69316D - Chambliss

, \ CAMA / _ DREDGE & FILLWO 5`"
GENERAL PERMIT Previous permit## A B C D
New ---Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0 C .'
^! p ❑ Rules attached.
Applicant Name N ick Chang I lSS Project Location: County I' (, � I W 1 j cw j'
Address` 1 `1 A {�P O lrct pr i y e �+ p Street Address/ State Road/ Lot #(s) 2,21 Or n f n Sly t�
City l iit l �k II A lk&a cy' 1 State ZIP 2VLfM
Phone # (91TO 1_,*?9 C E-Mail
Authorized Agent N A
Affected ❑ CW ,YEW APTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes /A'O)
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platforms)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshc
max distance offsh
Basin, channel
cubic yards
Boat ramp
Boathous oatli
ICY1y
Subdivision VU a w r f (w
City Caakld & c-1'1 " ZIP 20 N2 46
Phone # ( ) River Basin C40 Feet r
Adj. Wtr. Body t � YV man unkn
Closest Maj. Wtr. Body M
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Y Age or pli 71%rni
Si , atu e e read plian ack of permit'`*
+2ov ?2-'1q
Application Fee(s) Check #
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(Scale: 10 r 10
❑ See note on back regarding River Basin rules.

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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:
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1111111111111111111111I111 I111111 I111111I11111
9590 9402 2982 7094 7647 54
016 0910 0001 1903 7575
rV rufm 00 1 I, JWy;duly PSN 7530-02-000-9053
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Q Adutt Signature
p PriomY Mall Express®
Q Registered Mall-
0 Adult Signature Restricted Dd"
❑ Registered Mats Restricted
❑ Certified Matt®
❑ Certified Mali RestreW Deti 4
Delivery
❑ Return
❑ Collect on Delivery
Receipt for
Merchandise
❑ Collect on Delivery Restricted Dellvery ❑ Signature ConfirrnatlonTM
❑ Insured Mal
❑ Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
—
(over$500)
Domestic Retum Receipt ,
RECEIVED
DCM WILMINGTON, NC
jUL 06 Z017

6DJACENT RIPARIAN PROPERTY 4/WNCR §JATgME.ft
I hereby ceility that I own property adjacent to ,,b(A s
{Name of property Owner)
Property located at ;a, 2-7 PojuI ,ai-4 �
(Address, Lot Stock, Road etc.)
+ on in ii(bdA �1C'. N,C,
(Waterbody) (CltylTown do !or County)
The aunt has described to me, as shown below, the development proposed at the above location,
i have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must tilt In description below or affiroh a site drawing)
G"1`'7 j;G(4
tNAiVER_SECTI9N
I understand that a pler, 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.)
ZL I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
(Properlit O nformation) (, iiijacont Propery Owner Information)
Mx t
1'i,�Yrj r1 lase r urr
Tel )hone Num4ar
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MaHIV Ad less
Dole
(Revised 611812012)
RECEIVED
DCM WILMINGTON, NC
JUL 06 2017

Homeowners Association Approval
-;5 an Officer of the Pleasure Cay Homeowners Association, I hereby certify that
he Board accepts the proposal for a pier, dock, mooring pilings and/or lift as
.nown on the attached drawing for the property owned by Nick Chambliss at 227
,,eninsula Dr. on the ICW, Carolina Beach, NC.
'l
ti`icer's Name
t Micer's Name
0ificer's Name
ly
t0ficer's N-bme
Title
VP
Title
S47
Title
Title
RECEIVED
DCM WILMINGTON, NC
JUL 06 2017

Date Received
Date Deposited Check From (Name)
I Name of Permit Holder
Vendor
Check Number
Check amount I Permit NumberYComments
Receipt or Retund(Reallocated
7/6/2017
Western Union MO from Sandra Bettenhat Sandra Bettenhousen
Wells Fargo Bank
17-605897321
$200.00 GP 69208D
JD rct. 4220D
7/7/2017
Richard or Sue Hayes
same
BofA
484
$200.00 GP 69292D
CS rct. 4589D
7/10/2017
F and S Marine Contractors
Jim Vithnalani
PNC Bank
6400
$200.00 GP 69265D
CS rct. 4581D
7/10/2017
CMS Tool and Die Inc/Nick Chambliss
Nick Chambliss
BB&T
22493
$200.00 GP 69316D
CS rct. 45787D
7/11/2017
Charles Riggs & Assoc.
Capital Assets Property Developme First Citizens Bank
15167
$100.00 transfer fee, MP 38-06 (DB II, LLC)
SS rct. 4045D
7/11/2017
Lanier Family II LLC DBA
Wayne Lanier
BofA
1321
$100.00 renewal fee, MP 3-07 OnsCo
SS rct. 4046D
7/12/2017
Clinton Lanier and Andrea Garnett
David Kornegay
BofA
2838
$100.00 minor fee, 6024 6th St., SC OnsCo
JD rct. 4222D
7/12/2017
Overbeck Marine Construction
Timothy Bodeman
SunTrust
4854
$250.00 major fee, 2 Cedar Island NHCo
CS rct. 4579D
7/12/2017
W.K. Dickson & Co.
ONWASA
Fifth Third Bank
74243
$400.00 GP 69295D
JD rct. 4221D
7/12/2017
Zachary Salmon
same
Essex Bank
2788
$200.00 GP 69249D
JD rct. 3874D