68599D - Bain

ig,T-CAMA / .7 DREDGE &FILL �y 8599 A B Cj
GENERAL PERMIT Previous permit # t/
New ❑ Modification -:]Complete Reissue ❑ Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC�
Applicant Name erl brA (.
Address
City wrx+lS �dy-o State IV( ZIP if
Phone # (136 SG I" J'-1 E-Mail �uhhy�bA•r0.��r1oA��rP-(ok�
Authorized Agent Cam'Vw . k4m,W CO�Siw(�
Affected cw 51
�ew PTA ❑ Es ❑ PTs ` 1, 'A v(t
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
� ' I
I l u (.' '
Agent or Ap➢f}cant Printed Name
Signature Please read compliance statement on back of permit
Zc,00 11110
Application Fee(s) Check #
❑ Rules attached.
Project Location: County( --
Street Address/ State Road/ Lot #(s)
I `1-I LANSA sh L�c,�oo�
Subdivision
Cityoc�A' j6 S{( g(t,( ZIP
Phone # [phone]I00 River Basin
LvM
Adj. Wtr. Body (j 1n ..�uw � 6-eel:— ,nnalt�man /unkn)
d--I
Sean F—rA rye I l
PermitOfficer's Printeo Name
Signature
1 1 1 2q$
Iss mg Dalk Yxpirahn Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to �) n l n s 's
jj Marsh
(Name of Property Owner)
property located atI'A V� a I a /,- /Ton
(Lot, Block, Road, etc.)
on l l S��%�� (/�fQ k— inOC-00 lS aG \ N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal I understand that a pierimoorirg pilirgs/boatlifl/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived e.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
----------------------------------------- - --------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
1�13u -1 f�0 s�v
Madinng,4dd,ess
La 0 n►�
Citydtate/Zip
Telephone Number
Date
(Riparian Pr¢perV Owner Information)
Print or Type Name
Telephone Number
� b � - �') , 1-\)1�1
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to lxWy l �1 i 1 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on odds by n,�k in Oceoo IsLc-
(Waterbody) r ' , N.C.
(Town and/or Countt y)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived y me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
Marling Address
Uea 1V1 Coo
City/State/Zip
1 U SAS<cv
Telephone Number
i \ 1-71 rl
Date
Arian Proper Owner Information)
l.�.n,lh.�%�
Signature
Liter, �iUc►rrll�
Print or Type Name
3 V(p 3a4 - 455 8
Telephone Numb
i i lio Tri
Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: / o&,4 C a;,
Mailing Address: 806 73 93
Phone Number:
Email Address: t/, ibq I /YU !n p n O /2,
I certify that I have authorized Care h*► t�l�tF to{��� Cpnsl��vc�'ra�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: r\Q;f.(.) Y109,1,A C1,4 C4-0
at my property located at ! Li"I \1 \ nl IM A vcl�, I
in 1' R �- County.
1 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:
Signature
RC dbQr-� C: kaln
Print or Type Name
Title
y , a# / 17
Date -__
This certification is valid through /�J_J9

CA RO LI NA B LVEWATER CON5T RVCT10N
Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr. SW, Ocean 151e Beach, North Carolina 28469 [phone]
25'-8'
I
I
IOLD SOUND CREEK
I
I
16'-0' i 20'-0'
16'x8'
Alum. Dock 10" Piles
o CL
o _ E
CrCIS
x
v E
Q
I T
I Y O
f6 b E c�55S
I N1r0635
'v
c
N73°08'28"E / Y
2.88' /
Normal High Water Line /I
as marked by Town LPO I
Parcel #: 257GG017
Owner: Donovan
104 Hone yridge Lane
Holly Springs, NC 27540
149 via Marsh Lagoon
Ocean Isle Beach
LAMA -Construction of Dock
/ Hause
Above
HOUSE ABOVE 6
SLAB FFE 8.5
/0
Cere.do.at
A6ae
/
House
Above
Mid Levd
Enhy
Coveted Deck Porch
AEwe
Parcel # 257GG019
Owner Lumira LLC
5004 Mill' Dr
Oak Ridge, NC 27310

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: �-0�{�t' 1 C• 600yl
Date: �2 /� jr-7
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
im act amount
temp im acts)
amount
r,
V V
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other
'
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
a
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

IRODate
Received Depoaitsd
Check From Name
Name or Permit Holder
Vendor
Check Number
Check amount
PemYt Number/Comments Receipt or RelunNReallocated
12/4J2017
John and Amy Watkins
same
NC SEW
7762 $200.00
GP 68600D 'SF rct. 5345D
12/4/2017,
Carolina Bluewater Construction Inc
Robert Bain
BUT
18710 $200.00
GP 68599D SF rct. 5344D