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Home My WebLink About80167D - Lucky 0 -1CAMA/ DREPGE & FILL N9 80167 A B C GENERAL PERMIT Previous permit# �v L1Ne, ❑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 D 7M, 100 ❑Rules attached. Applicant Name k C(C(/ Ev)0U 06 k I u(id1 LUG Project Location: County 5 v )3w.c k Address r7 U (�� ?fc fD W n d Street Address/State Road/Lot# s 1 nn ( ) City Wills ten C ,*i. State lug ZIP p17106 i J '-I I•Jt' pP(((.11 1>"'V_ Phone#(310 G-7 5 ?All E-Mail 'I ce t va,Ui Ic k Lx1•f 0 VY1 Subdivision Authorized Agent 5 Pp Dc 9 (\a/'''(10001A f'rn. LA,(( City CO k I S(G.✓1 cl ZIP ; 'S 465 Affected El CW 'El EW N PTA ❑ES ❑PTS Phone# ( ) ) River Basin L n6j{.w' AEC(s): ❑OEA E HHF ❑IH 0 UBA ❑WA Adj.Wtr. Body g/ri/ m(t(� i . (nat /man /unk ❑ PWS: a Closest Maj.Wtr. Body ORW: yes / no PNA yes / io Type of Project/Activity 'i.V . *G COO s 1,Ct iNp w % Iva i e d 6c k (j -Fel(( i'4V (Scale: IVI-S J Pier(dock)length k.x Fixed Platform(s) igX/6', 4r4 , ' i i Floating Platform(s) Sri' I6 / 1. i Finger pier(s) t Groin length — i i number ---" _._. ......_.__ _ ..... . ! F _ _ ..... --- -+ ---.... . Bulkhead/Riprap length a :� _ .._.._ . . ..._—r aA 1� 7.Ft' 4 ,��,.__.. ,. % '//' ` . avg distance offshore — ! r '�, ` wtdfJt� max distance offshore /1► LN /!4P[/ Basin,channel ' I i 1 ! <+-- / , e y4y 'o cubic yards — P frsed "". -1); ,. f M°.1 I: 1 _ Boat ramp -- fk>ah r y jix/! 46 1 l • , ~ G �.. i Boathouse/Boatlift ._ -I-...._ t....__ F t .._.._ t t _ Beach Bulldozing --• J6, r,_ I ,.,/� Other 14°l°-fi'!�L% f.�, ir, _ /' W i I yYr' k , v >V1` a►T,g4 * Y• V y' * 1b n4 v )f 'lf Y ramp •1 y! �(i W 1 I 1 1 Shoreline Length c 0r -- � NB,, Pr le, "��U �.,.ar - + �, _•"` I SAV: not sure yes i_ 1 , a l jlfso' L-W t3 ' IioAa - Moratorium: n/a yes � flRl r r Photos: yes P.11Shh1 [ -- Waiver Attached: yes ® ! ! ! A building permit may be required by: Tay,,.-,7 K a A/c" . I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions eti,"( YK,tgj /7f71, /26(2 . �/.1, 7/7Y/ttC/se- p S/Zt Ptrc� /TO 6 Agent ii.K4Pli rinted l p arejd' PermitOfficer's Printed Name Signature **Please read compliance statement on back of permit** Signature 0 <CAMA/ DREDGE& FILL GENERAL PERMIT V� s permit ►h? Modification Complete Reissue As authorized by the State of N Partial Reissue PreviousA B and the C North Carolina.DePermit# C �p 1 Coastal Resources Commission Department of Environmental Date previous permit issued mission in an area of mcernl pursuant environmental concern pursuant to ISA NCAC Applicant Name G ^ ut ky EVIA 4 0AIt I'SlRkV Iliv Address 5 2(i r LL C L"—z L7 Rutcs aiiachM"_`--- - �. PforftcivA (:Ctd Protect Location: County w)'.w. City w y)} tt�tl Street Address/State ( i' State AC ZIP a 71% Gti Road/Lot#(s) Phone# ' t PAhone#( ij II h "721'7 E-Mail ./(P�i's7s dil IC1otd t C.i 1 4 (Ir�'T 'C,�� ,�' Agent SCr• be) rilp. 'IL(G'IS ( i Subdivision fill (Csl GC Afteetttd CW EW x PTA City LiC�IC S la✓jCI ZIP x e`lL��S ES PTS AEC(s): OEA HHF IH nuA Phone# PWS U6A WA ( ) River Basin Ad).Wtr.Body ) 11GC•: ORW� yes .' na ____PNA �i�!`l/f�17!feir([ �JP7• / O •trr r•�/( (nat /man /unkn) /® Closest Mai.Wtr.Body cit.jiget./ Type° Project!Activity �i( � ! Chico',tz h CS! ' is c'c.1ctLCt b Aftl IlCk rh -rr,Ci l•it. Pier(dock)length 11 11,FixedPladormts) t„r r 4 ` (Scale: ti`r5 ) Floating Platform,s i re'•t•it r Finger pierls) • Groin length — number -- - - Bulkhead(Rrpr.ip length — avg distance offshore — `� 1 �,,//,,' '� g ,`/ max distance offshore — Nst�fft V `�!'� Basin.channel Is�Llr t ��`1 Os+/ -f• &n tom" cubic yards Slip I Boat ramp "" @d —�j aci 5r r l C r tletk le itf lad?o.r, OM Boathouse Boadift --� lb Beach Bulldozing — I( Other /[;iy t,[. 4, ` y r Y ` ,I lit;rl I'y, +f Shoreline Length st r `ti J/j 1< t( y Y Nei* Ire trVMis5 Bitr�6 SAV not sure yes eff Moratorium r,-a yes NIX! oil Ars,3,Q iJ 0.cr� ��i Photos. yes t�9 �r"il`�'t Ur WItrWC00 Waiver Attached yes ke/,r�A%� pr A building perm t may be required by: T7-iy r ny r See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions 4.�� r y L 774i. l�nrt iS ie .60.7716.6, �� 1 s�js r cii.„, 61.2 a'Nt Pntt :�jNl6 Agent orrAApp�plicant Printed Name Permit Officer's Printed Name Cif'^ /r�r^ stn.... "Plisse read compliance statement on back of permt" Signature /1121 'chi?I r t; iration Date 1 I Applica[ionFeebr1 i� CI e.I r Issuing Date Eap GRAPHIC SCALE 20 0 10 20 40 80 15' RIPARIAN OFFSET ILIMIT, TYP ( IN FEET ) 1 inch = 20 ft. RIPARIAN LIMIT, TYP. 8'X16' FLOATER 16'x16' PIER HEAD 3X16 GANGWAY J u 6' PIER 50' MANN ELAINE UNDERWOOD 4822 WEST BEACH DRIVE WALTER C MOORMAN TRUST `EX. BULKHEAD 4826 WEST BEACH DRIVE LUCKY ENOUGH OAK • ISLAND LLC 4824 WEST BEACH DRIVE SITE PLAN (PAGE 1 OF 1) N _ MR.JAY REQUARTH 4824 WEST BEACH OAK ISLAND,NC 28465 5/17/2021 910.876.0852 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Lucky Enough Oak Island LLC 's (Name of Property Owner) property located at 4824 W Beach Drive Mont ome Slou h (Address, Lot, Block, Road, etc.) on g ry g , in Oak Island , 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. 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) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or crorrr mist be set back a minimum distance of f 5' from my area of riparian access uri ess 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) (Adjacent Property Owner Information) Signature Signature Lucky Enough LLC Walter C Moorman Trust Print or Type Name Print or Type Name 3520 Old PFAFFTOWN Rd. 680 Fairfield Rd. Mailing Address Mailing Address Winston Salem,NC 27106 Fayetteville,NC 28303 City/State/Zip City/State/Zip 336-978-7219 Telephone Number Telephone Number Dale Dale --- ----- (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Lucky Enough Oak Island LLC 's (Name of Property Owner) property located at 4824 W Beach Drive Mont ome Slou h (Address, Lot, Block, Road, etc.) on g ry g , in Oak Island , 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. 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) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or grout roust tse set back a minimum distance of 15' from my area of riparian access urttess 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) (Adjacent Property Owner Information) Signature Si nature Lucky Enough LLC wine Underwood Print or Type Name Print or Type Name 3520 Old PFAFFTOWN Rd. 772 Malvern Hill Drive Mailing Address Mailing Address Winston Salem, NC 27106 Macon, GA 31204 City/State/Zip City/State/Zip 336-978-7219 Telephone Number Telephone Number Date Date (Revised 6/18/2012) SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete Items 1,2,and 3. -ignature �' • Print your name and address on the reverse t!" _."_ L.f / r '� ❑Agent so that we can return the card to you. ` e" '7 ❑Addressee II Attach this card to the back of the mailpiece, B. 'eceived by(PrinV Namit✓,y C. D to of livery or on the front if space permits. Ala /It. I o � � 1. Article Addressed to: b. Is delivery address different from Item 1? 0 ves If YES,enter delivery address below: ❑No V\AU4CV C Mu Mail ITkActA Ftly, kii 1 LG,NC- 2q 03 1111 E IIII III I III 1II 1 II II 1111111111111111 3.❑Adu Sig Type 0 Priority Mail Express® ult It Signature ❑Registered MallaIITM ❑Adult Signature Restricted Delivery 0 Registered Mail Restricted O Certified Mall® Delivery 9590 9402 2736 6351 5848 17 ❑Certified Mall Restricted Delivery 0 Return Receipt for 0 Collect on Delivery Merchandise 2. Article Number(transfer horn service/abeq O Collectfired on Del very Restricted Delivery o0 Signature Co�rmationTM 7020 2450 0001 6498 5173 Mall Signature Confirmation Mall Restricted Delivery Restricted Delivery PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt i CHARLOTTE Nr- -780 --SENDER: COMPLETE THIS SECTION COMPLETE THIS SFf":Tfnr,ON DELIVERY • Complete items 1,2,and 3. I Print your name and address on the reverse A Signature so that we can return the card to you. X �� agent I Attach this card to the back of the mailpiece, B. Rt (MiltedO Addresseee1 C.Date of Delivery o r on the front if space permits. ve N 1. Article Addressed to: L I 1 ( ,Z/ El /i l V, D. Is delivery address different from Item 1? 0 Yes h•t vv. ri de V woo Li If YES,enter delivery address below: ❑No 1 12 McdJtn m 11 Thv-t. Nil C1Cot1 , &A ? i•20-1 111111111111111111111111111111111111111111 3, Service Type aAdultSignre Restricted Delivery O0 RRetriy MetM MiPRTM s�c tedO certified M le Os e ry 9590 9402 2736 6351 5848 24 ❑Certified Mall Restricted Delivery ❑Return Receipt for -_ 2. Article Number(tranS/er from service label) O Collect on Delivery Merchandise 7020 O Collect on Delivery Restricted Delivery 0 Signature Conrirmarlonr u 2450 0001 6498 518 0 r oveInsuredred Malll Restricted Delivery 0 Restricted Del very tlon PS Form 3811,July 2015 PSN 7530-02-000-9053 r$500) Domestic Return Receipt USPS TRACKING# First-Class Mail l ; F Postage&Fees Paid USPS 1�! t Permit No.G-10 9590 9402 2736 6351 5848 17 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service f � MaNt ao r1611A-lici lJ Or1 St Ai 6trVI S( Oo k is (aye, Nc 2,845 Ilii"i)iiitiiiiirrllllill)Iiiilllll)I'IIIII Illiii'illirlilililli USPS TRACKING# IACC?J�! Gfi 1�w��y �. 9590 9402 2736 6351 5848 24 United States •Sender:Please pint your name,address,and ZIP+44'In this box• Postal Service Doc Maffilke CC►��t k4 C1iov I o ' Svu °i 1 S� ( ,kmd, NC 2g9(Q DocuSign Envelope ID:44634ABC-9CD7-45FA-948E-F67173CF1DC4 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Lucky Enough Oak Island LLC Mailing Address: 3520 Old Pfafftown Rd Phone Number: 336 978 7219 Email Address: jrequarth@icloud.com I certify that I have authorized Sea Dog Marine Construction Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Installation of new pier at my property located at 4824 W Beach 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 on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: c—DDoocuSigned by: 3. 1 PT�'7'�O1"GO Signature Jay Requarth Print or Type Name Jay Requarth Title /5/26/2021 Date 12 25 21 This certification is valid through I / Check ,ed. Date Deposited Check From(Namel Name o/Permit Holder Vendor _Check number amount _ Permit Number/Comments Receipt or Ralund/Reallocejed _ Column2 Column] Column4 Columns Columns Column7 Columns Columns 021 Allied Marine Contractors LLC Todd Surratt First Citizens Bank 10184 $ 200.00 GP#80108D PA rct.12826 021 Scott J Prestage same Wells Fargo 2620 $ 200.00 GP#801360 PA rct.14331 021 Land to Sea Construction,LLC Michael Cosenza First Citizens Bank 483 $ 400.00 GP#801810 KE rcl.12859 021 Sea Dog Marine Construction,LLC Lucky Enough Oak island LLC First Bank 111 $ 200.00 GP#80167D PA rct.12831 021 Permit Pals Richard Green CresCom Bank 3718 $ 200.00 GP#80105D PA rct 12830 021• Backwater Marine of NC LLC Michael Bryant BBBT 1322 $ 200.00 GP#801130 PA rct.12829 0211 Backwater Marine of NC LLC John Lank BEAT 1323 $ 200.00 GP#80114D PA rct.12828 021 Backwater Marine of NC LLC Donald Swink BBBT 1324 $ 400.00 GP#80115D PA rd.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 gp#80111d PA rd.12833 '0211 Allied Marine Contractors LLC Denver 8 Monni Hammonds First Citizens Bank 10186 $ 400.00 GP#801100 PA rcl.12832 021 I Allied Marine Contractors LLC Travis Gannon First Citizens Bank 10185 $ 200.00 GP#80109D PA rcl.12834 021 Gnce Construction Hampton and Judy Cobb BB&T 14669 $ 200.00 GP#801240 BB rct.14053 021 Once Construction David and Rebecca Enterline BBBT 14670 $ 200.00 GP#801250 BB rot.14054 021 Rhonda McCall Leslie and Tischa Bailey Bank of Amenca 1121 $ 200.00 GP#801610 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 rct.14337 021 Regina Giurintano same Branch Banking and Trust 1673 $ 200.00 GP#80121 D PA f_ 12835