69260D - Chipley

"_4,:AlVIA /_ DREDGE FILL
I . NO. 69260 A B C
GVEMERAL PERMIT Previous permit #
—Complete Reissue Partial Reissue
)__��"w —'Modification Date previous permit issued
As authorized by ate State of North Carolina, Department of Environment and Natural Resources cc;
and the C-'�wResources R�rces Commission in an area of environmental concernpursuant to 15A NCAC
Rules attached.
Applicant Na;meD*J�_ Project Location: County_4kwSL�
Address__�" A i�) vvv\.-,A Street Address( State Road/.Lot #(.$)
City Stat'_�_LZIPZOI 56(0 jL Cvwvtkl
Phone E-mail Subdivision
Authorized Agent it r11 f " FTX 'th {IU CitV oce&o *We Autch zip
Cw TA ES :1 VM rtwx1ew Basin
Affected
AEC(s): OEA H H F IPH ZI URA -_1 MA Adj. Mr. Body__CCA (nat
—le-1,micn)
PY(S: knJ
Closest Mal. W`tr. Body
ORW: yes r o, PNA yes / irict
Type of Project/ Activity
Pier (dock) lengzh___,,
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
aibicyards
Boat ramp
BoadiouW V
Beach Bulld.ng
Other Y1
rCX--+t.0kJ' b1c
J
Shoreline Length not sure yes t
SAV: L —7
NaZ CVA V Wt
_w r L
Moratorium: a yes yes Photos: Cgn Waiver Attached:
t; no
A building permit may be required by: 6&iP, See note on back regarding River Basin rules.
(I Note Local Planning jurisdiction)
Notes,/ Special Conditions r74, ha �4 1 ca( X aolii
Charles Fox pt I/ I kA &r''
Agent or Applicant Printed Name Permit s Printed N9#-
11 ��
TC Please read compliance staternenton bacitafperrinit" Signature
A sV7G3
----- --- -----
Applicack- Fools) Chork# Issuing Dj6 Expiration Date

.. 7�CAMA / -- DREDGE & FILL A B C
GENERAL PERMIT Previous permit# VV
lew Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Deparlment of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC�
❑ Rules attached.
Applicant Name 0\1 C oo-tff\ Project Location: County A., r ( K
Address_��
CiState_zIp-zci Jb
Phone # (1j 2 ' D E-Mail
Authorized Agent h N yl { S F�X l V
Affected ❑ Cw ITA ❑ ES ElPTS
AEC(s): ❑ OEA ❑ HHF /❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /rnq PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channbl
cubic yards
Boat ramp
Boathouse/ oatli ,x��
Beach Bulldozing If
Other 6ZOVAP X4
Shoreline Length
SAV: not sure yes gn
Moratorium: n/a yes
Photos: yes
Waiver Attached: Aes) no
Street Address/ State Road/ Lot #(s)
1
L C vikvcv� S r
Subdivision
City Z
, C(eavl �ItQf�[Gr zip
b
P one w ( 11 U) r1 ' 610 Zer Basin SUM vl&
Adj. Wtr. Bod C a V1 (nat unkn
Closest Maj. Wtr. Body A W(A �
�
(Scale: )r ZU )
A building permit may be required by: T)��vt 1 O�(lyj0 J4(f &I ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) // {� ��/ , J
Notes/ Special Conditions �i►�! [ 67 /J, / Ij ,4D 0 0 d a �� /t+ 7.✓' � � L>! �� h)(Ad < e kid -
Agent O�
Agent or Applicant Printed Name
Signature Please read compliance statemen on ack of permit **
Application Fee(s) Check#
5-ea 0 FA
PermitOffi er's Printed N e
Signature
06 A 9/Zoe
Issuing Da
( ol-z. 1 1�4 /7
Expiration Date

WIRO
Date Received
Date Deposited Check From (Name)
Name of Permit Holder
Vendor
Check Number
Check amount
Permit NumbeNComments
Receipt or Refund/Reallocated
6/29/2017 Charles Fox Homes Roy Chiley
6/29/2017 NABC Money Order/John Cassidy Michael Riccardi
Branch Banking and Tn.22753 $200.00 GP 69260D SF rct. 4667D
North American Banking 360505204 $400.00 GP 54459D JD rct. 4218D

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: r.p Y C by Permit #: T40--0
Date: o / /2 /� On
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
famn imnaefel I
imno$ nninunf\ I
famn imnanfel
I amnnnf)
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

>N FOR gAMA PEEIWt APIPLICATION
Name of Property Owner Applying for Permit:
Mailing address:
Phone plumber:
l certify that l have authorized
Roy Chipley
1868 Houndsfield Drive
Florence, SC 29506
843-621-0480
Charles Fox Homes, Ltd.
Agent / Contractor
to act can my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 52 Craven Street OceanIsle NC
at my property located at 52 C.xave-q Street, Ocean Isle Beach, NC 28_469
��
in Brunswick ,oun
................ ......
This certification is valid thro e 6 / 2 6..1 8
x
Date
3 �
(Property owner informati�a���
igrzat
card or Type Marne_
Title
De
€ hone Number
Email Address

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Roy Chi
property located at 52 Craven
on Canal
(Waterbody)
(Name of Property Owner)
Lot 24, Block 13A, Section B
(Address, Lot, Block, Road, etc.)
in Ocean Isle Beach
(City/Town and/or County)
I
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
clv I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
SEE ATTACHED SKETCH
WAIVER SECTION
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.)
CS�k I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(P y O r 1 rmation)
Signat
Roy Chipley
Print or Type Name
1868 Houndsfield Drive
Mailing Address
Florence, SC 29506
City/State2ip
843-621-0480 [e-mail]
Telephone Number / email address
6/8/2017
Date
(Adjacgnt Property Owner I or ation
Suture
Print or Type Name
f�c�l D&a-s 1�r
Mail" Add res
6'gA" Nc_ ?ov(Z=
City/State/Zip
Telephone Number / email address
C,�) ( i3 1 Z© i Q
Date *
*Valid for one calendar year after signature*
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Roy Chipley s
(Name of Property Owner)
property located at 52 Craven Street, Lot 24, Block 13A, Section B
(Address, Lot, Block, Road, etc.)
on Canal . in Ocean Isle Beach N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
J-5 . 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
SEE ATTACHED SKETCH
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.)
d./3, 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pmnerty O er nformation)
Sign
Roy Chipley
Print or Type Name
1868 Houndsfield Drive
Mailing Address
Florence, SC 29506
City/State/Zip
843-621-0480 [e-mail]
Telephone Number/email address
6/8/2017
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
�C6 C-/.S S
Telephone Number / email address
9i�- lx��- 6959
Date *
*Valid for one calendar year after signature*
(Revised Aug. 2014)

I
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Bryant Residence I
54 Craven Street i
Lot 25 j
I
i�
I
i
I
I
—CANAL 8A—y
lo'-0°
10' Side Setback T Il'-0° 12'-0"
with variance
QProposed
m O Dock
11,x8' Proposed
Boat OR
a
X
x
v
4'-0"
bxb
S l8036'03" W 4S.95 Platform
------------------------ ----r—
., _„ I
Chipley Residence
52 Craven Street, Lot 24
Ocean Isle Beach, NC
Proposed Dock Drawing
10' Side Setback
with Variance
Existing
Concrete Bulkhead
MHW
Harris Residence
150 Craven Street
Lot 23
i�
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I
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I
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Charles Fox Homes
C52
y Residence 16 Causeway Drive Proposed Dock Drawing
raven StreetOcean isle Beach, NC 28469 6/'1/li
Isle Beach, NC CHARLES FOX (910) 5i9-OSO8 drawn by Charles Fox Homes
- --Hew as www.charlesfoxhomes,com