76559D - Faulkner

1CAMA / ❑ DREDGE & FILL N9 76559 A B
31E N E RAL PERMIT Previous permit #
,New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality bI I
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC N
Name C4 I- ❑Rules attached.
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ad Agent
❑ CWTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
City To Psr-►�
Phone #
(- ZIP_ 2Y4
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g permit may be required by: TV--) 'rj Per( 1.❑ See note on back regarding River Basin
ocal Planning jurisdiction)

AGENT AUTHORIZATION FOR CAKAprRMIT AppLMATION
Name of Property owner Requesting Permit:
Nathan Faulkner
Mailing Address:
Phone Number,
Email Address:
110 McLeod Ave
Topsail Beach, NC
864-504-2716
[e-mail]
I certify that I have authorized Coastal Dredging, l.LC
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: Replace Hurricane damaged pier
and floating docks
at my property located at 110 McLeod Ave ,
In Pender County.
! furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agrents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner lnforntation:
signature
Nathan Faulkner
Print or Type Name
Owner
Title
07 1 10 2020
Date

IMG_20200728_220210206.jpg
$AJACENT R'0pRIAti pRQPERTY o .hca QTdT4 •�^iT
hereby certify ,'no, i own pro, aC?y adjacent io
property Located at ( me of ProPertY Owner)
on � � .� c (Addro*a, Lot, t3lock, Road, etc,)_.--
(Wsterbody}
{CILyt70wn and/or County}
T'he applr�nt has described tG me, as shown below, the development proposed at tine abcve
__k I have no Objection to this proposal
I have objections to this proposal,
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
("Y'vidual Proposing devoloprnent must fiN in descriptfon below or attach a site drawing)
WAIVER SECTION
j understand that a p;er, dcc<, -�Ieor g p; :ngs, breakwater, boathouse, lift, or groin rnust be set ua,oK a
Minimum dista~c5 of 15, from roarea of r.parlar access riess waived by rne. !If you wish to wa'rre
the setback, you must Initial the appropriate blank be ow.)
I Co'xish to waive the 15'setbauk requirement.
! do not wish tc waive the 15' setback requirement.
(Prot>erty Owner tr►forntatlon) (Adjj cant Property ner Information)
2-7'
Print or Tyre atml e )' —/—
�Lsizi/ f 6 11
Date

110 McLeod - Faulkner
Pier and Dock Replacement
m
101
Overall Footprint Matches Pre -Existing Docks
No additional Encroachment on adjacent properties

AGENT AUTHORIZATION FOR LAMA PERMIT APPL,IQUIQN
Name of Property Owner Requesting Permit: Nathan Paulkner
Mailing Address: 110 McLeod Ave
Topsail Beach, NC
Phone Number; 864-504-2716
Email Address: nathan [e-mail]
LLC
I certify that !have authorized Coastal Dredging, a
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Replace Hurricane damaged pier
and floating docks
at my property located at 110 McLeod Ave
in Pender County.
l furthermore certffy 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 tihls
pennit appilcatlon,
Property Owner Information:
Signature
Nathan Faulkner
Print or Type Name
Owner
Titfe
07 to 2020
i^__—_J�- �.

CERTIFIED MAIL • RETURN RECEIPT RED! �STED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM' f
►
Name of Property Owner: tJ' C V- ��� 0 6 �I�T%�a�— P)
Address of Property: 11 Z 0'1e-6 d AJ QL- I !V VC -
(Lot
t (Lot or Street #, Street or Road, city 8 Cot nt�
Agent's Name #: -is Y����1Gtt Q- MailingAddress: 1 1 L3 L..-2-Q-5c�. ood _
Agent's phone #:�" YS �l 5�� 4,{J ti-ir1 1 a 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 desoription or drawa with dimensions, must be provided with this letter.
f2— I have no objections to this proposal. I have objections to this proposal,
ff you have objections to wt►atis being proposed, you must nottfy the Diviefoo of Coastal Management (DCM) in
w+ftfng within 10 days of recetpt of this notice. Correspondence should be mailed to 127 Cardinal Drive ESrt:,
WymbWtoa, XC, 28405.3845. DCM repnesantatty" can also be contacted at (910) 798.72fS. No respmse is
conskkmd the some as no objection N you have been notified by CorfHled_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 riparian access unless waived by me. (if you
wish to waive the setback, you rust ittitiai the appropriate blank below.)
_A' I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owne'Qnfomtatlon)
Signature
N a+k.naulK>RLr
Prkd or Type Nears
.0 1
fifft Ad ►ass
PatA PNf,, SG 2-13��-
(A acent Property Info adon)
l
Signature
Print or Type Name
Marling Addraw
zej �'- r k[D
City/Statwzlp
Clfv/State2/a

Ih
prc
on
The applicant has described to me, as shown below, the development proposed at the above location.
IBC L I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(fnollvidual proposing development must fill in descrfptlon below or attach a site drawing)
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 ripariar 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) (Adjacent Property Owner infonnation)
Signplure Sl urc t/
_IV Gt �'1n� rt FCt t,� 1 xv%�G✓ ,o 1p C . ` r� C' S F t Q
Pdat Prin T or e ,Nam
•T X 1 Z (p <?� d5(� C.1
addressMaffng aul.tnt_ se, 2g3�4 p 11 1— kzD a4C)4
UY
)�i �!1 u -� G Cry/F,i- f� ZrpI 1

110 McLeod - Faulkner
Pier and Dock Replacement
101
- Overall Footprint Matches Pre -Existing Docks
- No additional Encroachment on adjacent properties

Ch-k
imoune PbrtnN Numbor/Commanb McYot v
—3
i CaumM
Column6
'rust
White Kehaya
same
Bank of America
Fkteli
IBB&T
David Buffs
BB&T
Gary and Martha Pope
Gary and Martha PoEe
BB&T
rdson/Richardson Cc James McMillan
BB&T
ro II
_
same
Aquesta Bank_
ro II
Judy Garst
Aquesta Bank
CresCo_m_ B_ ank
struction, LLC Shepard Broadfoot
,ion, LLC
Daniel Clements
FCB
Nathan Faulkner
BB&T
Co.
Diane and Dave Rodgers
_
South State Bank
_Construction
k1y
same
_
BUT
C.1-6 I c k-7 I Cain
2424 $ 400.00 GP #76472D
1022 $ 400.00 GP #76519D
7461
$ �.00
rmits)__ _ _
GP #765'17D (one check written for $800 split between two
BB not. 11531
7461
$
400.00
permits)_
88 rct. 11531
7757 $
200.00
GP #76462D
188 fct. 11530
1593 $
200.00 GP #76468D
BB rct. 11529
1592 $
2o0.00 GP #76549D
BB rct. 11528
3201 $
200.00 GP #76463D
BB rct. 11534
269 $
200.00 GP #76560D
JD rct. 10821
8835 $
200.00 'GP #76559D
JD rct. 10820
11849 $
200.00 GP #76470D
KE rct. 10783
6495 $
200.00 GP #76586D
JD rct 10819
1857 $
200.00 GP #71873D
JD rct. 10847