77668D - Bland

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ink _ CAMA / DREDGE & FILL i s 1n?A) N° 77668 A B C .0
o EN ERAL PERMIT Previous permit#
)C _ New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality y�
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 01 [�]T ' 2- .
❑Rules attached.
Applicant Name O 1/ 1 ' LA N i> Project Location: County I rL--'
Address 2 9 '-- 0 / 141 LN Street Address/State Road/Lot#(s)
City V,-F C/( State N ZIP 16 T r 7 4-'' An''cj-
Phone#(111 )fps+--4Ui"2_Mail Subdivision /22-06-A' 6
441
Authorized Agent CO tJei - ( /C/' City ZIP
C
Affected W yiEW ATA ❑ES ❑PTS Phone# ( ` ) River Basin 0/ ' 0,
AEC(s): OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 1T i ""f 5°V NI?> AgOr an /unkn)
PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body JV1A 50`) J D
Type of Project/Activity LW,' v. ei-IA f f i x e /I1.1 / -te/
r,. o/ (Scale: )
Pier(dock)length l X 1 tOM
Fixed Platform(s) (1 X b ' `t!y�,��l_�*•`
C � . D1^' �
Floating Platform(s) ii 1 �` 1�1
Finger pier(s) i
i
Groin length { I44‘ ' ' 1 I number
Bulkhead/Riprap length —�
avg distance offshore \ 1 ,
y�
max distance offshore `._N I f
Basin,chanhel I
cubic yard 4 t1
Boat ramp ' i
Boathouse/Boatlift41 L
e
--mmiiiitimm*
Beach Bulldozing
Other Ali*, i [�'A �� Ti 1 V�1��
I I
f t
''
Shoreline Length � � � l ; \
SAV: not sure yes LIS r_`' j - DIA`
Moratorium: n/a yes _
Photos: yes 1 !
L1 , , l
Waiver Attached: yes o !
A building permit may be required by: ta:/t�( U >L f CA Pr . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
I__
0 �1 ¢- P4 -'C� cDj 1) ---
Agent or Applicant Printed Name P it er's Prin a --__---
r/
Signature a Ple ompliance statement on back of 't Si
4'D0 /0 Z' ?,o ' V
Application Fee(s) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: t C �C11� .
Mailing Address: : C�17 6 Lr•6 C.cel friy LP/}C,
3dr+ C1fy, NC .714 '
Phone Number: �11`1 - 67,4-11)'7:7
Email Address: D1 JL'flciF9nL- 66m
l certify that I have authorized n 1}ITT Marine. t zC y y*ucFf e n
Agent/Contractor
to act on my behalf. for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1."1'X 1: ' Jcc.k,
t(
at my property located at 6161J beC b1 y n f
in Pei)1'9e I 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:
ignafure
M t 1/ P31in d
Print or Type Name
C wh
Title
0 9 ti i e2O
Date
This certification is valid through I 1

ADJACENT RIPARIAN PROPERTY (}}OWNER} STATEMENT
I hereby certify that I own property adjacent to !V 1) 1 i3 f r(n C( `s
�� (Name of Property Owner)
property located at . ()'1C}tJ.&c4I) r,
(Addres Lot, B LAocic,Rod,etc.)
on "in 6L , in 5 i`I rr City ty , N.C.
(Waterbody) (City/Tdwn andior County)
The appli nt has described to me, as shown below, the development proposed at the above
I ton.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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 wish to waive the 15' setback requirement.
1`OA (74-- I do not wish to waive the 15'setback requirement
(Pro rty Owner Informatio (A• t ent Prip'i, Owner ation)
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Print or T e Name 1 Print.rig, S1?
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City/State/Zip J _��f-� City/WV-4-
75 fa el�i ��
Tele shone Number t email address Tel N m r/e address
te " t' f Z-a 7f 7/Z Date Dare* !
"Valid for one calendar year after signature Revised Aug. 2094)

S. Postal Service`" -
RTIFIED MAIL® RECEIPT
Domestic Mail Only
rn For delivery information,visit aw website at www.usps.cod,'
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IIComplete sterns 1,2,and 3. A
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7015 0640 0004 6608 3602 Meted Delivery Reerrteeed oeerery
PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt •

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: \I) tl 1.1 16 n( .
Mailing Address: C ri al ()CO &1 y Lt n e,
5c,r f7 CI-fy, NC .7 Y.
Phone Number: (l 1!- 4064—4L 7
Email Address: nh1r bthn 9 i l- 60
l certify that I have authorized Eh ii e4+ Marine, (6 n S Jruci-r it
Agent l Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: i X b1.1 De c k,
► (
at my property located at < (Y1.8 7443e66 &I y Lane,
in Pe;i VIc I County.
! 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:
y ignature
\ �J
rint or Type Name
Cwh . if
�j C "Tie
® t , o
Date
This certification is valid through ! t

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1 v C�( 1y i3 ier n d s
/� ``tt Q_ Ile,
of Property Owner)
property located at . 0 q t7 J. e i'X i L.. t e,
{Address, Lot, B ock, Rod, etc.)
on Cif}61 , in 6,t i r+ ( f y- , N.C.
(Waterbody) (CityiTdwn and/or County)
The appii nt has described to me, as shown below, the development proposed at the above
io ton.
I have no objection to this proposal.Til
I have objections to this proposal.
one-
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.)
1�;; •
/ I do wish to waive the 15' setback requirement.
Ca
( -_ I do not wish to waive the 15'setback requirement,
(Pro rty Owner Informatlo (A ant Pr Owner anon)
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Print or T a Name I Print r rn 5/?�
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Maili Ad s eI�j n��
/CtatefZip _ . r� City 1116/C J /1
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Telephone Number/email address Telap Num r/e all address
az� t �13
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`Valid for one calendar year after signature* (Revised Aug_ 2014)

S. Postai Service'"
RTIFIED MAIL® RECEIPT
Domestic Mail Only
..D
rr1 For del vary information,visit our v ebs to at tvww.usps.com'.
co1 Yr i rit�i tk a, NC 18480
cm Meit Fee
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See Reverse toe Instntc[tons
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• Print your name and address on the reverse k $ d ee
so that we can return the card to you. Jim
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• Aor on thettach this
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ifspace permits � .fi C 1;)W i �
1. Article A.ddrasssed to: _ D. Is defwery aci�ees different from Item 1? ■ ea
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7 015 0640 0004 6608 3602 .aettted Misery R..titcted Delivery
PS Form 3811,April 2015 PSN 7330-02-000-9053 DomesticReturn Receipt ,

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RECEIVED
VP, OCT 1 5 2020
DCM WILMINGTON, NC

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e ' CAMA/ - DREDGE & FILL N9 77668
A B C�
ENERAL PERMIT Previous permit#
)-`— ew :.;Modification . ' _'Complete 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 15A NCAC CW1 14 t
e E.,Rules attached.
Applicant Name 01/1/ fvAN Project Location: County_
Address ,p-,
�" �7 tr L'N Street Address/State Road/Lot#(s)
City 4 O a State Nc--`LI VS 6.6(-A
Phone#Oil) 04" +2"E_Mail Subdivision 1C-41A— tAi
Authorized Agent t--N 0/ 11 PA/Ci^ City _ ZIP
CW yiEW IV TA DES OPTS Phone# ( ) River Basin_ IN' ` Q.
Affected __ I- /''' .
AEC S : 2OEA 17HHF ;]IH OUBA 0N/A
( ) Adj.Wtr. Body ��,/ 50ol• r) Z�i"""' funks)
L_-
ORW: l PNA es 1 no Closest Maj.Wtr Body _ ✓NM� 5d'��jJ
t b r i \
Type of Project/Activity 5 y(�t+ 0(..1.4I n X-44l it r►n vv cJ-o t '\
l I (Scale: )
Pier(dock)length� �
1 '- `_T_ Et3M --, __ - — T—_ .F
Fixed Platform(s) 4 __ Dvet J0 A � l _
Floating Platforms) --- •- � +-
Finger pier(s) _ _�l I
R of n _
umber . •
[� b � I_ '. ..._.._ �_.._ `1 .
_ t
Bulk ead/Riprap length i i V ,
a.:distance offshore
distance offshore _
Basin,ch. •el , . i 1.
cuti<yar.. V/
t
Boat ramp ___
Boathouse/Boatiift .Ilialijill . - --7 _,._
r
Beach Bulldozing I__
Other i y�+ 1 --NJ {
V• _ y s.
Shoreline Length____ -- _.
SAV: not sure yes .L. i Y tF t►"��'
Moratorium: n/a yes i _ W } I
Photos: y I
i
Waiver Attached: yes _. ' _ _ I i i l t_
A building permit may be required by: {r Pi See note on bads regarding River Basin rules,
(Note Local Planning Jurisdiction)
Notes!Special Conditions
C.. dtit ..----- 014
or Appi en Name Pe er's Prin —
-- -
re ompliance statement on back o . Sr
Application ifs) Check# Issuing Date Expiration Date

•
Check
Date Received Date Deposited Check Rom(Name) Name of Permit Molder Vendor 11/ amount Permit Number/Comment. Receipt or Refund/Reallocated e
Columnl Column2 Column3 Column4 Column6 Column' COlen7 Column8 Column9
Minor Modification Fee#47-87,Kinder Morgan NC Ports,
11/4/2020 _ 11/5/2020 Matthew Mooney Kinder Morgan for NC.Ports Wells Fargo 230 $ 100.00 Wilmington NHCO _ _ _ I KE rct.12409
11/3/2020'' 11/5/2020'Robert Allan 'same Coastal Federal Credit Union 8283 $ 200.00 GP#77840D PA rct.11554
11/3/2020 11/5/2020 EZ Docks Plus LLC Elwood Petchel BB&T 1140 $ 200.00 GP#77624D Ben rot 11723
11/3/2020 11/5/2020'Jerry Ennett IMolly Bland Coastal Bank and Trust 3426 $ 200.00 GP#77668D _JD rct.11764
11/3/2020 11/5/2020 Andrew Barnes Susan Brady/Andrew Barnes Chase Bank 376 $ 200.00 GP#73585D JD rd.11657
11/3/2020 11/5/2020 Carolina Bluewater Construction,Inc. Angus Wang BB&T 23124 $ 600.00 GP#77683D BB rd.12430 .
11/3/2020 11/5/2020 AMW Docks and Marine Construction LLC Tracey Watkins&Kelly Webb BB&T 6039 $ 400.00 GP#77681D 'IBB rct.12499
11/3/2020 11/5/2020 Gnce Construction of Brunswick County In Brenda and Barry Hooks BB&T 14211 $ 400.00 GP#77684D 'BB rd.12431
11/3/2020 11/5/2020 B and B Marine Construction Jay Plummer Wells Faro 1514 $ 400.00 GP#77688D BB rct.12433
11/3/2020 11/5/2020 PFL Construction LLC Robin Timmons Nacy Federal CU 1927 $ 200.00 GP#77676D JD rot.11658
11/3/2020 11/5/2020 Clements Marine Construction_ Edgewater HOA FCB 5572 $ 200.00TGP#77891D iKErd.12412
11/3/2020 11/5/2020 B and B Marine Construction Harold Fowler Wells Fargo _ 1515 $ 400.00 GP#77886D BB rct.12434
11/3/2020 11/5/2020 Timothy Powell James Jackson First Bank 9206 $ 200.00 GP#77868D_ BB rd.12495
11/3/2020 11/5/2020 B and B Marine Construction Wiliam and Noreen Moody Wells Fargo 1516 $ 400.00 GP#77887D BB rct 12435
11/3/2020 11/5/2020 Spencer and Carol Rogers Channel Haven Property Owners State Employees CU 6792i$ 100.00 Minor Mod Fee,#141-90,Wilmington NHCO IPA rct.11558