79915D - Brooks

0❑CAMA / -i DREDGE & FILL N° 79915 A B CC
GENERAL PERMIT Previous permit#
Yam--= New ❑Modification _'Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 7
and the Coastal Resource;,Commission in an.area of environmental concern pursuant to I SA NCAC ! '/ "Q`
�i ules attached.
Applicant Name (l0 T 1 /3/L/7D Project Location: County
Address j7 '/(i,ij1 ,,D// Street Address!State Road/Lot#(s) /4-
�- _ . / x
City 12a(`c. state/VciziP 7%0 - %1 i / jai f? -r77A-�'•i"
Phone#Q/q ) -Zb(rE_Mail Subdivisi9 ' ,l
/!l f //7
Authorized Agent v / C '�</� City (S zip
❑CW J EW \PTA ❑ES OPTS Phone# ( ) - Riv r Basin
Affected ❑OEA ❑HHF 0 IH 0 UBA ❑N/A
AEC(s): Adj.Wtr. Body ite nat an /un
❑ PWS:
ORW: yes / no PNA yes / no
Closest Maj.Wtr. Body , o v .-
/l h�� ,/I7 A 7
L Type of Project/Activity / '
I if Scale: /1/7--5
Pier(dock)length
1
Fixed Platform(s), 1 t f f t
j A'
i
!1flh
;�" "— ,
i
Is
avg distance offshore }
max distance offshore
Basin,channel \\\ l ; I
cubic yards 1 8 ` {
Boat ramp / / 0 i 411
i
Z Z Boathouse - ___....__.._ �_-- — ---- � --..__--------_.....-
i
1....
i _ f
Beach Bulldozing (,. ../* A '
*: j i
Other / ! I 141,/.l`�
,, . f,,,,,,,,,A , ,
, , , i , ,
, , , .
, .
Shoreline Length
Ze...?",
SAV: not sure yes C:e"llPF __. _ - i l '
i
Moratorium: n/a yes JP 4
Photos: yes
Waiver Attached: es ' Al,- ,
A building permit may be required by: �../"< 1-eA 63 • . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /
Notes/Special Conditions
- teitbt,t4 /J U9 1
A,gent or Applicant Printed Name /' e/ ermit f♦icet s Printed Name
Siinature **Please read compliance statement on back of permit*" Si , ,

0 CAMA / DREDGE & FILL \4() 79915 A B Cci)
ENERAL RAL PERMIT_ Previous permit#
ew Modification Complete Reissue Partial Reissue Date previous • ••
As au orized by the State of North Carolina,Department of Environmental Quality _
and the Coastal Resource Commission in an ea of environmental concern pursuant to 15A NCAC e -aC
Applicant Name �} ® Project Location: County
Address !/ j�j�'10 4 - Street Ad ress/State Road/Lit #(s) fr2 /
--.
City G I State CJLIP 2 0 7 _TT-/ . er:r
Phone# ) _Zb/rE-M .1 Subdivisi ___
Authorized Agent _ IttG City_ ZIP_7r#1_
Cw W PTA O ES OPTS Phone# ( ) Riv- Basin le A
Affected OEA 1 HHF IH Li USA _.]N/A ,•�--,�
AEC(s): Adj.Wtr. Body - sKLI. an uni
PWS: d K
��_y�i�. Closest Maj.Wtr. ody
ORW: yes 9 PNA y /Cy
Type of Project/Activity / / e ib-A / 1/ ) /r‘r-r 4--7
Scale: ---C
Pier(dock)len;•h ---
i i i } I I ` ` ' t r .
t '
i_ , t
Fixed Platforms . _- . t. ' i i '�/�
Floating Platform( 1- 1 i i • I 1 " +w • .
Finger pier(s) l 1 } Pe
Groin length t i Q
p,(4411
number ,�f V I j • } i ^:
Bulkhead/Riprap length — i '
avg distance offshore i � `
max distance offshore ` I ; \
7-1 : J i i-.--- , '-
Basin,channel - ---\ + 1
r F -1- .1)\
1
cubic yards
i t 0 0 44Boat ramp_ / ( -if, _ I ; 1 1 _
1• ;
8oathous d :.. tz,y,„ __,.
e '� , i 3_f ,IskA:,
Beach Bulldozing
W"i "i
Other _
--\ ---
-i.
d�' �_ i a— it' + t ,
} { y
Shoreline Length ��+�:^"`51 t I i i
SAV: not sure yes : ! i
Moratorium: nia es ;
i I- 1 : i -}-
Photos. yes X r"— i VE - L�.__ .�j _ . , 1 1 I I I
I i t ,
Waiver Attached: es ir 0
A building p may berequired by: t- wel-• See note on back regarding River Basin rules.
Y -'e'
(Note Local Planning Jurisdiction)
Notes/Special Conditions
50 • A g i ,..
•:ent or Applic. PtAlvii'A 'il-11-------------
H / /��rj/� <96 'er i s Printed ame
Si: ature **P1e. -ad complian Y tatement on back of permit** Signat

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
."8Name of Property Owner Requesting Permit (1491146.
Mailing Address 1'3 2. l 000a. "l •
CR-CblitkNc- 17407
Phone Number: cog i-i - ,49
Email Address:
•
_____,5
+Ie___6_14L ____
I certify that I have authorized _ t , N
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following p osed evelopment
0e# & '-'• , I, c
at m ropert located at 'Br6E. S I 8 4 Z
•
in County. � 1 P 44466.5
I furthermore certify that I am authorized to rant, 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:
Opl—Cti3
,P Signature
Print or Type Name
L i. .`--
Title
JL( l' -
Date
This certification is valid through 01 110 i I0101

)14
I haveADJACENTobjectionsto RIPARIANthisproposal.PR ESS4II1'
TY OW ER S EMENT
I hereby certify that I own property adjacent to o AT reC36 3 •s
*12-.
• 1 e of P pe n
1
property located at
•
(Address, Lo Bloc ad, etc.
on 1 in
NC
(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.
'.4. ,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
45 to.E. 1441111411611, ii>" %
•
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.
eV I do not wish to waive the 15'setback requirement
erty Own r formation) (AdjaceRsaperiy Own atio
.zi ,p‘.._
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,s, i.P y• aeI t or .: ame
40:din. 'd�re 7 . in. •.. w t sc,,,,,,,,i,
cvJ �l 1 �ny rip
lb( ff 7
Telephone Number Tel:i n umb • 4
Dare Date --
( vised 6/18/2012)

ADJACENT RIPARIAN PRO RTY OWN R ST TEMENT
I hereby certify that I own property adjacent to `co .S
Is Li. (f4�1�e 4r ne
Property located at V'I 1
a 1 (Address, to�Io Pad, et )
on In
N.C.
(Waterbody) (City/Town and/or County)
The ap ant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal. bit
—.--` ve objections to this proposal. A4,Z
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
5 MO4I
(ate;,,,
..5
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.
operty Ovvner Information) (Adjacent 'ro• •weer Infor.•.tion) /
1
]Q l' tnniri ra #4 - '
�� .71��
YPe `/Q.1' nto eN. 30
all! Addr {�•I me.... . ,
�� flailing Ad ZgLitil
to CI C/���d —
Telephone NuV II Z X,
to - ILI_
Telephone Nu bet
Date — — — -- !/ / `'�_
Date
(Revised 6/18/2012)

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* •Replace 4 Lift poles
�� �" „ ,& Reinstall Lift in,
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'� i` fix;.. � �. /.
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Check
'ad Date Deposited Check Free,(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Re/und/Reallocated,
Column2 Coumn3 Column/ Columns _ Column. Column7 Columns Column➢
021 Allied Marine Contractors LLC Todd Surratt First Citizens Bank 10184 $ 200.00 GP#801080 PA rct.12826
021 Scott J Prestage same Wells Fargo 2620 $ 200.00 GP#80136D PA rct.14331
021 Land to Sea Construction,LLC Michael Cosenza First Citizens Bank 483 $ 400.00 GP#80181D KE rct.12859
021 Sea Dog Marine Construction,LLC Lucky Enough Oak Island LLC First Bank 111 $ 200.00 GP#801670 PA rct.12831
021 Permit Pals Richard Green CresCom Bank 3718 $ 200.00 GP#801050 PA rct.12830
021 Backwater Marine of NC LLC Michael Bryant BB&T 1322 $ 200.00 GP#801130 PA rct.12829_
021 Backwater Marine of NC LLC John Lank BB&T 1323 $ 200.00 GP#801140 PA rct.12828
021 Backwater Marine of NC LLC Donald Swink BB&T 1324 $ 400.00 GP#80115D PA rct.12827
021 Permit Pals Aaron Moffat CresCom Bank 3524 $ 200.00 GP#801120 PA rct.12787
021 Allied Marine Contractors LLC Betty Happ First Citizens Bank 10187 $ 200.00 op#80111d PA rct.12833
021 Allied Marine Contractors LLC Demar&Monni Hammonds First Citizens Bank 10186 $ 400.00 GP#801100 PA rct.12832
021 Allied Marine Contractors LLC Travis Gannon First Citizens Bank 10185 $ 200.00 GP#80109D PA rct.12834
021 Grim Construction Hampton and Judy Cobb BB&T 14669 $ 200.00 GP#80124D l BB rct.14053
021 Orice Construction David and Rebecca Enterline BB&T 14670 $ 200.00 GP#80125D BB rct.14054
021 Rhonda McCall Leslie and Tischa Bailey Bank of America 1121 $ 200.00 GP#80161 D BB rct.14051
021 Eileen Hennessey same Security Savings Bank 2396 $ 200.00 GP#803130 BH rct.14102
021 Southern NC Marine LLC Robert Brooks First Bank 1442 $ 200.00 GP#79915D JD rot.14337
021 Regina Giurintano same Branch Banking and Trust 1673 $ 200.00 GP#80121D PA rot.12835