69336D - McKinney

ktAMA /;� DREDGE & FILL
4ENEhAL PERMIT i Previous pe mRt # A B
Oew —]Modification LLComplete Reissue GPartial 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 671 I � o c
r � ❑Rules attached.
t Name Y1nrCH. _ Project Location: County �-< (,AA:J
�. C) - C>>! i "! Street Address/ State Road/ Lot #(s)
t Stated ZIP 2 -707— f i y1 t�pC
( 6 I) 21 1— 51 (A E-Mail Subdivision
ed Agent ,%h Co,�( � ah ity��lr�Gl V1 r�CGI� zip
❑ CW A ❑ ES El PTS one #7( )) ) 5-7 + I Del S River Basin L V j %J
ElOEA [IHHF TH ❑ UBA ❑ N/A Adj. Wtr. Body nat
❑ �WS: �
yes / PNA yes / no Closest Maj. Wtr. Body I
Project/ Activity
igth
nber
I/ Riprap length_
distance offshore
K distance offshore
annel //
sic yards
ip
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illdozing
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iNEEMEMNIMEME!
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(Scale: 1_. ,
❑ See note on back regarding River Basin

7/25/2017
Southeastern Coastal Construction co.
brau JiLenluie
—1. """ "'
BB&T
13389
$100.00 renewal fee, MP 58-09
7/26/2017
Hazel Carol Larson
Peter Larson
BB&T
11387
$200.00 GP 69336
7/27I2017
Grice Construction
P.H. McKinney
y
BB&T
1011
$200,00 GP 69344D
7/27/2017
Tommy or Billie Puckett
same
Jonathan Earl Bowling
BB&T
11369
$200.00 GP 69339D
7/27/2017
Grice Construction
Julia Harris
BB&T
11386
$200.00 GP 69335D
7/27/2017
Grice Construction
BB&T
70055
$200.00 GP 69349D
7/27/2017
Town of Carolina Beach
same
Yadkin Bank
1127
$400.00 GP 69210D
7/27/2017
Sisters Investments LLC
same
James Mulligan
Coastal Bank & Trust
1581
$200.00 GP 69302D
7/27/2017
Lighthouse Marine Construction
Charli Davis
Coastal Bank & Trust
1582
$200.00 GP 69300D
7/27/2017
Lighthouse Marine Construction
17980
$200.00,GP69345D
7/27/2017
Carolina Bluewater Construction
Co.
same
Becky Hucks
South State
10397
$200.00 GP 69291 D
7/27/2017
Southeastern Coastal Construction
Betty Westbrook
Coastal Bank & Trust
1580
$600.00 GP 69301 D
7/27/2017
Lighthouse Marine Construction
First Bank
3685
$100.00 minor fee, Lot 2 Washington Acn
7/28/2017
Frank Williams Building Co
Frank Williams
Osborne
ElecTel Coop. Federal (
1305
$548.00 NOV 17-12D, BrCo
7/z, ionl7
Cary or Brandi Kerns
Vivian & Karen
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:yoy-t 1 1 IC
Address of Property: `' (fie `Jjt (k&A r1�s QC K�
(Lot or Street #,
Agent's Name #: G(-1C-t
Agent's phone #: ` O— 5-N - q 5
or Road, City & County)
Mailing Address:6t I) aaC.h 1- — 3)
�inT-5lQ 4uc NC 2- 6U
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this permit described to me as shown on the attached drawing the development they are proposing.
1 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 *DivIp of Coastal
Management (OCM) in writing within 10 days of receipt of this notice. Conesa should bemailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM represeasp also be
contacted at [phone]. No response is considered the same as no objection 060*"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
setbaAk, 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)
Signature
Print or Type Name
LA-1H
ailing Address
ro,�,�e C�uaf Z�-7OZ
City/State/Zip
Comet
Adjacent Property/Owner Info tion)
LMfnature
e�'��
Print Type Nam
. X9 1�©1r1`s� `S
Mailing Address
City/StatelZip

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #,
Agent's Name #: G r icy.
Agent's phone #: %p— 5-1g - g
or Road, City & County)
Mailing Address.-6 U I � t QC\h ►m
C� n �IQ &cZ1 NL 2,16%q
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 descriptions drawing with dimensions must be Provided with this letter.
)Ik, 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 h" 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) `
��Aa
Signature
Print or Type Name
�,n t-1- H
ailing Address
City/State/Zip
( djacen P operty Owner Information)
Signahu•e
Print or Type Name
Mailing Address
Ore, .1,Tffe , A) C-
City/State/Zip
114- L//2. /aqe?

-0 Domestic
Ir
For delivery information, visit our
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TE`:E#�ifr� 9 Oti�A
O Certified Mail Fee
-+c
ni
vJ.
ro Extra Services & Fees (check box, add fee epprppdate)
a ❑ Return Receipt (hardcopy) $
O ❑ Return Receipt (electronic) $
O ❑ Certlfled Mall Restricted Delivery $
Q ❑ Adult Signature Required $ - - -
❑Adult Signature Restricted Delivery $
O Postage
_n Total Postage and Fees
M $
$t.�c
—0 Sen I.Nk�\%
Postmark
Here
136/21 /201

NCDER
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
'at McCrory Braxton C. Davis
Governor Director
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM
Date: — 4 - -
I e of rope y Owner Applying for Permit: Name of Authorized Agent for this project:
wner's Mailing Address
lone Number Q )ZZ
c-,-Zc'q-6�,9, fg��'
Agent's Mailing Address.-
6 6 / g /3QQ<k- ", .s
Uc e4-h 8 cla.-C 4_
14C6Q
Phone Number
:ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
r and obtaining all CAMA Permits necessary to install or construct the following (activity):
�- Cart
>r my property located at yG'� �%' f�C aQ K t5/c `2Qac�L- n,e,
its certification is valid thru (date)
Property Owner Signature Date