Wall, Angela Jo

xCAMA / - DRE[ QF- & FILL No.76303 A 8 0
GENERAL PERMIT Proviram fw"Wt
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Ap .,,t Nj.-w . Angels ,Jo Wall
Ad&t4s 1042 Countiy Club Rttart
City ml Obve Stag NC Zip ��3t35
Pbwto # t9191 i5Q,,4074 E� Ull njtiat w8l rrail.00"r
Atuttwuvd. Agent PalliCk Aribnor5
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AEC(s) OtA Niip IN VIIA kit/A
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Fi tt Location' City onsksw
Strom Adtkostl State Ro3W Lot #(%) 1119 Chadwick.Shores Of
SubdNigon Chmlwtrk Stmes
City Snows Ferry ZIP 28460
Phone # ( ) . Rforr Rum WNW 08k
Adj. wtr try ChWJ"Ck Bay ( �A,t ;
Closest K4t Wtr. StAty New River
Typo of Proj"c Activity ptoi?c)SM dt�king fadlity
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Patrick Ant nor►
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Brad Connell
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x CAKAA / DREDGE & FILL J ( No. 76303 A B ® D
GENERAL PERMIT Previous permit #
. 1New UModification UComplete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 07H .1200
Rules attached.
Applicant Name Angela Jo Wall _ Project Location: County Onslow
Address 1042 Country Club Road
City Mt. Olive _ State NC -, ZIP 28365
Phone # (9.9 g) 750-6074 E-Mail [e-mail]
Authorized Agent Patrick Antinori
Affected ] CW xl EW ix PTA Ix ES Li PTS
AEC(s): IJ OEA I HHF I . IH -]USA : I N/A
f, Pws:
ORW: yes /® PNA �21 / no
Street Address/ State Road/ Lot #(s) 1119 Chadwick Shores Dr.
Subdivision Chadwick Shores
City—Sneads Ferry ZIP 28460
Phone # (_-_) River Basin White Oak
Adj. Wtr. Body Chadwick_Bay__ __ na -/man /unkn)
Closest Maj. Wtr. Body___ New River
Type of Project/ Activity proposed docking facility
(Scale:
Pier (dock) length 5'X180'-.-_-
Fixed Platform(s) . Tx29'
Floating Platform(s)
Finger pier(s)_ 3'x43' - ®:
Groin length _
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
'.II 111-1.�
j
cubic yards_ %v1y /` _
Boat ramp
oat sous / oatli _-1.4X 26;—_
1 TX13' G�oCi�� Ar�
Beach Bulldozing
Other _
_(2 boat 51jps)-------.
i
i
Shoreline Length 90'
SAV: not sure yes no '
Moratorium: n a yes no
Photos: yes CD (I l
Waiver Attached: es no
A building permit may be required by: onslow County See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions Proposed boathouse shall not exceed 400 square feet. Nt 6ctt slip
Total proposed platform area shading impacts shall not exceed a total of 720 square feet.
'rior to construction activities, the physical boundaries of the riparian property boundaries shall be marked by a licensed surveyo
Patrick Antinori
-- ----------
en or Applicant Printed Name
Signature xa; Please read compliance statement on back of permit x#
$200.00 1058
Application Fee(s) Check #
Brad Connell
Permit Officer's Printed Name
��/
Signature
4-8-2020
Issuing Date
8-8-2020
Expiration Date

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J0 kkt
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
N
Ak, C-) ��AA) C Z(3 3� S
qlj-`7Y0 —(oo-7
',llo65Wa
ck Nd NOr1,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development
►O c± 11f
at my property located at
in OK5)b1,J County.
Yo-
/ furthermore certify that / 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:
Vy�
ignature
h
Print or Type Name
6 w WA
Title
Z / q / Z
Date
This certification is valid through /

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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own
Address of Property:
Agent's Name #: 1�1 P-1 ck_ RW--1 Lo
Agent's phone #;
Mailing Address: Z"N &f(i
I hereby certify that 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 must be provided with this letter.
TLI have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection If you have been notified bE Certified Mail:
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15from my area of riparian access unless waived by me. (If you
i
to waive t e setback, you must initial the appropriate blank below.)
i2
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
-1 &i&TA
Signat re - J �4
�Y��
Print o e Name
1.bLuL, k - CUD
Mailing Address 0—
N)C 2E-3 65
City/State/Zip
c iI � --750 �PrG 0?q
Telephone Number
?J (b )Z/0
Date
(Adjacent Property Owner Information)
CIL� � LL!�
Sig ture
(-Tlelh kU � . U,7---ZL/ I ,_
Print or Name
/1�10.3 ChaA-6iC/C
Mailing Address
a
City/State/zip
q IC - 35 n -RS97
Telephone Number
- -2`�A -� a 0
Date
0-1
aq Vb
Revised 6/18/2012

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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: o C arg. i . :77-OGK
Address of Property: I I I �9� CMA uo k 5_ �O re 5 Dr ►y e)
(Lot or Street #, Street or Road, City & County)
Agent's Name* lAt4c-L �' ADI 1
Agent's phone #: 91y ` ;�.�- _SVO
Mailing Address:111 aA ((► s Cfe_&
�acks�Ny;l�e N-C. USID
I hereby certify that 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, must be provided with this letter.
A:6 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405.3845. DCM representatives can also be contacted at [phone]. 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 groin must be set
back a minimum distance of 15from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
blik I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signag4re U
alv�
Print ad Type ame
la tvt>
Mailing Address
City/State/Zip
9K , 750 (6 0-7 q
Telephone Number
Date
(Adjacent Property Owner Information)
Signature `
& ioara-T �ta�
Print or Type Name
LI15 cwaa_4Wf es
Mailing Address
Cityity State/Zip
Telephone Number
q�
Date
Revised 6/16/2012

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