69226D - Pleasure

CAMA / ❑ DREDGE & FILL P fk �-J
GENERAL PERMIT �
!.New ❑Modification ❑Complete Reissue
❑ Partial Reissue
A B
Previous permit #
Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources I 1
.oastal Resources Commission in an area of environmental concern pursuant to I SA NCAa !) t t t-
6)
r 4 ❑ Rules attached.
t Name C Q il" (� Q �� Project Location: County2V1r i %1 UV �r
Street Address/ State Ro d/ Lot #(s) "2 (, �l
i!tn Vi �'? l" ' �F State_ ZIP 1 L� Veil[t ►1 �;� I; ,1 �.
() E-Mail Subdivision ttv1.L
ed Agent LA City -LILT Tt P)a ZIP
❑ CW ❑ EW ❑ PTA XES XPTS Phone # () River Basin
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A i _, / '
Adj. Wtr. BodyJ � �i ti (n
f/at`
❑ PWS: 1'✓W I i' ' i l � (7 -, G
(Scale: (/'/
.ck) length
latform(s)
Platform(s)
mgth \
amber
id Riprap length
,g distance offshore �1
ax distance offshore_
:hannel
ibic yards_
mp
use/ Boatlift
Bulldozing
ne Length j
not sure yes no
)rium: n/a gs no
Attached: yes no r�
r te on back
jing permit may be required by: ( j/Y�/i 1 l a rbl t ii. Gl � ��i lA.� ee no

$/26/2017, Terry Stanley

NC Division of Coastal Mgt. Habitat Impact Coml
Applicant: �S `P ec ` 2
Date: �r! T JJ
Describe below the BITAT 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
Fit
(Applied for.
(Anticipated final
(Applied for.
(An
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disl
Habitat Name
Choose One
includes any
Excludes any
total includes
Exc
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
tern
ternpp impacts
impact amount
temp impacts)
am
(�
Dredge ❑ Fill ❑ Both ❑ Other)6
1-7
2-11
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Tim Rivenbark
I
(Name of Property Owner)
property located at 213 Peninsula Dr. Carolina Beach NC, 28428
(Address, Lot, Block, Road, etc.)
on Pleasure Cay Yacht Basin in Carolina Beach N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
CI I I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
II Construction is to be done per the specification
of the attached drawings.
neered stamped drawings by Christopher A. Holi
Dated : May 18, 2017
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
Ci i I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
(Adyrit ProNrty Owner Information)
Print or Type Name
Craig Hollingsworth
Print or Type Name
213 Peninsula Dr.

irs, Courtney
Craig Hollingsworth <[e-mail]>
Thursday, May 25, 2017 10:08 AM
David Franklin; Spears, Courtney
act: owner statement
:hments: Hollingsworth Owner Statement.pdf
David,
,e find attached the signed agreement, as discussed. As a courtesy, I have copied Courtney Spears at DE
1p speed up the process.
-rely,
Hollingsworth

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to kj/y""n� � 14 11 /C I
(Name of Property Owner)
property located at
n1�,45��2z cif (Address, Lot Block, Road, et )
on �r,in �/A�/�ti/4- Xc'Ac�� N.C.
(Waterbody) I (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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, boat ramp, 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.)
4iC'� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
i
[A kLOJ AA Ac—
Signature �
Print or Typ Name
all Crs'i.tisJ Ac �tZ 1J
(Adjacent Property Owner Information)
Slgna wu
Print or Tvpe Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i
I hereby certify that I own property adjacent to r�1 �,'m >► t��•��RC s
of Property Owner)
property located at /1 so.lsa ,Jlr�"%'-
// (Address, Lot, Block, Road, etge,4
on lc�As&//4� , in ("4 41U'4 L�N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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, boat ramp, 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)
,J1/^1 e".., �'Jz
Signat re ,
(Adjacent Property Owner Information)
Signature * Q/�
�'m )iV1—,)8 4�9 (Z
Print or Type�llame
Print or Type NX1n1e

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 6 C- ti BLS s
(Name of Property Owner)
property located at Jr-1 ��1%,'�J� A�� -7) J-L ��
(Address, Lod, Block, Road, etc.)
on ��LSu G�Ay , in �'.��'t�/> ��' �� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locaton.
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, boat ramp, 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.)
�Z- r 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)
—
SiUngt`pre n� Si nature*
�� �(/ �� n
Print or Type AJy me 4
K Print o yqe Na^me ,�

110111dslfill I �

L` J
r
Bp

O s� es.wr�-.osows euw� .

aft vvm&v
i�KY
mM Loom •uaa
,
tiro zvwwro .soa c