74528D - Purdy

) CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
YNew ❑Modification ❑Complete Reissue El Partial Reissue
No. 74528
Previous permit #
A B C
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 07 N , 112O 0
❑ Rules attached.
Applicant Name �s2¢�S P--%XVLOy
Address 3337 :&r- AM0oWOS ( s.1AF1: LA
City rutfW&A -4 V/ AWA State A/ ZIP 2 7 52 `
Project Location: County 151RA& 1(Z-5 0 1 CA
Street Address//SSt►at-e Road/ Lot #(s) 1 4-2
1 tIw/y A LI 4YE—
Phone # "1 (�(t 4 - Z!, V OE -Mail &words o,.r al 0 &k4-.mc+ Subdivision AJ%A
Authorized Agent RkCHA CityAgL Q N C ZIP 2 7�o 2-
Affected ❑CW XEW XPTA ❑ES ❑PTS Phone# (I ) 363-03s5 River Basin LAAV*-v
Affecte ❑ OEA ❑ HHF ❑ IH ❑ UBA El N/A
❑ PWS:
ORW: yes In PNA yes /(9
Adj. Wtr. Body CAA/Ali, (nat /� nkn)
Closest Maj. Wtr. Body A I w W
Type of Project/ Activity QOAJrTtA"CT A" 1 ocr-O rI AIPOVl1 Tc>
(Scale: )
fA
Finger pier(s)
Groin length
number
Bulkhead/ Riprap li
avg distance i
max distance
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bul
Other /
Shoreline Length
SAV: not sure yes no
— -
Moratorium: n/ yes no
Photos: yes (9 --mitt I I I I I I I IV74t I
Waiver Attached: ye no Q-
N
A building permit may be required by: Q �OLDEAi1 D C14 ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) .•/ p
Notes/ Special Conditions 0 / 14, (;Z O0 do ALA- &MIC Z Lo CAL . STAr-rL � i!
IZZ—EW- IAL1 iGCf-G.w LAM "5 APPLY_
Agent or i� Printed Name
Signs re Please read compliance statement on back of permit
200 -*f 7 503
Application Fee(s) Check #
y UEf� K C- IP,K-
PertnkOfficer's Printed Name `
C
Signature 0 g./? AZ D 1 �ZA?4a 19
Issu ni g Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Morris Purdy
Mailing Address:
Phone Number:
Email Address:
3337 Bentwinds Bluff Ln
Fuquay Varina NC 27526
919-669-2660
[e-mail]
I certify that I have authorized Will Richardson
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Replacement of stationary dock
at my property located at 142 Tuna Drive Holden Beach NC
in Brunswick
County.
I 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
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner information:
Signature
M0C r 1' S F fi"L/ky—� 1/
Print or Type Name
Title
Date
This certification is valid through 9 1 30 1 19

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to :Morris Purdy
property located at 142 Tuna Drive
on Canal
(Waterbody)
(Name of Property Owner)
(Address, Lot, Block, Road, etc.)
. in Holden Beach
(City/Town and/or County)
I
N-C.
The applicant has described to me, as shown below, the development proposed at the above location.
Initial Here /f r 2 _ I have no objection to this proposal.
_ I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Ondh"idua/ proposing development must fill in description below or attach a site drawing)
Construction of stationary docking facility
. 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.)
Initial Here V I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(vroperty Owner Information)
Signature
I ill Richardson Authorized Agent
Print or Type Name
3235 Seac rest Ave SW
M'quffy' C!T8462 -
City 13PtF'6335
Telephone Number
July 23rd, 2019
Pare -----
(Adjacent Property Owner Information)
7--
(Revised 6/1 &2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ilorris Purdy ,5
property located at _ 142 Tuna Drive (Name of Property Owner)
on Canal
(Waterbody)
(Address, Lot, Block, Road, etc.)
in Holden Beach
(City/Town and/or County)
N-C.
The applicant has described to me, as shown below, the development proposed at the above location.
Initial Here i have no objection to this proposal.
I have objections to this proposal.
ur-sc:rcrt�TtoN AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Construction of stationary docking facility
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.)
Initial Here —Ae�l 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)
Signature
Will Richardson Authorized Agent
Print or Type Name
3235 Seacrest Ave SW
M p ly"M8462
Ci /StarglF'335
10-367-�
Telephone Number
July 23rd, 2019
Date
Si�,nature
Print or Type Name
Mailing Address
l�/1� Gl/eie«r�ec ,✓
City/State/Zip
Telephone Number
Date
h—z�-2{�t s
(Revised 611812012)

j�l •� '� CANAL
8x16 float
125sf
UP
Existing struct es, 28ftx12ft dock with offset for 1
gangway and controls 2g6sf
total
No wetlands 17ft Proposed stationary dock —5ft
�2�ft
Kenny Barnes
144 Tuna Drive
Holden Beach NC 25462
Owner:
Morris Purdy
142 Tuna Drive
Holden Beach NC 28462
q 1 q-66q-2660
Clement Williams
140 Tuna Drive
Holden Beach NG 25462
q 10-641-12%

Dab
Check From Name
Name of Pamif Holder
Vendor
Check Number
Chegk
PemdtNumber/Comments
Recel t or Re/und/Rplbcatad
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ColumnY
019
Li hthouse Marine ConsUDarrell Em
Moms & Tru Evans
Coastal Bank &Trust
BUT
BB&T
2799
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7503
S 20GP
#74608D
#74528D
#74359D
JD rot 8530
BB rct 91388I2019
BB rot 9137
019
Will Richardson/Richardson Constriction
Mor is Purd
S 20GP
Will Richardson/Richardson Construction
Je Blanks
7502
20GP