63238D - Gutierrez

�CAMA / DREDGE & FILL
�NeEwN ❑ MRodALon PERMI—ComT
ssue El Partial Reissue
Previous permit #
Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources I { . ����
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC j'�
r" Rulesattached.
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g permit may be required by: Ll-' ❑ See note on back regarding River Basin rL

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Ronald Bland Builders, Inc. 10 s BeeacchkDr 002244
9118 Beach Dr SW Ste 1 Calabash, NC2B467 ry�EZShieldp1CheckFraud
64-0003/0540 Wrolechon for Business
Calabash, NC 28467 64-000310540
910 57 0
9-566 4/16/2014
PAY TO THE NCDENR
ORDER OF
$ **200.00
Two Hundred and 00/100*************************************************************************�************.*«**�****..*,
NCDENR
127 Cardinal Drive Ext
Wilmington, NC 284405
MEMO - ����'✓� Q2�'
3�1 Windy Pt Dr CAMA Pier permit
OLLARS
€ /
UTHORIZEO SIGN TUR MP

X Division of Coastal Mgt. Habitat Impact Computer Sheet
applicant: r „' .vX �� U�1
late: U
Lili-VILt
lA
�escribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
wnd in your Habitat code sheet.
abitat 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 fir
disturbance.
Excludes any
restoration an(
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
5�
U
Dredge ❑ Fill ❑ Both ❑ Other
I Z
}
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 ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

zoos
North Cr06 Uepa "ffln 0 6*'.art _ t�ertt and Nt'at Rees
MOM OW68a ai- event
Esm Perdue Jarim H. &*W nee FM
Govemor MOCIN Sep
AGENT AUi1-ICS�tI_ , ANION, FOR"
Nark Of Properly tie Aging for Perak Name of AudmAmd A for Nm pr*ct
6mr f t 1 1 j_aa
OwwWG Ala" AAddrms:
9 �3o 6,0�4cA � Pt.
Cr+ A Ar
phow. ..
AgeWs SNOW-9
?IIR - / 6
I that I have aotltiori the apnt Ueted above to act on my behalf, for Ow purpow of
for nd ottaWM &BCAMA Permit. tW essary to in*Wi or QOn*UCt the fo ' (Ucztivity)=
��
(my Wopedy WcmWd) at [
This oeditstio n Is vaNd thru
ptq*rty owner Signature Dale

fair
A
0
I

i 'ff�J SE.113ACK
EXISTING
� y t
CE�Al
8' x 1 �' PIER HEAD
FLOATING LINE
1144' x 20' DOCK
x 24' STATIONARY DOCK
OVERED WITH 14." x 12'
�T LIFT COVERED
0�
76of

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P ID
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-JNA SE. A' THE (Lk
NTERSECTiON nP
w1NDY Po'
NT RD.
LANDS ENO WAY
.G T 2
\ BROOKS BEACH
\ SUBDIVISION
\ YAP CA9114ki V. PACE 173
LOT 3
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'XIS CEATFIE3 TNAT TMki DOFT OF TP4 PLAT AGCJIIA7CY 0E'C'S _`IC
WUNbWY OF TWS JlRSD':CTIDM OF SECI)OR 404 OE Yh C:IAM WATER
56,
Ir.T AS oe,eMYw':p 7 ,.I Ii.AR:iKhjD on Tm: DATi Ir4,Lii -K7C
IS R CwANEE IN "NS JLW OR OuR NJS*L H-C R4GIL 4WM. TF'5
ca
oI,T4'2wIKA Tn OF SECT,CN 4o4 s:@ISVViI N WY SE RUED LPO.r
Cvy
FQq A ?EYIOD NOT TO ICrGEf) 4vc wAmc F" Tw6 LAR. Tr n
l;V-PLE T° d 7:e°1ta6 'cov DOF S YwG a�EE`4ZS wwEPlND 0.0+GTM
"UAL.
RECuLAToRT
G
9ATL• _
I /'�
Just: A!;noIY L7I - •�'{ v __
CPUND
404 WETLANCS: 1.780 $0, FT,
UPLANDS: 15,320 SO. FT.
TOTAL. ARM 17,100 So. FT,
LOT t
`VACANT LOT,
ir.toO SQ. FT,
UPLSN3
LINE > �' upLANC 11/f/
4Ca IAET1 AN0 LIME FLAGGED BY
W:0 WAVACEMM GROuo
LOCATED 9V SurtAy 10-•1-13
'�O,T,?O�1TAL CO:A%nS ARE RF':�R=ns7:G Tn ,vA•. TYa3 r ,
(Y°F.S 2W) JSINS, NCCS vRa MT4 A "OOCC`! HI
PER
-Tln,> QtIAVFY :� ALA.!LCT T4. AW Ir+Ft`Rrt.\TiCN FOLK. t Y
C SC' nkA
'Y^Tr `•KE ffN}"R C'7 A TITLE SSA?GN.
R:.vs o 10-ao-,2 -o Aa spr. eYanoNs. aET
9E`40AMA0.t ANO LOCATE LOGE 01` MARSH.
`4J4- NSF A.%D LLNES SUB.CL:T To SIGN CWX' c[nv
LSo
BRUNSWICK
VILLAS
MAC 500K 1, PAO6 TtIa
COASTAL CAUA WETLA%O LM; cu&Sxo BY
LAND "'Y4GPENT OROttp
APPROVED OY HIDLLY SNIDE+, of
NC ONF51014 OF COASTAL hdld4L'SUENT
ON OCTOdFk I, 2013
LOCATED EY• S.FNEY 19-t,-,3
fY15TI�G / %
DL.tLretEAD .. �
A
1011VA, ".'ON WATER u.,S %4(.-t� sY
LAND VANAQEMENT (Acup
"--ROVED BY H'kLY SIA' R
NC DIVISION OF COASTAL VANACEMENT

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Tom & Am Gutierrez
Address of property: 3701 Windy Point Rd. SW Supply, NC_28462
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Ronald Bland
910-579-5660
Mailing Address: 9118-1 Beach Dr. SW
Calabash, NC 28467
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for is permit has described to me as shown on the attached drawing the development
they are,.pr sing. A d or drawl with dimensions Must be Provided this letter.
x�
i have no objections to this proposal. _ I have objections to this proposal.
/f you have objections to what is being proposed, yov must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalma a ment.netl o .htm or by calling 1-888-4RCOAST No
V onse is considered the same as no obectlon if you have been notiffedpy 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 dparlan access unless waived by roe. (If you
wish Ao waive the setback, you gust initial the appropriate blank below.)
_ I do wish to waive the 15' setback requirement_
I do not wish to waive the IS' setback requirement.
(Proper r Inf ion)
Signature
Tom Gutierrez
Print or Type Name
C( q310 p�t%I ti
unibnn drfrlmce
Property
Signature
j of -Ar") S K i
Print or Type Name
�D �� ,`r

CERTIFIED MAIL_ • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner Tom & Amy Gutierrez
Address of Property: 3701 Windy Point Rd. SW Supply, NC 2$462
(Lot or Street #, Street or Road, City & County)
Agent's Name #: __ _ Ronald Bland
Agent's phone #: [phone]
Mailing Address:
9118-1 Beach Dr, SW
Calabash, NC 28467
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 draiwing, with dimensions. must be provided with this letter-
i have no objections to this p-roposal. _1khave bjections this proposal,
ff you have ns to what is bei np ed in
rs�-d_�
ngp pos , y ustnotifyNre Dlvlslan of oastal Manager
(DCM} in ting within 10 stays of receipt of this notice. Contact irrfornrat'o for DCM offices i
available at nccoastalmana emen tact dcm-htm or by calling l-886-4RCOAST N
!2Wonse is considered the same as no ob ecdon if You have been notified by Certif9ed Mail.
WAIVER SECTION` -7
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 most In'dWthe appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement-
(Propertyz Information
Signature
T m rez
Print or Type Na
q_�
Mailinrr defAramc
Property Owner Information)
RE
Print or Type Names
i'! , •,,L
•l-''--- A - ,-----

Wpnafif B&ndBuififers, Inc.
9118-1 Beach Drive SW
Calabash, N. C. 28467
Phone [phone] / Fax [phone]
N.C. License #35400
September 8, 2014
Tom & Amy Gutierrez
3701 Windy Point Rd.
Supply, NC 28462
Re: dock
Dear Tom & Amy,
Enclosed you will find a copy of the `as built survey" for the dock from Gary Gurganus
Land Surveying. I will also send a copy to Brunswick County and NC DENR.
If you have any questions please do not hesitate to contact the office.
Sincerely,
Geri Fidura
Ronald Bland Builders, Inc.
Encls.
cc: Brunswick Cty., Judy Holden
NC DENR, Holly Snider