71896D - Hock

ICAMA/ ❑DREDGE & FILL No
_ 71896
;EN ERAL PERMIT Previous permit# A B
INew ❑Modification ❑Complete Reissue ['Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environmental Quality �1, W
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
r�� O C ❑Rules attached.
�`.`}Name Project Location: County Y,.t)'•SWi (.�
5$I O Mack o v` Avefrki.tt Street Address/State Road/Lot#(s) 1 ZZZ b ecs+" I
.)tte vs 6o e 0 State I ZIP 27'I L)3 1? Vc ( OG \ ' 4SVA1310\)
(;1(p) SID WAS E-Mail CAv`\ck rnji L ,C o"' Subdivision P&k\ Ce.titi.. We s4- Cooir.1/40'•;.1-
ed Agent Cis 1,6,,,c6ol oc E4ster„ NC,/U.C. City 1+olde)'\ eea cJ ZIP g-8L4
$CW NEW 1*TA ❑ES ❑PTS Phone# ( ..--)/ River Basin Lur
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: Adj.Wtr. Body (.re e k A/dl acsw�+-11 ft..t 40
yes / PNA yes /� Closest Maj.Wtr. Body n=wW
Project/Activity POCY i IN() FgLi`t
l (Scale: 1 :
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itform(s) Co..Xi2-N 1Y I "'4i1•7
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urn: 46 yes no 084,7
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1tached: tip no (v u u 0EW, ` t 2 0 � `2 a�6J v
1g permit may be -quired by: a'p'UW\ (� ( U See note on back regarding River Basin n
_ocal Planning Jurisdiction) , I , I r I ,

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: OAA OL)c
Mailing Address: m4 4 t 59A) /4UE.
( g ,b o'a , 4/6 z 7''D.5
Phone Number: -j p—5I D - to Z-35-
Email Address: C.Nhcck ap prop,,(
I certify that I have authorized ( 9'141 (',Wci C'ti oft /Y 16
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 1 ZZ Z a-6W ,P/via k)e ,f1v' 4h , /,/6
in CiAA/$Wj�' 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 Ow formation:
Signature
Print or Type Name
Title
X 1d.S(--1 2224 I 43�

U.S. Postal Service'
CERTIFIED MAIL RECEIPT .
MARK
H F Domesticdivr Mail Onmatt'
ra For delivery information.visit our mobsite at tvww.usps.com`
LUXURY HO a certPlfed MeA Fee l;� 5 s1 62
$ S2.85SJNDE1 06
ru Extra bervicos 8.Fees(check box,add aie ftraercarh�
August 25, 2020 0 °` ""` ipr`1recte nc' s 171�.VU��i _
CM
❑Ream Receipt�ea�ntcl 3 S Postmark
O ❑CerOAWMugReetriciedDexvery 3 lfl.el(l. Hare
❑Ada Sipurwrt�red $ CO.itil
CERTIFIED MAIL ]Adaitae $
O Postage $1.211
RETURN RCEIPT REQUESTED Q Total Postage and F .bo
')8/2"20'2"
s
Carl and Judith Medlin `Td-+ , Wf x M�.l;n
O Slre d Apt.No., lib$x NFi.
303 Harden Street `� cit, , `�e�' �'``�
uw.bi... ,.S L 241 20
Columbia, SC 29205 PS Form 3800,April 2015 PSN 7530+V4,3.et4r See Reverse for Instru
Dear Carl and Judith Medlin,
Chad Hock owns 1222 Ocean Boulevard west at Holden Beach, North Carolina.
This is adjacent to your property.
We plan to start construction for a dock on this site soon. The permitting process
requires that we send you this certified letter informing you of our intentions.
We have enclosed a copy of the survey that shows the tidal creek dock and
boardwalk that is proposed for the site. Also you will find included the Division Of
Coastal management Adjacent Riparian Property Owner Notification/Waiver
Form. If you have any questions please feel free to contact Anthony Carr with
Mark Saunders Homes at [phone] ext. #1.
Sincerely, SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
4 ■ Complete items 1,2,and 3. A.Signature • C -
■ Print your name and address on the reverse X (` ' 4 ❑A
,1.49
so that we can return the card to you. ❑A
I Attach this card to the back of the mailpiece, B. Re elved by(Printeol Nanje) ) C. Date o
Anthony S. Carr or on the front if space permits. 'j ( f -
1. Article Addressed to: D. Is delivery address different from item 1? ❑V
Custom Home Consultant is _ _j , T ...('1-1„ AA _ I If YES.enter dalivarvortrirnschF.lr,,,,• r,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
n ► I I�OC- 's ,
I hereby certify that I own property adjacent to Narge of.' _ .�, er)
located at ZLZ QepA) ✓
p71 I liecK oQ ►L (Addressin, Lot, BI ad,et N.C.
y41 on (CityfTown andlor County)
(1Materbody)
The i:PP
licant has described to me, as shown below, the development proposed at the above
..;,r on.
.�I; I have no objection to this proposal.
_ I have objections to this proposal.
DESCRIPTION ANDIOR 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, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. ( 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.
(Props Owner Information) ( Jac t Props wner Information)
X Seature ignature*
N . 401.-- 5c 6nertio.J
X Print or Type Name Prfnt or Type Name
,i ls-,tr. ►,' 5s._ AAA.n,L /'7 wr D�� � .
AA,ilinn Arlrlm

WE UNE: •-
NORTH C ROLINA �.p,��1y COMMENCING AT MCNUMENT H824 REV,(N.C.GRID COORDINATES: � N
BRUNSWICX.L 1T t1111t/f/ N 4 58399.5758 AND E-2.19C.538.0655; THENCE N 52'38'38-E n r
I.GARY L.GURGAtk56 T1a' I/.11S PUT WAS DRAWN UNDER MY 2,352.03 FEET TO MONUMENT H8 23 REV,(N.C.GRID COORDINATES
� -,-I,' N 56,702T TO AND E"2.192,870.5618; THENCE N 74Y2'25"E Z W Q
SUPERVIMON
DESCRIPTION `5 - Ei fUNOFR 445 SUPERVSION. 1,52110 FEET TO A COTTON SPIKE; TIENCE S 89'38'30"W 185.95 `8.
ERROR OF AISUR� CALCULI COMPUTER tS 1/ JQ�QOt__, FEET 10 ERR"A THENCE S BO'33'04"W 87.41 FEET TO NIP'B". M Q'
THAT THE n ES n0 RVEYEV,A E AS BROKEN LINES, AU.BEARINGS ARE ORIENTED TO N.C.ORO NORTH,N.AO.1983. 47 r..
F 31ALL DISTANCES ARE HCRIZOKTAL GROUND DISTANCES m(il CK
PLOTTED FRIlM MEORMA FERENCED.MAT THIS PLAT WAS N -p O
PREPARED III G.S.7t7-$AS AMENDED.WITNESS p U
Mr NAi uR AND EA9s NOTES: \N Z Z
. 6,�RyF•,� t •,i0..2U1.f1___ 4L0T 153-8 IS IN FLOOD HAZARD ZONE 'AE", BASE ELEVATION N =p
11 FEET BASED ON F.I.R.M. 3720109500 K. \
INDEX DATE ARE BASED
18. \ ` c0
GARY L Cu us,Lc.;
1 -- \ Z<to
REGISTRATION NUMBER L-3474 *HORIZONTAL
CATI ON ARE 1988 VE CED TO HA.
SEAL OR STAMP 'HORIZONTAL LOCATIONS ARE REFERENCED NAD 1983 p z
(NSRS 2011) USING NCGS VRS WITH A SPECTRA PRECISION (,Nm
SP80 ON 01-06-20. z s
,,THIS SURVEY IS SUBJECT TO ANY INFORMATION FOUND N z S 0
WITH THE BENEFIT OF A TITLE SEARCH.
EDGE OF
CREEK / \ LOT 156
Rtp_ / \ \
(.1• 'J 40. 4\ CORRIDOR UNE / \\ \,\
\ i5' RIPARIAN \ "S
9 ` \ SETBACK / \
O z\ N / \ �5-
\ \ / \\ \\�
\ \ \O\ / \
\\\ \\ eye, \� ° EIP' \\ �\\
\ \\ \ ,,
\ \
,...
CORRIDOR LINERIPARIAN \\ (////\'\ljo BOUT ERA \\\ LOT 1�5
J\ M.
15' R1PARtAN r \
\ SETBACK \ \ ,9 \
\ J• \
\ NIP p \
\ 'V a, \ 404 WETLAND LINE \
\ 4 / FLAGGED BY \
\ �41 \\ f7.�\ SOUTHERN ENVIRONMENTAL \\
\\ p14�q* \ t?� \\ GROUP
\ NORMAL \\R. �, ,\_ L8 �LINEEC •
\\\
HIGH WATER
FLAGGED BY c L. \ \
/ SOUTHERN v ,' \ S�
// ` GROUPNMENTAL \ 6' \ ? LOT 154 \\
// , • \2, \ '�• HOLDENWEST
\
/// 11 1. \sue \\A '' MAP SUCBDIVISION INET L, PAGE 367 es \\
/ 1 ,- ' V'2 °>.
` A
COASTAL CAMA WETLAND ; \ �Cw
p, �, 4FLAGGED BY 4 N \
TOWN OF HOLDEN BEACH LPO �=
110H-it \ 05' A\ CONCRETE SLAB
1 ELEVATION: 7.7'
11 LOT 153-A PROPOSED \\\
LOT 152 1 HOLDEN BEACH HOUSE \
1 WEST \
1 SUBDIVISION ��" \\
1 MAP CABINET 114, PAGE 38 , \
11 PROPOSED IN-GROUND \--— \• 5e1,l LOT 153-8
404 WETLAND TABLE 1 POOL WITH GROUND (VACANT LOT) —-
LEVEL WOODEN DECK 13,710 SQ. FT. _
l3 N 21'57'35' E 21.68' 1 -1'
L4 S 1724'06" W 24.66' ( �' FT.) 4 W WM
WM
L5 S 20'04'34" E 15.25' 1 5 800� ERB
L6 N 03'59'24' E 12.82' 1
L7 S 78'41'10" W 17.23' 1 _ _
L8 N 88'43'19. W 17.19' 1 — NIP
_`1 N EDGE OF PAVCME4'
— LINE BEARING DISTANCE BENCHMARK M ��+E` BLVD.
NAI
L1 N 4700'33" E 6.01' MAC NAIL V� �. R1GHT-OF-
L2 �S 19'13'S8" E,28.47' ELEV: 6.20'

Check
Don Received Den Deposited Check From(Name) Name of Permit Holder vendor Check Number. amount Permit M.M.,Cammrtp
Cokunnl Column2 Column.? Colannl Column! Colum! Column? Column!
9/15/2020_ McPherson Marine Service,LLC Marguerite Grimm FCB 3314 $400.00 GP#78434D
9/15/2020 'Anthony Carr Money Order Chad Hock United Bank 543577 $200.00 GP#71896D •
9/15/2020 Emily Pace and Mary Starcher same Cadence Bank 836 $400.00 GP#71882D
9/15/2020 1 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 1 7103 $400.00 GP#71877D
9/15/2020 Robert Kronengold same PNC Bank i 1233 $200.00 GP#76480D
9/15/2020 Thomas Cruz ,same Wells Fargo 129 $200.00 GP#76460D