76233D - Hughes

CAMA / DREDGE & FILL NO. 76233 A B C (;p
E11tERAL PERMIT Previous permit #
New []Modification❑Complete Reissue El Partial Reissue 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 '���,�"� . I
❑ Rules attached.
Applicant Name Project Location: County ?/✓AS cic—
Address CA Street Address/ State Road/ Lot #(s) % y re4 . rM 130
City 2_, (S� �� c� StateklL_ ZIP
Phone # ( ) el Y,_173' E-Mail Subdivision ++ 44
Authorized Agent W��� & , C� city o,� I S c ZIP a O46q
Affected ❑ CW A /CES ❑ PTS
AEC(s): ElOEA ❑ HHF '❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / t!!5__2 PNA yes /
Type of Project/ Activity L&i7, % \ "i(,eck D. ¢ i 4^
Pier (dock) length 4 X
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
ulk prap length 50',_
avg distance offshore .
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length �;(_ I
SAV: not sure yes 9&__
Phone # ( ) River Basin I1....... b'-/-
Adj. Wtr. Body 1 c ( ( �( /unkn)
Closest Maj. Wtr. Body J
Moratorium: n/a yes " ,
Photos: yes n
Waiver Attached: yes
A building permit may be required by: ,✓ n c�T� VCR•-. `S� &A,L L
( Note Local Planning jurisdiction
Notes/ Special Conditions ! 'J 9, r'%�c
\ . U . k 1 ,n
Agent or Applicant Printed ame
Signatur Please read compliance statement on back of permit
Applicat+eg VU Check #
(Scale: AJ S )
❑ See note on back regarding River Basin rules.
PermitOffl-r's Printed re
Signatur FF-I -
2k ;Zu20/2.1 1• ZO
Issuing D to Ex ration Itate

AA
w�
NACEM
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvatia, III
Governor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit:
Owner's Mailing Address:
Phone Number (4ra ) ,G 7 4 - `d 27 jr
Name of Authorized Agent for this project:
Agent's Mailing Address:
Phone Number ej� S7 Cf - cfbq S
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
c-ePb"-u Y�,6I ()iC.,c_`L
For my property located at Z/ �Z Fa-r r 1--q &nt -,!� f
This certification is valid thru (date) `6b
-! 1
U
Property Owner Signature Date
127 Cardinal Drive Ext., Wilmington, NC 28406
Phone: [phone] t FAX: [phone] Internet www.nccoastaimanagement.net
An Equal Opponunily 1 AfBrmabn Adon Employer

DIVISION OIL COASTAL MANAGEMENT
ADJACENT RIPARIAN PROP9ATY OWNER NOTIFICATION/WAIVER FORM
Name of Property Ownei
Address of Property:
Agent's Name #: Gr ict am*Ualtt o
Agent's phone #: ` 0— 5—N - q Oct,
Mailing Address: 101 11* -h
�n�tQ X46A NC a q
I hereby certify that I own prdperty 1ldjacent 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.
C
I have no objections to this proposal. I have objections to this proposal. x
N you have objections to what is being proposed, you must notify the DI n of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Co ahou/d ba
-- - - mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3W. DCM repres also be
contacted at [phone]. No response Is considered the some as no ob/action amen
notilled by Certtf/ed Mall.
qi WAIVER SECTION
V1 I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from mkt area of riparian access unless waived by me. (If you wish to waive the
setback, you trust Inftl the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
�1" %,�J
Signature
PH pe N e
All Val
Mailing Address Q 1
Cbllr6� I�.cQC1't
cityrstatelzip
%l)- 5-7S
Telephone Number
W)
Date
(Ad jaunt
muavnt
Print or Type Name
Mailing Address
a N( (/?A- vq, N C Z-2 -7 c z
ch)tate/Zip
1915) li- 87 /�
T410phdne Number
- z zp�
Revised W1812012 .

0
-11
N
ro
rti
C3
C3
C3
C3
0
-0
C3
C3
f`-
■ 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:
macaw CN Z)�4V-5
u Sri, \mac
IIII�IIII'IIIIIIIII III III IIIIIIIII
9590 9402 2219 6193 1043 56
2. Article Number (Transfer from service label)
_ 7017 0660 0000 7487
Ps Form 3811, July 2015 PSN 7530-02-000-9053
❑ Agent
���,/' ❑ Addressee
by (Printed Na ) 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 Mail-
0 Adult Signature Restricted Delivery ❑ Registered Mail Restricted
rtified Mail® Delivery
C7`Certified Mail Restricted Delivery -'E!Kieturn Receipt for
❑ Collect on Delivery Merchandise
❑ Collect on Delivery Restricted Delivery Signature ConfirmationTM
•'—' ❑ Signature Confirmation
0474 stricted Delivery Restricted Delivery
Domestic Return Receipt

5 vtl� fj�`,-, a2Qn►��-e Ae�1�tLe
o\�
IL
-�\ar-N\G1 aav�s ( yy
5ccku
2 Uc f3 5 Q ISiro -, Qom ,
pLAr->\cx,n \NIC
zTt 13

Data Reeelved
Date fed
Chxk From (Name)
Name of Pertnh HokW
V dor
Cheek Number
�marnt
Permit Number/Cammenh
p eellocated
C.1-1
Cdumn2
Column)
CalumM
Co1umn5
Cokrmne
Cak~7
Cokmrns
2/24/2020, Wellman's Construction, Inc.
224/2020 � ,Gnce Construction of Brunswick County lnc
224/2020. _ _ (Gnce Construction
22420201 _ _ lGrice Construction
4/20201 'Backwater Marine Construction Inc.
Wellmads Construction
Bajk nd Trust
BB&T
18869
13619
$ 100.00
GP i76215D$100 c7e(M from 9/9/19)
JD m. 10974
_Branch
Kevin Dunlap
$ 400.00
GP #M37D
BB rcL 11459
Chris Haywood
BBBT_ _ _ _
BB&T _ _ _
_
13510
$ 200.00
GP#74847D
BB mL 11456
P Hughes
13620
14481$
5W.00
GP f76233D
BB reL 114W
Derick ReardonBB&T
_$
400.00
GP 974896D
BB rcL 11465