77620D - McVickers

CAMA/ ❑DREDGE & FILL N9 77620 A B
;EN ERAL PERMIT Previous permit# /'
New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality
1� )2op
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC '
\ / ❑Rules attached.
:Namea 00,CL1 C 4 M e l i t M(AA C C Project Location: County g!,A1 w
✓, ,C k
Po BOX 50 Street Address/State Road/Lot#(s)
krk{'bv\ State AI C ZIP 2-837i ..'' 'CI
L0Cle-t->vc( Fof Ili k'G�,
( RID)_305� 3q L l`�S E-Mail T 1 MGvi dcev SC:01 mAl1,C° Subdivision f `�
:dAgent cea 00J Ma.riw City 001IVi0 ZIP a$Ha
❑CW ❑IEW ❑PTA ❑ES ❑PTS Phone# ( 1.----- River Basin L U yk,
❑OEA ❑HHF ❑IH ❑UBA ❑N/A �T 1� "" � T
❑PWS: Adj.Wtr. Body /�—�t/•� ,t /r
(es /dIPO PNA yes /01P Closest Maj.Wtr. Body 11-'V")
Project/Activity IV\SI"al (?t2X 1 ciock-tno) La, con ol -g e°ke� cIc(''CCki"5 I
i (Scale: r= 2
k)length 9 y 17
tform(s) l(:X\
i
��k I� I l ^ V
'latform(s) 1 � ' \; - � -
, 1 {r(s)
? � 3 i ;
fiberigth — - - -.. ... f
11 1 n
/Riprap length I_..l. _ ; — — iX l"!1�' I f 1'_ ...-,_
distance offsho7/_
, �1 YC '
c distance offish —r „'� � Pf �'I "'�"
innel ve ,. ! ! ‘i., I F
Deck
is
yard �� Fib Ilex 7
p N0*. 1 f l`v L,
. .�, n
e/Boatlift — _ fiX119 .. ......I .' Pl0 gbSO t
Ildozing .
F.MF I
1 I1 11 1
.e Lrb,, , rOlt
Length �O 1 1 II 1
1
not sure yes no
im: n/a yes
Yes no q _
1."4Li iSZn'be
0.'
ttached: es no
V
g permit may be required by: T) t,(r 5V-'CGk CkA. / n See note on back regarding River Basin ru
ocal Planning Jurisdiction). _ / A

CAMA/ DREDGE & FILL 4N
NY 7 R)�4r
ENERAL PERMIT Previous permit # /p a c p
ew Modification Complete Reissue Partial Reissue Date previous permit issued /
As authored by the State of North Caro ci Deportment of Ern.oiw'erxal Quiay /j , f,'GC'
Ind the Coastal Resistive"(} Corm„won a an rea at ernero mental concern pursuant to I SA NCAC f 7 r 6
Appkc ant Name YQewidi O Reis c`A \'C�i `. County
1 s.-,-xLa•'r.crf ..
L Protect Location Countyj, rlfl��..:l:-k
Address pc.e 4 S i l Street Address State Road-lot#Is►
City t arthu,. State lei. ZIP -s 1 11 '3`1 z, L c t i-—t. f I(,,1 1,'ci, i
Phone S t I1t I ;pit A Si j£Mai t c+st,..t1��Gr�+ja'Q►l L Subdrets,(O�lt �''./�
Authorized Agent S? 0.1 1-Laritvt City L�f.,I i r I C,,, ZIP 7?,'f
Affected ow IPA PTA PIS Phone# y' River Basin L.t i, �',
AECtsI OE* WM Ai USA WA A./�
P�MS Adl Wtr $od1' 1..L`+Vs-' .naL man ;,nr.n
ORW yes/E„e ) PWA yes l Closest Mai Wtr Body A.L,....„,..—
Type of Protect/Activity 1-*N4 4k Cit!. 4c1etl�1n h ea ,.irIC1 t-+1,1� ,�I((Pcck'+ /71c,/r f)
�. Sri w ieneti. `l x T?' 1 (Scale: = Z Cs )
FoM t'+airi* M 111; r7 s
Ftomm etatfcr, -.ix iLl• )
Griprow
C+e+x3, � t
number
a,lMeael Aerao*WA /.....U
V E iu Ai el 17I
a.t*lunar onshore —
keedifri...:
DuY
fillcube r ` 4 It:s I7
Sox rill D IILi t • ti i
Son*o✓.r� SoaU.tt Ys'4inwasii P.r_+Ir id ,'t �.
1.11-1
5.W I arldoc.ng / }'�'
,"'f:
F-i - Cogs, , A i
1 , --A
-Aim n
t f L
Shc e4.se Lenyii. T cc, //.
SAL/ not Lie yes
E.� -.._.____.
Morns*Or. r,a yes
4s..,10 ff tztw v
eno,p. O 3i1'I r{t tl.t e,i
.I0 r
Warier Atzxr.ea >� no irti r..er) 34 3 S tf....,�f lty/t 3 S fJ ct P
5.,)
) CwF'''er
A b`nid.ng pefmit may be required by Eti,{f iv-noi- C.44041 See note on back regarding River Basin rules.
Note Local Plann.ng Iunsdttionlyy�� ! /j'' +t J t r I p
Notes, Special Conditions /I l\rakes Or 714.hoc look t, cl (ede u 1 rt j�cl/i.!'t cn{ a f
l iy.
n n - i

x _
! GENT AUTt-1ORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit The tvtcVickers
Mailing Address 1'.()1;,rx ,!
Parktori,NC 28371
Phone Number: 910-308 3931
Email Address: [e-mail]
certify that I have authorized Sea"flog Marine Construction by Adam Greene
}
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development New Pier and Floating Dock
at my property located at
393 I.,kckwuud Folly Rd.SE
in Brunswick County.
I furthermore certify 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 this
permit application.
Property Owner Information:
Sijnatur
Print or Type Name
Title
_t Jo 1_
Date

ADJACENT RIPARIAN P
I hereb ROPERTY OWNER STATEMENT
y certify that I own ro
P perty adjacent to The McVickers
property located at 393 Lockwood Folly Rd.SF. (Name of Property Ownerj—`s
on IC1N (Address, Lot, Block,, Road,etc.)
(Waterbody) in
(CityiTown andlor
Bolivia
County) 'N.0
The applicant has described to me, as shown below, the development proposed at
I the above location
have no
objection to this proposal,
___________ I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bac
minimum distance of 15' from my area of riparian access unless waived by ma. (If you wish to wz
the setbbaack,yoeU must initial the appropriate blank below.)
V-' Y ✓ 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 Information)
is
a1ure
Si the
'SSA—) CI V i or Typia Na X/
Print or Type Name �{ XS
MP,O. B_c_al1 M_g ddress i
Parond N( 28371 4 �,�
City ale i 6, G5
City/State/Zip , ,,„ —

•
. .
•
ADJACENTRIPARIAN PR y OWNER STATENIF
he:eby certify that : own property adjacent to The \kVjcker -NT
s
property located at 393 Lockvkood Folly Rd.
sr: (Name of Property' •
on !LW (Address, Lot, Block Road,
in N
(City/Tovvn and/or County)Th applicant has descr:bed to me, as shown below. the development proposed at Inc above location
I have no objection to this proposal.
I have objections to th:s proposaIPTIONl
AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or groin must be sea;,k 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.
(Adjacent Propert Own I.-Information)
(Pro Irty/Owner fo tion)
Ei,A2st„..j
tature
cAlf
Pit!%Tyr 12.11aidex4 F
Print or Type Name
P.O. Box 511
Ma ing ddress 0942
4159a/IriffoAnT s?8 3 7 I "La/
City/SlatelLP n 3
City/State/Zipp0ci 611-b
mieohone Number

/ \
GRAPHIC SC
20 10 20 4
/ ( IN FEET )
1 inch = 20 f
IEAD
CAMA/NC BUILDING CODE ALL(
8 SF/LF 50 LF
MAX ALLOWED FOR GENERAL PERMIT
MAX ALLOWED FOR NON—WALKWAY
AREA'S BY BUILDING CODE
_IFT
ACT) EX. PIER LINE
PROJECT AREA TABLE
FLOATER 8X16 128 SF
T HEAD 16'X17' 272 SF
TOTAL 400 SF
EICHORN DEBRA A
397 LOCKWOOD FOLLY RD. SE
NOT BASED ON PHYSICAL SURVEY DATA.
LESS THEN 7'.
MCVIKERS Ci LF A !/n,

Check
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Chock Number amount Permit Number/Comments
Column., Column2 Column3 Column/ _ Colima Columns Column7 CWwmM
9/15/2020 'McPherson Marine Service,LLC Marguerite Grimm FCB 3314 $400.00 GP#76434D
9/15/2020 Anthony Carr Money Order Chad Hock United Bank 5.43577 $200.00 GP#71896D
9/15/2020 Emily Pace and Mary Stareher same Cadence Bank 838 $400.00 GP#71882D
9/15/2020 Donald and Melissa McVickers same State Employees CU 1870. $200.00 GP#77620D
9/15/2020 David Bilotti Carroll Noone Bank of America 580 $400.00 GP#77828D
9/15/2020 Enchantment East LLC same TD Bank 1242 $200.00 GP#77830D _
9/15/2020 William Kozel same Bank of America 7103 $400.00 ,GP#71877D
9/15/2020 Robert Kronengold same PNC Bank 1233 $200.00 'GP#78480D
9/15/2020 Thomas Cruz same Wells Fargo 129 $200.00 GP#76460D