36863D - Parker

GaMA/ ❑DREDGE & FILL .,' 36863 D
ENERAL PERMIT Previous permit #
��-= Xlew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7H /a2C)C_ .
c_ � LJ Rules attached.
Applicant Name .0 ra�/c?t)e -ket- Project Location: County _
Address „).ZU /act !o roc r $f rec" Street Address/State Road/ Lot#(s) /3 5 • 4-01" 3'48
City /ac/G' V///G State ,'yeZIP Z f31 4 L`a,-Iv ,�fi'ee i'
Phone # ( ) Fax# ( ) Subdivision
Authorized Agent 7-)r.1)1 ; fe (/!'$ City 7 rdcr) oCC'(/-7 ZIP 2e"//o 2-
CW EW PTA i ES PTS Phone # ( ) River Basin Lumber
Affected
AEC(s): OEA HHF IH UBA N/A
: Adj.Wtr. Bodyrla-E
^J PWS. FC:
[ecc. (nat / an nkn)
Closest Maj.Wtr. Body /9 yw toORW: yes /'no PNA yes / no Crit. Hab. yes / no
Type of Project/Activity /-)c/>/aCC G Id wok. G,.>/NCB / /UG fir JCJG t
(Scale: I1' 2c. )
Pier(dock)length //v XII' ____
Platform(s) /UX /2
Finger pier(s)
Groin length
number
Bulkhead/Riprap length _ �� �`�
avg distance offshore
max distance offshore
Basin,channel
cubic yards
Boat ramp - /L' <. -..�5 ------*
Boathouse/Boatlift
Beach Bulldozing j
Other /77Gy /'e/2 / .�,;... • A3 ----_
34(/k,h ead -< 5a°. - . - ..
‘ r .r_
(DC.G.d...)ha.?, by/cs) I I
Shoreline Length > I /`—c-/ki;Cc.r/CCU
SAV: not sure yes no) pL % C lr " G F,
L
Sandbags: not sure yes -n`
Moratorium: n/a yes 0
Photos: yes °O
Waiver Attached: yes __.___ __ __.__ _— __
A building permit may be required by: f/G/den eGac62. I I See note on back regarding River Basin rules.
Notes/Special Conditions /yl( CU?/dG 6.17-c-4 Cil 2///2 Ue? /�j 1( y7
CJ'd'/h c�' (_) /Jam' = 18• 5- ,Cf' /7)( -f P2-i irz/-t 1q/ / c-`
- ' C.D-✓1J7%L4C.f' 6cck 6 ri .& K7d
p a-GCa5 C;__„ t [%L!C-st.� e1(4.6.•
Agent or A plicant,Printed Na Permit Officer's Signature
7 3 • //- oyi 6 - //• oV .
Signatu **Please read co ' ce statement on back of permit'*' Issuing Date 7� Expiration Date
.j/ad /35/ flp l�i� 13c,a 6.4 Are'/'"
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-648 I)or the Wilmington
Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves: Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised I0/05/01

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: jail 724,,e� Pa c i2er-
ADDITIONAL NAMES:
AEC DESIG: [ 1< -' J P 7 DEVELOP AREA: . r PROJ DESC:/ -/
only take
(Will only take 6) (Will1)
:1 WORK: ' 4-
(Will only take 4)
MAINT:
(Will only take 4)
•
IMP: b to (;. y
(will only take 6)
•
ACTION EXPIRATION
DREDGE&FILL REQUIRED: �3f ii/G4- (of(C IC 4/-
CAMA MAJOR DEVEL REQUIRED: :3((jf Lodi (oy

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Permit Number.Locality •
Ocean Hazard Estuarine Shoreline ORW Shoreline • Public Trust Shoreline Other
(For official use only)•
•
GENERAL INFORMATION
•
LAND OWNER ` . •
•
Name
S-A{ZA- 1117tfl • �c��� (2.. .
Address ' r9):9.,0 Ppi- owiy\ P1fl. 5T
Phone � -ebb " J��'y-•y�� (o
City F��v .' State N C. zip Math.
•
AUTHORIZED AGENT .
Name E? A 0A5-1-1.e_ -.fu C.
.
Address ` p�, g7 ' (9 2)t4-) • .
{�� State _Zip Pg�6Q a phone 'St-fa ce062 1
City O1 1-�
•
LOCATION OF PROJECT: (Address street name�a�,n,d/or • ctions site.If not oceanfront,what is the name of the
add
acent waterbody.) 1.3 5 (\Q_r-lo•Re_ • -• D kck • '.1 NC.
ON OF PROJEC :. - all proposed construct•iori'and land disturbance,) 1
DES • ± . a, . _ -•• ., `i • �- •A - 0 ► - -- 00- i 10
•
•
•
•
'mob ®' square feet• • acres 5
SIZE OF LOT/PARCEL: • • r� 9
PROPOSED TTSE•Residential (Single-fpm;ly • IVlulti-family . ) Commerical/Industrial • Other
�
TOTAL ENCLOSED FLOOR AREA OF A BT�ING.IT THE OCEAN'RA7.ARD AREA OF - '`
'EN IRO 1TTAL CONCERN(AEC): tO •..square feet(includes all floors and roof covered
d decks) •
SIZE OF BUILDING FOOTPRINT AND•0111.B.R DA PER'VIOTI BDTILT-UPON SURFACES IN'J±
COASTAL SHORELINE' AREA OF E CTVIRONM ENTAL CONCERN
(s covered decks, concrete or masonry patios,
y ,
•
(Calculations includes the area of the roof/drip line of all buildings, )
' etc that are within the applicable AEC.)(Attach your calculations with-the project drawing .
Choose the AEC area that applies to your property:-
•
•
(1)v.within 75 feet of Normal High Water for the•Estuarine Shoreline AEC
(?)within 575 feet of Normal High Water for theBstuarine Shoreline AEC,.adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STOBMWATER MANAGEMENT PERMIT: Is the project locatedS in an area u subject to a-State Stormwater
•• IVlanagement Permit issued by the NC Division of Water Qualit}•
If yes,list the total built upon area/impervious smface allowed for your lot or parcel. square feet. •

•
d.
sue\ .% m m o
? The Town of Holden Beach, North Carolina
? Zoning Permit Application CI a oCz
North Carolina D d
Section 1:Basic Data(Information to be provided by the applicant) _ z ` ill
g
p��R,�zer� $Ofa 33y -l�i�d(p a
Name: S).4141A14 U� Telephone: _ .,
f IHolden Beach Property Address: l.5 CIA OA-` `a ., C
0
Lot: 34 51 Subdivision: o
c
Permanent Mailing Address:(Print"Same"ifJgcal address above applies) •
VGA Lo vli aft.
Street Address: 30 • ta
City/State/Zip.Code: FC.t_.IJ e V e 1 le. Me.. c $ 3 i `i . •
Contractor who will perform work:9 E'c., 01-,ricTL 2s
Address: \.d-6. o Y-<J r • Telephone:¶ U-CQO(Q/
Contact Person at Contractors: Le,
Type of Structure:(Check applicable box below)
New ® Alteration 0 Repair 0 Relocate(Move) El Driveway 0 Fence E Other 0 •
Property Use:(Check applicable box below) •
.Single family IW1 Two family EJ Apartment El Condominium C Townhouse 0 Other EJ
Zoning Permit Specific Criteria required to support application approval: pj/ri
.. Type of driveway fnaterials:
. Driveway area in square feet: )► . •
Plated area in square feet: Oft Useable area in square feet per Survey:
Required front setback in feet: /1/4)I iii-
Required rear setback in feet: Required side setback in feet: .
Lowest grade elevation below building in feet: •
Finished grade elevation if fill is to be placed on lot in feet:�� Iv/Piling depth below original grade in feet:.
Highest point of finished building in feet . Alf• F`e 1."•abo-ve:rMai•h.;Sea Level
Is fill material required on the lot?(Check box) Yes E No 71 If yes,state depth of fill if more than 3 inches: .
Designated ground level'in feet above mean sea level as specified on Stormwater Permit(if applicable): •
'Ground level is a measuring point per the following: .
1.FRIA flood area'AE:Measuring point is minus 10 feet from the base flood elevation. .
2.FEMA flood area'VE':.Measuring point is minus 8 feet from the base flood elevation. .
3.FEMA flood area'AE'and'VE'where the minus 10 and 8 foot measurements from the base flood elevation is below undisturbed soil:
measuring point is the lowest original soil under the structure after the undisturbed soil has been balanced(see Town Ordinance for definition
ofbalanced'). .
4.FEMA flood area'X':Measuring point is to be the lowest original soil under the structure after the undisturbed soil has been balanced.(see
Town Ordinance for definition of balanced').
Certification to be completed by Applicant:: •
"I certify that any construction,alteration or replacement of building and or use of land shall be carried out in accordance with
ih or a'on nd Zo ' it criteria listed above." .
t t
Authorized Signature Printed Name • ' Date
Section to be completed by Town of Holden Beach Zoning Official .
CAMA Permit Required? Yes CI No 0 Stormwater Permit Required? Yes El No I] '
Zoning District determination for property:
Residential District(R-1 Zone) 0 Residential District(R-2 Zone) Il Commercial District(C Zone) =I
•
Zoning Official Approval Signature: Date:
AS A PRECAUTIONARY MEASURE, IT IS SUGGESTED THAT BUILDING HEIGHT BE CHECKED BY A-LICENSED
SURVEYOR PRIOR TO ADDING ROOF. -

•
ts
r
II_1,ER11 ITS\1A1 BE REQUIRED;The activity o6 are ant plarincht ine may
qu required.ire
pe.sr sothe tch c-t the
o CAMer.the list minor hd velLPOnopertnit
nice gee of ese appld at g of tee-:inns of p _
inc ifam•of these apply to your project-Zoning Drinking Water.Well.Septic Tank(or other sanitary waste treatment system)_Burning. •
cal,Plumbing.Heating and Air Conditioning,Insulation and Energy Conservation.FIA Ccrtificarion,Sand Dune.Sediment Conrrol,
ision Apprtval,Mobile Home Park Approval_Highway,Connection,and others. •
•
CEMENT OF OWNERSHIP: ' ' . .
undersigned,an applicant'for a CAMA minor development permit,being•either the owner of property in an A.Eti
to C'or
son authorized•to act as an agent for purposes ofapplying for a CAlvIAminor eve described permit,
therein_This interest
listed as landowner on this application has a significant interest the real property
•
to described as:(check one) '
Title is vested in1A- �A- '� �' • see Deed Book
an owner or record tile,T • County Registry of Deds. '
in the (ZU,YUSt.t,t��C . .
is an heir to the estate of • ,
an Owner by virtue of inheritance.Applicant .
late was in • • County. . .'
if other interest,"such aswritten contractor lease,explain below or use a separate sheet and attach to this application.
TIE'ICATION OF ADTh CENT PROPERTY OWNERS: •
rtheimnre certify that the follo•wing persons are owners of properties adj oirrin g thi c property.I affirm that I have even :. .
intent to develop. this prbperty and to apply for a CAIVIA permit •
;TIIAL NOTICE.to each of them concerni.. . . (address _
(Name) . ./ ;t1P�.x�, r fii - i .7 - •
JJ
Ad tii • .id/y •
S t .
•
).DEVELOPERS INOCEAN F'i ALARD AND ESTUAB `,E AD S:. •- ' - • -
Lclmowumed
area which
sceplib ed
Qe that the land owner is awate.thatthe proposed development p1 or anmed to me the-particular maybe--
- - -
•
�scepttblt:to erosion and�or flooding.'I acknowledge that the local permited b recommendations conceming'stab-lization• .
hard problems associated-with this lotThis explanation was accomp y
id'floodproofmg techniques. R . -
ERMISSION Tb ENTER ON LAND: - . - = :.
t ermission to the local permit n��cer and his agents
furthermore certify that I am authorized to grant and do in fact� P iication. -
i enter on the aforementioned lands in connection With evaluat ng information related-to this permit
as described on the back of thisapplication, the '
:his application includes:general information(this form),a site d-avring "
iwnership statement,the AEC hs'aTd notice where necessary,
a check for$100.00 made payable.to the locality, and any
nformation as-may be provided orally by the applicant.The details of the application as described by these sources are
be issued.Deviation from these details w�.l constitute a violation '
ncorporated v�ithout reference in any permit which may to civil,criminal and administrative a coon. .
of any permit Any person developing in an AEC.witbout.permit subjectis.
Thist a I CI day of �-�X
,.20
1 J
. - . t
,
soli auoriz¢d o ar iis:a"gct
A�4T!??5. .. — j]C3I110I1::
for purPQs�°otfal.i ir.- ei4 Agi P.P

.
DATE: i 0. A0 04 .
{�,� 0. L L q Yl7
To O�``DC?Y- 4I ' 10 ( .
1-7 3\ CA V C iv .44,1 ., Da.
-o�c. O.-, 1 l ; 5c aq.7 3 a. . .
. DEAR ADJACENT PROPERTY OWNER
This letter is to inform you that I have applied for a CAM�A Permit on the property
owned by � 14 W
e-� at l33 CL k-
• (sired ad8res0
Holder Beach, NC. I have enclosed a copy of permit application srd a copy of the
•
. • drawing of proposed proj ect. • •
• • If you have any comments on the proposed.proj ect,please contact • • • • • - • •
• Rhonda Phillips,Local CAMA Officer;.Town of Holden Beach, 110 Rothschild St. - -
Holden Beach,NC 28462-Telephone-(910) 842-6488. • . '. • • S - -'
• • Sincerely, -
' ICL.L(2 - ' • _ .. - e.,.C. .6)1k-te-S .
• weer or Agent) • ` • •• • • •
TEI FPHONE NUMBER:�1(0 64.1 U2�Q.� •

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• .'
•. , 0 • -, ii,
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DA :TE 1 0 VeC5 04 • •
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• •
To:r---\-3\--ct-AgljNA-1 L Ii n(.1 OA cieS .
• .
( --Qa--te-vc-i\,\ 1 • C- ca-762° . .
. .
DEAR ADJACENT PROPERTY OWN-ER:
This letter is to inform you that I have applied for.a CAMA Permit on the property
owned bae_ c„,
,,,....... at ‘e S CSA•a2VAO 17k- Ct • . .
(street address) •
Holder Beach, NC: I have enclosed a copy of permit application and.a copy of the • -
•drawing of proposed project. . • . •
. . .
. If you have any comments on the proposed projects please contact . • . .
. _
. _ .. .
• Rhonda Phillips,Local CAMA.Of6.cer; Town of Holden Beacli, 110 Rothschild St. - •
Holden Beach,NC 28462-Telephone-(910)..842-6488. - • •
Sincerely; - . • • . • • . . • . •
. . . . .
. .
. Do.b. A-- es ...-.QA.c.. . • .: • • . • . .
- (Owner or Agent)- • . - • •
• TEl NUMBER:gip gqd--(.00(Q •( . --
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
1 ❑Agent
item 4 if Restricted Delivery is desired.
th ed. X//J/r , -.1IL T J'Addressee
• Print your name and address on the reverse 1
so that we can return the card to you. B. Received b. (Printed Name) l ate of Delivery
• Attach this card to the back of the mailpiece, - C.
/`> c�--
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
.(cRaZ)12A`ii)Y14
L13\ 3. Service Type
4-� , \ _ _ I sc 0 Certified Mail 0 Express Mail
��•1"p.�(J� 0 Registered 2 Return Receipt for Merchandise ,
aq"7 3 a, 0 Insured Mail 0 C.O.D. '
• 4. Restricted Delivery?(Extra
b(Extra Fee)e) 0 Yes
2. Article Numbers(Transfer OOO ri J �O$ 1 �
(Transfer from service label) 0 0
PS Form 3811,August 2001 Domestic Return Receipt
102595-01-M-2509'
•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. • X 0 Agent
• Print your name and address on the reverse Addressee
so that we.can-return the card to you. B. Receiv by(Printed Name) of f,�elivery
• Attach this card to the back of the mailpiece, GAS(/J' �
or on-the front if space permits.
D. Is delivery address different from item 1? 0
1. Article Addressed to: •If YES,enter delivery addres below: ❑ No
.B/ .-i•A '
tic ,M VA i
KR
aaekr.AL 'PC
3. Service Type ZOn. v'
>�i Certified Mail p E c�sUo ail t
' ^ , 0 Registered �7Pdf_eceip for Merchandise
C_J�) ❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
fromA. service label)(Transfer from i..,000 IS30 0003 ( c- 3 7l) _l 7 - !
PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-25091
I,

1351
SEA CASTLES, INC. WACCAMAW BANK 04 \X\o
128 OCEAN BLVD.WEST WHITEVILLE,NC 28472
HOLDEN BEACH,NC 28462 66-1215-531 u
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