69204D - Fales

jCAMA / ❑ DREDGE & FILL
'3ENERAL PERMIT Previous permit#
New —]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V I •2 oc, o
r ❑ Rules attached
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Project Location: County () l,"t
Street Address/ State Road/ Lot #(s) (,
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Agent J Oh 11 ����1t V �'t *A AA City w ip�l't ZIP 2
❑ CW AW PTA ❑ ES ❑ PTS t "hone # (I �� �) 2 p& !* c River Basin i
❑ OEA ❑ HHF /❑ IH ❑ USA ❑ N/A A, I w
❑ PWS:
no PNA
Project/
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77
atform(s) �Or 17'10'
Platform(s)
ngth A
tuber
d/ Riprap Ii
; distance c
uc distance
cannel
bic yards \
np
is Bo l
e Length V_ p
not sure yes
'ium: yes
no
no
4ttached: yes
V
Adj. Wtr. Body (nat A
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ng permit may be required by: CY? 1/1I - ❑ See note on back regarding River Basin r

00
NC Division of Coastal Mgt. Habitat Impact Com
Applicant: �7a `V— J # k V-
Date:
Describe below the H ITAT 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
FII
(Applied for.
(Anticipated final
(Applied for.
(Ar
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
ten
temp impacts)
impact amount)
temp impacts
arr
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 0

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: C-�F-KaE
Mailing Address: A (obg 'e'E�t--j t-k --f �o�N-T-
�'t� --764+0
Phone Number: 10 �CI
GAR��E�FPI�i eC6MAIL.Gom — GA.�le F�FS
Email Address: �-6 G n'\ Cy C� a r-C- L'\ . C-C"'\ _ .-30"kj
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: A ILL ��L t-k-EL'-)
��AZ a o►� �x15 ( I�� 1 lt�-J-- °I" FEFLACE E1CIGii �►�C� 1
W lT�t N � 2 X, CO � l •• � �-+ Nb � A� (� t� 3c�X2� C�V�6� �- Go►-� � . P6z t�
at my property located at
in N&w �NQOVECounty.
I furthermore certify that I 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:
e I -�j "e�
Signature
Print or Type Name
Title

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: (�-I��ev-LA A5rcx� y
Address of Property: _ 14CotZ Se:wff W P L zE, c�
(Lot or Street #, Street or Road, City & County)
Agent's Name #:.J15x►-Jul, 66, Mailing Address: TC'-r�:VC 1fl537
Agent's phone #: �(O 2�•gcTl(p �; (l IMt&yf T-7� KC- Zyl}t�
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 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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
Mailina Address

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 9, t, oF:! d r'2 's
(Name of Property Owner)
property located at �{(�� Z SSeeN1 L � ��,,.r XUµ�ti,6ia,, . V,L 2p
(Address, Lot, Block, Road, etc.)
on rl;> 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 locatic
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, breakwater, boathouse, lift, or groin must be set bac
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
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)
Signature Signature
Print or Type Name Print or Type Name

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: _ WAgN� 7 LjjW¢H
Address of Property: 5k2ff SePff&o1-rL1 TLI L2Z lW N L zPt
(Lot or Street #, Street or Road, City & County)
Agent's Name * Jc)ttN Uve,-� A y1 ,
Agent's phone #: _ 10 -'2-rXo - ciOZ
Mailing Address: -PD IrDo)C- 1 053-7
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 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.
(Property Owner Information)
—_(%(jiit P ��
Signature
Print or Type Name
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
Mailing Address

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to W4t--R-z G4 s
(Name of Property Owner)
property located at _ 64 S�CEN� ��, 1LJ�A1tJ6-rC*J P t-,L Z
(Address, Lot, Block, Road, etc.)
on _ wlPr ¢o N c] , in w ►Ltit►n��—c z�,y , N. C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above locati
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, breakwater, boathouse; lift, or groin must be set ba
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w
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)
Signature Signature
GAP�VA E VIA%
Print or Type Name Print or Type Name"

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U(:M WIIM-1�N�G'rON NC
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Urban Design
III II-
t[9101256.5076
free [877 ] 866• 4660
PO Box 10537, Wilmington, NC 28404
udarch.com
rm.nlsmittal
To: Courtney Spears From: JOHN URBAN
Company: NCDEQ Company: URBAN DESIGN, ARCHITECT P.A.
Date: 25 MAY 2017
Re: 4608 Serenity Point
We are sending: ❑Disk X Plans ❑Report ❑ Specifications ❑ Please Recycle
For. ❑Review ❑ Comment X Use ❑ Approval ❑ Please Recycle
• Comments:
1. Check for review/permit and US Postal Certified mail receipts.
Thank You,
John Urban, A.I.A.

Reorganization through Reduction (RTR)
Environmental
Quality
The RTR program was created in 2013 by the North Carolina General Assembly. The RTR assists agencies
in reorganizing and restructuring to achieve financial improvements and address skillset efficiencies.
The recent passage of North Carolina Senate Bill 257 states that the Department of Environmental
Quality (DEQ) may implement a RTR plan during the fiscal years 2017-2019.
Summary of RTR Plan Features:
• Employees may volunteer to be separated and receive a one-time lump sum; separation
payment is based on severance calculations and a $5,500 payment to use for health insurance
coverage through COBRA or other health insurance options
• Once an eligible employee volunteers to participate the decision must be confirmed within 21
calendar days
• If the number of RTR volunteers exceed the target, DEQ must select the volunteers based on
years of state service
• Employees who have not submitted their paperwork for retirement prior to the implementation
date for the RTR are eligible to participate and retire after their severance payments are
received
• Employees participating in the RTR do not have reemployment rights
• DEQ must have at least five volunteers to implement the RTR program
• DEQ must implement the RTR plan if it is approved by the Office of State Human Resources
(OSHR); If there are not adequate volunteers to meet the objectives in the plan after 21 days,
DEQ is required to implement a RIF (Reduction in Force) Plan
Summary of RTR-RIF Plan Features:
• A RIF Plan is submitted by each division; employees are equitably and systematically selected
based on the RIF policy's criterion
• Employees should be given the RIF notification as soon as feasible, however, not less than 30
days prior to their separation date
• Employees will receive severance payments up to four months, based on state service attained;
and the employer's portion of health insurance coverage is paid for up to one year
• Employees may retire after their severance payments are complete; severance payments will
cease if the effective date of retirement coincides with the severance period
0 Employees may be eligible for reemployment rights