71851D - Nowell

Z�-i=x)/ Z024) '>Ck4 ` F V V �rAMA / ElDREDGE & FILL N2 71851
ENERAL PERMIT Previous permit# ❑ A B C D
New Mod ❑ ification Complete Reissue ❑Partial Reissue Date previous permit issued
0
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
ApplicantName La&yl'. �`, Project Location: County VA(VS LL�
Address (� _ cy Q k's \V
City.�StateCZIP��
Phone # q i q _Mail
Authorized Agent I1.
Affected ❑ Cw APTA s El
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /�00 PNA es no
Street Address/ State Road/ Lot #(s)_
L� 10 1 h VANt k b7`n
Subdivision �,,`t
City �A—\\u,61- ZIP �aAa-D
Phone # ( River Basin
Adj. Wtr. Body LOC61V03 F;' nat man unkn
Closest Maj. Wtr. Body1 n t
Type of Project/
. W Activity � �(1n �'� �T � � � ��/ CCU l S v o - S� 4 0 L� ��
V 14. k— (Scale: j r
t)
A I . I-LI '
IUI�ILIFI
Finger pier(s
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Groin length
Bulkhead/ Riprap length
avg distance offshore
max distance offshor
Basin, channel
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cubicyards
ramp,
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Shoreline Length
SAV: not sure yes lid
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes e�►�■■■■■■■■■■r■�
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A building permit may be required by:
( Note Local Planning Jurisdiction
Notes/ Special Conditions
or
Please read compliance statement on back of permit **
See note on back regarding River Basin rules.
Name
M
Application Fee(s) Check # Issui
70
Date

bocuSign Envelope ID: OB85D61C-56E2-4943-85FO-OFBB616EC05D
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Gary Nowell
o'5 I S. Soor e Payt
Nc 2< q
r �Gti nc
I certify that I have authorized Sea Dog Marine Construction
Agent / Contractor
.corn
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 410 Hamilton Drive SE, Bolivia
in Brunswick County.
Dock with floater and boat lift
1 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:
DocuSigned by:
F
C, 1 1"6�..A
igna ure
(�C1 'Y N c�►v e I
Print or Type Name
t If
Title
� q
Date
This certification is valid through 12 / 02 / 2-0

DocuSign Envelope ID: OB85D61C-56E2-4943-85FO-OFBB616EC05D
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mr. Gary Nowell
property located at 410 Hamilton Drive SE
(Name of Property Owner)
on Lockwood Folly River
(Waterbody)
I
(Address, Lot, Block, Road, etc.)
in _ Bolivia/Brunswick County N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
K--- 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 Qwner Information)
ocus, ne by:
GCI ��Q4.n
St T:rflpeCAKW5
CI�GIrC N D'A t 1 I
Print or Typ Na e
lby)l �nUl'� Del
MVing Address
60yTt Pnv . N& 2ggt�
Cityq l 6 - G � q - Cl
Telephone Number
iZ- 02-11
Date
(Adjacent Property Owner Information)
k"), 6��L- P ----
Signature '
I -�-ii7i1 rC"'Y
Print or Type Name
Mailing Address
City/stat /Zip '
r�� 16
Telep noh e Number
W
(Revised 611812012)

DocuSign Envelope ID: OB85D61C-56E2-4943-85FO-OFBB616EC05D
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Kopp John R ET Donnie H
Address of Property: 414 Hamilton Drive SE, Bolivia 28422 Brunswick County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Sea Dog Marine Construction
Agent's phone #: [phone]
Mailing Address: 107 SW 9th street
Oak Island. NC 28465
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
v ► — I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be malled to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
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.
06K I do not wish to waive the 15' setback requirement.
(Property Owner Information)
DocuSigned by:
G c 1 N 6 -.A
Sign Q968C7CCA5C64F5
Gary Nowell
Print or Type Name
IO�)I S.SI14t Dy�v`C
Mailing Address
C- UDJ Pov) NC )(2401
City/Statelzip
Telephone Number
12-02-11
(Adjacent Property Owner Information)
Signature v
Print or Type Name J ,,��
1r
Mailing Address
Leo l� v� w114
CCity/State/Zip
Telephone Number
Date Date
Revised 611812012

DocuSign Envelope ID: OB85D61 C-56E2-4943-85FO-OFBB616EC05D
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Mr. Gary Nowell s
property located at 410 Hamilton Drive SE
(Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Lockwood Folly River , In Bolivia/Brunswick County N.C.
(Waterbody) (City/Town and/or County)
The applica 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, 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.
do not wish to waive the 15' setback requirement.
&r6perty Owner Information)
DocuSigned by:
Gam, 4U6
Signat E968C7CCA5C64F5
GG�ry N Owl I �
Print or Typ Na
M fling Addressi G 2Sj 4 1
City/S ate2 p
i,o-U101191
Telephone Number
12-02-161
Date
(Adjacent
Informatio
P n�Type Nam�1,
114/G- o ./6/2
Maili,q A ss S�
J
City/State2ip
Telepho1 Z um1 be� 9
Date
(Revised 611812012)

bocuSign 1=nvelope ID: OB85D61C-56E2-4943-85FO-OFBB616EC05D
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Hunt John Earl Jr Etux Hunt Mellinee C
Address of Property:
406 Hamilton Drive SE, Bolivia 28422 Brunswick County
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Sea Dog Marine Construction
Agent's phone #: [phone]
Mailing Address: 107 SW 9th street
Oak Island, NC 28465
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
th7have
osing. A description or drawing, with dimensions must be provided with this letter.
ave no objections to this proposal. I have objections to this proposal.
If yctions to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail.
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)
DocuSigned by:
S sv$MCAKW5..
Gary Nowell
Print or Type Name
1 o�)i C�-. SVluyc Ov ► cl
Mailing Address
�0AVpUt,NC '2�dU
City/State`Zi
q l n-6ICI
Telephone Number
I2- 02-0
Date
(Adjacent
Print or Type Name
Owner Information)
` oG 'iG7�� ✓ 0/, S-
Mailing Address
/_S6 6 / V% wG
City/State/Zip
Telephone Number
Date
Revised 611812012

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