71740D - Pringle

XF
0 V LAMA / DREDGE & FILL No 71740
GENERAL PERMIT Previous permit# A B C t
%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 I SA NCAC 0 r% j 2 3 0,
I-1 Rules attached.
Applicant Name iJ RECt 0RyPRJN GLE
Address 209 VAVT) ERatL.z 17y_wE
City
State S C ZIP 2 i
Project Location: County L R u N T t" I C K
Street Address/ State Road/ Lot #(s) '7 M o AlpCE-
Phone #(11c:4-)74'1-z504E-Mail gre3 rva;l.c-,rSubdivision
Authorized Agent
TE o
NE LI v s
City Uc FAN y S Lti ne AC �-► ZIP 2$ 4 6 `i
❑ CW
XPTA ❑ ES ❑ PTS
Ac,£ 147 Phone # (`1 10 ) 4 4 3 - 4 V 1 Y River Basin Lu M e E t-
Affected
❑ OEA
AEC(s):
'VEW
ElHHF
❑ IH ❑ USA El N/A
Adj. Wtr. Body CAnIAt- (fiat /m /unkn)
❑ PWS:
A I W O
ORW: yes
PNA
yes /O
Closest Maj. Wtr. Body
Type of Project/ Activity M"\/r_ r— X 15 -1 1 A/G 'F L FDA ; 1 A) G. L7� c Ky r_- tz A n1 p
ADD Ak,,j B oA i L, i F T (Scale: (2 0°)
Pier
Fixer
FloaI
Fingl
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV
Mor
Pho1
Wai,
=Platform(s)
■■■■■■■■■■■■■■�■■■■■�■■m■■■■■■■■■■
r pier(s)
i length
I"■110■
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■rNig■■ru■i■rmR■■:o■
number
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in
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IN
INS
Vol1■■WO.M"
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33��!�i■■■9■Ili■i■■■■■■■
■■■�■■■■
mommomm
■■■■■■■■■l�■rr■11111■■�IIII�,EyA�■■■■■
■■■■■■■
cubic yards
ramp
■■■■■■■■�����ri■�:■■!�■■■■■■■■■■
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ON
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-line Length■■■■■
■
■■■■■■■■■■■■■_■■11■■■■■■®_■■■■■■■
not sure yes
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I--- VL r L.
A building permit may be required by: Uc AN T- S L. _ 3 _A cN ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions 0,1N. I Z 0 0 A N D A L- 07 Nc R L 0 c A L- r 7 A I E /A ^( D FT- 7r R A
F:E CjLAt.Al ION ` A PPL.J
Agent or Applicant Printed Name
Signature * Please read compliance statement on back of permit **
-t200 012-37
Application Fee(s) Check #
"Ci�F�
PermitOfficer's Printed Name
Signature
31 2019
Issuing Date 1 Ex (ration bate

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Na Property
Name of Pro ert Owner Requesting Permit: G gE c'op' 7° �� I
Mailing Address: o�D Vt4- !y gr-� I L7- bk l
s C -,Z� 7-g 5
Phone Number:
Email Address:
I certify that I have authorized
rn
Pr,,I f0-09tz"qI C• co.'yi
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: .Br''- r L I F
at my property located at <8 ✓i a rJ izo c
in Bpzu�)5wi�__County.
vn£'4 N 751-C- 3&ce
1 furthermore certify that t 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:
TR 0G7-CE
t Print or Type Name
bus iL� op P'4_7- c', CJr4 �RI/� L1= ✓r1t�y �iC'�5%
Title
Date
This certification is valid through 12- i 3 / 1 —2c/

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
;kle,
Q �nW
Address of Property: 0 ►Y oAfF e �1 ATC)
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
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#esttria'<nrtt�`rtt°dsibts mst4e�.prt+ttftter.
ri4 ;1 I have 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. Contact information for DCM offices is
available at hffp://www.nccoastaimanagement.netlWeblcmlstaff-listin or by calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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.)
�ii"ff Ct r! I do wish to waive the 15' setback requirement.
�Tt
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
6 ;A
Signature
Print or Type Name
I Ci rn V,l
Mailing Address
Cily/Sfat&ZipJ
Telephone Number / Email Address
Date
(Riparian Property Owner Information)
1��l 4 1,41,
Si ture
u I � z b
Print or Type Name
Mailing Address
LJ i 1 rn i ►)
City/State/Zip
10-q 1- q q on, 0rnQa�1
Telephone Number/Email Address .
�Mal)-cot
Date
(Revised Aug. 2014)

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 dimensioiis,'f�,i,,ustbe,,I)rovi'di�twith t t(4-
have 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
(DCU) In writing within 10 days of receipt of this notice. Contact information for DCM offices Is:
available at h(tP.Ilww-w.nccwstaimaaqa2ment.netfw�eblcm�Istaff-listiti-q or by caUkV 14884RCQAST�:
No response is considered the same as no objection if you have been notified byCertirled AWL
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15! from my area of riparian access unless waived by M0.0
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.
(Property Owner Information)
Signature
4
Print or Type Name
Mailing Address
t- . I'S
-"x
1ty1Sfat41Zjp,)
Telephone Number/ Ema# Addmss
Date
(R* is - ro Ir:hftrmation)

3 l�
121
-lull/ 110/1
•01
IZ/
O-f

Date Received
or.
Chock From
Nmna o7Pomrt Flolda►
Vendor
Cheek Number
Cheek amount
Pamd/Number/Commenle
ReeN for Re/und?tsalloealed
Co/uma/
CoMmmt
Cohn s
CoMmm/
Columns
cokm s
Column?
Cokmr#
Cohr 9
11/1/2018
McPherson Marine Services, LLC
Peter Vigil
First Citizens Bank
1456
$ 600.00
GP #71013D _
Tmac rct. 4018_
11/1/2018
11/1/2018
11/1/2018
Lighthouse Marine Construction, Inc
Jeffrey Riecken
Coastal Bank & Trust
Wells Fargo
USPS Money Order
2409
$ 200.00
GP #72228D
JD rct. 6750
Coastal Maine Piers and Bulkheads LLC
Elizabeth Coffey
22554
$ 200.00
IGP#71762D
BS rct. 7403
Joel Klass Money Order
Roger and Colleen Paul
2.5129E+10
$ 200.00
GP #72298D
TP rat. 6993
11/1/2018
B and B Marine Construction
Beth and Thomas Johnson
Wells Fargo Bank
1991
$ 400.00
GP #72232D
JD rct. 6749
11/1/2018
HELMS 2 0 LLC/Lane Helms
Gregory Pringle
_
BUT
1237
$ 200.00
GP #71740D
TMc rct. 7024
11/1/2018
HELMS 2 0 LLC/Lane Helms
Orin Homer
BUT
1229
400.00
GP #72238D
DW rct. 7013