69274D - Brady

�CAMA / ❑ DREDGE & FILL ��'�,d�IS►
^ A B C D
GENERAL PERMIT Previous permit#
,kNeW ❑—Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources y
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ✓' �CZ //oo
❑ les attached.
Applicant Name �6Atjl til Project Location: County &
Address q 66 �,;? &N Street Address/ StatteRoad/,Lot #(s)
City hd l kh �State r(/ ZIP //e
!
Phone # (k1 T 1-1— Yt ail Subdivision � �A (L( ,
Authorized Agent lei'/ CityZIP-
El
Affected Cw El El %S PTS Phone # ( Rii Basi
El
AEC(s): OEA ❑ HHF ❑ IH ❑ BA El N/A Adj. Wtr. Body �' C� at ,� man unkn
ElPWS:
ORW: yes PNA yes / no
Closest Maj. Wtr. Body /
Type of Project/ Activity l/NS f/ t ' ' liti(AAA4.
(Scale:
Pier (dock) lengthy,
Fixed Platform(s)
i
Floating Platform(s)
Finger piers)
........ f
Groin length
number _ —I
Bulkhead/9prap length
avg distance offshore
max distance offshore
Basin, channel
cYibic yards
Boat ram
Boathouse/ �oatlift
Beach
Other
Shoreline Length 1
SAV: not sure yes no
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent orJApplicant Printed a e
Signature lease read SA-semery�6n back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
,-J�Jo
Permi Officer's Printed Name
jill�a,t.2
Issuing Date Expiration Date

A
I hereby certify that I own property adjacent to Sc, I�t. �Y 's
(Name of Property Owner)
property located at �uf J/Z As
(Address, Lot � Block, Road, etc.)
on , in W*owg4W AIC N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatign.
_� I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
'��e �We4u
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
(Prope Owner Information)
signatur
O v�►a►NIAy
Print or Type Name
�455o (o0 L A
Mailing Address
W �ZLI N�iaN F
City/State/Zip
Telephone Number/email address
o� 499 132 2`7 .
Date
perty Owneflnformation)
T26DA q Wtff S
Print or Type Name
Po.8() )� -/18'l
Mailing Address
ciWS251- rl, YT - 65.E
Telephone Number/email address
/2 A/ / Zn t -2
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature`

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to --5,t
's
Name of Property Owner)
property located at /-0i I/Z &
(Address, Lot Block, Road, etc.)
onsz`< <_,,i, in, Al(, zBVI/3 N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
(Prope Owner Information)
Sigratu � ! III�'jj � 1 �1 >r�t�Y
Print or Type Name V
kiS 5 O LAffr-
Mailin Address
"&LL1 N5iaN FL
City/State/Zip �l f �Q
Telephone Number / email address
dal 499 (! 22`7.
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature
c�r,5�% ,n-re/
Print or Type Name
.3S 3 .4-5 it, Pm cr
MaI1117.9 Address
Ue,.I.Ps f�c
Crt�/Zip
JIrt, irne C,-' rewii�-►R,_v5.0 I�
Telephone Number / email address T—
I�S�Ii
Dare*
(Revised Aug. 2014)

FLOOD LINES TAKEN
FROM FEW MAP
No: 3720329200J
DATED FEB. 16, 2007. CREEK
All
TAKEN
�R4PHS
EIP 1
FOUND
N112954 f
'
h7' FROM PROPERTY FLOOD ZONE
VE (EL 12) /
CDRNE ;
\ t� t /P
20' DRAINAGE 1 — — — — —
EASEMENT / S 1610'25E 1-1
— — — — — — — -r _ _----------------------------- \
WETLANDS
—•—•—• ._ ._ _ — CRBS
75' AEC LINE
FLOOD
ZONE /
lOOD
'ONE\ LOT 110 I / LOT 113 `` /
\ A48 50, I MB 50, ..
\ PGS 118-119 FLOOD ZONE PGS 118-119 / \,
AE (EL 10)`
\ / / AF383 ASTER PL
\ I �
\ N 22. 65 80W �A/
\ 0• 6�`/ LOT 114
�IENT \ Rod 255.00' S� / MB 51
i OB• \ / PGS 118-119
\ E/P N 09.28'42 "W EIp 6856¢s
FOUND 93.37' (CH.) FOUND • n
TV'�•/ / N 6T02'22E —�`
?.ip0p, 36,0�.
2500
N ly �8527• 5/
S 43.02'10w
N N 61'28'38"W \ 26.60' (CH.)
EX MAG NAIL FOUND 25. 51 ' - FOUND
1
FOUND
NC GRID COORDINATES:
(NAD 8312011) un I 1403 ASTER PL
N = 227, 326.129 rn /
E= Z,.i97990. 1 f 1 cn 4
Cr = 0.999995933
BENCHMARK SET $ �`
ATELEV= p/�
13.83' (NAND 88) /R`//7 PARlAAl
CORRIbar, ���

Dail, Jason
From: Dr. Crystal Brimer <[e-mail]>
Sent: Tuesday, December 05, 2017 10:11 AM
To: Dail, Jason
Subject: [External] Re: Test
CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an attachment to
[e-mail].
Hi Jason,
Thank you for your time this morning and for your continued assistance. On the form, I did not write anything in the box
but, as we discussed, I would like to offer approval "provided there will be no change in water drainage/runoff on my
property and no sediment into the water." Please add this to my form.
Thank you again!
Warm regards,
Crystal
Dr. Crystal Brimer
Focus Eye Care
910.447.2020
evecarewithfocus.com
On Tue, Dec 5, 2017 at 8:49 AM, Dail, Jason <[e-mail]> wrote:
Safe Travels!
Jason Dail
Field Representative
NC Department of Environmental Quality
NC Division of Coastal Management
127 Cardinal Drive Ext.
Wilmington, NC 28405
1

Phone: [phone], Fax: [phone]
Jason. Dail@ncdenr.4ov
NC.- /'Nothing Compares,,-
E-mail correspondence to and from this address
may be subject to the North Carolina Public
Records law and may be disclosed to third parties.
Dr. Crystal Brimer
Focus Eye Care
910.447.2020
eyecarewithfocus. com

wxto
Def. R.eh.d
wf.
D.poekW
Cheek Fom Nerve
Nam. of Pw Nt Nofdr
Y.ndw
Check ktw6
Cheek amount
PermitNumber/Comments
R.CWorkMndt*@Roc,&W
12/5/2017
Lighthouse Marine Construefion/Daffyi E
Tyler Lubbers
Coastal Bank & Trust
1749
$200.00
GP 69270D _
GP 69274D
JD rct. 4749D
12/5/2017
Chdsto her Connaway Marine Construck
Susan Brady
PNC Bank
1507
$200.00
JD rct. 4748D