57399D - Lefler

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
x�lew ❑Modification Complete Reissue El Partial Reissue
5"?399v
Previous permit #�'Wll01 0 �/� L� fL
Date previous permit issued 1)_TQ`1h­J1,
As authorized by the State of North Carolina, Department of Environment and Natural Resources r
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (,� (• �.' (%C
( ❑ Rules attached.
Applicant Name (�� � L II Project Location: County
AddressL= v Pe il- ( C A- y) 1 Y _ :< L'lj Y Street Address/ State Road/ Lot #(s) 4o u i '>
I City i'y 1 �1 1 co 1'LL 1�' State_ 1 ZIP ;t '1 U
Phone # (_ '1(n 17- . ''GiQi Fax # ( _}-----'" Subdivision
Authorized Agent f- iJ ity 1 ZIP -
Affected ` ' Cw r _Ew PTA L ES PTS Phone # ( ?qf _ 30bZ River Basin C�'
AEC(s): El ElHHF IH L. UBA ❑ WA Adj. Wtr. Body �"
El PWS: ❑ FC: , - 1 hat an unkn
ORW: yes / CO)PNA yes / ,o Crit.H!b / no Closest Maj. Wtr. Body �'L vv
Type of Project/ Activity 1 vt to t t 1 5•5 ,' x1 y 1 I!; tT jyi e ws'j
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/x t
Beach Bulldozing
Other ()yJ_
Shoreline Length y'
SAV: not sure yes
Sandbags: not sure yes
n
Moratorium: n/a yes n
Photos: yes
Waiver Attached: yes no wAn
A building permit may be requir� by:
(Scale: + 11_ ?C )
C/1 ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions x I (� 4Z f ftki LPL n Dx N' t / ( M 4 D 11-m y q l u Y 10
I h,t� i ;, o yl 04 c, oyt 4AAL+1 inn . �-P_ YI J A z S W.l ( 6 Lim � VA YuL -J t uc 1 1/'c i
a�Lk)'VAC1 )(� ' V IDot YlA-Vt U YY1ADY If Kt )e4 hX GK C94,i f IImo,O-Ki c.�lcj r�}
AKwebr Applicant Printed Name
Signature "Please read compliance statement on back of permit"
%2
%�
Application Fee(s) Check #
Permit Officer's Signature
/0n0
Issuing Date Expiration Date
;a1A N-1 �
Local Planning Jurisdiction Rover File Name

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
'4- �/ �'q /Ze4t,
Name of Property Owner Requesting P rUn .
Mailing Address. `
u �c�Gm>,
Phone Number:
Email Address:
I certify that I have authorized
Aui4�ls444 lJGod I Y1 6 ZSy9D
lG eOl x �- ec, rrUN
Agent / Contractor
I V
OCT 0 1 2019
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1p
Iry ��1siz►�1� i<��
at my property located at
in t, �,)UL'Y* County.
1 furthermore certify that I 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
1R on the aforementioned lands in connection with evaluating information related to this
o permit application.
it
Prope Owner Information:
Signatur
Print or Type Name
Title
/ ) 6 / 1I
Date
This certification is valid through r / °ZG I
P.O. Box 868
Wrightsville Beach, NC 28480
[phone]
l s

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: /—/ ' l,+ L7F&—yu
Address of Property: C 0 14 1/thg 6t
(Lot or Street #, SWeet or Road, City & Coi
Agent's Name #: L711 It Mailing Address:
Agent's phone #: !11) ��G`3yGa
4,�, Zgyyb
& gy
I � , tq,C,2eye
4k
4 1 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
PP 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.
(Pr erty Owner Informa 'on)
rgnature
Print or Type Name
Mailing Address
G✓rkblti3uPIM t i �l�L• 2�'�
City/State/Zip
q/o- �/� -
Telephone Number
Date
(Adjacent Pro
Owne Information
,�
Signature
Print ofjType Name
g f �l)Z^
Id
Mailing Address
City/State/Zip
CEIVED
Telephone Number
r 0 12019
,91 �f,?V)� 0CM WILMINGTON, NC
Date
Revised 611812012

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:
Address of Property: �� Atlktm b)A41i14C "'' `"' H1 ` 16 ?lgh
(Lot or Street Street or Road, City & Co my
Agent's Name #:
Agent's phone #:
Mailing Address. L U, �,/( 61,B
if I hereby certify that 1 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.
tJ TTiave no objections to this proposal. I have objections to this proposal.
If u 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.
POP 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.
Informat
-'i nature
7s,414
Print r Type Name
Mailing Address
City/State/Zip
�/P- �IJ-N,610
Telephone Number
Date
A JW
/ Std►i
(Adjacent Property Owner Information) f�
ature
Print or Type Name
31 �- �Jyw �
Mail�ddre s
City/State/Zi E I�/E�3
Telephone Number 44 r 0 1 2019
_ACM WILMINGTON, NC
Date
Revised 6/18/2012

EAD LINE
LINE FROM MAPS AT
'ILLS BEACH PLANNING
I I FLOATING 1 1
14.1'—J DOCK 1--12.9'
(FLOAT)
RAMP
15. 1 '-.-i
(PIER) 1 PIER I---13.9'(PIEP)
m
1 c� I NORMAL HIGH WATER IS AT
FACE OF WOODEN BULKHEAD
78°3 2' 18"E i
G0.89'
it
Q
,6 N
1 N L-i(�51N�1G f�jP
to �
UPLAND
IMPROVEMENT5
NOT 5HOWN
41,14 4cy4tn
° Yo fr-l«N 017.
RI
Z
N77053'00"E
48 27'
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N78003'00"E
CI1.=1 1 .70'
G0.00' 60.00
I
lb
to
18
PELICAN DRIVE
8
.RT OF R/W OF U. 5. HIGHWAY # 74)
(51
I w
(200' R/W PUBLIC)
is
— — — — — — — — — —
— — — i O
— — — — — — —
oi-
o �
m1
TI115 MAP AND FIELD SURVEY WERE MADE
FOR THE EXCLU5IVE U5E OF THE PER50N,
PER5ON5, OR ENTITY NAMED IN THE
CERTIFICATION HEREON. 5AID CERTII`ICAT'
DOES NOT EXTEND OR TRAN5FER TO ANY
UNNAMED PERSON, PER90N5, OR ENTITY
WITHOUT AN EXPRE55ED RE-CERMFICATIO
5Y THE SURVEYOR NAMING 5AID PER50N
PER5ON5, OR ENTITY.
RECEIVED
(` n r T n 7 2019_._
RIPARIAN SURVEY FOR DCM WILMINGTON, NC
LI5A SKINNER LEEL'ER
LOT 15 CHANNEL ACRE5
TOWN OF WRIGHT5VILLE BEACH NEW HANOVER COUNTY, N.C.
BER 25, 2019 (FLOAT MOVED)
4CRE5 LOT 1 5Wwg\FO PELICAN DR.dwg
013n I a n 9 9ll A(: + I LEGEND
N PATRICK C. BRIS'
)Qk LAND SURVEYING, PC

Date Date Check From Name of Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
F and S Marine $ PA rct.
10/14/2019 Contractors Inc Lisa Lefler PNCBank 8116 200.00 GP 57399D 9173D