67193D Cedar

1__CAMA / DREDGE & FILL / l U fi
(� �� _ A B C
GENERAL PERMIT Previous permit#
(3lew --]Modification El Complete Reissue El Partial Reissue Date previous permit issued
As autKorized 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 15A NCAC i. E
�❑ Rules attached.
Applicant Name � K IWI 401k C 1 n c 444. f 1f7lProject Location: County
Address 1 it A k C+ Street Address/ State Road/ Lot #(s)
City r:.; J1fi C, l State NC., ZIP Z _VlIN-2 r I VK ci. t
Phone # _S17
_Mail
Authorized Agent
M I _
❑ CW
)OW PTA )idl ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ Pws:
ORW: yes / no
PNA yes / no
Type of Project/ Activity
Pier (dock) lewh
Fixed Platform(s)`
Floating Platform(s)
Finger pier(s)
Groin length
number
avg diisiance offshore
max distance offshore
Basin, channel
Boat
Boatl
Beacl
Othe
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or AppliPrinted Name
ignature* Please read corppliance statement on back of permit*
� f s r-•
Application Fee(s) Check #
Subdivision r PO(, 11 .
OWit. I Yve Y�
city -,,-J (%- G ' ZIP
Phone # ( ) ` River Basin
Adj. Wtr. Body 1 C-�' �t I L-- t> (nat /man /unkn)
Closest Maj. Wtr. Body —
❑ See note on back regarding River Basin rules.
PerFiitaUEficer's Printed Name
SignQ `
Issuing Date Expiration Date

N Division of o; s►t l:i >gt, gbitat Impact-coMputer Sheet
�- �jr� . �
Applicant: ("
Date:
Describe below the HABITAT disturbances for the application.
A. sheet
All values should match the name, and units of measurement found in your
ct
Habitat CO.
TOTAL Sq.- Ft.
FINAL Sq. Ft.
TOTAL Feet
for.
FINAL Feet
(Anticipated final
(Applied for.
Disturbance.totai
(Anticipated final
disturbance.
(Applied
Disturbance
disturbance.
DISTURB TYPE
Habitat Name includes any
Chooses One anticipated
Excludes any
restoration
total includes .
any anticipated
Excludes any
restoration and/or
'
restoration or
and/or temp
restoration or
temp impact
amount
El' Dredge
Dredge ❑
Ft f
Fill [I
Both [].,,Other
Both . El
❑
Other ❑
Dredge ❑
❑ Fill .
Both ❑
Other ❑
Dredge ❑
Fill El
Both ❑
Other ❑
Dredge 0
Fill El
Both ❑
Other ElDredge.
El .
Fill ❑
: Both ❑
Other El
Dredge El
Fill
Both ❑
Other ❑
ct amount tem im a s
rr

Payment Proccessing Confirmation
Date Received 1/18/2017
Check From (Name) Cedar Point HOA
Name of Permit Holder Cedar Point HOA c/o Clark Harvey
Vendor Bank of America
Check Number 1030
Check amount $200.00
Multiple Permits No
Major/Minor
Permit Number/Comments GP 67193D
Receipt or Refund/Reallocated JD2499D

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: G ?aIw r /V G' !
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
r
s cF Ciro NC
7v2`/--X14 d3S'3
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: JP //V f1-7 G
E Q asi e,y Z91' cy
at my property located at27ig ) c-pL C u ,
in County.
I furthermore certify that 1 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
Print or Type Name
�C S Id, ' n / 7-
Title
/"" l// � l / 't�
Date
This certification is valid through I I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to re A42 1 /-1014 s
J (Name of Property Owner)
property located at _ � ti, , , � r �:. -' r'
(Address, Lot, lock, Road, etc.)
t Psi.
on / // , in ��.'z 1, 'A: , N.C.
(Waterbody) (City/Town andlor County)
The appli t 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 fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, rift, or groin must be set back a
minimum distance of 1S 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_
(Property Owner information) 'scent Pro rty ner Information)
Signature -Signature `
-L'1L"I_. %
Print or Type Name Print or Type N
o �W
Mailing Address ailing Address
ailing
W
City/State&ip City/StataZip
q10 A'42 62,71
Telephone Number Telephone .Number
Date
Date
(Revised 611812012)
A

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to (eC14, J��°,; t T Po/4 's
(Name of Property Owner)
property located at %��._ ; : �. •y,t (�,, de
r I (Address, Lot, Block, Road etc.)
on ��fSS,I 5�.��� in T- N.C.
(Waterbody) (City/Town and/or County)
The �applicant has described to me, as shown below, the development proposed at the above location.
V 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)
WAIVER SECTION
understand that a pier, 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Propertowner Information)
Signature
azure
We ) ), a -J C lrs
C. -,
Prin _orr Type Name/
Print or Type Name
Mailing Address
Mar A
',ress
e / , iyc
City/State/Zip
Citx4State/Zip�
`I<J 5 i 2 % / %
Telephone Number
Telephone Dumber
2
Date
Date
(Revised 611612012)

N
ADJACENT RIPARIAN PROPERTY STATEMENT
I hereby certify that I own property adjacent to UAY V� i�l f �% �- s
property located at /�I -T'�-W � (Name of Property Owner)
on
15
(Waterbody)
(Address, Lot, BI ck Ro d, tc.)
in N.C.
(Cityown and/ r County)
The appli ant 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 fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number
Date
(Ad'acent Property Owner Infor ation)
04�
Sign re n Y �� An C-DR/kA
Print or T a Name + 'rum & t. �—
Maili Addre
Tele�um�e���j
Date
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
s
i . ( (9me of Property Owner)
property located at i 1 1 - r 1 t •" ,I r ^r , ! r1: :� u,
_ (Address, Lot, Block, Road, etc.)
on in .,.
_._, N.C.
i (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.
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)
WAIVER SECTION
I understand that a pier, 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
CitylState2ip
Telephone Number
Date
(Adjacent Property Owner Information)
Signahrr•e
Print or Type NaTe
Mailingdress
134y 7 1P 1, �' 7.3
Telephone Number
Dare
(Revised 611WO12)

0
� � r
/
CANAL EIP
NBT, / S3725'2tE 9.05' so
t
03. EIR 6' AGS
SII G �o
/,Vo
�� G
IMATE
S36'01'21"E 30.42' 111-0
wGPH�wA CP
LINE (CANAL)
C VICINITY SKETCH NO SC4LE
'Sjr
. CP
C-J r7 i V_
_','3cy% CANAL
h�
MARITJME PLANTA110N
e
M.B. 28, PG. 64 i
A, AREA ONE
1,972 S0. FT.
APPROXIMATE
HIGH WATER (0.0453 ACRE)
LINE (CANAL) a Note .4 ID(rIE
v \ I
LINE\
EIR , N
W 930'
S74 08'0 0 g5. a `
S4A18'19 W(VE LINE)
EMS 1 12 ,
5 cfl
'X'
S3505'31'E 25.24'
CHISLED
with DRILL MAR/TIME PLANTAIN
2 I
orf HOLE in
M.B. 28, PG. 64 I
I CP N54'00'04w Ems,_-_.�
\ \ \ n
I Q 30.0' w z�Mncs o IL
00Ln
4 q�0 Q74M
C, \\ /
W �
to
to
1') 6 V EIR . UJ
041
t 3 \\J
N �
7
MARITIME PLANTATION J
r M Q o O
/
v M.B. 28, PG. 64 /
ro
r;
04
30.0' CP
C4 i
CP
S54 00'04 W
�i�•
o
LEGEND
/� NOTES
N
iECS.
A
AGS=ABOVE GROUND SURFACE
CP=COMPUTED POINT
_ + 1. It is not the intent to
subdivide this area, it is for
�-
-
D.B.=DEED BOOK
agreement purposes only.
ECS=EXISTING COTTON SPINDLE
1Tl 2. Subject to restrictive
v5
ECM —EXISTING CONCRETE MONUMENT
EIP=EXISTING IRON PIPES
� A covenants, deeds and/or
/ easements of record,
a
zoning
EIR=EXISTING IRON REBAR ordinance, wetlands, revisions,
EMS -EXISTING MAG SPIKE o agreements, do underground
CP in NORTH—
M.B.-MAP BOOK \ utilities, if an
WESTERN END o� z1 y'
R/W=RIGHT of WAY A WOODEN BRIDGE N, �\ 3. No title search by surveyor.
4
m 4. Per G.S. 47-30(f)(11d) this
survey is an exception to the
definition of a subdivision
`-
�\ (See Note �j1).
REFERENCES
M.B. 28, PG. 64
47 _
p
M.B. 38, PG. 137
��
k Al
D.B. 2847, PG. 161
15, 0' 30, 60,
I, DAVID T. WESEON, CERTIFY THAT THIS MAP
WAS DRAWN UNDER MY SUPERVISION FROM
AN ACTUAL SURVEY MADE BY ME FROM
INFORMATION FOUND in BOOKS REFERENCED
HEREON; THAT THE RATIO of PRECISION IS
1.10.000+; THAT BOUNDARIES NOT SURVEYED
ARE SHOWN AS BROKEN LINES PLOTTED FROM
INFORMATION FOUND IN BOOKS REFERENCED
HEREON; WITNESS MY HAND AND SEAL THIS
20th DAY OF DECEMBER , 2013.
481
NC,
AREA ONE & AREA TWO
FOR AGREEMENT PURPOSES
BEING A PORTION of THE COMMON
AREA SHOWN ON A MAP OF
"CEDAR POINT", RECORDED in
M.B. 38, PG. 137
TOPSAIL Twp PENDER
L-3588
SCALE 1"=30' FIELD BOOK DC JOB NAME 12MARIT2