67168D - Gregg

19;AMA / Q DREDGE & FILL VI
�. V %lJ A B
"IEN L PERMIT / / Previous permit #
New odificatipf I omplete Reissue El Partial Reissue K� 12Ju� Date previous permit issued
I by the o Nc>)r rolmoa Department of Environment and Natural Resources `
Zoastal Resou es Commission in an area of environmental concern pursuant to 15A NCAC
J�,, ❑Rules attached.
it Name /�5�� ky¢�' ,+��i®'' Project Location: County : �_��?ii/ �7�np✓
y_' wo <-X�dft ,K�i Street Address/ Statue Road/ Lot #(s) z - f
092 � /0 State�Zip -�25 /�.eAz4
t (-W W le//h-Mail h SubdivisionIF
:ed Agent P /vj
i / � City �/ y� . h ZIP 7
❑ CW ❑ EW ❑ PTA S-11' ❑ PTS Phone # (_M �� RRiivver_ Basin
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ WA Adj. Wtr. Body
❑ PWS:
0/ no PNA (yes) no Closest Maj. Wtc Body
f Project/ Activity
' � � •:; �' LAJtO fIA -ri (Scale:
ick) length
atform(s) FT--- ._ `--
Platform(s)
:ngth
tuber
:d/ Riprap length
g distance offshore
ix distance offshore
hannel
bic yards
np
ise/ Boatl
JAI
e Length
notsure yes
lum: n/a yes Me00.
yes
Attached: yes L �
ng permit maybe required by: �T C7 G •
Local Plannin juri dicti %
_ nz
El See note on back regarding
6 S On 7 / / - w --7 1 . i — // — 1 / V

bdCAMA / 1i;1 DREDGE & FILL NO 67168 A B
9N!�ERAL PERMIT Previous permit #❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
iorized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
O Rules attached.
ant NameProject Location: County
ss_,_ 2�� 1 �10 �5;1 ;'s�.� t'i� Street Address/ State Road/ Lot #(s)r�
/!"f/Cy►I/<1 StateZIP
# ( L//r'E-Maid . Wtt;7 ° ��� - --- Subdivisionof
ized Agent City ZIP Q
d ❑ CW ❑ EW ❑ PTA S ❑ PTS Phone # ( C L River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
): El PWS: Adj. Wtr. Body ),5 C
e/ no PNA yes ` no Closest Maj. Wtr.
Of Proj*pcV Activity
(Scale:
dock) length
- - -r - - -
Platform(s) V
ng Platform(s)
_
pier(s)
length W
number
�®
avg distance offshore
rnax distance offshorei momchannel UAW
'
■' /.
i Bulldozing
line Length
ti
not sure yes ® —�—
:orium: n/a yes I I I
S: yes
r Attached: yes_ —
ding permit may be required by: C / s ❑ See note on back regarding River Basir
:e Local Planning Jurisdiction)

WC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Permit #:/ C
Date:
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
Habitat Name
DISTURB TYPE
Disturbance total
disturbance.
Disturbanoe
disturbance.
Choose One
includes any
Excludesany
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/o
restoration or
and/or temp .
anyor
temp impact
temp impacts)
impact amount)
temp impacts.)
amount)
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 ❑
I Dredge ❑ Fill ❑ Both ❑ other C]
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both El
Other ❑
Dredge ❑ Fill ❑ Both ❑ Other 0

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date M ,4
Name of Property Owner Applying for Permit:
Mailing Address:
A- 3KD , Nut
I certify that I have authorized (agent)INP PIPPIIIIOF PIPPIN M ►►r (ub-f9&T,oti to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) _ A VogLy yAE,4p ,
at (my property located at) 325 ,cArH Kbto AZq-TN ►,jjUnieXT0N MC, A8411
This certification is valid thru (date) 5 - -;� I - 1
5-
Date
Property Owner Signature
"�

P. O. Box 11291
Wilmington, NC 28404
www.pippinmarine.com
August 17, 2016
\ \ \ \\\\\\\\\\\\\\
'4
Office/Fax:[phone]
Mobile: [phone]
trip@pippinma rine.com
Enclosed is an Adjacent Riparian Property Owner Notification/Waiver form regarding a proposed
modification to allow for bulkhead returns on the southern and northern property boundaries at 325
Beach Road North. A drawing is included. Please check the appropriate blank, initial the setback waiver,
sign and date and return to us by e-mail or mail. If you have any questions, please contact me.
Thank you,
Trip Pippin
Pippin Marine Construction
[e-mail]
[phone]

LETTER OF APPROVAL
October 31, 20115
From- William MCEMW
To- FVure 8 Warid ArcMWural Review bow
Re- SLArmad 7ifi-tr
1. WilhaM MCElWee. VWW of 9 Clamogger PojM Rd, WjIMjngW, NC, hereby giVe
appr,DvW for johm SM Bessie Gregg. owrws of 325 Beach Rd North, W11 nington, NC. to
exW-4 their proposed bupftad to tie in with the eAMing bukhead Wcated on 9
CUMdWer Pj*# Rd A a understood fim GreM wA be respomWe for ai wqmran
3350doed with m proposed tie in secbon of the bukhead a=m the p"V" k* and
ail work performed %Vill be fn wmdwxe with fly aftched plan. as npVwW by Figure a
Island.
WiNiam MCEMW Dow
0
:November 7,2016
Jdfin Gregg Date
b\ E'111111��-' A z 4--
Data

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to s
(Nam(Namq of Property ner)
property located at
(Address, Lot, Bloch, Road, etc.)
on in w ���•.� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I
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, 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.)
A I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
S nature
Print or Tye Name , g
Mailing Address
Propefty Owner Information)
� rl'yL T l y e/ore

English Customer Service USPS Mobile
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USPS Tracking@
Tracking Number: 701
On Time
Expected Delivery Day: Saturday, July 30, 2016
Product & Tracking Information
Postal Product Features:
First -Class Mail® Certified Mail' Return Receipt
See tracking for related Item: 9590940303115155396589
DATE 8 TIME STATUS OF ITEM LOCATION
July 30, 2016, 2:35 pm Delivered, Left with WILMINGTON, NC 28411
Individual
Your item was delivered to an individual at the address at 2:35 pm on July 30, 2016 in WILMINGTON
NC 28411,
July 30, 2016, 9:13 am
Out for Delivery
WILMINGTON, NC 28411
July 30, 2016, 9:03 am
Sorting Complete
WILMINGTON, NC 28411
July 30, 2016, 8:48 am
Arrived at Unit
WILMINGTON, NC 28411
July 29, 2016, 7:00 pm
Departed USPS Facility
FAYETTEVILLE, NC 28302
July 29, 2016, 9:37 am
Arrived at USPS Facility
FAYETTEVILLE, NC 28302
July 29, 2016, 1:56 am
Departed USPS Facility
CHARLOTTE, NC 28228
July 29, 2016 , 1:14 am
Arrived at USPS Facility
CHARLOTTE, NC 28228
July 28, 2016, 4:35 pm
Departed Post Office
HAMPSTEAD, NC 28443
July 28, 2016, 3:07 pm
Acceptance
HAMPSTEAD, NC 28443
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BOUNDARY. LOCATION, CAMA LINE, TOPOGRAPHIC ♦ WETLAND SURVEY FOR " PATRICK C. BRISTOW
I AC.: SURVEYING, PC
JOHN NATHAN GREGG * BECALAMS51E GREGG w E IH[Ao1,AHMVE-!
LOT I SCCTION ID DLOCK D fIGI1RC CIGHT 15LAND nlw:c (sll1 Al -lino rec: (91q [naltl
EMAIL: Pgi41.l,.lwlWWm
•• HARNCTf TOWNSHIP NEW MANWOt O7UNTY, N. C. AIl11 LN2NSUlPNO. C.1a11

English Customer Service USPS Mobile + egis I i I
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USPS Tracking@
Tracking Number: 70151730000216869912
Updated Delivery Day: Saturday, August 20, 2016
Product & Tracking Information
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First -Class Mails
DATE & TIME
August 20, 2016, 2:30 pm
Features:
Certified Mail- Return Receipt
See tracking for related Item: 9590940307375196176335
STATUS OF ITEM
Delivered, Left with
Individual
'_OCATION
WILMINGTON, NC 2841'
rU
Your item was delivered to an individual
at the address at 230 pm on August 20. 2016 in rq
WILMINGTON, NC 28411
a-.
17-
August 20, 2016, 9:06 am
Out for Delivery
WILMINGTON, NC 2841' _p
August 20, 2016, 8:56 am
Sorting Complete
WILMINGTON, NC 2841' -J3
rq
August 20, 2016, 8:55 am
Arrived at Unit
WILMINGTON, NC 2841 ' fU
C3
August 18, 2016. 7:04 pm
Departed USPS Facility
FAYETTEVILLE, NC 2831 OO
August 18, 2016, 10:16 am
Arrived at USPS Facility
FAYETTEVILLE, NC 2831 r3
M
August 18, 2016, 1:57 am
Departed USPS Facility
CHARLOTTE, NC 28228
r�-i
August 18, 2016, 12:52 am
Arrived at USPS Facility
CHARLOTTE, NC 28228 n
August 17, 2016, 4:38 pm
Departed Post Office
HAMPSTEAD, NC 28443 C3
N
August 17, 2016, 4:23 pm Acceptance HAMPSTEAD, NC 28443
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POStal Service"
o, CERTIFIED MAILO RECEIPT
ru Domestic Only
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■ Complete items 1, 2, and 3.
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so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
A. Signature
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I. Arilcle Addressed to: - Q. his $ I9 /6
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0 Adult Signature Restricted Delivery
9590 9403 0737 5196 1763 42 ❑ Certified Mail Restricted Delivery
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1. Article Addressed to: { ,�
�CA V eA Ci . PwL p-t
1111111111111111111111111111111111111111111111111111111111111
9590 9403 0311 5155 3965 89
2. Article Number (Transfer from service label)
PS Form 3811, April 2015 PSN 7530-02-000-9053
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D. Is delivery address different from item 1? ❑ Yes
if YES, enter delivery address below: ❑ No
3. Service Type
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