46132D - McIntyre

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ECAMA/ DREDGE & FILL z
3ENERAL PERMIT Previous permit#
New -Modification ❑Complete Reissue liPartial Reissue Date previous permit issued
,rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC q/ ' �Zoa
n / Rules attached.
it Name f2't I ittt / 7/ yr-i Project Location: County /VG v "14110frei.
/to/ e/ye,i-s4Ve Z.P7 Street Address/State Road/Lot#(s)
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: '1 lj' CL+ / V \ C 17u 4-1
Address of Property: 4©T ISi -,3 i /50 f c t2s,-Q/c_ S I DC- LANE
(Lot or Street #, Street or Road)
(,Uf(rnr\G T / N euj ©U��Z
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lett(
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail. •
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat oat lift must b
hck a minimum distance of 15' from my area of ri • ccess - unless waived by me. (II
wish to waive the setback, you must ini ' e appropriate blank below.)
I ish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
///v/ 04/1/
Y I(Afr_ /I V�/�^/
Y
Sign Name Dat (((
t r it

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ` K o v a& 1 r +C�ni /2 e
Address of Property: 4277 9S'-3' l / / C rLC'E 5113 L L4/J`C=
(Lot or Street #, Street or Road)
GUILIA (k6, r c ) JUe_A,J -MDUt-R
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lett(
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilmington, NC 28403 or call 910-796-
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilina , reakwater, boat house or boat lift must t
bck a minimum distance of 15' from area of riparian access - unless waived by me. (I
wish to waive the setback, ust initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' e s tback requirement.
VC,
•sn ame

ality Permit Number
an Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
;NERAL INFORMATION
vD OWNER
ie: Robert T McIntyre III
ress: 1001 Creekside Lane
Wilmington State: NC Zip: 28411-7656 Phone: [phone]
CHORIZED AGENT
ie:
ress:
: State: Zip: Phone:
2ATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of t
cent waterbody.) 1001 Creekside Lane, Porters Neck-Creekside, off Futch Creek, Wilmington,NC
;CRIPTION OF PROJECT: (List all proposed construction and land disturbance.)T-Head Dock extending 147
property line about centered from waterfront property lines, no 15' setback issues.
E OF LOT/PARCEL: <24,000 square feet acres
)POSED USE: Residential X(Single-family X Multi-family ❑) Commerical/Industrial ❑ Other❑
['AL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
IRONMENTAL CONCERN(AEC): T-Head—200 square feet(includes all floors and roof covered decks)
E OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE
STAL SHORELINE AREA OF ENVIRONMENTAL CONCERN(AEC): square feet(Calculations
[des the area of the roof/drip line of all buildings, driveways, covered decks,concrete or masonry patios, etc.that
in the applicable AEC.)(Attach your calculations with the project drawing .)
use 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 W
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
TE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwai

IER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor development pe
service 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
mine if any of these apply to your project.Zoning,Drinking Water Well, Septic Tank(or other sanitary waste treatment system),Building
trical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification,Sand Dune,Sediment Control,
livision Approval,Mobile Home Park Approval,Highway Connection,and others.
TEMENT OF OWNERSHIP:
e undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AE
,rson authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that tl
;on listed as landowner on this application has a significant interest in the real property described therein. This int
be described as: (check one)
owner or record title,Title is vested in , see Deed Book
in the County Registry of Deeds.
in owner by virtue of inheritance. Applicant is an heir to the estate of ;
)ate was in County.
f other interest,such as written contract or lease, explain below or use a separate sheet and attach to this applicati
TIFICATION OF ADJACENT PROPERTY OWNERS:
thermore certify that the following persons are owners of properties adjoining this property. I affirm that I have g
TUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit
(Name) (Address)
John&Marilyn Burkhard 1005 Creekside Lane, Wilmington,NC 28411
Steve&Gwen Phillips 1000 Creekside Lane, Wilmington,NC 28411
3 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
eptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular
trd problems associated with this lot. This explanation was accompanied by recommendations concerning stabili2
floodproofing techniques.
.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 a
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,
ership statement,the AEC hazard notice where necessary, a eck for$100.00 made payable to the locality, and
rmation as may be provided orally by the applicant. The tai tithe application as described by these sources a
rporated without reference in any permit which may b issue . eviction from these details will constitute a viol