74897D - Taylor

'CAMA / ❑ DREDGE & FILL No. 74897 A B c
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 �ti,
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1
❑ Rules attached.
Applicant Name f 2 A 0 r ��. or Project Location: County.,
Address O G Street Address/ State Road/ Lot #(s)
City �Z � ► r'^ State _p L ZIP 2� �" �" "^'� S\^" r� N"'V `Jc S\JJ
v
Phone # IU) S—It-F 2 80 E-Mail �U f�uf�,�,�cr 1UQ,1 wuSubdivision
to ^
Authorized Agent ��C� _e a 4Z City
Affected ❑ CW ❑ EW ❑ PTA DIES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / 610- PNA yes no
Phone # (
ZIP 2 �4—+C)
River Basin L'
Adj. Wtr. Body Stic�AkOVT­ ZV-/ `aty an /unkn)
Closest Maj. Wtr. Body MJo w
giiml
ing Platform(s)
-rin length
number
head/ prap length
avg distance offshore
max distance offshore
cubic yards
ramp
house/ Boatlift
.-not
;reline Length
sure yes
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Agent or Applicant Printed Name
Signat a * Please read compliance statement on back of permit
or —
Application Fee(s) Check #
I.�itn�a� �roc�
Permit Officer's Print�ame
Signature
2 ZS �o2v 2-20
Issuing D to Exp tion late

DocuSign Envelope ID: 7EE4D924-BC81-4D49-AD44-A71792B57027
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Gregory Taylor
Mailing Address: PO Box 2108, Elizbethtown, NC 28337
Phone Number:
Email Address:
910 876 2861
[e-mail]
I certify that I have authorized Sea Dog Marine Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Bulkhead
at my property located at 1732 Long Shore Drive SW, Shallotte, NC 28470
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:
DocuSigned by:
rgna ure `
Greg Taylor
Print or Type Name
Owner
Title
2/11/2020
I I
Date
This certification is valid through I I

7ocuSign Envelope ID: 7EE4D924-BC81-4D49-AD44-A71792857027
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Barry & Patrice Stilwell
Address of Property:
Agent's Name #:
1737 Longshore Drive, Shallotte, NC 28470 Brunswick County
(Lot or Street #, Street or Road, City & County)
Sea Dog Marine Construction
Mailing Address: 107 SW 9th street
Agent's phone #: [phone] Oak Island, NC 28465
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, must be provided with this letter.
V14have 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 tart.,
Wilmington, NC, 28405.3845, DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have boon 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.)
L' I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
p
DD�oo!c��uSigned by:
Sign U AIK71AD422
Gregory Taylor
Print or Type Name
PO Box 2108
Mailing Address
Elizabethtown, NC 28337
City/State2ip
910-876-2861
Telephone Number
2/11/2020
Dale
atent Property Owner Information)
or Tvpi Name
1737 Longshore Drive
Mailing Address
Shallotte, NC 28470
City/State2ip
C% 1 1 -1 It c1 l 7'-- l
Telephone Number
i
Date
Revised 611812012

-)ocuSign Envelope ID: 7EE4D924-BC81-4D49-AD44-A71792B57027
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Healing Water Company
Address of dy
Prop e 3941 Halifax Road, Wilmington, NC 28403, Brunswick County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Sea Dog Marine Construction
Agent's phone #: [phone]
Mailing Address: 107 SW 9th street
Oak Island, NC 28465
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, must be provided with this letter.
I have no objections to this proposal. _ I have objections to this proposal.
Ifyou 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.
7 I do not wish to waive the 15' setback requirement.
(Property Owner Information)
DocuSigned by:
fi_
,Sign g96A 13E 71AD422
Gregory Taylor
Print or Type Name
PO Box 2108
Mailing Address
Elizabethtown, NC 28337
City/State2ip
910-876-2861
Telephone Number
2/11/2020
Date - —�
(Adjacent Property
.OI/w. nneer Information)
Sign lure —
Mary P. P19 �- f--{-
Print or Type ffJame
3941 Halifax Road
Mailing Address
Wilmington, NC 28403
City/State/Zip
(q 10 )�-70 - 71 �0
Telephone Number
Dale
Revised 61IM012

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BULKHEAD TO BE INSTALLED UP TO 5'
WATERWARD OF STAKING BY CAMA.
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INSTALL 65 LF OF VINYL
BULKHEAD
,-
64.40' PER PLAT OF SURVEY OF
LONG SHORE VILLAGE DATED
10-5-1994 BY JAN K. DALE
-----�"`"-____-- - CONNECT TO
EXISTING BULLKHEAD
_
6' PRIVATE EASEMENT PER PLAT OF w
-
LONG SHORE VILLAGE DATED 10
K. DALE _
i
GRAPHIC SCALE
BULKHEAD SITE PLAN
0 20 10 10 ' 0
1732 LONG SHORE DRIVE
_ _
-� --�-mmmolso
SHALLOTTE, NC 28470
--_.....-.._.._..._..... ........ ............----.__...1
GREG TAYLOR .0 NSSQ`
( IN FEET )
910 816 0852
1 ;n.n = 40 rt.

Date Recalved
Daro Doposited
Chock From arm
Name o/ Permit Holder
Vendor
Check Number
Chock
amount
P—nIr Numbe lCommenra
R or Re/und/RaaOocated
Columnt
Column2
Columns
C.1-4
Co1umn5
Columns
Col-7
Columns
Coumna
2/26/2020
2/26/2020
B. Wade Lee
Wade Lee
GregoGregoy Taylor_
BUT
First Bank _
4901
$ 200.00
GP t76243D
BB rct. 11468
BB rcL 11469
2/262020
2/262020
Sea Dog Marine Construction LLC
1016
$ 400.00
GP i74897D
2262o20
226/2020
H5 Construction LLC
Michael Strickland
BUT
2474
$ 400.00
GP €/4892D
BB rct. 11467
226/2020
2262020
McPherson Marine Services LLC
Michael 8 Tracy Batts lino
First Citizens Bank
1 23641
$ 200.00
GP 8762301)
ITmac rcL 10966