74627D - Avila

�—,'CAMA / D DREDGE & FILL NO. 74627 A B C
GENERAL PERMIT Previous permit #
New ElModification El Complete Reissue EPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality U 7 /�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC /'�
/% El Rules attached.
Applicant Name T (V NS �� Project Location: County
Address " 1 '' U C/ Street Address/ State Road/ Lot #(s)
City -� State NC ZIP? �4Li�% �l A L n ✓�O %��
Phone
Authorized Agent �A Me-"t. LAt AV N 5 ► E NT Cityl-l�Ant , 5%'.t o ZIP
Affected ❑ CW )9EW )(PTA ❑ ES ❑ PTS Phone # ( '—r River Basin
ElOEA ❑ HHF ElIH ElUBA ❑ N/A ✓V V✓ afe /unkn)
AEC(s): Adj. Wtr. Body
❑ PWS:
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Closest Maj. Wtr. Body
ORW: yes PNA yes /
Type of Project/ Activity pti-fit! , nof---T 1�� ✓� tlrt T i L14,-A— 1
J (Scale:
Pier
Fixe
Float
Fing
Groin
Bulkl
Basir
Boat
Boat
Beac
Otht
Shor
SAV
Mor
Phot
Wain
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A building permit may be required by: R tJ I �eIZ
( Note Local Planning jurisdiction)
Notes/ Special Conditions
or Aodlicaht Pfintdil Name
r
statement on back of permit **
❑ See note on back regarding River Basin rules.
Printed
Application Fee(s) Check #
Issuing Date
Expiration Date

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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:
Cu r Brflt i N
I IbU 'v e�'� r�Za�lan+0.ban izd,
V\AM'�Siead, NC- ) S+0
A. Signature
❑ gent X
❑Addressee
B. Received by (Panted Name) .�AQate of Delivery
D. Is delivery address diff rentY item 1? Yes
If YES, enter deliVenr ddres Blow- is to
II
I
IIIIII
IIII
III
I IIII
I II
IIIIII
I II
II III
I I I
I I III
3. Service Type
❑ Adult Signature
❑ priority Mail Express®
9590 9402 5128 9092 7352 63
❑ Adult Signature Restricted Delivery
0 Certified Mail®
O Registered Mail
❑ Registered Mail Restricted
Delivery
❑ Certified Mail Restricted Delivery
O Return Receipt for
2. Article Number ffransfar frnm co r— --
0 Collect on Delivery Merchandise
- - i Delivery Restricted Delivery ❑ Signature ConfirmatlonT.
7 019 0160 0000 7902
7098 lail
❑ Signature Confirmation
- -- -
fail Restricted Delivery
(over$500)
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
- / i 14L
YQ.0 k+
n550c dTly/I -1--i1 ,
Address of Property:
V ►
�Vel
14amp-5jeaG, 1 Pendei2 0vu
(Lot or Street #, Street or Robd, City & County) l
�r / preSlde I -r
Agent's Name #: e-omziorl _ Cal hiW q Mailing Address: l l 4T Avg/Cc Ave--
Agent's phone #: q1 U , 8$33 - 0011 144 mp5kad !UC
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.
r
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 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.
[do not wish to waive the 15' setback requirement.
(Pro Owne Inf n)
-�
i n re 4.01 ! A. A i�.
Print or Type Name
I yLl fiyda 19ye,
Mailing Address
Aginpsfeua, NC aew&
City/St te/Zip
910 ( (�33. 6011
Telephone Number
1�Z�jT
Date
(Adjacent Property ner Information)
Sig ature
n i/\ A v-1,
Print br Type Name a e� 0-0s 't.t OOJ 1�)r
Mailing (Address
G I 1_, cka -e-', V C �T T
City/State/4
1 n -33 9 - 9�3 L(a
Telephone umber
Date I
Revised 611812012

Date Received
Date Hed
CMck Fmm INWnW
Name of Pe It Holder
Vend-
Chwk AWOW
Ch..k
a—w
Pa Jt Number/Ca+nmenb
R-RelundlRaalbeatW
Columnl
Columns
I Cokann8
Culu-4
Cdumn5
C9kWvw
C kA 7
C —S
Ce1umn9
1/3/2020
Susan and Robert Caudill
Robert Caudill
Bank of America
1234
$ 200.00
GP 974793D
JD rcL 10928
1/3/2019
Lighthouse Marine Construction Inc.
Stanley & Barbara James
_ _
Coastal Bank and Trust
3001
$ 200.00
GP 974814D
JD rct 8549
1=019
Avila Yacht Basin Association
same
First Citizens Bank
690
$ 200.00
GP 974627D
JD n:L 8548
1m/2019
Holden Docks & Bulkheads/Greg Holden
_
Rufus Yates
CresCom Bank
3784E
200.00
GP 974844D
BB rct. 9468
1%T12019
Charles Fox Homes, LTD
I Brandon & Wh' Sauls
Branch Banks and Trust
26403E
200.00
GP 974843D _
BB rct. 9467
1/3/2019
Grice Construction of Brunswick County Inj
Robert Dancy
IBB&T
1 13513
200.00
GP 974845D
BB rct. 9469