69242D - Owens

'LAMA / ❑ DREDGE & FILL q ,3�'11
JENERAL PERMIT Previous permit# A B
iNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued_
irized by the State of North Carolina, Department of Environment and Natural Resources }} tt
-oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I) �r. A D d
❑ Rules attached.
it Name VV1 Project Location: County e vyn �t
Z Street Address/ State Road/ Lot #(s)
�j2,'�OrC ll StateZIP a) G �✓�Mtirvn s'.
4VNI)7 �'L 0� `E-Mail Subdivision n I
ted Agent i, in %ICiittyV(' /JfuSt1 (N dot ZIP �l
1 ❑CW i7'A ❑ES S Phone (�) '1 1 d�—�� iy ver Basin �/U%4
ElOEA ElHHF /�❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (A N (nat i
❑ PWS:
yes /) PNA yes /
f Project/ Activity
)ck) length
latform(s) _
Platform(s)
:)ier(s)
angth
ember
id/ Riprap le
Fg distance o
ax distant
hannel
ibic yards
mp
use/Ooatlii
iulldozing
f
ie Length 0
not sure yes Yn
rium: n/a yes
yes
Attached: Os no
ing permit may be required by:
Closest Maj. Wtr. Body -tl u/�/i/
jdein k a644 ❑ See note on back regarding River Basin

rG
MAGE i FILL. f 6� A B
ENERAL PERMIT Previous permit #
ew Modification Complete Reissue Partial Reissue Date previous permit issued
thorized by the State of North Carolina, Department of Environment and Natural Resources f
he Coastal Resources Commission in an area of environmental concern pursuant to I SA t4CAC 6 7 �7_
i Res attached,
• s� .�
cant Name aV�4`�,5 Project Lodation: County � �y��) 4 fAA C
ess �1 to e �dt (d ti; �= Street Addtess/ State Road/ Lot #(s)
States/ ZIP 1,
e Subdivision(
)rized Agent (� � 1/k1 £ t Y't 1�C(iity11%1 1-T L4- -A 1/i,,i ri, ( 11 zip V�r
cw � �►TA ES Phone ( �V) y1 1 3 �f�' ver Basin
Ced OEA ' HHf � . IH URAMIAs): Adj. Wtr. Body Ci vt 4,U7 (nat
PWS:
yes l 94 ) PNA yes / }id }
Closest Mal. Wtr. Body A �� b
of Project/ Activity
'(dock) length
d Platform(s)
ung Platform(s)
er pier(s)
in length
number
head/ Riprap lei
an distance
max djstanc
1. channel !j
ct6ic
ramp
h Bulldozing
W
eln,e Length
not sure
yes C-?
t
kfi VW& I/
k A,vC4
t, t
Y�fI�Ceto, Ir I I V1 I �V, A
-
dtorium: nJa yes &
os: yes
yr Attached, ) no
ilding perrnit may be required by:�
i,te Local Planning jurisdiction)
- - "I
fL
See note on back regarding River Basin ru
ri f1.-

6/29/2017 Allied Marine Contractors I Kevin & Wendy Longenecker
6/29/2017 Will Richardson Patricia Feimly _
6/29/2017 Logan Marine_ :Edna Willis
6/29/2017 Holden Docks & Bulkheads Richard Roderick
6/29/2017 James or Debora Wallace same
6/29/2017 Will Richardson construction Charles Gandee
6/29/2017 Joseph Burge James Correa
6/29/2017 Joseph Burge Crista & Jewel Owens
First Citizens Bank
5645
$200.00
GP
69256D
BB&T
6750
$200.00
GP_69257D
Coming Credit Union
523
$400.00
GP
69147D
$200.00
GP
_
69252D
CresCom Bank 2689
Four Oaks Bank
2557
$200,00
GP
69268_D
BB&T
6757
$200 00
GP
69248D
Capital Bank
3054
$200,00
GP6_9258D
Capital Bank
3055
$200,00
GP
69242D

S 6 1 1 1 14 14 ?1 4 S i a WW -"WI 71 - "Ir - -W
NC Division of Coastal Management
ICashier's Official Receipt
Received From:
Permit No.:.
Applicant's Name:
Project Address:
4664 A B (
Date: -, tilt Z 1. 20-
$ n c
Check No.:
County:
6 el k t 11
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applica
Signature of Field Representative:
Da
Date:

HC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Gn3 Du-c� S Permit #:
Date: Of /Z--7/1-7
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied. for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp .
impact amount)
TOTAL Feet,
(Applied for..
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
W
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑: Both ❑ Other ❑
Dredge E] Fill ❑ Both ❑ Other ❑ .
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both Q Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit:
Mailing address:
Phone Number: '7�7 J-/ 73'7- 43�4
I certify that I have authorized .]A , RPmodol AA �ll�ecJ C,� d�4-r 77f
Agent ktontractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
in ��Gf ���%�- County.
This certification is valid through2-
Date
(Property Owner Information)
/ Signature
Print or Type Name
Title

U.S. Postal Service"
CERTIFIED MAID RECEIPT
Domestic Mail Only
For delivery information, visit our website at wtvw.usps.com'`;. -
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■ 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:
/' {�
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1111111111111111111111111111111111111111111111
9590 9403 0308 5155 7688 01
2. Article Number (Transfer from service labeO
70il e/9e ever 9 3y3I
no c,.... gPtl i Anril gnis PSN 7530-02-00o-9053
A- signatum
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eived by (Printer
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Addressee
� C. e of Delivery
D. Is delivery address differenffrom iternt? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
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❑Signature Confirmation^"
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Signature Confirmation
Restricted Delivery
❑ Insured Mail Restricted Delivery
Domestic Return Receipt

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Z216
Address of Property:
(Lot or Street
or Road, City & County) f;`? ye�y. j :;�i
Agent's Name Mailing Address: �`C JG ay / �7
Agent's phone
1 hereby certify that 1 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.
Ave no objec idns to this proposal. _ I have objections to this proposal.
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.s o wish to waive the 15' setback requirement_
I do not wish to waive the 15' setback requirement.
(Propgrty Owner Information)
Igiialure
Print or Type Name
(Adjacent Propertv.O caner �rm
Lion)
Sigma ure
Print or Type nrame

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:,,,,, SST
Address of Property: f
(Lot or Street #, StWe1
Agent's Name #:u "�j eil'��,%P�/.t c�
Agent's phone #:
�`z%J�°W lie Tr
or Road, City 8ttounty)
Mailing Address:
LD
d
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) (Adjacent Property Owner Information)
Signal re - _ - Signature
Print or Type Name Print or Type Name
Mailing Address Mailing Address
4L

Date
Adjacent Property Ogyner
S12 r-1 N Ur %l zf �JC
Mailing Address
'a vr� Vi l(P l '2 ?361/
City, State, lip Code
Dear Adjacent Property:
L]Staple Here)
This letter is to inform you that I, 6� 15
Y—.--f I_� «t /US have applied for a CAMA Minor
L Pmoerty Owner
Permit on my property at `J Li r21 r lvc n/ St , t'� 1�(�N co c in Brunswick
County
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is ►equired from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at `J B y - '7 3 ? -'-Y 3 z G _ ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Tovm of Holden Beach CAMA Minor Permit Program, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
Property Owner
Mailing Address
C%1 t_l f2 1 a 1l_, N C J-13
City, State, Zip Code

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: / f j ' L �€�y✓ram 4"z
Address of Property: �'��%�� /I ��`�,'�' �����/' c c
(Lot or Street #yStreet or Road, City & County.,)? 3 �i1u'3'Gi lf�
Agent's Name Mailing Address: /' 9 '�C
Agent's phone AIj
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. 1 have objections to this proposal.
Ifyou 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.
(Pro rrty Owner Information)
f
gnatw-e
Print or Type Name
Mailing Address
City/StateOp
(Adjacent Property Owner Information)
Signature
Pnnt or Type Name
Mailing Address
City/State/Zip
i

Gan CA-1

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Domestic Mail Only
ON
RI LWWD T' K .28456 - a
Certified Mail Fee $3. 35
0014
$
10
Extra Services & Fees (check box, add tea aggprqppqte)
l�� ��7��� ��
❑ Return Receipt (hardcopy) $
❑ Retum Receipt (electronic) s Si l - I ll l
Postmark.
❑ Certified Mail Restricted Delivery $ tj (j t!�_
Here
❑Aduh Signature Required s —
❑ Adult Signature Restricted Delivery S
Postage $0.49
U4/25/1� 117
Total Postage and Fges
5b.59
Sent T( J Ig be-W ---
Street and 11pt: Ifo:; a f ffaar ilo:
_-4---3-
Ci State, ZIP+4 � G i / Cb
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PS Form :.r April 2015.r
■ 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:
U. Foy y /
12» j
9590 9403 0308 5155 7687 95
Z. Article Number (Transfer from service fabeo
76'1" D/ 94 AL3 3 `1 VOO
PS Form 3811, April 2015 PSN 7530-02-000-9053
__j
" ❑ Agent
w
❑Addressee
Received by Ited Name) C. Date 9f Delivery
D. Is deliveryddress different from item 1? ❑ et
If YES, e r delivery address below: ❑ No
3. Service Type "­;__
El Adult Signature
Pr o
❑ Priority Ma l Express®
O Adult Signature Restricted Delivery
Certfied Mail®
❑ Registered ed Mail
❑ Registered Mal Restricted
U Certified Mal Restricted De very
❑ Collect on Delivery
Delivery
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Merchandise
❑ Signature Confirmation-
0 Insured Mail
D Insured Mail Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
(over $500)
Domestic Return Receipt

�- /2-/ 7
Date
/I-L' L vR/e.-H-
Adjacent Property Owner
Maili Address
A. - e cJ A/c �ys�
City, State, ip Code
Dear Adjacent Property:
'Y
This letter is to inform you that I,-gi5-
I !q
Property Owner
Receipts for
Certified Mail
(Staple Here)
have applied for a CAMA Minor
Permit on my property at / % 6 c'� c/ , in Brunswick
County
Property Address
County. As required by CAMA regulations, I have enclosed a c..opy of my permit application and project
drawing(s) as notification of my proposed project. No action is r squired from you or you may sign and return
the enclosed no objection form. If you have any questions or cc;rriments about my proposed project, please
contact me at r'O L/.- V '7- 4 3-2 6 _ ,or by mal at the address listed below. If you wish to
Applicant's Telephene
file written comments or objections with the Town of Holden Beloh CAMA Minor Permit Program, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holder Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
C de rs we &,�5 _
Property Owner
Mailing Address
Kai f?,�' l c' �' /L,/c l 3
City, State, Zip Code