76524D - Foster (2)

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JCAMA/ ❑DREDGE & FILL No 76524 A B
3 EN EFAL PERMIT Previous permit#
New odifi� ' q ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,/
rized by tje State of htarolina,Department of Environmental Quality:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC C)l1\1` \2 0
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\ ❑Rules attached.
t Name 20ne.N.\a c-u;4 i Project Location: County ,6I,^s,- ,c__1)c•"
1-15 C9 c k ti p p ct r R c Street Address/State Road/Lot#(s) 92 M a
Xf.„�.�, " i f State N }22
C ZIP 2- q 5 t T .
•( �xv ?8(c' 12-3k E-Mail Subdivision
ed Agent L.)c.,r, .. (. ,, .cA. City O c e LS 1 t (S R .C L. ZIP 2?II
❑CW RtEW 'g]PTA ❑ES ❑PTS Phone# ( ) River Basin L F-- '
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body e(�ne. (nat
❑PWS:
yes /1 PNA yes / Closest Maj.Wtr. Body A�w�
rProject/Activity l .„( QOS,\an - cy�. ,,J cioci * ,rs St�\� ^e-..� \b ‘T1
(Scale: N
ck)length _ •
atform(s) Ni ,‹ . J __........,, I
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Platform(s) I CA' elA,1
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let's i •-T ` y .t .. _1......... ...._ i
ngth N . , I
tuber __3{•.-_c{ �- ' `' i ` Z ._..
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d/Riprap length . I -f fir. -4(cu 4.&A-c, % !
distance offshore l l Kt- (14 16.... i
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ixdistance offshore ( � I I W %
cannel I A .'
bic yards • -I qk, M �F.,,i`1 \ - y`. _ _ _ t .Q)::- 4
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not sure yes .__.1_.____
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9 — —
•cum: n/a yes
Yes E
Attached: no — l
ng permit ma a required by: (j(o;-•r. (S f( he 6 ( L ❑See note on back regarding River Basin r
Local Planning lurisdictionl _

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E.Skvarla, Ill
Governor Director Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FOKM
Date: 01/28/2020
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
RONALD FOSTER GRICE CONSTRUCTION
Owner's Mailing Address: Agent's Mailing Address:
456 CLAPP FARM ROAD 6618 BEACH DRIVE, SW
LEXINGTON, NC 27295 OCEAN ISLE BEACH, NC 28469
Phone Number( 336) 886-9278 Phone Number(
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
M O\Lt. c-t oct k/ rct,ry i c ,.t11 u.1- I',F j-
For my property located at 92 MONROE STREET, OCEAN ISLE BEACH, NC
This certification is valid thru (date) J� GJ m � ►� .
//e5://c)2C)
Property Owner Signature Date

wanda grice
92 Monroe Street
Mar 26, 2020 at 5:26:12 PM
[e-mail]
4EATIIt .MA&.RE14AIiN RECf?T lIQ&irm
moor,of COASTAL MMSAOUNDer
ADJACENT PEPAI!IIJpy�AN PROPl YY OWNER NO V IV ICATIONIWAER FORM
Ome
r r"cC Fwtirit,'
Address or Property c37.. 1110 nnt
fld1a SEWR.Shoe or Ro W
N Cry b Ccw o *N .a Gr ict i-„Ar4c.kp4; eewg Fedreesih i7 Dr"
Apo*p►on•M 10"'t.)' 1-1-16ct {„lSiLko i vc � Nt lb`ti t
Ism ay Orley Maa I own plower adocesni Eo ELM lefty reeennwd property The MINA*NoNNM+g kr
lrip P AM Ouec1tI le me M_fltgMl o^_P.AWNS*eeVll_MM dWeNomer1 they era O►opOSnp
!l@A'.. Am^r p6 r�jrtclrs�.Ihen Orocuuo I Arr°Na.....to or+nr.. ...i
C /rod horsor�h.csione to *No isaeb+p proposal!, rut ~at WWN
t notify the ,y W CO WIN
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Est�r1Pinineton �7 Ihro�rooroorNISINso ern rt.o be
ONSICSeISI E Aso response t.eare.1de,d UM some as no o01 cbon%rettiono Sem
a SANER SECTION
understand Sun a pan dock,mooring pangs orearreater.bniot*e.Se,or scorn must be set OeNk a
"»a+kn•-n tReterre CO IS'Nom my ono re*won*zoos urine wowed M me SM stsi ono to*oh*the
setback,you NEUBBOO ante approsrele best brr+oe)
,T. "' ISO.MIS P1 NW*(he t5 wrbaCM N virafrlete
x: ' I Io RN WOO W owe the 15 matraCk r.puwement
Properly Denser i I, ) em Property Owner Inlormarion)
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CERTIFIED MAIL. • IJTURN RECEIPT REQUgSTTD
DIVISION OP COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPOTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: 11a►1cA\CI F06A C
Address of Property: a MO I\(Oe SV ( w I6 42 �Qach
(Lot or Street#, Street or Road, City & County)
Agent's Name#: r i(R. Oo "r11(A-I q Mailing Address:1.41' k(\
Agent's phone#:`qp'�J1��_C��p� CutAni642 a, 2`691C1
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this rmit has described to me as shown on the attached drawin the development they are proposing.
✓ I have no objections to this proposal. 1 have objections to this proposal.
If you have objections to what is being proposed, you must notify the DI n of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Corms should bo
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3846. DCM ropresen ' also be
contacted at(910) 796-7215. No response Is considered the same as no objection n
notified by Certified Mall.
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 must Initial the appropriate blank below.)
t r/ I do wish to waive the 15' setback requirement,
I do not wish to waive the 16'setback requirement.
(Property Owner Information)i (Adjacent Property° ner Information)
S (_(\5e6A-
�Signature Signature
1 gold\d r �-�c�),e C4r*lic-kre-/
Print or Type Name Print or Type Name
P,C\ t ax Po A), 2cks
Mailing Address Mailing Address
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rty/S€ate/ZipCity/State/Zip
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
IIComplete items 1,2,and 3. A. Si.nature
• Print your name and address on the reverse X 0 Agent
so that we can return the card to you. L/. �Y El Addressee
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
QCch1 Q Cc c tc h 4 e) If YES,enter delivery address below: ID No
Po 6t, 2s
CA aLk6r S( 2ccs
11111111111111111 II 11111 I 3. Service Type 0 Adult Signature 0 Priority Mail Express®
0 Registered Mailw
9590 9402 2219 6193 1036 70 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted
'a -rtified Mail® Delivery
0 Certified Mail Restricted Delivery cbReturn Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation"'
0 Signature Confirmation
7017 0660 0000 7487 0399 testricted Delivery Restricted Delivery
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
U.S. Postal Service'" U.S. Postal Service-
CERTIFIED MAIL° RECEIPT CERTIFIED MAIL° RECEIPT
1 Domestic Mail Only
Er Domestic Mail Only
For delivery information,visit our website at www.usps.com'. M For delivery information,visit our website at www.usps.coms
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All 113Cp911
0472 co
Extra Services&Fees(check box,add fee aliepp I_I� 0472
❑Return Receipt(hardcopy) $ el N Extra Services&Fees(check box add fee as��,o (�/el 0
❑Return Receipt(electronic) $ U.�� ['Return Receipt(hardcopy) $ i U IJ
['Certified Mall Receipt
electroncelivery $__ 11 Postmark t7 ❑Return Receipt(electronic) $—SCULL
❑Adult Signature Required er, r',, Here 0 ['Certified Mall Restricted Delivery $ 4A ryn Postmark
$ T $��'r+ra— Here
❑Adult Signature Restricted Delivery$ 0 0Adult Signature Required
Postage ill,rc ❑Adult Signature Restricted Delivery$
$ p
Total Postage and ul�2�� l� ..0 •'
$ Fes.95 _20 .0 Total Postage and Fees Cl1/28/2020
(^� (_(p o $ $6.95
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S Form 3800,April 2015 PSN 7530-02-000-9o47 See Reverse for Instructions I `5(D PS Form 3d00,April 2015 PSN 7530-02-000.9047 See Rever -

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Dab Received Date Deposited , Check From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments
Cobrmml Column2 Column3 Column4 Column!' Column. Column7 Columns
5/26/2020 5/26/2020 Once Construction of Brunswick County Inc Ronald Foster 888T 13850 $ 200.00 GP#76524D
_5/26/2020 5/26/2020 Grice Construction of Brunswick County Inc Miller Gibbons 8B8T _ 13849!$ 600.00 GP#76512D
5/26/2020 5/26/2020 Holden Docks and Bulkheads Stephanie Bass CresCom Bank 3739 $ 400.00 GP#758070
5/26/2020 5/26/2020 Willie Clarence Richardson/Richardson Construe Ralph and Patricia Gallo BEAT 7114 $ 200.00 GP#76514D
5/26/2020 5/26/2020 William and Sharon Herring Tommy Hernnq First Citizens Bank _ 16850 $_ 200.00 GP#763000
5/26/2020 5/26/2020 McPherson Marine Services,LLC Thomas Adams First Citizens Bank 31241$ 600.00 GP#764140
5/26/2020 5/26/2020 Carolus Building Company WuWu LLC First Bank - 2976,$ 200.00 GP#75842D
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