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HomeMy WebLinkAbout80251D - Lanier .-„,c..:: .. CAMA / DREDGE & FILL N° 80251 A B C GENERAL PERMIT Previous permit# New Modification Complete Reissue Partial Reissue Date previous permit issued t1` . As authorized by the State of North Carolina, Department of Environmental Quality ��ii ' 7 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / 4'0 • L il/ V LTi� V'f , t (El �d . Applicant Name �'' a ,Project Location: County Address_ I a)Y - Z 90 l e/aJ2I1Pa' v./14(i.Street Address/State Road/Lot#(s) City v/ State/ - ZIP'Z GI j / /6 r c ( e/!t_ Phone #( D))y(Y" " E-Mail _ Subdivision P r Authorized Agent / 4 — City —tiZIP �/ 1 tT f Affected ❑Cw W PTA it ES ❑PTS Phone# ( ) River Basin Ai' ' v ' AEC(s): ❑OEA 0 HHF ❑IH ❑UBA El N/A Adj.Wtr. Body , '"LC 1 - nat m /unkn) o Pws: //6j -- sl S0 v`+ ORW: yes /(off PNA '% no Closest Maj.Wtr. Body — / Type of Project/Activity / R''I (Scale: / "2 ) Pier(dock)length ( [r I i / ; Fixed Platform i s) I I j i —� Floating katform(s) ! , j I Finger pier( Groin length �\ l' - ' number \ Bulkhead/Riprap length I a avg distance off*ore IP max distance offshi e I I Basin,channel ( .k/ N t t 14i i + it ' r" I i i i i 1 ♦ cubic yards 1 ? ! i i Boat ramp /5 x q'O I I i Boathouse/Boatlift ...} ----t .. - ' Beach Bulldozing - - ' i ii Other Y 1i(ii /L*q r , , I i i i ��// °F Shoreline Length yf r `-7 ! /� ��'T I vd �� /I SAV: not sure yes no L--.— i -- — Moratorium: Ma yes no I • Photos: yes no i i i Waiver Attached: yes 0 1' ` a regarding A building permit may be required by: 51 �'T n See note on back River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions Q aAA Ai o p leant Prin ame it icer s Printed Name — ---. r_ Sign re **Please read compliance statement on back of permit** Si ture 7L - /750 t7A' 7/ k.;22.• 7,/ 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 (252-946-648I) 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: 252-247-3330 Fax: 252-948-0478 (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: 910-395-3964 Fax: 252-264-3723 (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 . • Y!DAMA/.- DREDGE_-&FILL- - 1ER L PERMIT Fev�ol7s sermit Nevv EIHeitdifi anon € Compiote"Reiss4 DPartial'Reissue Date:prevlouspernattissued authorize t by the State)of l<Iotth Car_1ina.Depat erttof:Environnient. uaIit r y - and he Coastal Resources Camniission'tn an area of a rQnme4taf concern'purs of to 1:SA NCAC. I/h i �� iicant" a e ,f r fr1 > � - ��fGt ched APP rptgCt LO Ott;County; ` r ,Address 't9 ' • 14i Y tt'S . t°Ad ress[State f�oadl'Lo. • tree dr ts} cry i pa . P .Y Phone#; 8)nait .: -. a dlwslon AUttler'(zed e 7 s ""` t, " _ off'. Affected �� 0 PTI kGlES OPTS Pr one, ( Rrver f3asm G3< z ;fix'' w �...� AgC s* DOA Q HHF O llf O UBA .O:FI/A „ i �- x..,_..�,}. Adj wir aady .. . is' — ' O[tW�i yes_/ no PNA yes 's rro: C osestIaj Wtr Bgdy- ' i_ .. Q;Ut�I .__ T "is of Pr 't/ _'citivtty i Piei*(dock)ien th � � � (Scale, l �,r Fraati i forms) i .a= __•-_ :�� ��<• i. t _1 .i._-_ Bulk ead NpraP+l MAY: ra�� k(. : t S a tgd(sta`neaif6vo -- 'r ;• i _ ' ' , max distance offsh` e. -'�J_ { i i ,{ C l sc,yas ;: ; +Ir : L - 1vl !thfr.,_ i �Beath Bulldozingr. i---. i j Oxhern - — f•I ,.'"-- --:- ... . • _ . , ,, -.,.•••itit,...:4.4.: ,.•:,...1•::: ', Shoreine Lnh --,P.' L. - . . ;SAV: isure ye .I 4 tt Matatorumt Ott. yes • • F (i - Photos yes i F i . f „ ; . P #; f Waiver Attached j±es s - _.k___-- i e A building perm1t may be required by ... f s -• .. }'See�note.on:baek regarding River-Basin rules:, r - }` , Noto ocatPlannin urisdaetipi Notos/Speeial Conditions _;o R c ante_. a . - _ iti lticee'sFrioted�Name, - �., _ •- Srg '[ure Pleas cainpliancestatement_onbackp.fpermit Si tu'r �f - �' R' I f Illy- ' R Y hc aUonF,ee(s) Gheck:# Issuing Date.App ate: "- -- - "'ExpirattoPate` I. . 'os a ervice ., CERTIFIED MAIL® RECEIPT n Domestic Mail Only 4;4 r n For delivery Information,visit our website at www.usps.com'. U Rocky Nip re! -' AL USE r 60 Certified Mail Fee 04b2 R $3. 3 $ $7.85 04 Extra Services&Fees(check box,add fee terpate) 3 0 Return Receipt(hardcopy) '• $ v'• 3 0 Return Receipt(electronic) $ $0.00 Postmark 3 OCertified Mail Restricted Delivery $ 'SD_OA Here 3 El Adult Signature Required $'' 0 Adult Signature Restricted Delivery$ 3 Postage 3 $0.55 0 $ 04/07/2021 ] Total Postage and Fees $ $7.00 3 I Sent 7-7-i" 3 i At '017ef_ . _ syj, No.:, ? • N hove, City, ei.241:4'4 /V &59 ..ert:frlea man service proviaes the roiiowing DeneTlts: A receipt(this portion of the Certified Mail label). for an electronic return receipt;see a retail I A unique identifier for your magpiece. associate for assistance.To receive a duplicate I Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the I A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service'" -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. mportant Reminders: -Adult signature service,which requires the I You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mails,First-Class Package Services, available at retail). or Priority Mail°service. -Adult signature restricted delivery service,whirl Certified Mail service is not available for requires the signee to be at least 21 years of ag international mall. and provides delivery to the addressee specifier i Insurance coverage is not available for purchase by tame,or to the addressee's authorized ages'' with Certified Mail service.However,the purchase Foot available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt Is insurance coverage automatically included with accepted as legal proof of mailing,it should bear s certain Priority Mail items. USPS postmark.If you would like a postmark on I For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.It you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portior of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. . . •os a ervice CERTIEIE3 MAIL° RECEIPT n Domestic Mail Only r n For delivery information,visit our website at www.usps.com". Lex( t t► NC" 27292' Certified Mall Fee f3.bu 04E2 7 $ 04 Extra Services&Fees(check box,add fee ate) 3 ❑Return Receipt(AardcoPY) $ �� ❑Retum Receipt(electronic) $ $U-lif Postmark Certified Mail Restncicd Delivery $ $0.00 Here 7 ❑Mutt Signature Requiredi $ $0.00 ❑Adult Signature Restricted Delivery$ 'D Postage $U n $ .55 ] Total Postage and Fees 04I07/2021 $ $7.00 D Sent To i dieir //kL441 :Sties d pt ql pb x o. ary S�/efin. NG /o�- ::ertitlea maii service proviaes the toiiowing benents: r A receipt(this portion of the Certified Mail label). }m an electronic return receipt,see a retail r A unique identifier for your mailpiece. associate f,,jssistanco.To receive a duplicate I Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to Mt I A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service'"Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. 'mportant Reminders: -Adult signature service,which requires the I You may purchase Certified Mail service with signee to beat least 21 years of age(not First-Class Mail',First-Class Package Service', available at retail). or Priority Mail'service. -Adult signature restrictad delivery service,whlct I Certified Mail service is not available for requires the signee to beat least 21 years of ag international mail. and provides delivfry to the addressee specifier I Insurance coverage is not available for purchase by name,or to th6 addressee's authorized agent with Certified Mail service.However,the purchase (not availableat retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear certain Priority Mail items. USPS postmark.If you would like a postmark on I For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office—for the following services: postmarking.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix It to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3. / ❑ • Print your name and address on the reverse Agent so that we can return the card to you. !VW l�Ye„ddiALdi Q Addresser • Attach this card to the back of the mailpiece, 8. Received by(Printed Name) C. Date of Deliven or on the front if space permits. ,4\4\ 1. Article Addressed to: D. Is delivery address different from i •,• ■ Yes Q� If YES,enter delivery address below: ID No 2 �10urks �` �}' , ter, C --0- . i.c a1` APR 1 5 2021 11111 III III 1111111 III( HMI I III I I III 3. Service Type❑Adult Signature ❑Priority Mail Express® ❑Registered Mail'"' ❑Adult Signature Restricted Delivery 0 Registered Mail Restrict, ❑Certified Mail® Delivery 9590 9402 5793 0034 3163 57 ❑Certified Mail Restricted Delivery 0 Return Receipt for ❑Collect on Delivery Merchandise Tom./Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation' 7018 Q 18 ❑Insured Mail ❑Signature Confirmation 0680 0000 y 4 3 4 6 2 "nail Restricted Delivery Restricted Delivery o1 'S Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRAgNIK LoTT 111111131111 First-Class Mail III; Postage&Fees Paid 10111 II USPS Permit No. G-10 9590 9402 5793 0034 3163 57 United States •Sender: Please print your name,address,and ZIP+4®in this box* Postal Service tom . ' 2 MO C, MA-4g ) CERTIFIED MAIL • RETURN RECEIPT REQUESTED . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVE FORM _ Name of Property Owner:. c , raC ,. •. Address of Property: i) (Lot or S e #, Skeet or Road,City&County) //� Agent's Name#: I 1 L M IingAddr s: o'/�/� - Agent's phone#1/i --02/' /7 f doc, -- - _ . . , - . . . ._. . I hereby certify that l-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 theDivision of Coastal Management(DCM)in - writing within 10 days of receipt of this notice, Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington,NC,28405-3845. DCM representatives can also be contacted at(910)796-7215.No response is considered the same as no objection if you have been notified by Certified Mall. • - 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. ' • • • • I do not wish to waive'the 15'setback requirement. • perty Owner I rmation) (Adjacent Property Owner Information) • . Anature Sf na e , kl-- . . 3me, ,40,4",_ . - Print or Type Name ri t or Type Na • C)13A b i 1 k3 c 1 i k e 1; ?"' 'in � • - - ",64/J/9d M ling Addre g Address ocky7 d I)/ City/ e/Zip7 Ci /Statep//(---- gifYI"---S . A16,,,. . 1.,6� e -,1 - 017 APR 1. 5 2021 - Telephone Nurerm Telephone Number p b • „/ � DCIViWILMINGTON, NC . Date ( Date . Revised 6/18/2012 _ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT L t6 • • I hereby certify thai:I own property adjacent to JIMA e44i� I (Name o Property Owner) property located at i l on totot, Alt eo tr,P . Address, Lot,�1o¢k;Ro d,e ), in .Y, , N.C. (Waterbody) (City/Town and/or C unty) The applicant has described to me, as shown below, the development proposed at the above location. • 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) • ,bad 61)11119 46,1)1/14-1 ‘/41W j • 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. I do not wish to waive the 15' setback requirement. • (c►party Owner I f ormation) (Adjacent Property Owner Information) S re , V/L/L � S id Will �N R eN ickS if/44A / •d reZ 7� / jj7,6 ar..log�Adct / N c� `tCr t / �V (WC. !!ty'/`Sfafe/Zip RECEIVED .Telephone pip b r - Telephone Number `Pi • APR 15 2O i Date Date ansVAN%2'0'12)TOi i\JC Rules 8 Regulation � . Becky's Creek sPEED DA 7 •check-Out fl 1:00 PM LIMIT a "' " a,or ode • l 2:00 PM I t'� Walk l y ai mm�m R9 RR R7 R. ' sm�ase =5 0 i®mmm1DR20 R211122 R • Picnic Tables:One per site,please. \ _ n. is 'me R '' ---�_�.� G4ff•. / o P30 R29m®m.25 24® R •Campfires:One per site. DEFACING OR DAMAGING MPH 4 @�' 2a li m©0 ©Q 0t x •- 25 26 27 u 33 R34 R37 TREES AND SHRUBS IS CONSIDERED VANDALISM © 24 alL Angelfis 'rive D. • AND WILL RESULT IN IMMEDIATE LOSS OF ire,© 23 OFFIC f s & H = �� R ter'` CAMPING PRIVILEGES. = '�2S1 I r it,� R _ a 21 0 tat 102 _ Parro IS rive I} 5 lijI :: •Firearms and Weapons: The use of fireworks, 1L o ' �0 2D e= A 0- 18 —1 w 4 Y1 © 3 4 5 6 7 :' firearms,BB guns,slingshots or other weapons in __ ` - ,°`' 0° 18 ? 1, - V._ ' i� 15 14 13 12 Y11 10 / the resort is prohibited. P ` 122 ,`, ;o, 40 1,r y a,ur irce , •Parents are responsible for the actions and safety of ®w ,0g8 - , 442 a is 12 !t '4, i 1 96 R21Y22Y23 to 2 2A 18 mmigm their children and ma not leave them unattended. ,,a �r, t. ., .-i- :a'.- I-- — mom 32 31 pOm 2 Anyone 'E3 � under Mg D3 m r t ,17 ' Boat r 11 1 3 34 4 4Arei aillisi Way campsite '� I l „6 _? -./Storage 12 5 41 amm 114 rr 95 14113 7 6 — Sa j013 Way •Anyone caught deliberately destroying or defacing 123 Skeeters Drive 35A 36A �m�� ®©6 31 32 33 34 35 136 37 18438 46 4 campground property will be expected to pay j7A 127128,30 s1g2o a these damages and will then be asked to leave zs 126 y y with no refund. uwta+ y Fie1d a', ®30 1:I 25 24 23 22 2120 19 16 17 16 15 HER& * y * tt Stan Lane N ei„. •Pool Din: Pool rules are posted at pool. POOL -- p; taome I. n �, Lobster Lane WIWMPW2f,„,;,.-0 4A 5 ll 10AI 12A1 USE FOR REGISTERED GUESTS ONLY. CHILDREN wie ,,,�,t4. .- sA 6 7 7AV6 a 94/10/ ( ,112' I 3/ 14 UNDER 10 MUST BE ACCOMPANIED BY AN ADULT. L. #M1 0 fi1A Olt - POND NO LIFEGUARD ON DUTY. Please swim at your own s, SHOP 601 -- -- risk.Use the buddy system to ensure your safety.You ' 154 �'Fill 60 *3 CHAPEL 8Y w:y „' y'~ 10 She Crab cm" THE BAY must have a towel if swimming in pool. Babies or Loop �„ small children not potty-trained must wear rubber Intracoastal .. .. ® jrril'!- .Th T—3 a< V.,1pants in pool.We have them at the office for a fee. waterway 1,, `n'1 MY772 Iltai - e:,, ���-!'•All guests of permanent campers must pay to ' , am � Lam.. swim. :1.5. -----apt ski inkennatia •Shoplifters are subject to prosecution and will be ;' '� �EOm� D"Park Perder Coin Sheriff evicted without a refund. 76 ,,_J •Only boats owned by registered campers are Campe Storage i} (919=�r2�r2 allowed launching at the boat ramp. NO guest s boats are allowed to be launched. _- Clam Point i •Please keep campsite as clean and neat as 't Privately Owned possible. Please put cigarette butts in a disposal container and not on the ground. 1 1C 28 2C I I III •Parking limited to your lot only. 1:10011`` " f "= [ Y Y 1AL ' -3 I°I 'I Bigforo Court - 4' I Y �. •No ATVs orgo-carts allowed. 365 I = Grouper Loop__ . P, H a orf��m w tel 364 li * • ex a f3 g4 362 607:OH •We reserve the right to discharge any campers notoa;e�. tt 805 abiding by park rules. / F.ra 36a :L" r Y Q toe 36, .' Drain_, LEGEND �, in i Field.w 4 r .. •L�➢�are to be kept on a leash.Please clean up Fle,A EMI w p f1z after your pet.Do not leave your pet unattended at Boat Ramp ® =f a wed] I 62 Sib a� 35/ 3 ormrain R =i v; �- .r �615©I} ea your site. Phone 0 r 359 fd - ' Grouper Loop :25 •Assignment of campsites will be made at the Q r- ;r Not In Park jm- office. Please occupy your site and do not move Laundry Room �e,d w�" :i Privately Owned I without first checking with the office. ®!f ®1}� Restroom •We are not liable for theft or injuries occurring ®s,ege ®j} during your stay. Dump Station titgaiSDA y • No washing dishes or cooking utensils in the DUm stet ° WILSON'S .. bathhouse. p • r T OLEO must be observed from 11:00 PM to Propane• �A \,©ri 7:00 AM in the park. sump•,- - • PT-Waterfront ' H •All motorized vehicles (battery, electric or gas) ® Full Hookup ;•'arshlnd 408 NORTH must be permitted at office.You must have a valid .,409 license or permit. 0 Interior 410 5 2n; Full Hookup •No offensive activity shall be carried on in any Interior area of the park or on any leased site. Boisterous . Water+Electric 1 i' ` I I� ING t or noisy behavior or profanity will not be tolerated. 500 �� DRUNKENNESS IS NOT TOLERATED. ALCOHOLIC ( Waterfront P P BEVERAGES MUST BE CONFINED TO YOUR LOT. ` Water+Electric ,v 02, ' •Trash is to be taken to dumpsters. ri Cabin Rentals 03 Printed On Recycled Pape- e r e4 Pull Through AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION . L' -' 7rOrn / i 1.04t-vi.,- Name of Pro ert Owner Re uestin Perm L - 0 0 irt '9048 IX oVID Mailing Address: _-14,( 6241--A oz9Pks_ _: Phone Number:- p '2 -' / 7 ,.$ Email Address: I certify that I have authorized .L)O 1ii ( _a4 4 , Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits - Ine essary for the fallowing proposed development: 444 0V- (e,otyddilsji A. ,. at my property located at // & I j-h"A_- , . in aNq./,e( _._- 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. , Prop Owner Information Signatufe r ),01A d'fr Print or Type Name �g��-/" RECEIVED V G���d(� Title APR 1 5 ?r ` i I fr l -/ Date DCM WILMING T O This certification is valid through I / • - • •r. _ r 1 CERTIFIED MAIL • RETURN RECEIPT RE U TE DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM �� Name of Property Owner: Address of Property: d (Lot or S e #,Skeet or Road,City&County) q� ... A- M ling �/` Agent's Name#: J x Agent's phone# �/ - q497 s • 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 mustnotifytheDivislon of Coastal Management(DCM)in . writing within 10 days of receipt of this notice. Correspondence shouidbe mailed to 127 Cardinal Drive Ext, Wilmington,NC,28405.3845. DCM representatives can also be contacted at(910)796 7215 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, 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.) RECEIVED I do wish to waive the 15'setback requirement. APR 15 2021 • • . I do not wish to waive the 15'setback requirement. DCM WILMINGTON, NC party Owner I rmation) (Adjacent Property Owner Information) . Si nature • Signature ��ee 4i/a- Middie/ 1V ,Print or Type NamemePrint or T3pe Name .� "it 6J,9S /t f f f M ling Andre / Mailing Address le#0.6 }-441124"," 1k S?9a City/ e/r7 City/SfatefZip .4Y/--.,i7-."-imil Telephone Number Telephone Number . li/0/0 2 1 . . Date Date . • Revised 6/18/2012 _ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ( / ` , I hereby certify that I own property adjacent to 11k ( 14'tO(Nameyo Property Owner) property located at (lie( S -. as Address, Lot, k,Ropd,ear•) timizt on �. , in ,PDt. , N.C. (Vilaterbody) (CitylTown andlor C unty) The applicant has described to me, as shown below,.the development proposed at the above location. 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) • bud0/ 04-1 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. I do not wish to waive the 15'setback requirement. (` perty Owner Information) (Adjacent Property Owner Information) &Fre em - e P ' r pe N Print or Typ Name , ./a/ 10 M�afling Ad restZ A// 08 Ar less 4/ 9 707 4D Clod '79��-q1'q City/State,Zi RECEIVED ,TelephoneNumber - Telephone Number l / - • � APR 1 5 25,i Date Date (Revs al' lare42)GeON, NC 7- C'S D • ula ions ''4. • Becky's Creek SPEED � �.---- ---_ -- -----I •Check-OutU1111 1:00 PM LIMIT ;/ /r , r_ Ciicle ''_�[' t • 2:00 PM .• �iTriter s 1z ,okitl.;.144-If 7 eog'Yalk ) �11145 I11181 isy°r+w 16 ,7 19h •Picnic Tables: One per site,please. ! Tri�er,shotrve •Campfires: One per site.DEFACING OR DAMAGING 31 , °, g's'`2 2B 27 2B in 7 23) MPH 211.. l31 32 33 �35-!;.36 F.iy TREES AND SHRUBS IS CONSIDERED VANDALISM ' ' » L 1-"- Drive -• - ©© �� Mgellish Dnve d AND WILL RESULT IN IMMEDIATE LOSS OF `" i� .-74,,;,f-;,,, A p '''A_.'- . N rt .g l;, CAMPING PRIVILEGES. _ t-�•; „ 35 ,p •t kJ-Eli-lit big f � P °,'p"' 3i m IQ Partottish Drive ri 5 •Firearms and Weapons: The use of fireworks 10t,102 y z:{ (- firearms,BB guns,singshots or other weapons in °' ••. ®�o I e Y , 2 3 4 5 10mffPr g. the resort is prohibited. T ,- °" ,�: Em1 Lila s .,. , z. 16 a ,a 12„r, 10 9 •Parents are responsible for the actions and safety of i 10R 47 their childrenyt and may not leave them unattended. `03 • • 43 E®r!, ~,g t 1111 ,, 18c 3174 32 ' FAT) - - ' '1 ) E EiL'I r: v . r tin? cm 11 i:Boat -,o_ r •* I - — - - i._34 32 31 30 29 28 m tllldlr cm - ,11 / goal ! 9 � 11 O i. 3 3A t - Sailfish© - t:8111pS1t8�4% 1 1�jjj, i19 :,�Storage]12 © i i LOCIEU I d1 um campsite 1_t4� ,15 td to 6 3' Sailfish Way •Anyone caught deliberately destroying or defacing w skeeters Drive ' r5A 3-��6A "`---••- campground property will be expected to pay �m� ©23 a s, 32 33 34 35 Ise 37 9Be3s 46 4 cy 1`"-'7, -12f�''a 1J6 18 iriE 20 22 I these damages and will then be asked to leave 175 -126 Y';; 1 27A.7F. with no refund. i,(, w1iN " '�'° ' � 36A1:11:3 26A 25 = 24 23 22 2120 19 18 17 15 15 •Pool : Pool rules are posted at pool. POOL ors', Gran Lane !3 — LohsterLa e ti-?I t°i�1:j 1FC■ .. 6 i 10 2 USE FOR REGISTERED GUESTS ONLY. CHILDREN �6i EiP7ntisirawie- m 6 1111 10 11 12 I 3 14 UNDER 10 MUST BE ACCOMPANIED BY AN ADULT. ` 11 ° l�. 7.,amt.iltia [ ,NO LIFEGUARD ON DUTY. Please swim at your own I 6fitat 0 u,I _im 6oA roaorisk.Use the buddy system to ensure your safety.You " 154d ,, Y 60 �. CHHEBAYY Y .• �' must have a towel if swimming in pool. Babies or x .,` " ;Sb I- S ooI '7HEBAY Y Y' y' small children not potty-trained must wear rubber Intracoastal 157 _ pants in pool.We have them at the office for a fee. waterway / , is�`=�--�';711�'� N n80 o ,60I i;, tr: • ° •All guests of permanent campers must pay to 161 , ��; swim. - 162 ilrli3 ` ------ �' - „r.,... • 163 i � 1 __ - " err_ •Shoplifters are subject to prosecution and will be 1Ads,4I mum = I Dog Park Fender COun Sherr%ff evicted without a refund. i k+ / t=-- •Only boats owned by registered campers are \'`' .=J'" /,817 1-,Camper Storage {It. ( 1 4010 r21f2 allowed launching at the boat ramp. NO guest „ boats are allowed to be launched. I - Clam Point 1 •Please keep campsite as clean and neat as 'I Privately Owned i possible. Please put cigarette butts in a disposal container and not on the ground. r y Y I 1C 26 2C I I m u mmwwm u :I ul en •Parking limited to your lot only. ( a= ;I^ 1mI V lal�E $ 0 Y F- C= ;' ;r 3BI6°°I I &gtora Coun -,,We i y 1A TA4.3CIII •No ATVs or go-carts allowed. \ ®© 1365 a Grouper Loop _h •We reserve the right to discharge any campers not 1 au fi ea 6a7609609e1• iw abiding by park Hiles. 3a 'ed' i 383 * • "f °� ,; en 62 LEG' E�1� ui i 369 Y t Drain • 606 •� are to be kept on a leash.Please clean up ) Drain, oF6P1 i nerd ",, Biz after your pet.Do not leave your pet unattended at - Boat Ramp / 357 358 °F-B� We° . 613 62 - 1, OF-BP3 ` ~ it i. I616 615 your site. !0 356 359 I3 OF-BP4 3 Y L - 5 OtiiJ Phone Q m, 35g 3es is or-BP5. Griluperloop - 2s •Assignment of campsites will be made at the Q y Y le OFSP6' Not In Park SIP office. Please occupy your site and do not move LaundryRoom Dram* f+� 9FBP1 Privately Owned without first checking with the office. ® Reid t,, l�r,OF-6P6, •We are not liable for theft or injuries occurring a Restroom ��f Storage''bill during your stay. ! Dump Station I TSB :—28 l • No washing dishes or cooking utensils in the sctrr bathhouse. a Dumpster , ° .PEW R5.o9YED • 1 i ' [gym must be observed from 11:00 PM to Propane �,ao5 - �+ 7:00 AM in the park. �� IL.-- �, 5 ?n'1 al PT-Waterfront y ; 406 D •All motorized vehicles (battery, electric or gas) rtarsnrand'r i 407 OR Full Hookup i must be permitted at office.You must have a valid _,. 4D8 Interior license or permit. Full Hookup 410 ' WILMING �- •No offensive activity shall be carried on in any ' ois Interior 4.) N.iEr, area of the park or on any leased site. Boisterous ® i Water+Electric or noisy behavior or profanity will not be tolerated. (--� DRUNKENNESS IS NOT TOLERATED. ALCOHOLIC l 1 Waterfront /y �"e5,o� BEVERAGES MUST BE CONFINED TO YOUR LOT. ` J Water+Electric f ce •Trash is to be taken to dumpsters. U Cabin Rentals - Printed On Recycled Paper ea Eli" a Pull Through 0 inqpirripirwm---. . . - ‘ e Ak• , IF . i Nir . , _r--.• ' ' .- or .., _ •r Untitled Map a Nit' j Legend iiiik , a .0.• le' ' f -40,4' Write a description for your map. 0,,IP4 . , • 0, - wv , ..1-• ... :* o . .. ..., , •;,...0.(4. , 4022.0„•••+ 'Ar•,. , , % • ,0111",, . r ay •:t ZIP Feature 1 alr„„ .. .„.44-,.v..... ,.. . ... _ 106 JN. Oft * 6 1 0 Feature 2 ill 4,. 4 1 1/*0.**, 4 , ., , , . , • . ,,,. ...i., . .A. % . , qc, 1.11 Z. Feature 3 , .. .. . . 44 . , k •. Of .7- 41 ,,,10.......- , • N 1r; • , ' ..• - -,, „it -yr' (,) • % 0 Nursery Areas t • a.... .0 , " - . i )• 'w 1111' , ii / -- )• . ., ,.0 4. — I 4 4 4 . . , ' ..," _ft . • 11444,, °).'- , _act* ra, • •. ..., - %ilk , • '' \ , ,3 4. -,4. • 11•• - • I „3/4 • :4•00. . , • ak e 1.. 44;40 ,......„,• *. *,Aill0 ' il• . • .....• i :10.-Ito'lob 4140.. - I - _ Google Earth N I 200 ft Chock Date Rocalead Dora Dopositad Chock From(Norm) Namo of Permit Holds. Vendor Check number amount Permit Numbr/Comments RenNPt or Rofund/Reallocetod Columnl Co/umn2 Column.? Column4 Co/umn6 Columns Coaunn7 Cotumn8 Cotumn9 5f42027 G.E.Vonatxeki same First Citizens Bank 1021 $ 250.00 major fee,940 Copes Rd SW.Shallone BrCo NO Split BB r'ct 13110 5/5/2021 Sea Manna Construction,LLC Adam and Leigh Greene(Sea Dog) First Bank 1300 $ 250.00 major fee,107/109 SW 961 St,Oak Island BrCo NO Split PA mt.12773 5/4/2021 Mantech,LLC Wording River Plantation Bank of America 2446'$ 400.00 GP#802910 PAM.12765 5/4/2021 Town of Oak Island same BB&T 83803 $ 200.00 GP#802950 PA rd.12763 _ 5/4/2021 CLTMC.Inc. Lussier and Farmer First Citizens Bank 1182 S 200.00 GP#80258D [PA rct.12756 5/412021 JR Huntley Homes same BB&T 4593 $ 400.00 GP#76500D PA rct.12772 5/4/2021 Docks and Deck Dudes LLC Heather Bass Fay PNC Bank 1056 $ 200.00 GP#80285D KE rct.13434 -- - — _ 5142021 Docks and Deck Dudes LLC Scott Pollock PNC Bank- - 1053 $ 200.00GP#80203D KE rct.12747 5/4/2021 John H Cooling same BB&T 6793 $ 200.00 GP#80235D BH rct.12877 5/42021 Allied Manna Contractors LLC .same Burns First Citizens Bank 10026 $ 200.00 GP#802520 JD rct 13407 . 5/4/2021 Timothy Powell James Jackson First Bank 9185 S 200.00 GP#80277D BH rct.12881 5/4/2021 James Miller John Pearce Wells Fargo .__ 1002 S 200.00 GP#79950D BB rct 13112 5/4/2021 Davey Resource Group Dustin and Susan Gross United Bank _ 2242 S 400.00 GP#79956D KE rct.13435 5/4/2021 Lanier Family,LLC same South State Bank _ 1250 5 200.00 GP#80251 D JD rct 13406 5/4/2021 AMW Docks and Marine •John and Knsta Cuder BB&T _ 6201 S 200.00 GP#79903D BB rot.13113 5/4/2021 Grice Construction Nancy Murdock BB&T _ 14598 S 400 00 GP#80209D(check 1 of 2) BB rct 131114 _ 5/4/2021 Grice Construction Nancy Murdock BB&T _ 14529 S 200,00 GP#80209D(check 2 of 2) 6B rct.13114 _ 5/4/2021 Lorene H Allen same First Citizens Bank _ 16257 $ 200-00 GP#80276D BH rct 12886 _ 5/42021 Marsh Creek Marine B&M Holdings LLC Southem Bank _ 8095 $ 400.00 GP#802990 JD rot.13401 __ 5/4/2021 Holden Docks and Bulkheads Town of Holden Beach CresCom Bank 3624 $ 400.00 GP#79932D PA rct 12768 _ _ 5/42021 Grice Construction Koultoniuk BB&T I 14605,3 400.00 GP4799050 BB rct.13116 - _ 5/4/2021 Grice Constructic n Garneau BB&T _ 14604!$ 200.00 GP#79908D BB rct 13117_ 5/4/2021 H5 Constructions LLC Highest Point Holdings,LLC BUT 2579 5 200.00 GP#801940(1 of 2) 'BB rot.13105 _ 5/4/2021 H5 Construction LLC Highest Point Holdings,LLC BB&T 2606'$ 400.00'GP#80194D(2 of 2) B6 rct 13105 5/4/2021 Lighthouse Marine Construction Bob Mott Coastal Bank and Trust 3739 $ 800.00 GP#801670 JD rct.12399 5/42021 Della Dock and Boatlift Judy Brock First Citizens Bank 9089 E 400.00 GP#80168D JD rcl.12400 _ 5/4/2021 Katnna Turner ,Hiram Williams Co Trustees PNC Bank 253 $ 200,00 GP#802490 JD rct.13403 5/4/2021 Jason Queen same Wells Fargo 186 $ _200.00 GP#80280D BH rct.12887 _ __ 5/4/2021 Backwater Manne Terry Williams BB&T 1293 $ 200.00 GP#799490 BB rut 13111 5/4/2021 Grice Construction Canco&Bedwell BB&T 14599 3 400,00 GP#79907D BB rct.13115