69432D - Stober

1
kCAMA
/ _ - DREDGE & FILL
'ENERAL PERMIT
- A B
Previous permit #
ew JModification ❑Complete Reissue LPartial
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
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Project Location: County
d. Wes attache
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Street Addres State Road/ Lot #(s)
V1 I {Q Cktate_ ►L ZIP 2j- ;'lD
E-Mail
Subdivision
ed 4eent CA .f ly n h
City_ N� W U 6�#J.\ ZIP b2M1
❑ CW EW (PTA ❑ ES ❑ PTShone
# (),(//r River Basin (nnlat—
❑ OEA HHF ElIH ❑ UBA El N/A
Adj. Wtr. Body 0a ► 1
❑ PWS:
yes / io PNA yes /no
Closest Maj. Wtr. Body
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(Scale: ' 11`
❑ See note on back regarding River Basin
ocal Planningjurisdictio9)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
4;
'I
Phone Number:
Email Address: 1� A Yin i
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:
)t-3
atmyproperty located at
in
/ 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:
/"�
Signature
D..�� � � 2d1?
& cf 1#0i* 4f *W&WI /*6'
P.O. BOX 868
Wrightsville Beach, NC 28480
[phone]
(�Ntl 6 P�VuA or�lh Lo,1 &-5-k IVA W'I 5

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
Address of Property:
ICI+ u L
1.i! I;;J1-v Nl' ✓�;, -.%„ Jib _�+ �>lI
(Lot dr Street #, Streei'or Road, City & County) ✓
Agent's Name #: Mailing Address: ' �Ir '���'
Agent's phone #:1t' 'i �'! t�J�i; �;�1i ,�.� `�thj
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 mus# be provided with this letter.
have no ,0pleetions 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 noted by Certfied Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
e back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
ish 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)
:S-ignature
Print or Type Name
Mailing Address
Adjacent Property Owner Informat4n)
Signature ' e
r'lz � •� ��r�{yJr
Print or Type Naafi
Mailing Address
i

°IJ�
� � � CERTIFIED MAIL •RETURN RECEIPT RE4UESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:47
Address of Property:
;L t or Street . Si et or R d, City & Courrty)
Mailing Address:
Agent's Name* C - ^
-, - 3 � 1���,� t./rye•%; s [^�'�, , /-r! c ,
Agent's phone
j
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 desCri tion or drawin .with dimensions must be rovided with this letter.
t have no objections to this proposal.
1 have objections to this proposal.
. IC'ch r� ivordl%�i
ff you have obOctions to what is being proposed you must notify the should
be
of Coastal Management rive E 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 ob ection N vou have been notified by Certified Mail.
WAIVER SECTION I y m�y.y
lun
derstand 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.
l do not wish to waive the 15' setback requirement.
rp;�oper•ty Owner Information; (Adjacent Property Owner Information)
._ Signature
Print or Type,Name Print or Type Name
/4.2
Mailing Address
Mailing Ad ss �.

I, f'ATRICK C. wnryrrim CEi2Tw-vT►I.AT T►HS I'k(V*Q UlAr, iUPIMN") ANC MM IX'AK'N IRKY-V MY SI11WRVI`InU.
NiiCPJPTION A5 `ilvmi oN P1f FACE OF THI;i rlAl; PATIO 01 ITI-. 5ION K; CALOAAM) BY C0MI'1.R1:K
I'i 1:10,000 IF; 11IAT III` f O AS AKIL5 NO! 50-ML)I I) APJ, 51 if,)WN HY MCKI M 114F5 FLOMP FROM
INFOPMAFION R!.`f [F: MUD; TPAI' M15 I "AT WA.`i M14VFU IN AC(DI'DANCE WMI "ITIE .3TANDAP15 OI`
I'R4l.: flCF FOR LAND W W 11,16, IN NOP.IIi CJIKOINA! (2 I Nr.AC !�6.1 E1)A); WI i NF: tiTr' ()KICINN- SIGNATUK
LK.. 'N51JKF MUMFil R AND 5f AL TH15 P i!?ll DAY Of (Y.-TOUR R - A.U. 2017.
Q:�X
PATRICKC. HR15TOl
N.C. PL5 No. L-4148
13ANK5 CHANNEL
--I:m ROOD--
V— f_ �-
Foot
c7 �u1tn. M tM� DOCK _ •
�-� AF't'NOX I OCAiION �1 ''3
OF DORMER -�'` I y-
I--2.4'
,```Currgrr���� FLOATING DOCK
APO
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L 414545
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NOTES I I I
!
1) RIPARIAN CORRIDOR yr INM 45 AN Q:TE.N510N
I
NOKMAL
Of 51DE PROPEMY UNU5 TO 111E PIEPlHUAD LINO` i I
I IIGI•I
AS PER LAMA AGENT ROBB MAIRS. I I
WATER
2) Plll-':11FAD LINE FROM ;:*)I ILYT 4 OF I
PIFRJ LEAD LINE 15 230
FROM RACK OP GURI3
w
1Q
LOCI
5URVI
l)Frn Ccx)
Nnn:
IN
wi
(XWN
UA.TI
TI115 %W ANU IWLD 5UR)
FOR I HF G(CI.U51W MW (
PI:R: iOFI`3, OR ENTITY NAM
(XI<I111W ION III.RI:ON Al
13Y SAME FOR ANY PIIRI10
IN FUF'TI I1:IcANCE OF IIILIF
ff.? RIGARI)`S I1T11-. PI:FW
INSURANU RL`UMMKCMLNI
rRIVATC OR 60VI.RNM[ NI

1,PATVJCKC. M15TOW, CFRHFY*W.NI IIiI5FP0FTRiYWAS 5UFVnT1' lNl)k4Al'I)KA'AINIINF)I.RW5UffPVI510N:
Dt.f�CXIFTIOH A5NI41 Al ON 11A.- FACT` 01-1 116 PI M I FA110(Y (XISIMAMU BY G(VIRP
11) 11KI* V it' f"1111M.111115wol '41KY111. P A13. '-A 11AM4tT(I'VOKI I I I 1"W5It0TITprKom
INKTANION FIIVI.111mao; TIV%1 1116 OAT V,*A5 Of
FRA-TICE I Ards) ' . 1 01 Im wcr� I G. 1 ('04); 011 NIC5,.i k1V,V1' W. 1111 WK)? Ili (W, It (? I .) . MY ORIGINAL 5K ;NATUT,
UCTN' )UIT I VWN R. N40 a1 A TH) 2:'�.D MY OU 061(0-K A U. 2017.
DAW6 CHANNEL
I'm Moov
PATPXK C. IM-51 I-A61
N.G. P61.1o. 1. 4 148
4f
M51
1:10AIING,
0(y 5 oovAv
Docr,
AFM ()Y, I OCA f ION
Of FOKMEK
FLOATING; DOCK
k CAI��
pia
S A
1.- 4148
v
sw Nc
in
//fill# n 41110%
NOI ffj
1) KIFARIAN WKKIDOR UTFINN) ff) AN EXTUM510N
OF 501- VROI'FRIY I. INI.-.5 TO THE I"IERHFAD L114.
I i I
A5 IT K CAMA AGf N T F.'%'0U)I3 MAI R!3.
2) PIE141FAX7 LINF FROM ' ,11Fff 4 01'
UVir-11-1 r1A1.111 I F 7.1-At'l-I FnFPHFAF) kAArw:;
,_VI
11,
ry
NORMAL
HIGH
WATER
L
I"ILKHEAD LINE 15 230
FROM RACK Of CURD
LOCI
m
5IJKVt
VFTD 13(k)
T1115 MAT' ANU HVILD SUM
l'OP THE ryoumvi- Lor (
PrM)Nr,, OF; F 14TI 1Y NAM
c.r.rril-ICATION 1111TUON Ali
13Y 5AMt MR ANY I 1*11Y.
N FURPILKAWL Or Jill
AFi P.1,10-ARID5 I I rl C. 1`1 XMI
IWAXANUUQUIR! MINI:
PRIVAILOR

Coe Marine Contractors, Inc.
Complete Marine Construction Services
For Over 40 yearsl
FLYNN DURWOOD SYKES
Piers, Floating Docks, Pilings, Bulkheads, -
Boat Lifts, House Pilings, Repairs
868 Phone/Fax: [phone]
vlle Beach, NC 28480 email: [e-mail]
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