79947D - Tracy

0 _ CAMA / DREDGE & FILL No 79947 A B C
G EN E RA L 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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 (4 (Z()
�` ❑Rules attached.
Applicant Name l f '- c. ( Project Location: County /,-A.c......., c1,
Address '1`1ZZ / kl s, „' L v, Street Address/State Road/Lot#(s) 1 5 2 C) )J ,
City Li 00g/fNt I State N c ZIPrUU 3 r,uA. 0
Phone# (1 W) 22(p ? I('(G E-Mail r^*I'eAt. ��Z6)^,tok,cc.$,ubdivisi_on
Authorized Agent J `\c,.M 6/\-4.-k,N s 0 O.. (A6.,./ rL,t._ City 3J AC-(-C 6,G.c " ZIP 2%`(1,8
Affected cw 'DEW PTA 0 ES OPTS Phone# ( ) River Basin (.,
OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Ad'.Wtr. Body ' Cter,/`
I u` "`-i ((�u man /unkn)
C. PWS:
ORW: yes / no- i PNA yes / no Closest Maj.Wtr. Body ��\ 4 Cc e.—
Type of Project/Activity ` ; 4 _ G,. it.Le- c ci .--,1._ e'y r S-ii Lc 4_,..
..,)1-c,k oi- 2.. f 1� , S k . s (Scale: N )
Pier(dock)length
I i -
Fixed Platform(s)',' ;Le‘cwlli ly ' J\ 11 /+ ' i�1 l ,
Floating Platform(s) ` I
I i
g pier(s) iii■■ y11 20 ■i
I
Fingeri i •- ! !
Groin length � ,.� H!1,
Milli
IFl I '...1 .--.- (I
Bulkhead/Riprap length
1••••••••111
avg distance offshore 1•������UUI � giiijrnliiOlLi
"�� „1 ,:,
Beach III
U, �0'1U II III �UUUUUUUU.
Other Bulldozing HhIHHh1I II1IF 1 IHHI1
-• flhlflhlAiH. IIHlii
; il
1
Shoreline Length S` - I -_ !!II!II1IHhuuiNluIllH
SAV: not sure yes 1C: 1i5 k • '-. A
Moratorium: n/a yes `c "� i SA r
Photos: yes no � , [ • . MIA _.. t I .
Waiver Attached: no I l i c;A building permit may be required by: �,.,Ac, 1 �.f ( (r t I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) l 11
Notes/Special Conditions C '2- ' �-t,c� S `.� `tv1�nud`:2.�d (...,_2)(...,_2) u...1` �-.►�� ,A o
O 1
4., S 1, ,/t A / \\...j•p1A- \ ,
lA k-r- tL...t_CA c ,.., f-C ^ ��^ , rOric
Agent or Applicant Print ame Permitflffit'e Printed Name -
Signature **Please read compliance statement on back of permit** Signature
Applicatio Feels) Check# Issuing Da Expira ion D

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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

CAMA-/ 6-14EDGE&FILL N9 79947 A B C
ENERAL PERMIT Previous permit#
' New OModification OComplete Reissue OPartial Reissue Date previous permit issued
I As aut orized by the State of North Carolina,Department of Environmental Quality.and the Coastal Resources Commission in an area of environmental concern pursuant to I SANCAC IOTA_ WO
n ❑Rules attached.
Applicant Name C(A.,_k f 6`( " . 1 Project Location: County lc A,4.c. ,.,;'r k
Address q1 2 f R...,i u, L,,. Street Address/State Road/Lot#(s) 152 U 1,1,
City W R.(Liat„r State 0 t, ZIP_MIL_3 5keA._ / .
Phone# 2 3hoD L .
��2 � ` ( E-M� ail fa` tk�yD�2�gn�ct:�•c,�.pbdivision
Authorized Agent nc„n,. l^h-...0 2A b cricr, r;A City SJASt4 �,5 L ' ZIP 2c t(.R
CW EW PTA DES ❑PTS Phone# River Basin .,r
Affected � � � ) C 6---•r
AEC(s): O°� HHF IH 0 UBA O N/A❑PWS: Adj.Wtr.Body J,,N\4S Cam C\ 1�3/man/unkn)
Closest Maj.Wtr.Body' kNG,-- 4 COc eA-tea
ORW: yes / no PNA yes /0 1
Type of Project./t/Activity `A s \\ as-. c... �4 b o• �� 2 K r S}l dac�...0_ `^\
G,s a 5-? ` vC 2 •Qr...A,-t.„ .. Sk•,f 1 1 -;'(Scallee: N CS )
- Pier(dock)length i
Fixed.Platform(s)C1CdOoli'fIT -1 1 I 1 1 1 I 1 - I - i .1 I l ' l 1_ I 1 1 1
{-_ _ Imo. JiLs_ i�. eltv.�:�_ C. I i ,
Floating Platform(s) I i i
Fingerpier(s) T' + i 1~
Groin length j T �,��,- -_,-l'Q1- -—1—-T-I -I -- —1 i i_
number ! • I L_ 1 `i►. I i` �_�1 {_ y1 •�j, i/�I 1- 1 ! 1 f
Bulkhead/Riprap length - I J I 4 '1 -I ici i n� :�'1e41._.�I ''Ces c,tj
4 _ I I I I 1 j.
avg distance offshore j - 11 1 - -i i ! Ili
1 i '.
max distance offsho 1 1 i i 11 1 1 - l II III I I I {
Basin.channel �_ _ �!��j L I. 11 1 1 l
1 - - '1i■ 11 I ■ I i i
cubic yards I r\ ■ -.-- - 2 ■■ Mill-■ !
Boat ramp i. -.i I 1 i I 1 1 .
Boa[#hou Boa ' It(2. �_ I I I —I'.%_ IIi
• -�- _b I I ■
Beach Bulldozing ( I ■ ' ' —.—_r I I. iL iiii I I
Other I i I 1 ■ �■■�•■111115111111
i I l t../; 1 L - I I; I
Shoreline Length SI I hill-
I
SAV: not sure yes i:a�i) ,-bic,r.cq,) _ I I 1 �1�tial.
_. _- -1 N as, . - I I !
I [
Moratorium: n/a yes -'1 C,--'� -- I 4-`."'2U-tu`I titi - I i 1 �8—— I
Photos yes o -_`_- __-.-I--11-1 _`L- ---I---4 -
WaiverAttached: e.J 1
A buildingpermit maybe )o t
requiredby: AS 1/4 �'t G.0 0 See note on back regarding River t3asin rules.'
(Note Local Planning Jurisdiction) /,
Notes/Special Conditions G Vo
C) /iw.k A S V.9 S " q„\\„f.L;c, G \\`c.\-
Q sz,b 21(1•, nt._r h sa1 Ct
r
A c r►: �-ree c 1 t )•ftr�c�a uc�G
f Agent orApplicant Printed Name Permit Printed Name
Signature "Please read compliance statement-on back ppermit" Signature
off' 105 CI 22 -Z�\ 0
Check# Issuing Da c.0 ZZ Z
/1,ppllcatlo Fee(s). Expire on D e
Scanned with CamScanner

q
q. AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
11
5 Name of Property Owner Requesting Permit: Chad Tracy
Mailing Address: 9422 Sir Huon.Ln
7 Waxhaw,NC 28173
4
Phone Number: 980-226-3466
1
Email Address: [e-mail]
1
1 I certify that I have authorized Sea Dog Marine Construction
Agent!Contractor
h
1 to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
t
necessary:for the following proposed development: Pier Gazebo and Boat Lift
at my property located at 1520 North Shore Drive
,
in Brunswick 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
1 on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner lnf a'
-2
Si at
Print or Type Name
Title
4- 1 zo z1
Date
This certification is valid through 12 / 12 / 2025

l l • w I 1C-5
IW I 9' '8Np23 l
GRAPHIC SCALE I z o m o Z l`
30 0 15 30 60 120 I 73
c A < c Z O I
MI MI —a-- I m N y ° Z OO I
N-1 2p 0I>M
1 inch FEET
30 )ft. i IlC. n ° rn A n O ran Il
AD
m A 7➢.7 •
tr.;4. rn 9D4.
mp •
\ - \ -
- III I
� zo
.W50
I
,; - — I I I I RIPARIAN LIMIT, TYP.
I I I tsE
.....0___. I 1 I A;
al 1 A
a 1 I a N1
1,- 1 ° I I '. ti
°I,
A i 1 1`� 3I Fi
COVERED AREA TABLE 10'X12' COVERED DECK $, I a I IA z
W/ 1' OVERHANG � z F I I
FLOATER 8'X18'} 144 SF v I 1g• I
PIER HEAD (COVERED) 168 SF 1,C Ic I I'
PIER HEAD (OPEN) • N/A C I I Covered)
11. I I e I Deck 1 Bench
PIER EXEMPT </= 6' 1 I
Tubbs Inlet Canal 1 1
TOTAL 312 331
a 1
_� 0,en I EOAT LhFT
Deck 2 I I Boot
11Sila� I good r Lift
GENERAL NOTES: Hooting
t ■ Doc
DockSla • I Floating
1. SURVEY BY MR. SAMUEL T. INMAN OF LONG I \.....__
-�1110 DockSURVEYING, DATED 3/12/21. I --{I 20' 1 24' - 1
2. CTURES `�_ I I��`` 1 1
3. WIDTH OF WATERBODY FROM EDGE OF COASTAL 3' �jl
WETLAND TO EDGE OF OYSTER BED MEASURED I
480'F/ 15' RIPARIAN OFFSET
EXISTING 8'X18' LIMIT, TYP
4. MAX PILE SPACING 8' ALL DIRECTIONS.
FLOATER
5. PILES DRIVEN TO 8' MINIMUM. •__....--
0 DO
SITE PLAN (PAGE 1 OF 1) N(431 OWNER / r.
�WC\
1520 NORTH SHORE DRIVE <CON51Q`�
• SUNSET BEACH,NC 28468
• 12/22/2020 • 910.876.0852

.:' '=::1::'-''''...::::::.:-,1:::::.1.:--:-..:--Tr•--*"::-'''--:::. '': :.-:.-: .....'..-':-;
CED'MAIL�:RETURN'RECEIPT`REQUESTED _
. DIVISION F-C OOASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name,of Property Owner Chad Tracg,-
• ` " '-1520 Korth Shore Drive,Stmset Beaclr Addressli Property
` • • : (Lotor Street# Street orRoad City&''county?.
Agents Name Sea"Dog Marine Construction M --
. ailing Add s -res i 7 SW 0 9th Streei
Agents:phone:# 910:876 085.2. Oak Island:;NC,28465 "
•
' I:hereby certify that town property adjacent to the above referenced.property The individual
' applying'for this•permit has described tome asshown on the atta'ched-drawing the development;
•
' they arepr posing A description or.drawinq,with:dimensions must be`provided:with:this letter
: I - •I have no objections to'thus•proposal. I have objections to tivs proposal:
•
` if youhaveobiechon 1towhatisbesp4proposed;youtrustnotifythoDrvislonofGoastatMangement@C=fin" „. . - writing vnfhtn 10 days of receipt of:this_•notice••'Correspondence should bo mailed`to f27 Carrdinal Drive Fxt: Wilmington NCB 28405-3 g5-DCM.representatwes can also be-contacted;at{910)7.96 7215-No•response Is considered.the same'as no objection l you have been notified byCortified J6all. `
1
WAIVER SECTION
I,understand that a pier;dock,mooring pilings breakwater,:boathouse,lift,.`or groin must beset
•
back a minimum distance oft 5 from my_area of riparian access unless waived byre•(If you
wtsli • war-e the setback you must Initial the a -
® pproprtate.blank batow} z
1 do:wish to waive the;15'setback requirement. ,,;
!do not wish to waive the t 5'setback requirement. •:;
: .. (Property C?wnertnforfnep....... • : p n c Inforntaftcn)
Sigr7nitcre
itr�lr[re .
Chad Trary'
- . 2: -g,"rer .Jc U ":.
Pont
not or Type,,Name -
,< .:_:. : :• � .Print'or Type;Naino : � -"
9422Ssr-Huon Ln .-,.- .. 7553-Si1ver View Lane
Mailing Address. . ':: ,-
.. - .: - iNailing.Addtess :-:,•
Waxhaw-NC 28173' - Raleigh NC27613
City/Stptel7jp •
. City/Stataaip .:_•
D 226* 31./66
Tele .....,..:-..: :. ,-....,,..:,.....,,:,.,:....:,;::
phone Number C/l - ./ "-
Telephone0:NUm6er:, r
II/l7/ZZo •
-- 3 0 7.
lJore
. - Dole
.:
Re
vised fi......2

•
•
1 CERTIFIED MAIL.•RETURN RECEIPT REQUESTED
• .
DIVISION OF COASTAL MANAGEMENT.• ADJACENT RIPARIAN PROPERTY OWNER=NOTIFICATION/WAIVER FORM .. .
- i - . -. Name of Property-Owner: Chad Tracy - . - •
Address of.Property:- •1520 North Shore Drive,Sunset Beach
401or Street#,Street or Road.-ciiy.&County) - • •
•
Sea Marine.Construction- Ma ling Ad• dles:• -Agent`s Name�:. .�$ 107 SW 9thStreet - •
Agent's phone#:;910-876-0852 - ' :-04kisland NC.28465 •- :.
•
A wici, .-v r
1 hereby certify that:t own propel adjacent to-the above referenced property.:The individual
applying for this permit has descriped to me as shown on the attached drawing.,the development
- -they are proposing.A description or drawino.with dimensions'.mus be.provided with this letter:
.� tertsio
: - - I.haveno objections to this proposal. I have abjcctions to this proposal.
2 ti you toys objecitonstowhetisbeingpraposed,youmttgraority the Wigan ofCeas(ell goment.Dad)in.
writing Wed&IQ days of►eaipt of this notice.-Conespondenco should be nralled to in Cardinal Dnde Ezt, -
• *WlfailOgton,NC..28405484s WA represenlet Nes can also be•contacted at rate)79077215.No response is
corrsideiad tiro game as no objection if you have been notified byCerrltled Mall
WAiVER SECTION .
. - I Understand that a pier,dock,:mooring pilings,breakwater,boathouse;lift,or groin must be set •
lit - back a minimum distance of 15 from my area of riparian access unless waived •
.by me: II';'
wis1oVwe-`t0-#, 4!")..uiriirsffn al;t ea ti*0.9 ei j -
... . . . ,. .,,. ..per . ....
. \514kr.V I do wish to waive the 15'setback requirement
• _t do not wish to waive the 15'setback requirement.
-(Property Owner Information) djacentProperty.OwnerIoformation)
�, Q 1 r
Sigtritlure . Sign lure
V V V
Ch a� �' .-).Puy f I- �: bI ,1AA. 4. _
.Pant or Type Name • Pant or Type Name
.9422 Sir Huon Ln 8133 Wacobee Dr • V .
Mailing Address - - - - Ai+ading Address -
.VAraxhaw,-NC 28173 • Myrtle Beach,SC 29579 -
City/Slele/Zip - - - V - - City/State/Zip -
- q84. .3Y6 b - V 916 - 'k r.L $. .6 _ •
Telephone Number V •Telephone Number - -
- it l f7t•2!Z.o. J
Revised 6/18i2012 . -

10.101 Gmail
Re: 1520 North Shore Drive Sunset Beach General Permit Submittal
kate tracy <[e-mail]> Thu, Apr 8, 2021 at 8:08 AM
To: Adam Greene <[e-mail]>, "[e-mail]" <[e-mail]>
I'll get it done today, thank you
On Apr 7, 2021, at 7:33 PM, Adam Greene<[e-mail]>wrote:
Brendan,
Please find the following attached as part of the general permitting process for the
proposed project located at 1520 North Shore Drive on Sunset Beach NC. We will be
installing a new boat lift as well as a 10'x12' Gazebo plus a 1' Overhang. Cumulative
proposed shaded impact is as follows:
• Ex. Floater 8'x18': 144 SF
• 10'x12' Gazebo W/ 1 ' Overhang: 168 SF
• Total: 312 SF
Please find the following attached.
1. Site plan RECEIVED
2. Howard Notification
3. Defranco Notification APR 16 2021
4. Agent Authorization
DCM WILMINGTON, NC
Mr./Mrs. Tracey,
As part of this permitting submittal please mail the permit application fee to NCDEQ.
Details below:
Payable to: NCDEQ
Attention: Mr. Brendan Brock
Memo line: 1520 North Shore Drive
Amount: $200
Mailing Address: 127 Cardinal Drive Ext.
Wilmington, NC 28405
Thanks All!
<image001.jpg>

Check
Data Received Date Daposked Check From(Neme) Name of Permit Molder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallaceted
Co/umnl Culumn2 Column3 Columnl Column3 Column! Column]. Column!! Columnd
4/27/2021 Andrew Grady Gordon I Grady Gordon ;First National Baml 1015,$ 200.00 OP#79910D TP rot.12801.
4/27/2021 Chad Tracy same Wells Fargo 1051$ 200.00 GP#79947D BB rct.13107
4/27/2021 ,1658 North Howe Street,Inc. Jhn and Beverly McCloskey ,BB&T 1586 i$ 200.00 GP#80229D Tmac rct.13541
4/27/2021 Steven L.Cobb Steven&Robin Cobb 'First Citizens Bank 1533 $ 200.00 GP#79909D PA rct.12762
4/27/2021 JW Harrison Mechanical Inc. James and Karen Harrison BB&T 5748 $ 200.00 GP#80261D PA rct.12764
4/27/2021 Town of Oak Island same BB&T 838021$ 200.00 GP#79954D PA rct.12759
4/27/2021 Coastal Marine Piers Bulkheads LLC Ricky Hancock Welts Fargo 23815 $ 200.00 GP#80238D BH rct 12879
4/27/2021 AMW Docks and Marine Construction LLC Phillip and Cythia Price iBB&T 6202 $ 200.00 GP#799040 BB rct 13108
4/27/2021 Bruce Marek,P.E. Bald Head Island Ltd. Wells Fargo 2105 $ 200.00 GP#80144D Tmac rct.13543
4/27/2021 McPherson Marine Services,LLC Robert Frankenfield First Citizens Bank 4042 $ 200.00 GP#802280 Tmac rct.13004
4/27/2021 CLTMC,Inc. Kerry and Kristin Blanchard l First Citizens Bank i 1184 $ 200.00 GP#80262D PA rot.12761
4/27/2021 CLTMC,Inc. Denise&Kirk Ktoeppel First Citizens Bank 1181 $ 600.00 GP#802640 PA rct.15757
4/27/2021 Duke Real Estate Inc. Gerald and Cathy Duke Wells Fargo 4836 $ 600.00 GP#80257D PA rct.12760
4/27/2021 Sea Dog Marine Construction,LLC Sae Mist Campground First Bank 1287 $ 200.00 GP#80274D BB rcl.13104
4/27/2021 Steven William Murray same PNC Bank 1073 $ 200.00 GP#80254D JD rct.13409
4/27/2021 Bob Drach same Fidelity Investments 1328 $ 200.00 GP#802390 BH rct.12878
4/27/2021 Coastal Marine Piers Bulkheads LLC Singleton&Sebrell Coupland Etal Wells Fargo I 23785 $ 200.00 GP#76186D PA rct.11599
4/27/2021 Grice Construction Davis&Susan Thomas BB&T I 14500 $ 200.00 GP#80129D BB rot,12994