76225D - Miller

.CAMA I DREDGE &FILL No. 76225 A B c
GENERAL PERMIT Previous permit #
New —Modification LlComplete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality b) � I Z c-) 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
/ Rules a ched.
Applicant Name G Project Location: County
Address 4 �� �% Street Address/ State Road/ Lot #(s)
city ���(L INr State " ZIP_ ` 66 - �'� d-�C? 4
Phone # E-Mail Subdivision
Authorized Agent N
Affected
AEC(s):
ORW:
❑ CW ?%EW )WTA
❑ OEA ❑ HHF ❑ IH
❑ PWS:
yes no PNA ye no
❑ ES ❑ PTS
❑ UBA ❑ N/A
City AM d ZIP "d
Phone # ( River Basin
Adj. Wtr. Bod-T�W4'vj Aoman unkn
Closest Maj. Wtr. Body—

o�
I?
i
N 27'2Y34' w Jl t /� APPROK j of RUN
\ 7locr ` --4 ' r OF NXOMS CREEK
\ I (MB 23/75)
WRRENT l EFFEC111+/E N 277i36' W
\ FLOOD UAL
A4x \ r 10 ! \ ++ I
1 �
I I(
Roan PRELPMUN LOT 18
75)
00zow .A.. ' I I I 15' WAINAGE
EASEMENT
1�i�< o � _ / j 1 7.5 (NO 23m)
(SHAMD)PROPOSED
1 tao•
moty
! FOLMDATION
' oc 1 r
LOT t7 I 1 N �Ot 75
(Wi 23/M) 3
l Ucc2-JycS

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: S_nor, C W1,11 e�
Mailing Address:
Phone Number:
Email Address: �G l�l� �� e Z z--��"`-��
CO-
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development.- J �� ie_<- G/
at my property located at /GGZ Cc, ,C c—S S ��. 4�tc�•nS�c�.d �;C_ z
in �(?,'\ck(- County
I furthermore certify that l 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
Title
_ l Z V- / ZCZ G
Date
This certification is valid through I 1
y3

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner i SV o�-Ancn CG�Tey jam.\fie _
Address of Property: Lc4 C,r,-) 1 , S RJC zW
( Lot or Street #, Street or Road, City & County)
Agent's Name #: %JC d Od,%e_ Mailing Address: /0 cite
Agent's phone # i tG. S( Z -7&Li 7
I hereby certify that I own property adjacent to the above referenced property. The individual
applyiftlW ermit has described to me as shown on the attached drawing the development
they are proplbsing. A description or drawing with dimensions must be provided with this letter,
__have no objections to this proposal. _ I have objectlawto 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 mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be cWtacted at [phone], No response is
considered the same as no objection if you have been notified bat 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 15from 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.
(Prop er Information)
C
S'lgnature
C. M:
Print or Type Name
,Mailing Address k z P J !
City/State/Zi
-9l() — 3& ?- �ZG�
Telephone ,Number
1/— Z?- -'----
Date
(Afljacent Property Owner rri;401ion)
S gnarure
15f- Z-, C-^- �&N , V, �, \ e
Print or Type Name
rood C�J�.1s CI
Mailing Address
1+11*- r 5A e..i /t, C Z � YY-3
City/Stale/Zip
? 7 3 - yov - ?vO,�
Telephone Number
V-7 � Z o
!)ate
Revised 611812012

ADJACENT RIPARIAN PROPWTY OWUR S�/I►�,TEMENT
I hereby certify that I own ro.+ ��. p perty adjacent to � �`�%�� IS
(Name Pro ,erty Owner)
property located at , ss,
h�0 C�eta(Add Lot, Block, Road, tc. l�
on in N. C.
(Waterbody) (ityi'Tow 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)
S��, XLi,,)
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) (Adjacent Property Owner Information)
`' 9e i nutwv
�.v.d•
Print or Type Name Print or Type Nai
Marbng ddress Marling Addres
r/&'4 J-r_ 2� 1 tiC Zss'yY3
City/StatelLi City tate/Ztp
6 9/ - 76 7- FZ G G ?� - L( to - y c e
Telephone Number Telephone Number
Date -- ------ Date
(Revised 611812012)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road,
& County)
Agent's Name #: SO Mailing Address: �C� ( %� �3 tt".41 L-J'c. Ordt
Agent's phone #: 7I0, <� i L --7 G �i C Z$q I k
L;1.1 1Min y'1
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 promising. A description or drawing with dimensions must be provided with this letter.
i
__LX_ _ 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 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, !ift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me_ (If you
wish t7��l
setback, you must initial the appropriate blank below.)
do wish towaive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prope er Information)
C
Signature
Print or Type Name
/01 W
Marbng Address
L/ t� Ll- A.- hJr Zg I1 f
City/StatelZip
Telephone Number
Date
iAd' ent Prope 0 er In rmation)
Signature
%�lBri� 5 oJOyNs T'6 ,✓
Pent or Type Name
y a o Y 6R,6
Marling Address
�grl/�S fi /V C 2 3�7`_5
City/State/Zip
Vo , 70 C 9
Telephone Number
Date
Revised 611WO12

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J l�� ^ ��� /"�-�
's
property located at
/�Z'(�
on ,) �G n.'� Ue-e �` (Address, Lot, Block, Road, gtc.) .
(Waterbody) City/Town d/or County)
(Name of Property Owner)
L <J-- / A Ii", ti .
The applicant has described to me, as shown below, the development proposed at the above location.
' / I nave 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.)
�J I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjac nt Propert Owner Information)
1 e ianature
J fFsy O
Print or Type/ Na e % Print Dr Type Naryg
I Or
Mailing ddress ' Mailin Address
City/State2i Crfy/State2ip12 � 70 �
9/ - o 7- 9Z 60
Telephone Number J'
Telephone e Number
'Y-Dam
Z�-
Date
(Revised 611812012)

Date Rec9/ved
Date
Cheek Fom ame
Name of Permif Holder
Vendor
Check Number
Check
cunt
Permit NumbenComments
Reoel t or Refund/Reallocated
Columnl
Column2
Co/umn2
C.1-4
CaMwms
COWmM
Col-7
Column
C_0/umn9
5/9/2020
_ 5/9/2020 _
5/9/2020 _ _ _
5/9I20_ 20 -_
5/13/2020:__.
5/13/2020 'Raymond
5/13/2020 _ _ _
5/13Y2020 _
5/13/2020 _
_ 5113/2020.
_ 5/13/2020'._
5/13/2020�
00vexRemurce Group
Still Engineerinq. PLLC _
Town of Oak Island -
Land to Sea Construction, LLC _
Shannon Miller
and Barbara Klimes _
Richard Penny Construction, LLC
iTetldy M Johnson
Richard J Smith
AM.Docks and Marine Construction LLC _
Delmar & Dixie McGowan
& J Construction of NC LLC
UNCW
Safe Harbor clo Norm Brown
same - _
Brent and Karen Bush
isame
same
�,�,Chet Willis/Jeff Durham
aame _
same
'Steve Grouse
same
Manah and Michael Brazil
_ _
United Bank _
Branch Bankinq and Trust _ _
BBBT
First Citizens Bank -
South State Bank -
First Citizens Bank
,Navy Federal
State Employees Credit Union
Bank of America
BBBT
State Employees Credit Union _
BB&T _
1837
400.D0
I major fee. 5600 Marvin K Moss Lane, Wilmington NHCo SPLI
�60140
major fee, 4909 Fish Factory Rd,�Southport BrCo SPLIT 80/40
PA jot. 10754
Tjfue rct. 10991 _
trnao rot. 10990
143
400.00
80220 100.00 minor fee, 801 Ocean Dr, Oak Island BrCo
208 200.00 GP #75898D
1011 lit 200.00 GP#76225D _-
1338 200.00 GP #76224D _ _
_ 1348 $ 400.00 GP #74825D
_ 654868E 200.00 GP #76223D
2110 $ 200.00 GP #74784D
5802 $ 200.00 GP #75885D
- 1497 $ 400.00 GP #76199D
- 2225 600.00 GP #75809D
PA rct. 10753
JD rot.10348
JD not 10349
JD rot 10350
JD Ict 10178
_
BB raL 7943
BB not. 10459
JD mL 10834