77636D - Quinn

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0 LJCAMA/ ❑DREDGE & FILL N° 77636 A B C l�
GENERAL PERMIT Previous permit# I
>Z ,.E New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued ."
As adthorized by the State of North Carolina,Department of Environmental Quality 74-( • '2(0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
II ❑Rules attached.Imo.
Applicant Name �bh 40 t"'L� u i 11 Project Location: County B r Uh r�' i c !�
,Address L S�or✓ T
' q-ce Q Street Address/State Road/Lot#(s)
City Tex ryJ1 k State CrZIP 66 706 / t1V L 16i'1 S Pet A)
Phone# ( 3) °'B2 �.Z( E-Mail CI6 Jt. zol z kJ�C` tc y..t a I , Subdivision ,/�--
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Authorized Agent W/1I` r el, �� City 14 a d " 6fla� ZIP 8�`p a-.
Affected ❑CW 'TA ❑ES ❑PTS Phone# ( --r-------
River Basin L u i11-1 bet--
❑OEA ❑HHF ❑IH ❑UBA ❑WA � n-N L
AEC(s): Adj.Wtr. Body l� - (nat man nkn)
❑ PWS: 1
ORW: yes /:'no PNA yes o Closest Maj.Wtr. Body AT ,. "
Type of Project/Activity /Ze.49 la Cc d b Cie t o q -ricU (1 4.47
(Scale: ( _ZC )
Pier(dock)length /'''''
1
Fixed Platforms) xi 2 " (4•' IIIf
Floating Platform(s) k j(O
—_ = AJAL �- ; _
Finger pier(s) /' .. . ,' i }.._._ }l \ fij
i I
Groin length / { I //ff
iii
number / -� ; ._._. ._..-_._-- _..._ . �._�_ -,_ �- _._..__._ . _i
Bulkhead/Riprap length Sr ..\_.__'" ! i --.--. i _.__
, . ' w �.� j
avg distance offshore -i' i�°�L )(
max distance offish Fj°d�h t v 1
Basin,channel 1 I }
• 2L: I i , 4 , i
i
cubic yards 1 IIIIIIIIII= 1,._9„. _ al) • j
Boat ramp t .Ae0.k I 11
4
L C^
X j � -�1
Boathouse��atlift i 3 X I� _ '_ ` _,�. ,� _...�._.... �__ Lk-�� - -....J✓7C�.. `` __.........._..._E_..----
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Beach Bulldozing �/'' fi`' " -
Other
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'515t
11uYQ � I
aMD
+ c; j.. I
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Shoreline Length It Sfl t
N ' , I i T_;..._
SAV: not sure yes --�,��C �.. _.._. I ...._. - _ � � _ j
P.w \iSo
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Moratorium: , ...9 es no 5.1AA.5 ' `n�1 i I_ L_
✓/ yes 6 .ttU�1T'QA } i ...._.. J2E t�ioy,. _.. A+s1
Photos: es no �: I
1
Waiver Attached: el, no ! i y i
A building permit may be quired by: /"' O`C/A &.AG1/-N n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /� I + / ! 1
Notes/Special Conditions hi \ r(,,t`E S c- �l ' (7c t OCR l, S 1 4 -c ld -da-a
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I i r rbr ri l tte of
OP c .1 J 1r O.Act ill s� c_-?,,__FI 10k
Agent or Ap licant Printed Name Permit Offi er's Printed N
Si:natu e **Please read compliance statement on back of permit** Signature
'`'�; tZ00, DO 7Sy1 1 ?/2C26 9 Z
Application Fee(s) Check# Issuing Date Expiration Date

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51 (.71,,,i.7.,
' '.. 14) LIONS FAVA
DATE
_ _ E*0-402-2,559

AGENT AVIMORWATIViFOR CAMA PERMIT APPL1CATIQN
Name of Property Owriei RegoesliNi Perrytti -6( Lili.QUIZE!
Pddi ' 9 rc •
( .16.71N
Phone Ntirriber- Nil-982-3 I
Email Address: ki jq-111 2
ilo-r
certrly M W l it ic
Mat have authorized ha:d5 ,
A.ge.t....C_caractor
to act on my twhalf., to the pilrixyg-e of applying for arid obtainirt It (AMA perrnits
rie..,<..-1-1ssary for !he following 1-_>1.01)(11.;ed (1e. }pretiW.
•.! dit\
at my proc.)ert. located at
rui 6,1 County
furthermore coley that I .irr; 61U110t1 &.-.f want, and C1/47, in tact grant perrntswott to
DrosK)n of Coastal Managerrica7t Matt, :IN-: t-'ermrt Officer and their agonts to ewe,
on the aforementioned lands in crinnecrion with InArrtnatoon related tc.) this
Permit dOplicatton
Proporty Owrier_latorrri,tion•
!
•
flu; thrt_•1,01 i! 1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to John &Dawn Quinn 's
property located at
140 Lions Paw (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Canal in Holden Beach , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
initial here 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)
Construction of docking facility
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
initial here .L-' I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
t' " ' '' it. Priv Complete
Signature Si natu e
Will Richardson/Authorized Agent Linsey Dyson
Print or Type Name Print or Type Name
3235 Seacrest Ave SW 207 New Londondale Dr
Mailing Address Mailing Address
Supply NC 28462 Cary NC 27513
Cii�yy/Star 2i City/State/Zip
9I0 36�1 0�35 919-414-7856
Telephone Number Telephone Number
November 17th, 2020 11-17-2020
Date Date
(Revised 6/18/2012)

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certfy that I own property ad,acent !o 'ohn Sr:)awn ()u:nrn 's
t t �� ('.tu IName of Property Owner)
PrOPery locates! a'
(Address, Lot. It k. [toad, etc.)
on - Carnal rn ,11 i.r r.r: tiraL
(Waterbody) N C.
(CitylTown and/or County)
The appsoant has ties1ibed to me. as shown below the development arcpo d at The above Iocahor
•
'Mimi herd z ..i:•, r have no c)b,e.t an to th s pr^.:ic•sai
i have oOteetions 10 tits piope,sal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in descripflon below or attach a site drawrng
Construction of (tucking facility
WAIVER SECTION
I ucdt'rstand that d Feet, dock Toor-ng p 1 -up.: Dre3k:wa er boathouse• ,t oi groin must be set ba,:x a
rn rnm.i'' j:stance of 15' from my area of fir:ar,ar access unless waived by nie :It y:x: ansn •3 as
The setback. you must initial the appropriate brans, below
initial here
J.,/a,- I do wish to waive :Ile '^ setback 'equiremart
do not west. ti .vdie 'he 15' setbai k rera,nrement
(Property Owner Information (Adjacent Property Owner InformationI
'tiigrlaiu i
Will Rrchardsj:n Auth.inrcd Alrnt , .i-k_, -_ - ' -• - ` -
:'rmf r Type�►,dr"i Pant of T Mam, "_.
i?:ti S.ta..re,t Are ti11- 4`
+'.taONrig Ack*rNV t kiaihrig Act res. —
tiurrly tit: $4t
9r6S-is ire �ityrSlalev/ .
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cmhcr t'th, otl2ll 1.,. ' - ;:- : -

•Check
Data Received Data Deposited Check From(Name) Nam*of Permit Holder Vendor 11/ amount Permit Number/Comments Receipt or Refund/Reallocated
Cdomni Column2 Cdumn3 column/ Columns Columns Calunn7 Columns Cdomna
11/202 02 0' 64ic0desG Chaps I Suzanne Ord Nnk Chaps FCB 1577 $ 200.00 GP 0775120 _ JD rot 1166E
11/202020 Berard Scott Borne rDerial Bowen BB&T 5275617 $ 200.00 GP I]]6040 — Ben rq.12457
112 Willa
a Clarence RicherdeoNRKfurdson Caotructon Jahn and Doan Dom BOOT 7841 $ 20000 GP 177636D Ban rt.12467
11202020 Jeffrey Lynn WO. J*RMP* Suntrust - 1201 f 200 OD CGP 177552D PA rct 11561