47471D - SU Development

/ .
LAMA/ L.DREDGE & FILL
GENERAL PERMIT Previous permit#
Iew `.Modification LJComplete Reissue .-.Partial Reissue Date previous permit issued
>rized 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 9, 12 6a
attached.
nt Name.. (" 2P UP L 6,/+, o. f 7/3/// /'v,f S jc/ Project Location: County B(,l(,i 51..E•CX
91//7 did (,{jy,,/Gff e 1 .. Street Address/State Road/Lot#(s) /* AA %/
?)�/IL.! State/+"C ZIP 2 r//O
v-(76Y) 2 F,-k voa Fax#( ) Subdivision
zed Agent .50JS,t vt 01 ,, 0,4f (v,.s71.1 A City (9C 4 td �-7S2 t 94,' ZIP .? /i
1/>r-
i ❑CW D&W" I:HI DE
S ES ❑PTS Phone# ( ) River Basin L um
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. BodyI4/�1,,,..ti Cen v r'/ t fna-A
❑PWS: ❑FC:
yes r7 PNA yes—f--no-, Crit.Hab. yes / no Closest Maj.Wtr. Body
[ t
If Project/Activity Pin- i l/n"4' ii/ /A / O ele
(Scale:/ �/-
xk)length 23' /I( (, ' ,I L 4/`l/ i
pier(s)
ength
may / /
amber !/ L!-of ow., 1 : ..�+e�e,1�"'�"'_.1-
i
id/Poprap length i + —
'g distance offshore I
ax distance offshore
:hannel
ibic yards — . .T
P
use/Boatlift I i
3ulldozing ,
1, ' {
f �T
, I
t.- —
ie Length So '
not sure yes no f{0 I
;s: not sure yes no __ +
, y -
rium: n/a yes no � �/ � ��
�
yes no -- — + �.-_
Attached: yes no i / iVl I. ,

Permit Number
)cean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
;ENERAL INFORMATION
AND OWNER
tame
.ddress Lfq-1 C (.._-D C V1 ar lO-k-fe_ -{4w y
ity IY)C')flX ()P, State /0 Zip d-g�\(-) Phone ID` * ag ! . (o U
UTHORIZED AGENT
ame J l=SS1C YY1 LA -
ddress
ity 'n 5 � T S—''\ State Zip ��S 4(D l Phone l ' S 15' 33(o
OCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront,what is the name of the
ijacent waterbody.) 1'-1-b U,..) . Tin I d St- n)C w►'1
ESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
Tl-5-VaLC_ T lOo cv-\G7 T oC 1C
ZE OF LOT/PARCEL. square feet acres
EWPOSED USE: Residential ' (Single-family Multi-family ) Commercial/Industrial
Cher
DTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
ENTAL CONCERN (AEC): square feet (includes all floors and roof covered decks)
ZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): square feet
:alculations includes the area of the roof/drip line of all buildings,driveways,covered decks,concrete or masonry patios,
;.,that are within the applicable AEC.Attach your calculations with the project drawing.)
Noose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC,adjacent to Outstanding Resource Water:
(3)within 30 feet of the Public Trust Shoreline AEC

HER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor development
nit.As a service we have compiled a listing of the kinds of permits that might be required.We suggest you check over the list with
r LPO to determine if any of these apply to your project.Zoning,Drinking Water Well,Septic Tank(or other sanitary waste treat-
it system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification,San(
ie,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and others.
kTEMENT OF OWNERSHIP:
ie undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
;on authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the
;on listed as landowner on this application has a significant interest in the real property described therein.This interest
be described as: (check one)
_an owner or record title, Title is vested in , see Deed Book
e in the County Registry of Deeds.
_an owner by virtue of inheritance.Applicant is an heir to the estate of ;
)ate was in County.
_if other interest,such as written contract or lease,explain below or use a separate sheet& attach to this application.
v n d+,e---r- C3 n±co _A-
TIFICATION OF ADJACENT PROPERTY OWNERS:
ihermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
TUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
-
FV'rMO-cm -?d r o Ci. - c12) Nc. `+"0a
DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
cnowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
-osion and/or flooding.I acknowledge that the local permit officer has explained to me the particular hazard problems
ciated with this lot.This explanation was accompanied by recommendations concerning stabilization and floodproofing
niques.
?MISSION TO ENTER ON LAND:
thermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents
iter on the aforementioned lands in connection with evaluating information related to this permit application.
application includes:general information(this form),a site drawing as described on the back of this application,the
ership statement,the AEC hazard notice where necessary,a check for$100.00 made payable to the locality,and any
rmation as may be provided orally by the applicant.The details of the application as described by these sources are
rporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of

Ar9rA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S.Jones,Director William G. Ross Jr
Authorized Agent Consent Agreement
;ye,-e,SSI �'01 C.4F/(s 0/31,s,)xity-wi is hereby authorized to act on my t
(Printe Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limitec
specific activities described in the attached sketch.
LOCATION OF PROJECT:
14(a GO. Th i r- L S t-
(JCC-/9N _LS k -Bed
'ROPERTY OWNER MAILING ADDRESS:
t'W on d
LH-7 0L,1) flhir /rIt
rn0!MF> IV C. l PHONE NO. 704• D- 8- - (p 4o0
AUTHORIZED AGENT MAILING ADDRESS:
:o Bo ,S6 a
C aR-(1-65 PHONE NO. `T I -75--'30 63
;irinnti irc of Drnnch1i / I A /If - . .J)

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: J� t E -- 1 l-C/LLS L ,
Address of property: Hi- Co LO . TA-)\cc_ S+. /L-o T & 3
(Lot or street#,street of road)
Oc IA,I T s le. i3-t-e.-cA,-,,/ 18(v(vs k cc
(City&County)
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me(as shown on the attached
drawing) the development they are proposing. A description or drawing,with
dimensions, should be provided whit this letter.
1.
have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Ave.,Morehead City,NC 28557 or call(252)808-2808
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings,breakwater,boathouse,lift or
sandbags 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.)
I do ish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
�.----- q 6
Si r at

Page 1 (
JESSIE & MYERS
Construction Company , Inc.
ite: November 29, 2006
: Timothy Furman
PO Box 1708
Greensboro, NC 27402
Application for a Dock Permit
LOCATION: Lot# 83...146 W. Third Street, Ocean Isle Beach, NC
'closed is a notification of an application for a Dock Permit that I am applying for at the above
ration in Ocean Isle Beach, NC.
)ase be so kind as to sign and return this information in the self addressed stamped envelope
your convenience.
ank you for your cooperation in this matter.
curs rely,
1 Tate, J C

Page 1 c
JESSIE & MYERS
Construction Company , Inc.
te: December 11 , 2006
: Jeff Milliken
PO Box 6609
Shallotte, NC 28470
Application for a Dock Permit
LOCATION: Lot # 83...146 W. Third Street, Ocean Isle Beach, NC
closed is a notification of an application for a Dock Permit that I am applying for at the above
ration in Ocean Isle Beach, NC.
?ase be so kind as to sign and return this information in the self addressed stamped envelope
your convenience.
.S. Postal Service,,
ERTIFIED MAILTM RECEIPT
Domestic Mail Only;No Insurance Coverage Provided)
or deliv.ry inform'tier.'is t our website at www.usps.corno
;9T [Itz, A ;
Postage 1111.111 THIS SECTION
Certified Fee 2p COMPLETE THIS SECTION ON DELIVERY
ind 3.Also complete Return Receipt Fee A. Si.Postmark livery is desired, '` re
iorsement Required) Here ddress on the reverse X 1 `d
strictMilliall
Delivery Fee :he card to you. OG/r• A
lorse nt Required) back of the mailpiece, B R�elved by(•,7d/edilerYamenffro)
A
tal Po tags&Fees 12/12/2006 'permits. ► . C. Dateof
D. Isdelive'To ryaddnsm item t? ❑Ye
't,Apt Ara; -. 1!� _tileIf YES,enter delivery address below: ❑Nc
7 Box No.
State,ZIP+4 >0 9

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DE OF WATER..
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11C1 11 LVVV iV•JV r.Vc
JIHIt VIlLlIT WHIM. r'dA•(V4-LOL-JJ7V
NCDE R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor Charles S.Jones,Director William G, Ross Jr., SE
Authorized Agent Consent Agreement
is hereby authorized to act on my beh;
(Prmted Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
specific activities described in the attached sketch.
LOCATION OF PROJECT:
41-G . m i rd
OCEJ N y_J-e_ a, c
/(/G ,2- P- V-4. 9
i'RotsyL.QniniMAILjN A DRESS:
4W 1 C) ChLJa 4— ill
Nn►if0t, Al C . i -- Jl 0 PHONE NO. 10 aQ I • (p Lio
AUTHORIZED AGENT MAILING ADDRESS:
?O
OcefiN
f 1-6 9' PHONE NO. Q • S 1
Signature of Property Owner. /J1 7-11(24
Signature of Authorized Agent: