 SF
9489' - - - Lot 20, 1407 North Shore Dr
Sunset Beach, NC
CAMA-Pier Plan

Dare RecWvW
Dab a/fed
Check From Nama
Name of Permlf Holder
Vendor
Check Number
f�NCk
amount
Porm/f Number�ommenb
Real t or RelurM?tedbuterl
Columnl
Col-2
Column3
i Colu M
Columns
Columns
Column7
Columne
Column9