76524D - Foster

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CAMA / ❑ DREDGE & FILL
'ENERAL PERMIT
Vew ❑Modification El Complete Reissue ❑Partial Reissue
N° 76524 A B i
Previous permit #
Date previous permit issued
zed by the State of North Carolina, Department of Environmental Quality
>astal Resources Commission in an area of environmental concern pursuant to 15A NCAC U��� . \ 2 00
n ❑ Rules attached.
Name �Unc�\� �y f Project Location: County \�✓' ^sr- . `)C”
15 j2 Street Address/ State Road/ Lot #(s) 92 M r
State N C ZIP-2q 5
2E-Mail Subdivision II
:dAgent Wc,iN�� ��',cx City �.5� << <-. ZIP
❑ CW E4EW I1 PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
es /CQi-,> PNA yes / q
Project/ Activity rllt cv,F
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form(s) _
'latform(s)
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distance offshore-
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Length -C-51-U
not sure yes
Phone # () River Basin Z.• ��-
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nral Plannina Inricriirtinn)

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Braxton C. Davis John E. Skvarla, III
Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuRm
Date: 01/28/2020
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project.
RONALD FOSTER
Owner's Mailing Address:
456 CLAPP FARM ROAD
LEXINGTON, NC 27295
Phone Number ( 336) 886-9278
GRICE CONSTRUCTION
Agent's Mailing Address:
6618 BEACH DRIVE SW
OCEAN ISLE BEACH, NC 28469
Phone Number
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
m6A FAO-t /
For my property located at 92 MONROE STREET OCEAN ISLE BEACH NC
This certification is valid thru (date) 66 rn�e_ �4Zl�
Property Owner Signature Date

wanda grice
92 Monroe Street
Mar 26, 2020 at 5:26:12 PM
[e-mail]
uRv it CQA& E i VRN R�U 5! u
DMOM OF COWAL M MAQGM6N,
ADJACENT PWARUN PROPW"OWNM NOTW CAMN&VAIVER FOOM
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"i i Ut10wllwd ow I pM wa tr10C%1n9 -ngs OIMIt -w bPw10Uie, W or groin Mum Oe tilt Dock, 1
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CERTIFIED MAIL. • RETURN RECEIPT n
DIVISION Of' POASTAL MANAGEMENT
ADJACENT RIPARIA
N PROPOW OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Fot" t r
Address of Property; v SV _ q 1
(Lot or Street *, treet or Road, City 8 County)
Agent's Name #: &r icy. "ruc:.� i�� Mailing AddressO I � BxK.
Agent's phone#:
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.
_ 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 Dly n of Coastal
Management (OCM) In writing within 10 days of receipt of this notice. Correa should bo
malted to 127 Cardinal Drive Ext., Wilmington, NC, 28405-9845. DCM represen also be
contacted at [phone]. No response Is considered the some as no objection •ran
notified by Certified Mail,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
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)
MN�j --CAL
r
Signature Signature n /
Fr Arcl),e_
Print or Type Name Print or Type Name
P, (� 143% --I`Po ov) ?4;
Mailing Address Mailing Address
City atelZip City tate/Zip
"�2 �2 r cc,. n-,- ,,,. __

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
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.
1. Article Addressed to:
C@o6c,�e Ca` m►chQed
P U x "Ills
SC 2Cf51 l
9590 9402 2219 6193 1036 70
2. Article Number (Transfer from service label)
_ 7017 0660 0000 7487
PS Form 3811, July 2015 PSN 7530-02-000-9053
A. Si nature
❑ Agent
X 6� U ❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
O Priority Mail Express(D
❑ Adult Signature
❑ Registered MailTM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
ertified Mail®
Delivery
❑ Certified Mail Restricted Delivery
�eturn Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
11 Signature ConfirmationTM
❑ Signature Confirmation
0399 aestricted Delivery
Restricted Delivery
U.S.
Postal
Service",
CERTIFIED
MAIL"
RECEIPT
7
Domestic
For dplivary
Mail
infn.....,a:....
Only
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Domestic Return Receipt
Postal ServiceTM
3TIFIFn mail ® nr:Pmc
4�,;,� Domestic Mail Only '
For delivery information, visit our website at www.usps.com In
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Received
Check
Check
check
-1126/2020 5/26/2020 Grice Construction of Brunswick County Inc Miller Gibbons BB87 13849.E 800: #76512D
5/26/2020 5/26/2020 Holden Docks and Bulkheads Stephanie Bass CresCom Bank 3739� E 400.00 GP #75807D
5126/2020 5/26/2020 Willie Clarence Richardson/Richardson Construc Ralph and Patricia Gallo BBBT 7114 E 200.00 GP #76514D
r5
5126/2020 5/26/2020 William and Sharon Harting. Tommy Herring First Citizens Bank _ 16850 E 200.00 GP #763000
/26/2020 5/26/2020 McPherson Marine Services, LLC Thomas Adams First Citizens Bank 3124. E 600.00 GP #76414D _ _ _