75873D - Fischer

CAMA / _ DREDGE & FILL No. 75873 A B C
GENERAL PERMIT Previous permit# 4�
❑New ❑Modification Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality L / ^,,
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /� Z
�-- ❑ Rules attached.
Applicant Name UJ A<J1 C;n t Stcr Project Location: County C IL
Address_ �� , ci �[ ? �' 3 I Street Address/ State Road/ Lot #(s) Y 30
City t l 1) j 4 r, �tai� _ ZIP -Z -� `1 5IJ
Phone # (�J) 7�7, yU 7 7 v: E-Mail I L Cqc,h . Subdivision
CC,— t
Authorized Agent i City �11 �1 << I v ti�� ZIP Z d
Affected ❑ Cw AW ATA ❑ ES ❑ PTS Phone # (___) River Basin 5
❑ OEA ❑ HHF IH El USA El N/A AEC(s): Adj. Wtr. Body �� t c / a m� an unkn
❑ PWS:
ORW: yes / r►fl ,.' PNA yes / �_ Closest Maj. Wtr. Body._
Type of Project/ Activity
Pier U
Fixei
Flom
Fingf
Groi
Bulk
Basii
Boat
Boat
Beac
Oth(
Shor
SAV
Mor
Phot
Wai%
(Scale: �J T5 )
■f
■�■■■■■■I■■■■■i■■ICI■■:7■■■■■■■■■■■■
r pier(s)
i length
■i■■■■■■■■■■I
■■■■I■■��li�■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■I
■■■■■■■■■■■■■■■■■■■■■■■■■
number
■■■�■■■�■■■1
■■■■■■■■■■■■■■■■■■■■■■■■
avg distance offshore —
■■■■■■■■■■■16e�■■®■■■■■■■■■N■■■■■■■■■■■
max ..
■■■■■■■■■■IIII�1l��I■■■■■■■■■■■■■■■l1■■■■■■
channel
cubic yards
■■■■■■■■■■1■■■■■`�■�■■■!■■■■®■■■■■■■
ramp
■■■■■■■■■■I
■■■■I
■■■■�
■■■■■■■■■■■■■■■■■i
■■■■■■■■■■I■■■
I■■■■■Il1.':y■■■■■■■■■■■■■■■
Bulldozing
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■■■i
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ICE!
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EMEND"M
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ism
t
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-lineLength
not sure yes
yes
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[Ell
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ON
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A building permit may be squired by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions C> 'N, r k• �4 r , , \\ p
r
❑ See note on back regarding River Basin rules.
Soe
Agent or Applicant Printed Name Permit Officer's Na e
Signature Please read compliance statement on b of permit Signature
"
n L/ L AI
Applicati Fee(s) Check# Issuing D a Expi do ate

tr/ XEDGE i FILL
No. 75873 A B C
ENL PERMIT
Previous permit #
DNew DModification *omplete Reissue ❑Partial Reissue
Date previous permit issued /
4s authorized by the State of North Carolina, Department of Environmental Quality
/�
Ind the Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCACy
[I Rules attached.
�^
applicant Name Q+IG✓�, r � lr/
Project Location: County_
t
kddress ,� _ _17 pit_ J _O ;� 1
Street Address/^S,t�ate Road/ Lot #(s) / 10
:ity S t�at��o state U L ZIP 21 `I 59
l ,14,q �O �i 4 S'J SN�
V
'hone # E-Mail-bCA+u^,we^! 1WJQ k"•
tor
Subdivision___
>uthorized Agent �..
�,/
. 1-�-G
City � V►� � o ZIP Z d - }d
effected ❑ CW J*W IOTA OES O PTS
Phone # River Basin �..✓' V'
*C(s): 0 OEA ❑ HHF IH 0 USA D N/A
Adj. Wtr. Body A h4 [10 � 21. •SMt!!0= [ r�/man /unknl
❑ PWS:
L - -
Closest Maj. Wtr. Body�•�0�'''�
�RW: yes / �- PNA yes /�2._
Type of Project/ Activity
Pier (dolt) length 4'T t a
Fixed Phadorm(s)
Floacingh'lat(orm(s) 10 yZO• T1 v -
FxtW Pur(sJ44) - �- -- � -- - - O ff•-; !�•
Groin length
number -! +
Bulkhead/ R XW length
an e_
max distance offshore
Basin, channel
cubic
Boat ramp _ - —
Boathouse) Boat ift
Beach
Oilier
ShorelineShorelineLengthLength/L•_
SAAM not sure yes
among PHNNOMMI
MEMO ■ii
(Scale: �J TS
-I�
Moraoorium: nha Yes i f H2L- -- "el' I 'L I _t I I i t • L
Photos: Yes ��-�- iTfl
- -- :A \,_. w�.
waiver Attached: �j( no
A building permit may bd r�quired by / , Lam`+^ ❑ See note on back regarding River Basin rules.
(Now Local Nanning Jurisdiction) �/
Hotes/Sperial^Conditions {�,�� �iCAA4 LAN ...E � C,1 %-w%4L%,q6% "�-1-444.2441, Ci-
i✓V fl #��
A3Knt or Applkant P. ii m
*' Please compliance statementon of permit''*
svv4r/0%L
kds) Check #t
-1110 C
remrc vrncer'e,oA.PwwG:?v ,� 1 " �
Signature lfJ
Issuing Ex ra Date

s�'ob 0T %c- PIVE&
vItiFA 6'
,f0A,f. i r / `r v 71,fib- ►-
1I . -1
r✓Rf3� cl,�N• W 1N

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: .r✓
Mailing Address:
Phone Number:
Email Address: c •ti ,- r ;. I
..
I certify that I have authorized
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in t,> n. ,4-. County.
I 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
:f
Print or Type Name
Title
Date RECEIVE©
4 :.
This certification is valid through ! I
CCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to IJ ,A, 'V l- 1 L it r 1, s
(Name of Property Owner)
property located at 1 � � J ,� tk .'; ,�;. i;* �� T ;
_ (Address, Lot, Block, Road, etc.)
Oil , in 1"wi14 G �� .4 n% ,� , N G
(Waterbody) (City/Town and/or County)
The applicant has described to me. as shown below, the development proposed at the aoove location
I have no objection to this proposal.
I nave 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
mlrtlmurn 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 xdsh to waive the 15' setback requirement -
(Property Owner Information) (Adjacent Property Owner Information)
v
t/�f !rrdtn ��w
J rgnat ure
,_*As.1,& rIiG�!4A
Pant or Type Name
Pv_ A a V,
Marling Address
13 yl
lst � pp
1D-r J'1t�j
i eleanone Atumber
Date
Signature
Pri or TVJe Name
Matting Address J
citylstatelzip
Jr cyim .1�-Y U
Teleohor. a Number
1 Mlle
(Rewsed 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ` / hX �= �✓ /' 1 ,�� /� /� s
(Name of Property Owner)
property located at di-1/4 j T i' yt, ; %litd% v i i c
(Address, Lot, Block, Road, etc.)
on in N C.
(Waterbody) (City/Town and/orCounty)
�he applicant has described to me, as shown below, the development proposed at the above location.
�` 1nn 7 '/ 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)
Signalure
✓KXAct r�1L�!l;!�
Print ar Type Name
P y 13 , Y % j y
Mailing Address
CitylSt— at Zip
b y -- 1/ C: - 9 i
Telephone Numbe-
(Adjacent Property Owner I ormation)
7Z
Me ' Aq/r
_kc A;Tz- , 4 C 13l�'L
Gty/st@fe/Zip
Telephone Number
bale
(Revised 611812012)

IPAMA / DREDGE i FILL NI I 74 780 q B C �✓
GENERAL PERMIT Previous permit #
New ' (Modification __JCofttplete Reissue i Partial Reissue Date previous permit issued
Kd
If
As authorized by the State of North Carolina, Department of Environmental Quality I
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1100 T 01-H . I Lao
E Rules attached.
Applicant Name_ o*�wsel�e,� Project Location: County ---
Address 1--)n jU3 y Street Address/ State Road/ Lot #(s)
- --
City. �i�gllc�-}•G _ StatefJ L ZIP-q /YV,,4 A.,, lit Sl. SLA/
Phone # qtp)_ w - SS E-Mail �jp,QuuwrrS,.�(p�D hos•co.aSubdivision
Authorized Agent _ _ City_ _WAJt0 H,-
ziP ��y }Ii2---
Affected 71 Cw !-VEW ili� PTA #ES ;WPTS Phone # (��` _- River Basin
: OEA - HHF _ IH USA N/A
AEC(s): __ I Adj. Wtr. Body-_J - 9+j AA--- _ %o- r nat fan lunkn)
Pws:
ORW: yes / tC.p PNA yes Closest Maj. Wtr. Body-A�'^k`
Type of Project/ Activity 1 n I -'-.e f ae
0., wWI 5��� (t t� �►
�..t����T
C�G�t.\�tiC.: ►�-..�
—
(Scale: Ilr=3r0
< )
Pier (dock) length G'XLb c.
Fixed Platform(s)
Floating Platform(s) jU. -X 20 i
K— S c-fion
Finger pier(s)
Groin length _ — r Y
'� ��Gs�(7fTr F..\V�✓~ai
number
-
Gr
Bulkhea /l igth _TU-----_--
avg distance offshore_ 01'J
�t
�- t•"`9r
�N
max distance offshore P_
Basin, channel
I
cubic yards- y(j
Boat ramp
Boathouse/ Boadift —JI
W
Beach Bulldozing X as
0
Other ('� -? c ?,t (p c
u
Oal&' V.
Shoreline Length -� r -- Q^Jy t/ PfeP (t'-- 1' j �y/r a
SAV: not sure yes �7 jt{22. i14'Iy4A St N- P,-e V ell
Moratorium: n/a yes ® "I 10. C 4'
Photos: yes 6P V
Waiver Attached: no 1
A building permit maybe required by; vas w tG �t. to��_ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) t '
Notes/ Special Conditions V Q .0 fhil2 t.,<<` ( #I t�., k
Ya. i
Agent or Applicant Printed Name �} i
Signatu "Please read compliance statement on back of permit"
Applic on IF! Check #
Permit Officers, Printed �me
. ..i -
Signature-1
j
Issuing Date / xp anon Date

Data Received
Data Da ad
Check From Name
Name of P—M Holder
Vendor
Check Number
Check
amount
Parmir Number/Comments
Rece f or RefundR eallocafed
Columnf
Col-2
Column3
W-4
Columns
Columns
Cclumn7
Columns
C.1—.
4/30/2020 Maritime Coastal Construction, LLC Katie W ickham
CresCOm Bank
3142
$ 200.00
GP #76410D Bbrink rct. 10420
4/30/2020 Intracoastal Installations, LLC Osprey Point Owners_ Association
Corning Federal C_ re_dut Union
300
$ 200.00
GP #74786D TP net. 9792
4/30/2020 Town fo Oak Island same
BBBT
7995.3
$ 400.00
GP #75667D l Bbrink rct 10418
4/30/2020 Charlene and Welter Plains same
Navy Federal Credit Union
2717
_
# 200.00
GP #75816D Bbrink rct 10429
4/30/2020 Warren Fischer same
USAA Federal Savings Bank
1042
$ 200.00
GP #75873D BB rct 10875
4/30/2020 Adam R Nix , same
Stale Employees Credit Union
2396
$ 200.00
GP #76114D BB rct 10871
4/30/2020 Will Eskridge same
Anderson Brothers Bank
2896
$ 200.00
GP #75802D BB rct 10873
4/30/2020 Grim Construction of Brunswick County Inc Jennings Glenn
BBBT
13777
$ 200.00
GP #76115D ��BB rct. 10870
4/30/2020 Michael or Elette Owen same
BBBT
9823
$ 200,00
GP #75886D :66 rct. 10874
4/30/2020 Allied Marine Contractors LLC Doug & Kor Cacciola
First Citizens Bank
8863
$ 200.00
GP #75819D Bbrink rct. 10431
.
4/30/2020 Allied Marine Contractors LLC Lisa Kor & Stephen Mauriello
First Citizens Bank
8862
$ 200.00
GP #75834D Bbrink rct. 75834D
4/30/2020 Mantech, LLC Summer rest, LLC
Bank of America
2414
$ 400.00
GP *7641111 BB rct. 10426
4/30/2020 Byron Wilkinson and Jennifer Gehringsame
Bank of America
1012
200.00
GP #76409D Bbrink rct. 10427