68572D - Whitaker

ICAMr'1► / DREDGE & FILL
3ENiERAL PERMIT
klew ]Modification ❑Corpplete Reissue
❑ Partial Reissue
A
Previous permit #
Date previous permit issued
B
-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
f _ El Rules attached.
t Name �,J
'L (�VIn�1�K�� Project Location: County �(W s jfl/ (-
nZ 2 U Street Address/ State Road/ Lot #(s)
State ZIP 711 W1�1jV1tyk s,, `1_' l
M) I `qE-Mail Subdivision (QJ r
ed Agent YN City O U-k 1 W c & k( ZIP 2 V G
❑ CW i>(W XPTA ❑ ES ❑ PTS Phone # ( ) River Basin "M
❑ OEA /❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body YA (nat /r
❑ PWS:
Closest Maj. Wtr. Body
yes / � PNA yes / ! ��� —
Project/ Activity
/0
:k)length
itform(s) _
Platform(s)
igth
nber
I/ Riprap length
distance offshore
K distance offish e
annel
,ic yards
-----------------
IP
dldozing
11 n
N
,a
Length --3 V L VV� /
not sure yes
um: n/a yes
- — - - - --
yes
,ttached: y�� no /,�
ig permit may be required by: �pin�ir� a� Lao 1k ��((V!
.ocal Planning Jurisdiction) f ,
1n1--V0
(Scale: '
❑ See note on back regarding River Basin ru

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to
Rick Whitataker
I
property located at 79 Wilmington St. (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Canal in Ocean Isle Beach N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to 'n
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till in description below or attach a site drawing)
Remove & replace existing dock& walk way.
Install new boatlift.
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.)
AAI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement_
(P o erty Owner Information)
��A �� � A4��-
Signature
Whitaker
Print or Type Name
9R90 Rnvhnrn rri
(Adj�pfent Property Owner Information)
Sign ure #
Holland
Print or Type Name
XMA C 1 -nrr;cnn Alin

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to Rick Whit MakeL.
(Name of Property Owner)
property located at 77 Wilmington st.
on Canal (Address, Lot, Block, Road, etc.
, in Ocean Isle Beach N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below. the development proposed at the above
I ti n
y'�l have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must till in description below or attach a site drawing)
Remove & replace existing dock& walk way.
Install new boatlift.
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
//fjm/�ee. (If you wish to waive the setback, you must initial the appropriate blank below.)
"�_ 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
tr perry owner information)
Si nulure v �t1t j (EKE K
Wick W44atake.r
Print or Ty Name
28.20 /Roxboro rd.
"06NC 27704
(Adjacent Pro erty Owner Information)
Signature*
Hockaday _
Print or Type Name
3804 Wildwood In.
Mailing Address
Hiahooint NC. 27265

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Rick Whitatakw
Mailing Address: 2820 Roxboro rd.
Durham NC 27704
Phone Number: 919-971-4444
Email Address: [e-mail]
I certify that I have authorized West Docks/ John West
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock re p l a c e m e n : .
Boatlift install
at my property located at 79 Wilmington St.
in Brunswick county.
1 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
Rick Whitaker
Print or Type Name
Title

11/1/2017
_
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$200.00
GP 68535D
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GP 68571D
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WU Mone Order from John West
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$200.00
GP 68572D
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$200.00
GP 68569D
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6678
$200.aa
I GP 68587D reissue of 69319D