77802D - Safe

illia
AMA/ ❑DREDGE & FILL N0 77 A B
EN ERAL 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 ` '
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC }-�
1���y ` ❑Rules attached.
t NameC\ IVY \&w J+ i ! VLF� 4roject Location: County Will)(M
`•_ l CP1 EA Y\ - LZ \2d Street Address/State Road/Lot#(s)
ihk4'N- '-Sr State NC-ZIP O\ �,vQ
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ed Agent •• n(I YA.k) City ZIP
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ig permit may be required by: '1' DS 1�V\ —t— Li See note on back regarding River Basin rr
Local Planning Jurisdiction) , 1 „ , j^` I , _ .•

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Norm Brown, Safe Harbor
Mailing Address: 4909 Fish Factory Rd, Southport, NC 28461
Phone Number 910-294-6188
Email Address: [e-mail]
I certify that I have authorized E.B. Pannkuk, PE
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: South Harbour Village
at my property located at 4909 Fish Factory Rd, Southport, NC 28461
in Brunswick County.
I furthermore certify that / 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 owns nformation:
A11 a Y yh
Print or ype Name
�P�V1P 1)4a i4L.9b(-
tle

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lw Bellingham
402-0TRANSIENT/FUEL DOCK
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"`°- D- DOCK ..�"' Division
B- DOCK A- DOCK ' r,•.��--cs'�— -.:�
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SOUTH HARBOUR
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.
1 MARINA LAYOUT
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AMA I DREDGE & FiLL N9 77802 A B C
ENERAL PERMIT Previous permit#
New `::Modification !Complete Reissue ,Partial Reissue Date previous permit issued____._,__
authorized by the State of North Carolina,Department of Environmental Quality 1 y )
d the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC t-j (n
-'7�`{p� j`.R/u�les attac�/hy�e�!d�t'
pplicant Name �_ roject Location: County YAYtt. A( .._—.
Idr,..ess_ � ( ` Street Address/State Road/Lot#(s)
) Y--i-\- State R1 `-i 1 _._
one 9) q—. 0 t , -Mail Subdivision
thorized Agent '•.?j : 'i i } City ZiP
`ected u c %4'A ES C Phone# ( ) —l'�-
:C(s): 12 OEA HHF n r-
IH ;USA ❑N/A
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tW: Yest::�'I PNA yes /40 Closest Maj.Wtr. Body I� �Y�t l
rpe f Project/Activi PYWDA(' 'A h V V Ir`1r�Wv'' y'
dki I rk.V Vt'� 1 m^ t o �l T'a{�l� Z , Scale: P
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tier(dock)length A
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^fixed Patform(s) 7 �. __ , ■■ ■ -
f - t� ,� l t !
:bating Piadorm(s) / imaina _
,zinger piers) / '. ilia! : ' v;'v =j /a % ; — B ---
Groin length ( , ' i : I ' . t t /; } ` t
qq / , d ( on
number (.�( • X. t _ i A �, , i �� � � _ �
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ihoreline length I +, i i i t r i f 1 1
SAY: not sure yes l i �� l
`leratonunw nia yes q 4 • r . ■ ME .- ■■ PJ■ a■
rotas: . _ ��■
Naiver Attached: yes 0Y 1 , I ) i i l , , , i.._ aaau
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1 building permit may be required by: Q C r't`k\-L El See note on back rtsarding River Basin rule
Note Local Planning Junsdiction) I+ -1 N -
,hates/Special Conditions 1 0 ( '�G� ,t Q L . (!� t./ l.i'y I"C

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NOTES y .ia;r
I PROPOSAL PRICE TO BE SEPARATED N A PARTS.(IN TRNS£NT DOCK AND(TI AL P.C.L D DOD. !
RESPECTIVELY.NOTE DASHED LINE ON PUN SCALA ES TRANSIENT PORTION
1 ALES SHOWN CoA tDEED APPROXWA'E AND TO BE USED AS THE BADS OF THE PROPOSAL K rr e J
I.PILE GUIDES TO BE A YOt OF IN,ERIORA EXTERIOR...OWN ON PUN PROPOSAL TO NCLJOE AN WIS. F_ ��
ADDITIVE R DEDUCTIVE P.R,CE FOR EACH INTERIOR AND EXTES OR PILE GLADES AS THE TOTAL - •�
NUMBER REOVRED WILL LIKELY C/ANGE PE NCR,FUMY DESIGN BY OTHERS. - _
0.FINGERS SHALL NOT INCLUDE TRONGLE OR GUSSE-FRAAEB AT THEN CONNECTION WTM THE N
MEC
HEAOWALA FOR TIE PURPOSES OF BRING DOCK PDXES OR PILE OUIDES.UNLESS SPECIFICALLY 2 ^.-.Y y.
NOTED ON PLAN.SMALL TRANGUINE BRACKETS FOP STRUCTURAL PURPOSES W ILL.SE �• * _: H
ACCEPTABLE '.. .. ..TLL
5.PROPOSAL TO INCLUDE SYP AS BASE PRICE A46 PEAS AN ADDITIVE OPTION #�~'
6.DIAENSKRS SNOSH ARE CONSIDERED %.AND SUITABLE FOR PROPOSAL PURPOSES Y JAI S
T.PROPOSAL PRICE TO NCLJDE FOB SOUP/PORT.NC OFFLOApNO TO PROVIDED PY OTHERS _ -
S.PROPOSAL To INCL JOE FURNSHN n ON CI OF DOCKS AND P APPURTENANCES OT.ALL LTLTEs -
PILES.CONTRACTING ETC TO BE COORDINATED BY OTHERS �".. - I ' 1 Ti
9.MANUFACTURER SHALL PROVIDE A B YEAR WARRANTY ON ALL DOCK COMPONENTS PROVIDED B ,.-...--�_�.� ._..._-.. .._.
THE AAHIFACTUREREL •.'•..
10.DOCKS ARE TO BE au BY THE FOLLOWING ORDER OF PRIORITY
Fw....Mwoe -A
TRANSIENT CO.AD ..�'={"rA•
-w.m.. e, .r Tg �L>h