77612D - Milam

(CAMA/ R+'DREDGE & FILL N9 77612 A B
3E� NE A L PERMIT Previous permit#
(New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,//
•ized by the State of North Carolina,Department of Environmental Quality �/� 1100 + (Z U O
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ( I
1 ❑Rule;attached.
t Name 73 Q -S C,(�M dart-,a Project Location: County Pr ,,t 1n E v�- l C.k
50 0 C( C ro-�o fr Q r, Street Address/State Road/Lot#(s) ParCC I, �.D 2t
� / Irk-ex /
rDrit- 1 lI( StateSC ZIP ?97/5 ��U ov� `,ai dln (,Ot(v\d
(76 y) 4?7 5- ,y33 E-Mail ------- Subdivision Q�
ed Agent Deis'S'C Pa c1.11 q City 1►0 Ow &4C 11 ZIP gg
Ito
❑CW Jam``"" )<PTA XES WPTS Phone# ( ' River Basin LuM1
❑OEA ❑HHF ❑IH ❑UBA ❑N/A A
Adj.Wtr. Body =wh
❑PWS:
yes (o% PNA yes Closest Maj.Wtr. Body i IN j/'//M/a'"`i C
Project/Activity S I btAik4 a ' 4 4 0 do cbr1 g Ca()(I4 e
Ire
(Scale: _
:k)length (,X)610`
aform(s) it X16ARv7 ls , 181/1417-1__' ,,,'. , . ` ' . 1 ! ; 1
i 1 i 1
Platform(s) S3 k if. 11 s, .'
ier(s) ' i ` f�
ngth i Pr.paSid
rber I tt
...__Iii -05 ` •.__� $�C((A,......�,fr4tr9
kgliprap length GO ______ ilb '
distance offshore I �0°��� —......—......T.' \
x distance offshore 0 11 (A11 ' G `Val T. k
cannel Fit .. 1 j � 1
I
>ic yard -Rao aO
ip —
1-�-- ; .ter �t
w —
i 11
1
ulldozing /� �� I 1 1�r
1 WoL '
s Length Ga% i' W : .rtRo5G' ,,,uo i I
w C ' �r y,� iytR
not sure yes no J 1 '�
i
ium: yes t�..... r 1,I grl,4 oz --_'QA 1_.....
yes n ~�.._._ ._._. J._... Il•nni r` Q .. 00! _ � L.....
kttached: 40 no I .. t^45 i i i i
ng permit may •e quired by: ildadin e' A I See note on back regarding River Basin r
Local Planning lurisdictionl / ,

CAMA
Si
f4 '
GENEPALDPERILL N .r s A B C C
MIT12
pamtit
Modification Complete Reissue Partial Reissue Oas previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality �J
and the Coastal Resources Commission m an��a(ea of environmental concern pursuant to I SA NCAC (i+ I j� 4_.t Z 0
Applicant =Qi1'-'2._ Cr in l F _ attached
Name C � Protect Location: County �+ ttrCW
Address O oq Lrir h 11 r• Street Address/State Road!Lot ill(s) t ZigA'zt
City _ t`�-N seaacc,ZIP a 11/1 97/s c6S0 rev 1.wdi►y Wye,/ ._
Poe#(!Y)475-6W3 / Subdivision / ----. ..—.._
Authorized Agent �'J'i i Se atC. 4(q_ ��
TA �i. c ilo lel ` eitC l ZIP- y�t2- _ ._.-
Affected tau ktw )(/ Phone* (_�.-.'.-_._. River Bas:n Lw.1el___..
AEC(u. MAfi►.f Mi �taai► -WA vve AIL"L"w ymwt Math)
PWS
G. ,,/�''� Goias!P .Wb:Body__.�4T l,,►Wr/ .a •Fr t. _ __-
OM res G. PHA yes'U
Type of Project,Activity _ _S If b �rlt+?Lei / 4 4I do ' 4e c;1
( ?t,-3O )
lengthNet —.__• _—.- _- _-_____._... --_- -
CAVAX A
kaed Pladorm(s )�.Qitl . }
Flosana Platform** D \tI_ _v Yam. - — it _ ` ,
M
Foyer poles) i - a vileWt ►i ti -t'^
--
Groin length � _,_.�_. ._ j {.;�ij•-- __ Y_�Slset_,„�
A+DnP 4ntt_tog: t
toliet:-
an dunce offshore 0 _ ...,�
dn
TM cante oltsnor.Q—- — hc��� — _
LLLO. t
------ ____
(t Si� � � t q - (firs- _1
w� a� Iea t v' ,b./acre 5+,r1 -lam hs?�=_
t
Sharlene ta/f -t— -- r '' ..�SL „uc / /'
/ _ __
SAY: not ere yes 1 e 7 i - ,
P4120 k ft , 6.46"ivs"-
atrot s �yes� sczitor Lr t. ,J /Witt .- '' 1441 .
✓vane,Atuct+ed tie no - _. / _W _.
A budding permit may /TI urred by: J '1 b/�ea ci See note on beck repedit4 liner Bans cults_
Note Local Planning jurrsdutson)^Fl\Notes/Special Conditions 1 r'a\t'ts 6 70. 1 100//7 0(,0 local e 1 lee Q'e L ci.1:(kIs t r1 c
c ,`/ BA"-t 4 4' '-'e ( 4/1o/2 20 t7 DC- 4 s4.4. t�f�deuel r 4>0-o.,i`t_k`�/ �,�krt., l c
LI cE Ct. rd0 4i(llnc,_coast-Al car 44ut_t,L4i c • 9- [ona,,rT.FAstiPS QtXMMtA+ Do rta# C.t1

NAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOAi(T jHOUSE)
I hereby certify that I own property adjacent to a r 1— �' t 's
(Name of Property Owner)
property located at S) kek-o,r-. `,t! �,,,,,�, liar()
A (Lot,Block,Road,etc.)
�,
on-- ` L 'in c\'b�(JJ2.— _GoiL-- .N.C.
(Waterbody) p (Town and/or County)
Applicant's phone N:104*i15 t'l33I'iailing Address: SOOcj C rQ* jh
►11 z 21 15
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 I 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
AOPS' I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
, -1 `
See U, t drool %tp:iek- id o
to, h01
i cd o A of
\xtoi,i,Pr vo 04.
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Svc}a CIt= , � / / -�-
Mailing Address Signature
Z946 1\_.e. Le,0 .VAik LL C.%
City/State/Zip Print or Type Name
7./\ i�/lt^' .. /, tl22 0,,,._

HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 's
(Name of Property • vner)
property located at Akar-0 % fn 1 rci
(Lot,Block,Road,ctc.)
on A 'i- (.0 3 .in--�tGJ� ,N.C.
(Waterboddy)` /-1R�3 (Town and/or County)) ���
Applicant's phone q: T&i•` • bailing Address: Ckti-
ifill
Ile 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
4Cf I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
5eectAv,„,U4 C ,O&r ) -eat- 4-\\0 r c
3 boofl - DODOS
(Information for Property Owner Applying (Riparian Property Orrner Information)
for Permit)
r _
Mailing Address Sir ature
T,„„1 ,u; zql- ,
City/State/`Lip Print or Type Name
q (o��3 3t- G7r6szs
Telephbne m Telephone Number

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: -I , l(-)
Name of Property Owner Applying for Permit: blaTe of Authorized Agerrt for this project:
Owner's Maili9g Add ess: Agent's M fling Address:
Y ` Ll r`L .t 1Dr— .1/4"1 c - . �—
Phone Number( 4. c rt 5 - (,4 33 Phone Number FRO) ( - `f
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for a d ob�ta`ining all CAMA P its necessary to install r onstruct the following (activity):
10u`� e\, Cc c eArf lit i�
For my property located at �� \ r LAD(Ar ri
This certification is valid thru (date) . 7)1 ! c 2L .
/ ��
r
/J August 12,2020
///Property Owner Signature Date

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1 . a 5 ' 1V 7,0
Name of Property Owner Applying for Permit:
AiNv eD C . Amy\
Mailing Address:
C(:)CA CVO kO IV' ,
-t- A \\ ) - Z T-1-1 CD
'stI certify that I have authorized (agent) Tt.,(\f->t, ,RQ..(,u�a_.. to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) bU,\AQ + Ata eY + bucL
litil-
at(my property located at) (i)60 \leACOV\ LQX 3 \dli U
_l
This certification is valid thru (date) 1 t', . 3\ (.l.J r,V
421.,= August 12, 2020
Property Ow er Signature Date

/
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at i ' l°i�i'C^'11 (}�'� Y W 41-1A Block,Road,etc.)
on 41 1kA J ,in 0-CAC`Z) l _,N.C.
(Waterbody)� ((��^c (Town and/or County) f
Applicant's phone#: d q16' (Ptf ailing Address: 5...001 `C tGAN"br
c 4-,ke1, L1 ,-c, zq f(c
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
Ste \0 6- �
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) ,7
?1)O 1 L - ►JY ,�'
Mailing Address Signature
104 29-411;
&tA-CTA/1
City/State/Zip I Print or Type Name

/A MO
r
v ►\ be, sal VIM"ec »e
aci r,� $u N-LettA p1 Gam,. (QD Cep-
Avt -R)u\ a i\ v 0 d
ervj L S 5 c a\c,itt 1-mak oqvsicu,

HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to_ 1K Di1 A Al yi
(Name of Property Owner)
property located at �tJ 4l?Xc, .1
(Lot,Block,Road,etc.)
on ,in � '1 _ ,N C
(Waterbody) (Town and/or County)
Applicant's phone II: thug Address: t�F'
/ 5G
Fie has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
See aG\J 1)11,AV,LetA Tro
(Information for Property Owner Applying (Riparian Property Owner Information)M
for Permit)
CX0 tier
C
Mai in Address Signature
— t\ SC Cis 4-IS c;,,v)sefiu 11111.4-trfr
Ctty/Starealp Print or Type Name
� R
-61 - 1 1 -1,7U 3 -3 3 i7 ib i33Z
Telepft Num r TelAphone Number

a� a�� as �\L 1l � rQ a1
1° \q\-"Ak . 10 '1.1-4?IA
/I' A I it\
li ' P
1 I,. •
I
I
A "7011.c..7
T
. rit4Ili
'� n.tT 1 ?y 1
1 , i '` :y.

'••� / W . MEOWS OR W91pWl ACCURACY AS OLC�UATMo 6Io�.1:to.7034;MAT D S%R WA6 v 90'sum" - . .
r1 c PREMED N ACCOBONRE Nn S.47-30 WINN MY aR1cwN SIGWIUNE, 10. /'
., lEa4 S REIAYR{ION NRIaR 116»I K ASIWSY,2ozD. , µIL ,
={ �EREIp. .
,I II PROFESSORE AM i .I�NC�,`.}�0'Y• I
ILA• 1;1111 I `� \ - ,. Laces- 7 ..i�E I
i',�,,H,IIIIIIII� 'III' _I I gi •r" «1 4/ I I
,;L is i.---. I
A aLw WEST HOIDEN BEACH IIIS .
VICINITY MAP 1~ I
NCI SCALE I
rt> r�s I MN BENCHMARK
1. WICA NO DEED REsoJETS EASED ONCURRENTMONWIO I MUM IN (ELEV..2.0�
111E B R NS=COUNTY TAR OFFICE
2. ICCUARN TO ORRIO FEW F1000 WP/3120200RON.INS PMIUL 1 N44'06'JI•E
APPEARS 10 A LEEMED N 9E MALMO ZWNE'SC.12.0 WEE FLOOD
ELEIWTgN N49'04'32-E 1 8.78 HIGH
WATER
I 1116 PROPERTY 6 SUBJECT TO NO NO ALL WORM CU 6 TWN . WATER LINE
RESTW000IM NETT-OF-MYS OF RECORD,OCA NNEMAl ORMW ICEt 25.97' 1 29.e3' / / LOW.RIGHT_( -.WAY
NO/OR REOMWD S WWI WY MT OE USE OF I116 PROPEMY' N79'51'I VE _
w[na STOW OR ROT SHOW CS TUTS SUMP WP.
caw
a. R16 SURVEY PERMED NO WP MVO)NIIIOIA TIE EVERT K A / Wi /
NO
MU REPORT D 6 TIED/AMER TO WY FACTS NCH WIY PE
06ADff FM BY A NO ACCURATE 11RC SNN1L USERS K6 PI
N / `1.
SHOULD OWN NI ACOAWIE LEM.ORSON AS 10 OEIEPSHP NSW OE / . '^
ROUNCOMIS OF MS RAT.
5. ALL REARMS AM M GRID ON IC 0 NORM ORUIS-N915 2011);All 30'DNA1`I /
EETANCFS NE IOROON1A MORD DISTANCES SETBACK -- -�
fl COMM GO F/C1011.1.0001490611 /
1. AREA B/C00KANA1C M1110U. Poi {N , /
& TAM PARCEL MRIBER 246N92O NV• II'all/-99- --
V. COMM ZOIr10 RB-t r HN-R-1;SEE WP. II-- --- 61 4
10.WNW NW IMIER IRE AO 404 REONO WNE SOW N6 WAILED EI /
LAD INNANOEIN MP,0LIEOION mom CANC N0.Me CNN 75'AEC ,^]
SOFTER It IV AEC.ME I[ARRRD FROM LEAN MN ISMIK AS SETBACK I o VI
SHOW ON 1NS WP.
11.AMYL NNII-OF-rAT ENE!Re]EIE1O1 HNC SHOW RAS WEN{DON }I� z 15.321 SOFT. 0
TIE L.S.NW call a DOWERS DIVAGATION*0101. 8 o 0.35 ALER.s n ia
12.Ls AWAY FELT. i i 0P4 j
P '_d008E54 1'1 ag -o
E50 NTOR WOW 00O _
HOIDW MACH.IC 2A142 �_� g 7.
miA- N ^ � N
nNcl Flo N
.1
•
H�__Z0N1NC --- Is7'4t 4st
L__ --- HER-,LONiNG Su•2P'Sn a.eR.2E
Q.ISSR' W5O00'
R.6000' ..\ (TO Rf)
s7s of 52 ., \\ I.
T MAC kWFOUND 1 Sit
as-surto 4111Y m 0INER Rill N 130046.94DCOORDINATE
1
mow W6 FEDI NO ATTEMPT 9F TIE COTIMIC SUTAEMON TO wGN. ��.A� �A� E:2203520.25 © •
WIN OR REOEY Nrt 516SU FACE UTILITY'IVIES ON 0E MOPEMIES r•`i0 ASP xnu
SHONI ON D6 WP THE MIME 6 51B-SIREACE uMES.E MY, ',E,LUNG = NAO.8.29' 1 �i'
WY AFFECT TILE USE OF DES[PROPERTIES BEAM THE COMM CE TM �FYN W�,Y - ��- $ NAD.83-2011
SAMICR.USERS a MS WP,NO DER AITA6.ARE WREN HONED 1'lE•� t Q(•'
NO MKNONFDDE DWI NO OWE RESULTING FROM PM UIILM WWI -I�' R1GH- __�/ --� ,,,/
/ SCALE:I•-30

Chock
Date Received Date DopesNod Check From(Name) Name of Permit Holder Vendor Chock Number mount ~nit NumbenCommMb
Column? Column2 Column3 Column) Cahoo n6 CekemM Cahnn7 Column/
9/28/2020, McPherson Marine Services LLC Jennifer McCullough FCB 3479 $ 400.00 GP 878431D
9/25/2020! Pacula Builders LLC James Milam FCB 2617 $ 800.00 GP#77612D