66535D - Parkers

CAAAA / ❑ DREDGE & FILL ItV rC /��(
A B
xENERAL PERMIT / l Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources _ 0
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC l��
` ❑ Rules attached
Name �(� �G ivy t SV i �' N.
Q (KV\ IF (At Y State I NC ZIP
E-Mail
:d Agent ,� "'OM )'(A M D +A 6
❑CW (EW 1 ("A ❑ES ❑PTS
❑ OEA /❑ HHF /❑ IH ❑ USA ❑ WA
❑ PWS:
Project/ Activity
1-1 - . , .
:k) length
tform(s)
'latform(s) 'b X� 5
er(s)
igth
nber
I/ Riprap
se/ Boatlift
dldozing
Project Location: County�� r20 SI AI ;
Street Address/ State Road/ Lot #(s)
M A \�i I,,"(> "Nov SW
Subdivision 0. �y1 S 1' Qi ✓� T
City (jCe(tY\ !- Y 2)C61('VN ZIP
Phone # (! ) W ' g I k River Basin L UM
Adj. Wtr. Body A wv\/t n
Closest Maj. Wtr. Body
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iF■ ■ KW i■■N■■■ N MEP-MNEM0-�MwwE1ftwwO WE ARE
(Scale:
❑ See note on back regarding River Basin rt

NC Division of Coastal Mgt. Habitat Impact COMF
Applicant: S G(1 k
I
Date: c) 5/0 t-1 / � 0'
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
FIN
(Applied for.
(Anticipated final
(Applied for.
(An
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dist
Habitat Name
Choose One
includes any
Excludes any
total includes
Exc
anticipated
restoration
any anticipated
rest
restoration or
and/or temp
restoration or
tern
temp impacts)
impact amoount
temp impacts)
am,
OV
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 ❑

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: �%Job
.address- AW
C l4—7k ''' Ci
• - •- i
I certify that I have authorized FYI A I ,,wd ,
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
0%i17G S A
at my property located at
in & U'6ty/Cx County.
This certification is valid through Z//Z-Zh/'
Date
(Property Owner Information)
Signatu e
�6-Alfi`2(W
Print or Type Name
ii,gyp rhierni�"e A4
Title
, r — — . /

property located at
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Parkers Point
(Name of Property Owner)
Maritime Way SW Ocean Isle Beach NC 28469
on Intercoastal waterway
(Waterbody)
(Address, Lot, Block, Road, etc.)
. in Brunswick County
(City/Town and/or County)
I
, N.C.
The applica as 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 rill in description below or attach a site drawing)
See Attached Drawings
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.)
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)
4vt
S e Signature.* � ,L
-J h Cause 4e� I14

Scope of work for Parkers Pointe Community Dock
March 28, 2016
To Whom It May Concern
1) Remove existing floating dock, all existing pilings, gangway and jet ski lifts
2) Replace with new pilings, aluminum dock, gangway and jet ski lifts staying in same footprint as
we have now. (See Drawings Attached for sizing)
3) Add to end of pier but staying in same footprint as we have with existing slips a 9 x 16 gazebo
addition to the left side of the pier as you are walking out to the water. ( See Drawing of Gazebo
for Sizing )

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Parkers Point
(Name of Property Owner)
property located at Maritime Way SW Ocean Isle Beach NC 28469
(Address, Lot, Block, Road, etc.)
on Intercoastal waterway in Brunswick County N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the abovE
loc n.
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,
See Attached Drawings
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groir
must be set back a minimum distance of 15' from my area of riparian access unless waived b)
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) (Adiaeent Property Owner Information)
i n ture
�n 1 ...n 1. �•. �\ �.a �.t C�c .n Mi,..n�_•. r�� l/S

Scope of work for Parkers Pointe Community Dock
March 28, 2016
To Whom It May Concern
1) Remove existing floating dock, all existing pilings, gangway and jet ski lifts
2) Replace with new pilings, aluminum dock, gangway and jet ski lifts staying in same footprint as
we have now. (See Drawings Attached for sizing)
3) Add to end of pier but staying in same footprint as we have with existing slips a 9 x 16 gazebo
addition to the left side of the pier as you are walking out to the water. ( See Drawing of Gazebo
for Sizing )

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