52416D - Davis

CCAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
lorized by the State of North Carolina,Department of Environment and Natural Resources //
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/7 • 2400
,C]Rules attached.
m t Name TO/t/14't 7) A A . D 1//(7-- Project Location: County Arc-7,{) //.417(4 /&i1
s 130 5 P0(1)4J /C. / 54/ VE -7,,2,/?- Street Address/State Road/Lot#(s) //.2U7 CA
'Act-/fir/f` State ZIP;2 76/V p/2/t/ 1 L/4 r /<'4 13c6C// 7 Z 4
#*//9 )IQ/T (c �j Fax#( ) Subdivision /v/f�
ized Agent CityCAQOI/444-,a.,.� � ZIP ,`- 4/
,d ❑CW ;iy7 EW PTA Li ES ❑PTS Phone# ( )S�irc r +�/r River Basin 0
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Body>fifyljCC' C r
yes / no, PNA yes Crit.Hab. yes / no
Closest Maj.Wtr.//Body: t/4 7��
of Project/Activity //UST-411 L /2'y/Z ' fuA-rt/F 7" /,<J5/DC E7Ci5-r/.(J6 5 /10 O/
>ct/A16 r/?C/e/ry. (Scale: I /,.
lock)length �L ••
i 1 r
-m(s) 1 I X .♦ I /, t+� LI
pier(s) ••.....R�1V�.• L
length pI11I !! Ii
II 1
r
ad/Riprap length ....''.6......E'!rIIIiffjrf �.I..a�.......
ivg distance offshore ...ng...ME.il.i i minim iiiRHi...Vmum......
nax distance offshore 111111 I ii
channel I iillirg11 ! I10hIIIII
ubic yards Iflflflflfl iI! IiI?JUflHIIIHhI.. I11ii
1. .. .' ,11, + 1, - i *' 13ii�Z , ' n
111III4IilJ!!UII!!IH
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01111E II I
inc Length S'�' i..fflimillminsrypiimi
dimixammogilmemplawn
. i, . . : ���/��... 1.. ...�� I I go
: 'not sure yes ® IIIUHIIIR IIum
lift hie I
�! I�
igs. notsure yes ® .111.�....�.I11. E_'!q.� 1I�9II.....111
rium: n/a yes nIII OR' t . _' ipr, ��
-Attached: yes I 'A , ' D.1
ling permit may be required by:^i,�(•i, 4 bs Ctt C/0L/X/•<'4! 44/ . I I See note on back regarding River Basin

DONALD A. DAVIS FOR c_� �►/-� P 15 5 8 5
ATTORNEY AT LAW ILO / (r,
00 ATLANTIC SPRINGS RD.,SUITE A
RALEIGH,NC 27616
[phone] 66-763/531
csrcV;/te,1GUNt
rti
I�ov
DONALD A. DAVIS
_-._. . GENERAL ACCOUNT
HOVIA BANK& TRUST COlil'ANY,N.A.
Raleigh,N.C. 27602
IIO LS5850 1:053 L076331: 6 268 55046 LH'
► z
FOR 15595
DONALD A. DAVIS
ATTORNEY AT LAW
ATLANTIC SPRINGS RD.,SUITE A
RALEIGH,NC 27616 66-763/531
[phone]
DONALD A. DAVIS
GENERAL ACCOUNT
IOVIA BANK &TRUST COVIPANY,N.A.
Ratetgh,N.C. 27602 - - - - -

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to IJ 0 iJ 1)/4 Oil"
S 's
(Name of Property Owner)
property located at 1 Z O cl L P r\) 102 C. r2 o L i .0 e►g C/-f
(Lot,Block,Road,etc.)
✓`�l Y �T�E G42.o 0C s ou4,0
on CfleacriQA 6EfficJ k( 9a664, in C—Y4-40CiAlE) 6.Eq / ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 1 1 (01`l S Yq S Mailing Address: 1 Z o 6 C Iq /i, d 2
C-Ai2o LA1,,9 6E pc* nJ(
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(15') from my area of ripanr a access unless
waived by me. (If you wish to waive the setback,you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
/-} 0 0 Ao FT A}7— E x c
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
C—/9 � o C_'Nil 6E' 9(� NCZay2I Wc►�L&L C �, 3�k...,\-_'

lit)/ Permit Number
n Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
NERAL INFORMATION
D OWNER
e:Donald A.Davis
ess: 1305 Downhill Slide Trail
Raleigh State:N. C. Zip: 27614 Phone: [phone]
HORIZED AGENT
e:
ess:
State: Zip: Phone:
'ATION OF PROJECT: (Address,street name and/or directions to site.If not oceanfront,what is the name of t
;ent waterbody.) 1207 Canal Dr.,Carolina Beach,N.C.
lina Beach harbor/Myrtle Grove Sound
CRIPTION OF PROJECT:(List all proposed construction and land disturbance.)Add boat lift at existing doc]
OF LOT/PARCEL: 25x125 square feet acres
POSED USE: Residential©(Single-family❑Multi-family 0) Commerical/Industrial❑Other❑
'AL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
IRONMENTAL CONCERN(AEC):0 square feet(includes all floors and roof covered decks)
OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE
,STAL SHORELINE AREA OF ENVIRONMENTAL CONCERN(AEC):0 square feet(Calculation
des the area of the roof/drip line of all buildings,driveways,covered decks,concrete or masonry patios,etc.that
n the applicable AEC.XAttach your calculations with the project drawing.)
Choose the AEC area that applies to your property: xwithin 75 feet of Normal High Water for the Estuai
Shoreline AEC x
(1)
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
TTi CT(IDMVU A TTi'D MANIA CTi MTi NT PTi DMWT. Io tha nr ninn4 lnnntorl ;. nr. nrnn �„h�A t to n CtntP Ctn w,. ro

R PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor development per
rvice we have compiled a listing of the kinds of permits that might be required.We suggest you check over the list with your LPO to
ne if any of these apply to your project.Zoning,Drinking Water Well,Septic Tank(or other sanitary waste treatment system),Building,
;al,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification,Sand Dune,Sediment Control,
ision Approval,Mobile Home Park Approval,Highway Connection,and others.
'EMENT OF OWNERSHIP:
undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEI
Dn authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that tl
t listed as landowner on this application has a significant interest in the real property described therein.This int(
described as:(check one)
)weer or record title,Title is vested in Donald A.Davis , see Deed Book 4903
!078 in the New Hanover County Registry of Deeds.
Dwner by virtue of inheritance.Applicant is an heir to the estate of
to was in County.
ther interest,such as written contract or lease,explain below or use a separate sheet and attach to this applicato
fFICATION OF ADJACENT PROPERTY OWNERS:
Lermore certify that the following persons are owners of properties adjoining this property.I affirm that I have g
JAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit,
(Name) (Address)
►bert A. Davis 413 W.Aycock St.,Raleigh,N.C.27608
05 Canal Dr.Homeowners Assoc. 6517 Old Fort Rd.,Wilmington,N.C. (K£v N m N 6 n.I r.
DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
owledge that the land owner is aware that the proposed development is planned for an area which may be
,tible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular
i problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliz
oodproofing techniques.
rJSSION TO ENTER ON LAND:
iermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his ai
on the aforementioned lands in connection with evaluating information related to this permit application.
pplication includes: general information(this form),a site drawing as described on the back of this application,
ship statement,the AEC hazard notice where necessary,a check for$100.00 made payable to the locality,and;
cation as may be provided orally by the applicant. The details of the application as described by these sources a
►gated without reference in any nermit which may be issued.Deviation from these details will constitute a viola

SITE DRAWING/APPLICATION CHECKLIST
;e make sure your site drawing includes the following information required for a CAMA minor development pen
iawing may be simple and not necessarily to scale.The Local Permit Officer will help you,if requested.
-SICAL DIMENSIONS
❑Label roads
❑Label highways right-of-ways
❑Label local setback lines
❑Label any and all structures and driveways currently existing on property
-SICAL CHARACTERISTICS
❑Draw and label mean high water mark
❑Draw location of on-site wastewater system
u will be working in the ocean hazard area:
0 Draw and label dune ridges(note height)
❑Draw and label toe of dune
❑Identify and locate first line of stable vegetation
❑Draw and label setback line under CAMA
0 Draw and label topographical features(optional)
u will be working in an estuarine shoreline area:
❑Draw and label landward limit of AEC
❑Describe terrain(slope)
'ELOPMENT PLANS
❑Draw and label areas that will be disturbed
❑If a house is to be placed on lot,describe location of house
❑Note size of piling and depth to be placed in ground
❑Draw and label all areas to be paved or graveled
❑Describe composition of surface
❑Note and list fully all trees and vegetation to be removed or relocated
❑Show landscaping
'E TO APPLICANT
you:
completed all blanks and/or indicated if not applicable?
notified and listed adjacent property owners?
included your site drawing?
signed both application and statement of ownership?
enclosed the$100.00 fee?
completed an AEC Hazard Notice,if necessary?

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Snow Marine Construction Dredging
1328 Saint Joseph St.
Ca.rolina Beach. NC 28428
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to .,J cr-1 A -OFF v S 's
(Name of Property Owner)
property located at I L b C 'J A L T`- 19 20 L 1-7•/A 43 t= c-1 A)
(Lot,Block,Road,etc.)
/v1Y iLE Gi20L)E -Seu.141 1�€�1 i-1Hnld K N.C.CO,
on L/jeol�vA ( Etick( HORAo2,in Ci2oLiu4 iko #
(Waterbody) (Town and/or County)
Applicant's phone#:919 GI q Sy`I S Mailing Address: /30S J)Oe�JnJ,/Zt SLIDE
LA L sK nl L Z')
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
VI do wish to waive that setback requirement
- - - - ---------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A 4) LIFT Al-
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) �---
i 3OS /Jo4J;kli J r c S(..):0€ r
Mailing Address Signature
2 ►� �Ei (3 Nc-- Z / / o E RT
Dr:nt nr Tvrw Name

I-08-OS 01:43 9104589897 y' 919 790 9519 P If 1
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Fax ttl 774 ?s79 l� c,
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Snow Marine Construction &D edging
1328 Saint Joseph St.
Carolina Beach, NC 28428
#1:C
fii

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to D cN Fl Llo A .00 V S 's
(Name of Property Owner)
property located at 1 1 C- ►\ C—O 20 L 17.JA Q E FL1-1 GV C
(Lot,Block,Road,etc.)
/✓I /, TiE Glove Sockw40
on C.�geo1�v11 3ER cg WR 2,in C►9(to cI / L3'h E�1 rl/"X)' ,N..
(Waterbody) (Town and/or County)
Applicant's phone#:919 6)i y sy 9-s Mailing Address: /3 OS .Doty /,Zc. SLICE
Z ')C / Y
He has described to me, as shown below,the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet(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 not wish to waive
xI do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
14v) LIFT frT EXIZi g- ,60
(Information for Property Owner Applying (Riparia Property Owner Information)
for Permit)
i 3OS bOtk/A)01zL -S c.i9 E TQ
Mailing Address % Signature
IZACE G Nc- z7 6 I ( I\O,/KPtryvr► s T -

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Snow Marine Construction &Dredging
1328 Saint Joseph St.
Ca.ro{iraa Beach, NC 28428
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