77644D - Cobb

Check
Date Received Date Depooit d Cheek From(Name) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Receipt or Refund/Reallocated
Column1 Column2 ' Column3 CoNeMM Column3 Column8 Column? -- Column8 Column!
10/19/2020' 10/20/2020 _
'Ricky Hewett Construction '.Annetta Cobb BB&T 4855 $ 200.00 GP#77644D BB rot.12485
10/19/2020 10/20/2020 Big D's Home Improvements Darrell Saccheri CresCom Bank 1011 $ 200.00 GP#77861D BB rd.12486
10/19/2020 10/20/2020 AMW Docks and Marine Construction LLC Thomas and Dianna Mason BB&T 5980 $ 200.00 GP#75853D BB rct.12479
10/19/2020 10/20/2020 Bruce W Quaintance same CresCom Bank 2195,$ 200.00 GP#77647D !BB rct.12487
10/19/2020 10/20/2020 Once Construction Michael and Bettery Williams BB&T 14148 $ 400.00 GP#77645D BB rot.12483 _
10/19/2020t 10/20/2020 Once Construction Charles Bradley BB&T 14147 $ 200.00 GP#77646D BB rot.12484
10/19/2020 10/20/2020 Susan Brami same BB&T 719!$ 200.00 GP#77648D BB rct.12488
10/19/2020 10/20/2020 Bledsoe Enterprises Inc. Ocean Dunes HOA _ BB&T 14122 $ 400.00 GP#76491D PA rct.10265 _
10/19/2020 10/20/2020 Southern NC Marine LLC Charles and Kelly Batts First Bank 1341 $ 200.00 GP#77831D JD Rct.11760

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adjacent to 6e11-( f Property
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I hereby certify that 1 own property (N. nc r)
property located at_ -_J---- k, Road, --)
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D iyI (Wc.
-- in — —Grown and/or County)
(11'atcrbody)
"_ --_C Ovi. rng Address: ,�� ���� t�f J ^t. ,
Applicant's phone 1i•_—_ --` _-1-�`�'��t
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1-1e has described to me, as shown below, the developmentt he isprnp,i��ngtttlocation, and, I
have no objections to his proposal- I understand that a pier/inooriy� ea of Pnrianif t I bo unless
must be set back a minimum distance of fifteen sect(15) from ttt
waived by me. (If you wish to waive the setback,you must initial the appropriate blank
below.)
1 do not wish to waive
1 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED UEVE,LOPIVIENT:
(To be filled in by individual proposing development)
1\-r)
(Information for Property- Owner Applying (Rip• •ian• Yru
for Permit) pet ty Owner Information)
9(PI 49 2- .\N\raria.ki ,
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Mailing Address -
Signature
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it /SCytateZ �1) ---30D -0 5'rq /7 -2,1_ print or lvpe Name
Iephone Numb r 1 +� `� `'� _ - , ' '� _
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Signature 7 ,Da
Vp Date

✓ adjacent to e a(YrOPerty Owner)
' I hereby certify that 1 own Property (N�
etc.)
property located at 1i `�--Y.-- gluck,Road,
�r Eck N.C.
— s, in J (TOWe and/Or Count}.)---
on
(WaterhodY) ll �,�
— C 2 ailin Address: ?1 � Lt./ /G�� tij
Applicant's phone H:-�-✓ C S " G A--/C 2.--cy.v 1
- He has described to me-,as shown below,the development he is pl°h°sing at that location,and, I
have no objections to his proposal. I understand that a pier/mohumo 1 Pilingsi boatli ft arian f /boathounluse
must he set back:►minimum distance of fifteen feet(�l must initial the appropriate blank
s
waived by me. (If you wish to waive the setback,}
below.)
Q.\. - I do not wish to waive
- i, 1 do wish to waive that setback requirement.
DF SCRIPTION AND/OR DRAWING OE PROPOSED 1)EVELOI'1V1ENT:
(To be filled in by individual proposing development)
S ee A ((A')
(Information for Property Owner Applying (Riparian Property Owner Information}
for Permit)
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Signatu
7l(2�l Date
Date

9/2020
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H.Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 7 la-5'1;e
Name of Propert Owner Applying for Permit:
t - (1. ok) Li � LI' ��n acd
Mailing Address:
' (Ql L 7— 1 Cti \/ 2M OGC,1
enkt s ) , C 7 cn t R
Phone Number: ( 05-S- 1 J 3? (o - / C2' -
I certify that I have authorized (agent) tC Cleu-'e-et\ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or
construct (activity)
at (my property located at) 1 a M Q ,, Q 1 i
1 o tic, r1 D
This certification is valid thru (date)
f)-1/(CL 1C 6)--/ D
rl
Prope ner Signature Date
127 Cardinal Drive Ext.,Wilmington,NC 28405 On thCa
Phone:[phone] FAX:[phone] Internet:www.nccoaslalmanagement.net na
�j �rol roli i
An Dual Opportunity 1 Affirmative Aden Employer Naturally ally

1 //•(7-Z0W /frvtv
0 fJCAMA/ DREDGE & FILL N° 77644 A B C
ENERAL PERMIT Previous permit# /
��-= New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality `` ``1 -�
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC O�1' . 1 „.0 Q .
❑Rules attached.
Applicant Name f\r•ne1-t„,_ 60130 Project Location: County (..v .... i L+'--
Address 4 0 \Jv)( 59 Street Address/State Road/Lot#(s) `Lj7Z
City >1n�,\�o}� St��e N L ZIP 7�S`I S�j NAA�nQ % �%. ] � .
Phone#( ) E-Mail ' L Subdivision ` _
Authorized Agent ‘C k H t,-,_,,14 City Sk s\\o -C_._ ZIP 2 `1
Affected jaCW t EW TA ElES E PTS Phone# ( ) River Basin (--,-)1. 6Q-✓-
❑OEA ❑HHF ❑IH ❑UBA ❑N/A �` q1(U
AEC(s): Adj.Wtr. Body ,,c/,/man /unkn)
❑ PWS:
ORW: yes /� PNA yes /� Closest Maj.Wtr. Body Sh...1t)k — l(t -'tr
Type of Project/Activity Civ S�-r•...c �- ram., ckaclt-,----3 -GZc , I CI-2r-
LiI I • (Scale: l )
Pier(dock)length
Fixed Platform(s) 2 ' 12 E [' : t A_r C�� t 4- 3* kky c,v~ .t>i • .
Floating Platform(s) D, Xl L, '\I 'E� T� 1 —
Finger pier(s) — .� __ - _O1r,.S r
Groin length 4
number '_ J .. .. �
Bulkhead/Riprap length ? h1pE 1ktr cI'utni„„ .
�c4-
avg distance offshore ;S' i
max distance offshore 1
Basin,channel ��.^J ! ! . i` , &�
•
Via 4 A.(pOI . VA 041
tut ill i
cubic yards -_ cjv,/ i
Boat ramp ; �' ' C
I 1 BO i I
-7- F- ! "
, , ,
Boathouse/Boatlift j r....._.1 __
_ r 1 1 -,
_...._. —. i0� i n --
luw _.
jr-- N ,
Beach Bulldozing r—�1 S; , ,
Other , , ,
,_�� "'�` } - j h
u �,, r W v 1 A�I
Shoreline Length I ZN t _ l �P�L C— 1
C
SAV: not sure yes f o nn c5 .�io� �_. — , } ..— V e ei Co�pl'?
i I
Moratorium: n/a yes o ( 4A1,., _ i
Photos: yes S�3 I — + S 11- S
Waiver Attached: & no —
A building permit may be required by: a(-,vk•S�. i cAc C‘,..., . P See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditionsl , /
p ' �' �J 4�L, ..� � c=���� G.J\\\ /l�� sip(CAS /�` C..-' �� V t �`/'� � �.
1i'C1 1 to
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Agent or it P • t Permit e ' Prin Name
Signat Please read compliance statement on back permit** Signature
2CCUGU y SS 1U 2 Zor o I 6tZ o , l
i ( IDatel Ex i tionate
Application Fee(s) Check# Issuing p