66568D - Apple

/CAMA / ❑ DREDGE & FILL �� q
GENERAL PERMIT
T"
New ❑Modification ❑ Complete lete Reissue i2ial Reissue
A B
Previous permit #
Date previous permit issued
Drized by the State of North Carolina, Department of Environment and Natural Resources \
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ��
� R ` .� ❑Rules attached.
nt Name ( Y 1 I ��� 1 W , Q\ Project Location: County jv1�S (N1 r r,
s A Street Address/ State Road/ Lot #(s)
State zip -MtL i `D U
0 (5Z) (PI ~ b)3 E-Mail M aWk $Li�)"A(W'Subdivision "------
zedAgent Qq`VQv�v Iv AVA' �Oy ( Z'h City (�(AkV\ -1�-C Cal �/1 ZIP L
i ❑CW �W 1 TA ❑ES ❑PTS7��,�� Phone # (J) S55 "10 � River Basin LyW1
❑ OEA �❑ HHF /❑ IH ❑ URA ❑ WA �Q "li Adj. Wtr. Body (A V (A I (nat
❑ PWS: �
VPS i n" PNe vac i ,�i Closest Maj. Win Body / �V "
of Project/ Activity
ie Length 5 V
yes (no
Attached: no
ing permit may be required by: -TOW
❑ See note on back regarding River Basin
Local Planning Jurisdiction) n I , i I 1^

NC Division of Coastal Mgt. Habitat Impact Coml
Applicant: V n 1 V" 4&
Date: Q S / D 5/�'U ( �
Describe below the HABITAT 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
FIB
(Applied for.
(Anticipated final
(Applied for.
(An
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dist
Habitat Name
Choose One
includes any
Excludes any
total includes
Exc
anticipated
restoration
any anticipated
rest
restoration or
and/or temp
restoration or
terr
ternp
impact amount)
ternimpacts
ami
©�
Dredge ❑ Fill ❑ Both ❑ Otherz
(impacts)
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 0 Both ❑ Other ❑

CDaits
MHCDO
Tyler Crumbley
LPO
Tara
DW Review
Owner ��/ /

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date March 4, 2016
Name of Property Owner Applying for Permit:
Michael W. Apple, etal
Mailing Address:
902 Oakcrest Drive
Reidsville, NC 27320
I certify that I have authorized (agent) Palmetto Marine Construction. Inc. to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) boat lift ,
at (my property located at) 15 Dare Street, Ocean Isle Beach
This certification is valid thru (date) September 30, 2016
Property Owner Signature
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Michael W. Apple 's
property located at 15 Dare Street, Lot 18
•
(Waterbody)
(Address, Lot, Block, Road, etc.)
Agent's Name #: Palmetto Marine Construction, Inc
Agent's phone #: [phone]
(Name of Property Owner)
(City/Town and/or County)
Mailing Address: _2078 Mount zimi Road
Little River..SC 29566-7412
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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. Contact information for DCM offices is
available at !%tt _t5ns or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail
(Property Owner Information)
Signature
Michael W. Apple
Print or Type Name
(Riparian Property Owner Information)
Signature
Teresa L. Williamson Trustee
Print or Type Name
902 Oakcrest Drive
Marling Address
1816 Waterway Drive
Mailinn drirl—

Receipts for
Certified Mail
(Staple Here)
March 4 2016
Date
TPrPca I Williamson, Trristee
Adjacent Property Owner
1816 Waterway Drive
Mailing Address
0min IsIQ ReachN(; 2848c)
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Michael W. Apple have applied for a CAMA Minor
Property Owner
Permit on my property at
15 Dare Street, Ocean Isle Beach inBou swick
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 required 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 meat 336-613-0232 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
Sincerely,
Michael W. Apple
Property Owner
902 Oakcrest Drive
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Mailing Address
Reidsville_ NC 27320

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: _Michael V. Apple etal
Address of Property: 15 Dare Street Lot 18
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Palmetto Marine Construction Inc
Agent's phone #: [phone]
Mailing Address: 2678 Mount Zion Road
Little River, SC 29566-7412
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.
1
1., 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. Contact information for DCM offices is
available at., ,{,t ,a orby calling 1-888-4RCOAST. No response is considered the same as no objection f + ,
p if you have been notified by -Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 Informati n)
4Signure
Michael W. Apple
Print or Type Name
(Riparian Property Owner Information)
-1
Signature
Teresa L. Williamson, Trustee
Print or Type Name
902 Oakcrest Drive
Mailing Address
1816 Waterway Drive
MAlllnrl 4 rlriro o

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to Michael W. Apple 's
(Name of Property Owner)
property located at 15 Dare Street, Lot 18
(Address, Lot, Block, Road, etc.)
on — Canal 7 S —, in Ocean Isle Be2ch, Rrunswirk Cotioly—, N.C.
(Waterbody)
Agent's Name #: Palmetto Marine Construction, Inc
Agent's phone #:
843-855-7646
(City/Town and/or County)
T_ • �•• - ��• •e :•_•
Little River. SC 29566-7412
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
.
�i4 �k RvYn �iti
D%� ¢ r e 6A- /mil �' �c--
tr 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. Contact information for DCM offices is
available at Yam. «: b/er:!staaz= isir� c or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail
(Property Owner Information
Signature V / /0
Michael W. Apple
Print or Type Name
(R' 'an Pr perry Owner Info 'on) _
cryl-vw 7,5z. 7
Signature C
Print or Type Name
902 Oakcrest Drive
Mailing Address
3301
Mailing Address

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Michael W. Apple etal
Address of Property: 15 Dare Street Lot 18
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Palmetto Marine Construction, Inc
Agent's phone*
843-855-7646
Mailing Address: 2678 Mount Zion Road
Little River, SC 29566-7412
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. Contact information for DCM offices is
available at sr.�:croasta,'ntar C�E:1t {:Ll iri-7: or by calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wiissh 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 Inform ion)
",WSign Lure
Michael W. Apple
Print or Type Name
(anPr a ' erty Owner Info n)
0�n T,��
Signature C
Print or Type Name
902 Oakcrest Drive
Mailing Address
Mailing Address

I