69420D - Henry

(CAIVIA-/ DREDGE & FILL ,�l S
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"'ENERAL PERMIT 1 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 -}
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 6 Y-(t
7—UQ
' / ❑ Rules attached.
t Name Project Location: County_>v.1�C---
10,4�' Street Address/ State Road/ Lot #(s)
State AX Zip
( I O) 33 (()E-Mail L, C�,lor / 6✓, jdr"p� • Subdivision
:ed Agent City ZIP
❑ CVN �EW k/PTA �S ryPTS Phone # ( ) River Basin t'
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
f Project/ Activity
)ck) length6 x' 2-3
latform(s) ( � ins X 1
Platformt-4 s) II 7 (�o X id
ength
ember
ad/ Ripraplength_
ig distance offshore
iax distance offshon
:hannel
ubic yards
imp
use4oath 12 X 12
Bulldozing
4m? : 3,)( !G
NUJ' * 5SryC•i
orium:
s:
r Attached
Adj. Wtr. Body •n S ��(nat /
Closest Maj. Wtr. Body A71!L J1W
(Scale: I _
ding permit may be required by:
❑ See note on back regarding River Basir

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: --�-b-*M- #-tj V PLY
Mailing Address: 1�� Sr D+`' Sj .
21Lt Iv 5-
Phone Number: (91 Q� 336 D
Email Address: log„ ld k"5co rp . eo#A
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:
at my property located at I c1 S r ( p�L S� Q A-V— ,
in County
1 furthermore certify that 1 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:
j Signature
JQ "/+hrJ W• 4EnrK1,
Print or Type Name
l �Wn1 E e-
Title

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: W. 4r-11-n-1 --
Address of Property: Is F I CTW- 2 .. (!9-N -rt
(Lot or Street *, Street or Road, City & County)
Agent's Name* �0 W+1*W 44A,Mailing Address: 111 56- 10 +1%. 54.
Agents phone #: (110 4-bS-- 33(oo T-5 "A-#)() IV(- 2'64' 5­
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 dravAngjhe development
they are proposing. 6 description or drawing, with dimensions. must be provided with this letter.
a
_ I have no objections to this proposal. I have objections to this proposal.
ff 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 Drtve Ext,
Wilmington, NC, 28405-3845. DCU representatives can also be contacted at [phone]. No response Is
considered the same as no objection ff 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 10917hation)
Signqlure
W.
Print or Type Name
tkok SF- fu� sl
Mailing Address
--I- - — Nil
(Adjacent Property Owner Information)
6ignature
film % C. 51cis-r—
Print or Type Name
2-9��- H. 011 (Ze/
Mailing Address

VICINITY MAP L1 1 S
NOT To scut L2 N
EAST OAK ISLAND DRIVE L3 S
� Ice
I(n N (n N
1: SEED & STRAW ALL DISTURBED, AREAS IIPF
ON LINE
2: TWO (2) UNDERSTORY TREES FOR EACH 2O25 S.F.
OF LOT AREA MUST BE PLANTED OR REMAIN AFTER
CONSTRUCTION. 1 1
3: ONE 9' X 18' PARKING AREA MUST BE PROVIDED
ON HIS PROPERTY PER HABITABLE ROOM MINUS
ONE COMPLETELY OFF OF THEIST EET
RIGHT-OF-WAY.
_OT AREA = 16800.0 SF I I J
TOTAL IMPERVIOUS AREA=3740.1 SF Q
(3740. 1/16800)100=22.3% p
=(145.0 SF X 1.5)/12=18.1 CF/1.76=10.3=10 LF
=(217.5 SF X 1.5)/12=27.2 CF/1.76-15.5=15 LF 0)
-(205.3 SF X 1.5)/12=25.7 CF/1.76=14.6=15 LF
=(218.5 SF X 1.5)/12=27.3 CF/1.76=15.5=15 LF
=(268.7 SF X 1.5)/12=33.6 CF/1.76-19.1=20 LF N
=(206.3 SF X 1.5)/12-25.8 CF/1.76=14.7=15 LF
=(215.2 SF X 1.5)/12=26.9 CF/1.76=15.3=15 LF LL 8.l
-(1437.8 SF X 1.5)/12=179.7 CF/1.76=102.1=100 LF
=(825.8 SF X 1.5)/12=103.2 CF/1.76= 58.6 = 60 Lj)
DTAL VOLUME TO BE RETAINED =476.5 CF Q
O
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I
ESTABLISH
VEGETATIVE
COVER (TYR) I ATTACH DOWNSPOUT
1F2I�•� NATIVE I TO 4' PERFORATED
I
C RE
S.o' FRo. F6i6ATm
7TYP FILTER FABRICI
0
IRF ON LINE
_ 12" EZflow
EOS_YNHETIC — — — n) — — — -BUNDLE 1
AGGREGATE(NON LOAD BEARING ()
14.40 00- W 1 20.00'
75'20'00- W 60.00'
73'24'41" E 62.82' 20A
S 75'20'00" E 120.00'�
T
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1g
o
N ( 2 STORY 8
N HABITABLE
ROOMS ON
PILINGS
'OR
6 c)ID
24—A
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ta.o'
V�I 1
Ab 20'BL -_MBL �
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t3.2'
1203 H EZFLOW DETAIL `(3.86•)
FOR HIGH WATE TA E
13.2 GAL LF OR 1. 6 CF LF DAVIS
IF
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LLB
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RF ON LINE
NOT THE CAMA AREA OF
CONCERN LIES
(5.75')
_ENVIRONMENTAL
BETWEEN HE MEAN HIGH
WATER LINE AND HE 75'
ESTUARINE SHORELINE =
CREEK
4502.5 THE PERMIT
IMPERVIOUSFAREA BETWEENB HE
30' PUBLIC TRUST SHORELINE
AND HE 75' ESTUARINE
LEGEND(IF USED)
SHORELINE IS 30% OF HE
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OAK
ISLAND
ZONING
CAMA AREA OF ENVIRONMENTAL
CONCERN m 1350.E S.F.
GRAPHIC SCALE
20 0 10 20 40
IRF=IRON ROD OR REBAR FOUND
PF=PIPE FOUND
MBL=MINIMUM BUILDING LINE
IRS -IRON REBAR SET
WM=WATER METER
CP=CALCULATED POINT
TRAN=TRANSFORMER
CB -CABLE PEDESTAL
LEPHONE PEDESTAL
CAMATP=TECOASTAL AREA MANAGEMENT AGENCY
SSMH=SANfTARY SEWER MANHOLE
SSCO=SANITARY SEWER CLEANOUT
F.E.MA.=FEDERAL EMERGENCY MANAGEMENT
OK-R-68
SETBACKS
1 INCH 40 FEET
FRONT= 25'
SIDEe 8'
REAR= 20'
�y
AGENCY
TAX PARCEL # 2351P002
SSV-SAN ARRYESEWER R INSURANCE RATE MAP
FLOOD CERTIFICATION:
. HIS PROPERTY LIES WITHIN F.E.MA SPECIAL FLOOD HAZARD AREA AE-11
AE-13, AE-15 AS SHOWN ON F.I.R.M. 3720205600J, DATED 6/6/2006.
GENERAL NOTES:
1, MEASUREMENTS ON THIS MAP ARE IN FEET AND DECIMALS THEREOF.
2. ALL SET CORNERS ARE 1/2- IRON REBAR UNLESS OTHERWISE NOTED.
3. THIS PROPERTY MAY BE SUBJECT TO ADDITIONAL EASEMENTS, RIGHTS OF
WAYS AND RESTRICTIONS NOT DISCERNIBLE BY OBSERVATION AT THE
TIME OF SURVEY OR THAT MAY BE OF RECORD. NO TITLE SEARCH BY
HOMAS D. VON CANON.
PRELIMINARY SITE PLAN
FOR: JON HENRY
LOT 22-A
BLOCK 190, SECTION N-7
LONG BEACH

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