74753D - Summer

C] CAMA / ---'DREDGE & FILL No. 74620 A B CC
64 GENERAL PERMIT Previous permit#
flew -Modification ❑Complete Reissue OPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality D
and the Coastal Resources Commission in an area of environmental concern purato ► 5A NCAC
�� ) ❑ Rules attached.
Applicant NaW-o ojecctt Location: County FAICAddres - v D l N/vtr/eTeAddress/ State Road/ Lot #(s
City State ZIP 7 oL r t
i L t'�
Phone # ( ) /E-Mail V ('SSu-b�division �O1 t
Authorized Agent t/ .L / Z Ck to - &Il IP 7k
Affected ❑ CWW TA
El ES ElPTS Phone # ( �-)r River Basin W
AEC(s): ❑ OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body t4e nat man unkn
❑ PWS:
Closest Maj. Wtr. Body v �^
ORW: yes / 1�",> PNA � / no
Type of Project/ Activity / N
Pier
Fixec
Float
Finge
Groii
Bulkl
Basin
Boat
Boatl
Beacl
Othe
Shon
SAV:
Mora
Photi
Waiv
(Scale: / f,
EMEMMOMEM
■■®■ice■■
■■■■■■■■■
■■M'R!■►1■
■■■■■■■■■■■■■■■\
�!■■■■�■■■■■■■■■■ice■:,■
Rip;� length
■�■■■■
�w�r�►�■t�■■■■■■�■■■■■■■■■■.�■■■
■!!■■
MKI�'L::iWRw■■■■■■■■ME■■■■■■■■■■■■■■■
■■li►`\■■■■■■■!■■■■■■■■■■■■■■■■■■■■■■■
channel
■■■■■■rv■Nw-WE■NK
�■■■■■■■■■■■■■■■■■■■■
cubic yards
ramp
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��IL�r3��J■®
%I■A��
�'�■■■■■
G'Ll!i�rfisjlbi�Yli■
11■02■�%�■�■■■■■�1■■■�■■■■
Bulldozing
E
I■■E■■
FRO
SHIP
■■■■A■U■■►A■
r■■
■■■■■■■■■■■■■
dine Length
not sure
yes
Attached: yes '"�-■■■■■■■■■■■■■hill
■��%i�,7>t-��■■■M■■■■:r
''
A building permit may be required by: t/
( Note Local Planning jurisdiction)
Notes/ Special Conditions
U
e read compliance statement on back
❑ See note on back regarding River Basin rules.
Sw 1 (.L,-
itOfficer's Printed Name
itu e
D • Z 6.
�,Z%,ZO
Expiration Date
Application Fee(s) Check# Issuing Date

w

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 54LNwP►yK L,�a�,a� LLC is
, Parne of Pro erty Owner)
property located at Abe �`QC aR��� M14 �pc� �'flMMo:J R\, e 1�NC1a�(ZS 4J A�CN
on 6aMS (Address, Lot, Block, Road, etc.)
in Czv Ld , N.C.
(Waterbody) (City/Town and/or County)
The ap icant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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.
Owner Info
�A'(E2 l.i�N7i�1G , ll�
Print or Type Name
Mailing Address
Telep one u ber 7`
P i�
Date
I/ ,r. ca.�na r vNc1w11C1 It11V niauvnt
U
Signature
Print or Type Name
104 C bma ' A�f
Mailing Address
Ci
l-IA�n�ss��o, Inc 2�y�3
= Tel6phone umb r
Date
(Revised 611812012)

I
-ecordsfound
o
ro
.TWATER LANDING LLC
Box 2190
T CITY NC
4225-94-1220-005,
I®
.TWATER LANDING LLC _
BOX 2190
tF CITY NC
4225-94-1432-0000
fTH, IOSEPH I II] ', k•. -
BECKYSCIRCLE f _7
NPSTEAD NC
4225-94-1688-0000
It of SURF CITY LLC
CEDAR AVE .�
4PSTEAD NC `.,� • ,�,., _
�44 dY y
1 q
*

w

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Gj�l.'C' W MZR LIIN ►-4 LLB, is
(Name of Property Owner)
property located at SPj� 1CoMMor2 AREA Ao-ICNIRS WNW Q N
U��k� S (Address, Lot, Block, Road, etc.)
on CREiJ� , in �£rJO SZ �,OvrJ� ; N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
V/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WS S�aov�;, 1a) PXTKC�-D bIAGX�,,M AN;�,
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.)
Property
I do wish to waive the 15' setback requirement.
not wish to waive the 15' setback requirement.
Information
Signature
4 Aga w gy�R L-NAD��G LLC
Print r Type Name
3 �,� QA0
Mailing Address ac 2�4y j
S\�R �j6- \�
Te � n7 u�nb
/) //�
Date
nfo
'�'oSI�PN S '*am
Print or Type Name
Mailin Address
�AM���A�
City/State/Zip
Telephone Number
Date
n
(Revised 611812012)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: SR�i IaA� �,� LA►Jfl►aG �—L�
Mailing Address: ?0 1&3A
Phone Number:
Email Address:
I certify that I have authorized
';Qv Cz�� , tJt 7-VAL'5
1/l �/C17
Agent /
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
R�o1T►oa ©F X��A� LN�tJeH �o FXky ►Xr PtF�Z���c►c
at my property located at 1? A"
in ?Z� �)u'
County.
A1buRNDZ aR�vti - o
C ammxl Al Zu1, Po(""CP's W KQi
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
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner I ormation:
Signature
Print or Type Na I ✓
C Title
Date
This certification is valid through

Dare Received
Date Deposited
Check From
Name of Perm/r Holder
Vendor
Check Number
Check
unt
Penrdt NtanDanCamrrerts
Receipt or Refund/Reallocated
COA—I
Column2
CokNml3
Col-4
Columns
ColumM
Coknn7
CWiamM
Co1umn9
1028=19
B & J Construction of NC LLC
Mariah & Michael Brazil
William Pope/Jeff and Noanie Morris
BB&T
2106
600.00
GP 074728D
Tmac rct 9200 _
JD rct 8539
10/282019
_
JL Moms Entemnses
South Stata Bank
1353
200.00
GP 074823D
1o282019
Lighemise Marine Consbucbm Ine.
carol Holcomb & Jean McLendon
Coastal Bank and That
29D4
400.00
GP 074525D
JD rct 8542