75820D - Davis

3ar1; a3 f r
-"
{
1- , IL CAM'-,':::5';'-_11--?,V A/--=-#--;:3,,0-..;'‘.!,-;-,-:-.'-
_t: ,_t'',;,r,-__.„*-.
& FILi_'1.2-7:-—:-'i,.-1,1-.,-;•-.:-,-:-_,-'„-,2..-.:._-.--..-,.,;:-'':.-
„; _ .;;';;,;,,,',i..;1..',q,,.,,,
75820 A B ;G D:
ENERAL PER Previous permit#
,„,•".:.,-..-_'_.„-'--
. ,.g1:..k't i-e':.'-1"..,;3',- , ''Ar';-'L.'.' ,,,i,_:•,,
1 ' h' `ew DF'4 difcation• ❑Complete Reissue .0Partial Reissue i Date previous-permit issued -
llilir authorized•by the State'of North Carolina,Department of Environmental Quality -._ ' (jt'e-A,:t I
_.' nd the Coastal.'Resources Commission in an`area of environmental concern ursu t;0-I5A NCAC • 1 11 O VA':.�n
a P Rulesattached
ect Location: Coun t11!
Applicant Name A_, °1 tY
I' Address `, x6 -. + {U' Y-f.• µ Street Address/Sta Road/Lot#(s) , ` t
.Cty.'''L''' 4-"
, T t Ig State s ZIP, ' F 1 t+- f
Phone ;( 'I 'Mail Subdivisioa _' f ..','.L,'._
Authorizes(Agent " .r City l k kV ZIP
O CW L' 11N P A - f PTS Phone# ( . ) River Basin'�: ,� :iF
Affected ' .T �-, (/t
L7 0EA ❑HHF 0IH 0 UBA [Ti]' N/A ' "� (f (
' AEC(s)• A. W. Body G 'V ,iS +. � t. ,an .%unk.,r
i ©PWS ;
yes'/ o Closest Maj.Wtr.Body
'ORW, yes / no J PNA y
,r
;Type of Project/Activity `' 11 ' VI tt�Vl..'a- c�:_ -1a...1-i v'" ), . ,1 ,, v.(
'.' V ' �'YC`-<'_ (Scale: �, ))
_ Pier(dock)length - t i)• l
I , i-,'1 1 • °1 1. 1, •
1 I i I ' 1 ! I I 1 ! 1 11
4iH
; ! Ili1 I ! i
' =.rFlxed Platforms) 1 - ;( 11.0 r'1 I 1 1 I ! 1 i1 1FloatingPlatforms) � � I� ; I1 !l i 11 UU ! I ! i
t // 1 ! iI ! •
i ; ; •
_11 11Ii ! 1 ! , tI I !
number f I I i j I 11 i I I I i i
Bulkhead/Riprap length 'L, 1 ; 1 1 i I 1 I 1 ! ( ' ! i I 1
'avg distance offs 're - ; i 1 1 I ! I 1 i I I ! ! I
max distance o shore_ ! 1 ' 1 1 I '`'I 1 1 I I ! I 1 I ! 1---l 1 1
( 1 1 1 1 1 i I i I ill 1 I I ! I i I I
( 7 Basin channel I l li i ! ! 1 i I I , i I I 1 1 1 !
1 ! I I 1 I t 1 i i i f
1 1 I t '
- I
cubic !\
'I• r_ 11 1 ! i ! 1 1 I i i ! ! 1
i Boat ram 1 I ( I I I ; ! I I ' I , I I I i 1 1 ' ? t , I 1 I
f !_ i 1 1 1 11 1 111 , 1 1 • 1 r i 1 ( 1
" Boathouse/ oatllft" I 1 1 ! r �I /' 1 ! ; ? ? ! '
t• i " I 1 i ! 11‘11 I i 1 i I , ��'.r1 I I i -.
t =► s 1 i —�; I i I 1 1 I 1 i I I ' 1 `� I I.
;, Beach Bulldozing- 1 1 1 1 I I ! 11 �A 1 t 1 I !
f i I 1 ,•\. I I �✓L j� ' '�
her .• •I I I 1 ! 1 I ! I. I ! I W I. 1
7 `, I a sr7 I ,�. is 1 ' -tl'
p 1 s .. i it 1 11. 1
�I% , Y i l• I I
' -i 1 1 .s ' , :I i I I I i ! i i I 1 I
_ Shoreline lLength ! 1—_T __,f�.►'•• , jai 1P,511,4 bpi S I ��/C 1 111
'' ;SAY: • not sure yes' no -I I 1� ' I I 1 i i I I
ff Moratorium n a� .Yes no �?'( i i 1 - L.. _;- ( ! t t t I 11 'T I , 1
. Photos: - y °o `i \.tr'i I I ; I.7 ( 'I`_`_o'+1 I I .„ ,
WaiverAttached es G ! : ( 0'bb) I 1 -
, ,_,
' Y f
'A building permit maybe required by 't: ( K. =. -, y;\-V - \i []See note on:back regarding River Basin rules._
- (Note Local Planning Jurisdiction)
Notes/Special Cond';lions - _ _ _.- -
k Ag' or Ap'' t Panted Name ' ` Pe ttbfficer s Prided Name - / -
r
f_ )
j} t `
Sigature " � / // (S• tl dpin entonbackofpermit N ur ' easereacomice4,.-, •
e
Issui •Date `'= ',"Expiration.Date
Appiicatton,Fee(s) Check# g P
y
t •r. �...._....`:es�.T_s.�1 _<_t�+4., _...._=__�'__..=ie.r�`-..a..�:-�x,_ _�.___...._ � ..e_.e.__y��._.. _w...: -M V__-.-.�_-.,d.....-;ar-

,0,41„„ ..,..;:w....,„. 1
. : .ri‹:.....,_,..
I
,,„.„,,..,
-Re ----?
<.....„;•., ,,,,,i„,„....---b ,,,c _____
I el
•
. . ..
Valtrcrca...101raml.l.aot •
9
,
. ,,
;i4411 i
":---4 k 1., : ..i‘, ,,•0 no • --
: :: .:: .4,,., ,,,,,-„,k, y
. ,i
. • 1
. " ' • 4,,,,,,.p,-,
... . .
, .
i
1 .
• : ,1-7 '
4.1p0i rst 91 ,
t I .
, .
1
i
ri
5
tt
5
i I _ i
1 I
i
i .1
1
i i
1 1
..:
, .
11.4 iff11°YY
35"' /117 wv j(iri. 05;.r
4.._ 1 -
. ,
oe se 1 .. fr-)C-
/ /pi - ,,

AGENTAIITHORIZAT14)41 FOR CAMA PERMIT APPUCAL'FIQN
Name of Property Owner Requesting Permit: Alma G Davis Trustee/Rhonda Hatch
Mailing Address: 6934 Spandril Lane
Charlotte, NC 28215
Phone Number: [phone]
Email Address: [e-mail]
I certify that I have authorized Joel Klass
Agent/Contractor
to act on my behalf, for thepurpose of applying for and obtaining all CAMA permits
necessary for the following proposed development replace ramp_and deck
at my property located at 550 Bay Point Ln SE Bolivia
in Brurysyvick 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 I •
tiktke.A..1 k_kwois
Signature
c. ).(\aci \C\OCIKOt\_,
Print or Type Name
Title
(\ I / `k0
Date
This certification is valid through I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Alma G Davis Trustee/ Rhonda Hatch ,s
(Name of Property Owner)
property located at 550 Bay Point Ln SE
(Address, Lot, Block, Road, etc.)
on Lockwood Folly River , in Bolivia , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. 4' I have no objection to this proposal
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individuat proposing.development must#l,/rn descr'p#ton.belo w or arch` 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.)
ci do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Own r Inform ' n)
•
Signature ignature*
Alma G Davis Trustee/ Rhonda Hatch Beverly J-I. Cox O fd 114
Print or Type Name Print or Type Name
6934 Spandril Lane PO Box 3297
Mailing Address Mailing Address
Charlotte, NC 28215 N Myrtle Beach. SC 29582-0297
City/State/Zip City/S ry r�
[phone] / !`7/t° '�� -��
Telephone Number/email address Telephone Number/email address
8J 3:2,
Date Date*
(Revised Aug. 2014)
*'Valid for one calendar year after signature*

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Alma.G Davis Trustee./ Rhonda Hatch.___. --
Address of Property: 550 Bay Point Ln SE Bolivia. Brunswick_
(Lot or Street#,Street or Road, City&County)
Agent's Name#: Joel Klass Mailing Address: PO Box 279
Agent's phone#: [phone] Supply. NG 2: 462.
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.
I 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. Contact information for DCM offices is
available at h 4f.p ;7CC ,> Fn Ia~r •., - A, :et *r;2r#-li.iirl or by ceiling 1-888-4RCOAS.T.
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, boat ramp, breakwater, boathouse, or lift 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ri ian Property Owner Information)
4rd'
Signature e Signature
'lima G Davis Trustee/ Rhonda Hatch Jerry & Lori Cobb
Print or Type Name Print or Type Name
C"1 Spandril l Lane 554 BayPoint SE
fJ�z�.�� .,.+p)ra�,C3rft ;_.c"�fl... 1_1`t ..J�;: •
Mailinr Address Mailing Address
Charlotte, NC 28215 Bolivia. NC 28422-i 795
City/State/Zip City/State/Zip
1 —
t l 04)s�i.,�j'�iCV,i'",j (03)90t8-46 9'4/dr i.w J.yr, otmail.coil
Telephone Number/Email Address Telephone Number IEmelt Address
�ttrr� is?roe
{Revised Aug. 2014)

Check
Dab Received Deb Deposited Chock From(Neme) Name of Permit Herder Vendor 11/ amount Permit Number/Comments Receipt or Refund/R.&boated
Column? Coaann2 Cokrmn3 Co/umn4 Cohrutns Colunme Coda..? Column COWmne
2/22/2021. 3R12021,Marc Simeon Alice Wilder PNC Bank 211 $ 100.00'minor fee,2110 Washington Acres,Hampstead PnCo JD rct.13565
2/22/2021 3/2/2021 Overbeck Manna ConsV Daniel Shirley Ghnstopher Scam SunTrust 5397.E 200 00 GP#775950 5D .KE rot.13673._ --
2/22/2021. 3/2/2021 Jennifer J Johnson Jason and Jennifer Johnson First National Bank 2623 E 200.00 GP#77756D BB rot.12969 _
2/22/2021 3C2/2021 Anthony Carr Cashier's Check Nick Sari( State Employees CU 101542 $ 200.00 GP#77800D BB rot.12968 __
2/22/2021 3/2/2021 Backwater Manna of NC LLC John and Heather Brown BEAT 1246 $ 200.00 GP 477592D BB rot.12970
2/22/2021 _3/2/2021,Grice Construction of Brunswick County Inc Charles and Shelby Jordan BEST 14446.$ 200.00 GP#777990 BB rot.12967
2/2212021 3/2/2021 Rhonda McCall same Bank of America 10641$ 200.00 GP#777950 8B rot.12951
2/22/2021 3/2/2021 CMT3,LLC Carolyn Austin Bank of America 30171$ 200.00 GP#777800 BB rot.12972
2/22/2021. 3/2/2021 Partriot Boat Lift and Dock Maintenance.LLC Allen and Jan Kelly Aquesta Bank 1031 $ 200.00 GP#801130 JD rot 13566
—_
2/2212021 3/2/2021 CLTMC,Inc. John Lawson FCB I 1166 $ 200.00 GP#77640D Tmac rot.12914
2/22/2021 3/2/2021 8 6 J Construction of NC.LLC Alma G Davis Trustee/Rhonda Hatch BBBT 2316 $ 200 D0 GP#75820D ,Tmac rct_13530
2/22/2021. 3/2/2021.Ann E.Cordell _ same PNC Bank 1513 $ 200.00 GP#74669D Tmac rd.12922
2/2212021 3/2/2021,Island Contracting.Inc David Durack Branch Banking and Trust 37555 $ 200.00 GP#778100 Tmac rcl.12908
2/22/2021 3/2/2021 Linda!Canon same ,BB6T 10043 $ 200.00 GP#75828D Tmac rat 12921
_ 2/22/2021 3@/2021 Southeastern Coastal Construction Co.(7 of 2) Sean Desmond !South State Bank 12083 $ 200.00 GP#775110 KE rct.12726 _
2/22/2021. 3/2/2021 Southeastern Coastal Construction Co.(2 of 2} Sean Desmond South State Bank 12100 8 200.00 GP#775110 KE rd.12728 _
2/22/2021 3/2/2021 Lighthouse Marine Construction Inc. Adam Litton Coastal Bank and Trust _ 3640 $ 600.00 GP#8011213 IJD rot.12388 _
2/22/2021 3/212021 Davey Resource Group Inc. Jared Lionel! United Bank 2192 $ 400.00 GP#775970 IPA tot.11580