77872D - Arnold

1CAMA/ ❑DREDGE & FILL NO 77872 A B
New El Modification IA Complete Reissue ❑Partial Reissue Date previous permit issued i
rized by the State of North Carolina, Department of Environmental Quality 11 U
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC O1�� . 1
` ❑Rules attached.
t Name --¢e J ennn r(�r v l ` Project Location: County ),(� S . i c
S S O \ `J r‘.C.."t)1e. C C. ✓_ Street Address/State
Road/Lot#(s) 5
,„A a,ck\.,1 State ( ZIP 7-1 is 15 Lc 1,,t n - _
'(11`1) L1 L 61v03 E-Mail k1=1ui Veili c_o(•(O"" Subdivision`
edAgent �V\ Q�/4•„` �` -- City C7�ec." I,j‘.� ‘lc•t. Gc ZIP Z w (y
id CW ❑EW XPTA ❑ES ❑PTS Phone# ( ) River Basin L— ' I'3-
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Cos...., (nat
❑ PWS: 1WVt1
yes / no . PNA yes / no,r) Closest Maj.Wtr. Body �
'Project/Activity (\ems c cL, .� , 'k t'\ r...J ,-�'11 o-..V C,F4 c�
(Scale: N)
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atform(s) i l
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ier(s) F CL i i .•vki-J —
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distance offshore ',S vt � �`/}
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uc distance offshore .
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Attached: y7 no i I
tit( rn (�
ng permit may be required by: V�c. ��4- \j< V\ I See note on back regarding River Basin r
Local Planning lurisdiction) ,

4441
:».r Ir CAROLINA BLUEWATER CONSTRUC 1ON
�'��:ti�.L► , Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Pr. SW,Ocean Isle Beach, North Carolina 28469(910) 575-7100
15 0'CAMA Setback 4., 1547 CAMA Setback
1P-o'OIBSetback I CANALS I 1a-0.OIBSetback
1 I A
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Alum.Floating
Dock Wl 10'Plies
126x 126 Boat Lifi
310.Piles
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15'-a" 12-6' 6/1TO. a 10'-0'
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EXISTING CONCRETE BULKHEAD __ 1:,; ----1
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CHARLIE M.NICHOLS 1a-
DEED BOOK 3526, d E TERRY D.WILLIAMS
PAGE
4 161
u DEED BOOK 4131,PAGE 413
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: . / -iJ)L
Mailing Address: cs N)-C)k M exbE Cu_
Phone Number: 6R't 'k4 6C0 v3
Email Address: Sink.s,x_c e =N,JI;
I certify that I have authorized 1' k,kJ e L� 1�
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necceessa``y for the following proposed development: �4v1 t�
to-
c,
at my property located at 4 L i hp-ID c T. O�t3 is C_ 2,64
in t r'vpsu,t`h- 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:
Signature
(-;- 5,1-v cc /gyp 1,
Print or Type Name
Title
4-1 I 9 I 2-01-0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to V`-Ue-- IV( Y KO
' I (Name of Property Owner)
property located at '-75- Le (a S4
(Lot,Block,Road,etc.) t ,,
on etiV C in eCe a �S l-�: N.C.
(Waterbody) (Town and/or County)
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/boatlift/boathouse
must be set back a minimum distance of fifteen feet(15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
`
,�'1'P
V I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information) (Riparian Property Owner Information)
10q3/ ( chi iy- _ _ ),/ , c i, ,;

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to krI l j St}h Al2C Ic ,
(Name of Property Owner)
property located at `- Lela tit(1 S4
(Lot,Block,Road,etc.)
on Ciri1. .( c in 11 )ccl
' l� ,N.C.
(Waterbody) (Town and/or County)
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/boatlift/boathouse
must be set back a minimum distance of fifteen feet(15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information) (Riparian Property Owner Information)
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