73512D - Partington

X CAMA / ❑ DREDGE & FILL NO. 73512 A B C (D
GENERAL 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 1 20
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 -1 I-1 . O
❑ Rules attached.
Applicant NamePAitiL Re -5qAykOnR / �A 'T1 -46-' V Project Location: County RK/VSW I CK
Address 311 Z F—uEczsLlr- CT Street Address/ State Road/ Lot #(s) 1.418
City GLC­A/lvrt> Stately ZIP 21738 gAy STREET
Phone # A p) 9 9 4- 3 14 k E-MailyW OKA, rod onr rdij ►LEI. co« Subdivision A
Authorized Agent "5AM" �}► N^1AM City S'w&KT 13r-AC •1. ZIP ,29469
Affected ACW XEW IXPTA El ES ❑ PTS A�, -, NT Phone # (910 ) 443 - 4.Z45 River Basin Lt M mi&
ElOEA ElHHF ElIH ❑ UBA El N/A AEC(s): Adj. Wtr. Body 13 bW- CAM-tc nat man /unkn)
❑ PWS: A
ORye W: yes / PNA /no Closest Maj. Wtr. Body
Type of Project/ Activity
:k) length G x 1 92V
ttfor (s) /. X 15
Platform(s)
Groin
Bulkhead/ R rap length
avg dicta a offshore
max distan offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
her C71AZEfLn r% I6�
.moo W = 7A S-�* Z
Shoreline Length 50
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes
)(K Scale:
A building permit may be required by: .5uw/S£-r $CAC% ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions n r% 14 , (i zoo A ALD A Lt. aTl►£R LO CA L.
STATc— ARID r-SD1=RAL- VLEF GtAL,A T#rWC A PnN.
ii IAi2 10
Age r App is t P anted Name
ignatu "Please read compliance statement on back of permit"
O 2ao * 7531
Application Fee(s) Check #
1 Yft:R MC Gu IF-r-
Permit Officer's Print Name'A
G �
Signature
511 /20►9 q /1 �zui9
Issuing Date Expiration Date

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Authorized Agent Consent Agreement
�a►mmVj IJ0,24 nil is hereby authorized to act on my behalf
�— (Printed Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
specific activities described in the attached sketch.
LOCATION OF PROJECT:
Sunse4- och NC
PROPERTY OWNER MAILING ADDRESS: X?
cl-
PHONE NO.
AUTHORIZED AGENT MAILING ADDRESS:
�14 Mon5fpr Qu k IJ CJ
Sym)(' kc a-s&�
PHONE NO. ql6 yq3' qg 4S
Signature of Property Owner:
Signature of Authorized Agent:
Date: ot -a 9-
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity t Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper

DIVISION OF COASTAL N ANAGEIvIENT
ADJACENT RIPARI A.N PROPERTY OWNER NOTIFICATION; WAIVER FORM
Name of Individual Applying For Permit: PotJ �Ar-ko�+00'
Address of Property: Lot � 6au 5� {gin 5 e`� (�Pqch NC
(Lot or Street, Street or Road)
Gw115 �i C
(City and County)
I 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 they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, "Wilmington, NC 23405 or call 910-395-3900
within 10 days of receipt of this notice. 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, boat house or boat lift must be set
bek 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 1 5' setback requirement.
t,* 7— I do not wish to waive the 15' setback requirement.
a4l�� rll�r'_ y- Z 7 , z w c,
i-n Nlame Date
Pint Name
? v'i — S' 88-�/'VV
Telephone Number with
S:`.cama' shells`riparianproperty.frm
Area
CW
Code NCDENR
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
NC AgeD7
IIII IIII I'll IIII IIIIIII II IIII (IIII IIII
9590 9402 3518 7275 5868 12
2. Article Number rrrancfwr f„ ^, ^ ' "
)017 0190 0001 1319 0569
r PS Form 3811, July 2015 PSN 7530-02-000-9053
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❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered MailM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified Mall®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
O Collect on Delivery
MerctVndise
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
❑ Insured Mall
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
Domestic Return Receipt
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April 4, 2019, 11:21 am
Delivered, Individual Picked Up at Postal Facility
DUNN, NC 28334
Your item was picked up at a postal facility at 11:21 am on April 4, 2019
in DUNN, NC 28334.
April 3, 2019, 12:11 pm
Notice Left (No Authorized Recipient Available)
DUNN, NC 28334
April 3, 2019, 8:43 am
Out for Delivery
DUNN, NC 28334
CD
0-
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0
April 3, 2019, 8:33 am
Sorting Complete
DUNN, NC 28334
April 3, 2019, 8:28 am
Arrived at Unit
DUNN, NC 28334
April 3, 2019, 1:16 am
Departed USPS Regional Facility
FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX
https://tools.usps.com/go/TrackConfirmActi on? tRef=fullpage&tLc=2Mext28777=&tLabeIs=70180680000070243602%2C 2/5

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Date Received
Date Deposited Check From Name
Name of Permit NokNu
Vendor
Check Number
Check
amount
Permif Number/Comments
Recei f or Refund/Reallocated
ColumnI
Column2
Column3
Column!
Columns
Cdumne
Column7
Col-8Cdumn9
1
Varnams Docks a,d Bulkheads Im
Paul end Shar n Parthatm
7 1
00.00
GP a7351 D
83