80293D - Richman

CAMA / DREDGE & FILL N9 80293 A B C
GENERAL 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 I 5A NCAC 7 H. MOO .
y, Rules tttached.
Applicant Name IQ�( 11 yl i11''� �t c hole vl Project Location: County i`' �'I Gv(C;
Address I 301 11, 1 la gc. b( On(+ # 35 Street Address/State Road/Lot#(s)
City K)ij 0-f Pi u ss f (f State PA ZIP ( I4 0 O 1—. 1-i . , LA PO' N1-t S-i-r ;--
Phone# (it{t)) 0 O 5 I r E-Mail j e4►'�gk11Qq( I(tt 04 Alt Subdivision
W C
Authorized Agent �� f u/C� Sbti'1 J 10 CO City 10 Q \ 1tAJ^ ZIP 1 84 6 .
Affected ❑Cw x EW ailPTA ❑ES ❑PTS Phone # ( _) River Basin 441-j L{.e---
AEC(s): ❑OEA CIHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Kit'Y/a _ (nat /unkn
•
ORW: yes / no PNA yes /©o Closest Maj.Wtr. Body POW —
Type of Project/Activity 46 (`Q 04 itawt 4(L.id i I k I y Li t L it f f S . -L-:6f 'i
' (Scale: ,/Vr`.. )
Pier(dock)length
i
Fixed Platform(s) b k + I i
Floating Platform(s) 11 I 1 i I
°s
Finger pier(s) -- t I ? +
Groin length -
number , . ..T..__... ._._,. -_ - — — .._.. r ......_ -_}._..._ --. ... t
Bulkhead/Riprap length i - - ---I ---.---- ---- _.4_ L__.
I
avg distance offshore i i I
max distance offshore -_ I _// 4
Basin,channel ((!! e(/(T j
cubic yards t 1 I I
• _
Boat ramp i j
Boathouse/Boatlift - --_..._._._-_.__._. __ ..__ I ._� . _..._ __..._.._.PKt�. a / __.______
$ tP . 440 -
Beach Bulldozing - - _ I e I
'1 I
Other ? ♦2 ,ri 1 fr... `'� •i 1
r0-lot-In�rourft 1
t
y�
jH,46
Shoreline Length _60 (17k b Ai. 4)4 (
SAV: not sure yes _ __ I ._.._1 { F _ _ _
i
Moratorium: n/a yes 4
�q
Photos: yes j5 j_ ... 11/ All' 1�' �T - -• t-.
Waiver Attached: yes no : I ,/ r f 1 ( �^' • I P".\+
A building permit may be required by: 1 C.TI 4) r It A ( . E See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) V /'
Notes/Special Con��itions 4r ( (/� 2J/J(l nd t 77S 40-i i a7/7 pot
IVIG(4)19N t .2 cr,;f's.
1,0 ,7i -<.,.:-. 1,,,,,t, Perks( k A-Fvt.‘(0
Agent or_Applicant
�Printed Name Permit Officer's Prin ed Name
-- , #1'414-7-
Signature **Please read compliance statement on back of permit** Signature
)00a° 1005 /s r )5/2
Application Fee(s) Check# Issuing Date Expiration Date

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

i
GANAL
8X16
replacement float
-4ft UP
0
Ex' t ng structures
I �
"6ftXbft extension
For ramp extension
12x20
12X12
Jeannine Richman
151 Highpoint Street
Holden Beach

. 1
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Jeannine Richman
Mailing Address. 11Ctrtmrnitekl-W:ay-AU 3 I �� fir' 35
ustc>r�tia l�m NG2-7 33 K ,�a� Gar�--s s "o. .
cl4.-cin
Phone Number: 910-690-4581
(Email Address: J cy.��'K
I certify that I have authorized Will Richardson
Agent;Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Floating dock installation
at my property located at 157 Highpoint Street
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
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
. -tL g Gt , w, ciln
Print or Type Name S f r`—` c4LC� i6C a c �^ .
Title
I a'f l '
Date
This certification is valid through '' I 30 I 2021

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to !carmine "-lima'
(Name of Property Owner)
property located at 157 Highpoint Street
(Address, Lot, Block, Road, etc.)
on Canal , in E'olden Beach NC , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
Initial either
Ye' 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)
Installation of floating dock
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.)
I do wish to waive the 15' setback requirement.
Initial Either v
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
GL)eie/ezta,t2d.,3.pf. 01‘2
Signature 'Signature
Will Richardson/Authorized Agent NI s air
Print or Type Name Print or Type Name
.3235 Seacreat Ave SW 159 Highpoint Street
Mailinu,Addreas 462 Mailing Address
}' I Ioitien Beach N(; 28462
City/State/Zi�pp City/State/Z
910-36i-U335 910-540 _00
Telephone Number Telephone Number
1-21-21 •I- 21-_1
Date Date - -
(Revised 6/18/2012)

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jeannine Richman 's
property located at. 157 Highpoint Street
(Name of Property Owner)
on Canal (Address, Lot, Block, Road, etc.)
in Holden Beach NC 28462 , 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 DL' 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)
Installation of floating dock
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.)
:Znial°I'ere'. Dt.- 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)
fi
Signatttre �-2JGla �
SVttature
Will Richardson/Authorized Agent Dianne Lancaster
Print or Type Name Print or Type Name
3235 Seacresttlr Ave SW 9346 Center Rd •
Mailing
gy NC 28462Mailing Address
Bladenboro NC 28320
City/State/Zip City/State/Zip
910-367-0335 910-874-6201
Telephone Number Telephone Number
4-21-21 4-21-21
Date Date
(Revised 6/18/2012)

O 0
4 LD
i, (I II
b �
A. x ,�

Check
Date ReceNed Date Deposited Check From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column? Column2 Column? Column4 Columns Columns Column7 Columns Column()
5/11/2021 Mercer Johnson same Coming Federal CU 13416 $__200.00 GP#79911D JD rct.13416_______
-----------
_ _ 5/11/2021 Chris Connaway Ben and Lydia Wright First Citizens Bank __ 2327 $ 200.00 GP#80286D JD rct.13473
_ 5I11I2021 Chuck Dealer Marion Charles Deeter _. BB&T -_. 2843 $ 200.00 GP#79927D _._ _ __—PA rct.12771
5/11/2021 Richardson Construction _._ Jeannine Richman BB&T 1005 $ 200.00 GP#80293D PA rot.12767
5/11/2021 _ _ Richardson Construction Tom Lancaster BB&T 1004 $ 200.00 GP#79929D _ __PA rct.12766
5/11/2021 SAJA LLC Same and Jaynee Wood First Citizens Bank_ 7476 $ 200.00 GP#79933D PA rct.12769