66620D - Topsail

CAMA / C' DREDGE & FILL A B
BEN ERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
Dastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
✓' r % ,+ ElRul attached.
Name ) N l / Project Location: County
,// �V Street Address/ State ,Road/ Lot #(s)
State t"G lP
(fO) 371 "'<% E-Mail Subdivision
A Agent City ZIP
❑ CW XEW . M*TA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
;,14;0 �o PNA v no
Project/ Activity
k) length
tform(s)
'latform(s)
:r(s) "
igth
fiber
/ Riprap length
distance offshore
c distance offshore
annel
is ya
�p
;e/ Boadift
illdozing
Length
not sure yes
um: n/a yes n
yes no
attached: yes n((o
ig permit may be re Uired by:
_ocal Planning Jurisdiction)
Phone # ) River Basin I
Adj. Wtr. Bod ACO, r h na n
Closest Maj. Wtr. Body i
�3 (Scale: L
�''t;4 - ice-- - ❑ See note on back regarding River Basin rt

NC Division of Coastal -M9t. Habitat ImP2ct 06Mputer Sheet
Applicant:
I n
Date: 'd z
Describe below HA 1
t e TAT 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 FIP
(Applied for. (Anticipated final (Applied for. (Ar
DISTURB TYPE Disturbance total disturbance. otal includes
dls
Habitat Name Choose One includes any Excludes any total includes _ Ew
anticipated restoration any anticipated res
restoration or and/or temp restoration or ten
temp irnpactsL impact amount ternirti acts arr
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other [01
Dredge ❑ Fill (] Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 0 Both 171 Other ❑

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: i bLo o- &( -Top 5/ t I --Ra (ch
Address of Property: O\\ a
(Lot or Street #, Street or Road, City & County)
Agent's Name #nt
Mailing Address: �bj�
Agent's phone #: C(iq- W5 - ` c)/ o Laoc
Agent's- email: A U gw�,rCt� L �61kQ,1.Q CdYb( F QUP,( �+J►A� l�C Z7�z (o ' �(07 I
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 ar proposing. A description or drawing, with dimensions, must be provided with this letter.
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, 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.
(Pr ner Information)
Signature
M►e, nae 1 ResQ'
Print or Type Name
Sa.o s A-)Aers ors 8 \yd
Mailing Address
(Adjacent PropertyOwnerInformation)
� lKA�
ignature
Print or Type Name
43- os PeA �- CCZ:2,r� K- LA-v�
Mailing Address

CERTIFIED MAIL ° RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: i 0U,
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Agent"k- email:
Mailing Address:
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.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis 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.
(Pr ner Information)
Signature
Aiclnae 1 Ro5(2.
Print or Type Name
gao s A1e�son ��yd
Mailinn Arlr/ra.s.e
(Adjacent Property Ow r Information)
-,—Signature
Print or Type ame \
Mailinn 4r1dra.c.c

F2
June 15, 2016 1INCORPORATED 1963
Quinn Ventures LLC
PO Box 336
Kenansville, NC 28349
To Whom It May Concern,
The Town of Topsail Beach is applying for a CAMA General Permit to make necessary
repairs to the floating walkways located at Bush Marina. Attached is a drawing
outlining the repairs and a notification/waiver form. We ask that you complete the
Adjacent Owner Notification form and return to the Town Hall at:
Topsail Beach Town Hall
820 S Anderson Blvd
Topsail Beach, NC 28445
Should you have any questions about the repairs, please call 910-328-5841. We thank
you in advance for your cooperation.
Sincerely,
Michael Rose
Town Manager

3itto
Boat Slip Diagram
Slip 8
s
Dili 4
sit �.
• S>k4 2
a
fln4 ToFlo
FD1, FD2
1L A l�

u3(tom ec
-fo
0
m

IN Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
A. Sig[ ture
X
■ Print your name and address on the reverse
so that we can return the card to you.
B. R ceived by
■ Attach this card to the back of the mailpiece,
e ✓1
or on the front if space permits.
1. Article Addressed to:
Sow `f Oc( C.qb
Cho e.Q.A.Q R'(5" o-)mop
D. Is delivery address dif
If YES, enter delivery
o5- �
�LdL_ El
VameJ Date of
a A-� t�l _
3. Service Type
9 Certified Mail° ❑ Priority Mail Express'"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7011 3500 0001 3954 2823
(Transfer from service fabe
PS Form 3811, July 2013 Domestic Return Receipt
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
IS Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed` to:
�U1hYl VQ( V(`LS U_
A. Siga ure
A. ❑Agent
kW
Addressee
B. Re eived b (Pr' ted Name) ate of Delivery
D. Is delivery address different from item 19 ❑ Yes
If YES, enter delivery address below: ❑ No