80309D - Poole

0 LAMA / !DREDGE & FILL N° 80309 A B C 6
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 j ,r,O/�
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC - I CI
Els attached.
Applicant Name ��,� OO +, Project Location: County "over
Address 165 ^r ( Street Address/State Road/Lot#(s)22 4 a
CityG.).-rN.( StateKk— ZIP TJc(1
Phone#( ) E-Mail Subdivision
Authorized Agent �;.,) pp City OltrO1TAC1/4 .",w\ . ZIP 2-6,'1 2e
Affected ❑CW ❑EW ❑PTA S.ES ❑PTS Phone# ( ) River Basin '1Z
❑OEA E HHF ❑IH ❑UBA LI N/A �l 7� 6K-e �
AEC(s): Adj.Wtr. Body (nat /unk
❑ PWS: /�—�
� Closest Maj.Wtr. Body rN-�-'�
ORW: yes /E7 PNA yes /
SS
Type of Project/Activity \ Us) ) tC.) 4
441-Q
(Scale: T 2 d )
Pier ock)length
4410,
Fixed Pla (s) f j
TI
- ; i
Floating Platfor i .
M
Finger piers) T'
Groin length { L , f j
t i
number ' ;
I
r ;
u e Riprap length �_ ' i- .... - i
avg distance offshore i ' .. �«
O,
max distance offshore I
channel 4 ' "} I ii : .................
i
cubic ds :_
Boat ramp j e _ -\' iI � '1 I I I -
- -
Boathouse/Boatlift — k T '— - {
'_ F'1•
Beach Bulldozing �_' IR:
, , , . „ 6.406) 1 !
,
Other i`2,01 �t Vf
A e*s'\i..
Shoreline Length+ �� i } i
i i { I
SAV: not sure yes 0 ! } -- 4--+- -. ...._... _� _.__{ j
Moratorium: n/a yes ! { rt I
Photos: yes f •-1- _ 1 �}• �1(Ju[//}
7 (oft ..... .__i_- j 1
Waiver Attached: yes o `� ! - ;
A building permit may be required by: n_ .\ '�'l�'� I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdictio �l + `
Notes/Special Conditions1\,:),e) -� t l O 1 6:Y; ) 7zwa .
� � „._ f:p/I'2l
nt or r' Permi Pr ted N
10/1/21
Signature **Please read compliance statement on back of permit** ,•Signature I 1 I /

AMA / ❑DREDGE & FILL N° 80309 A B C 6
GENERAL PERMIT Previous permit#
ENew ❑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 SA NCAC
❑lits attached.
Applicant Name (. 0(c1 1 OC C Project Location: County r„v v�dve(
Address /U o:eN^(k okk ( ( Street Address/State Road/Lot#(s) Z2' ci40.
City CO,(`( State/ )C ZIP Z-15(1
Phone# ( ) E-Mail Subdivisionio ,I
Authorized Agent \' r� 1,-p City ( c ko 452cA h ZIP 2S 12-6
Affected ❑CW ❑EW ❑PTA1 $,ES ❑PTS Phone# ( ) kit
River Basin 'S�-
AEC(s): ❑OEA ❑HHF ❑IN ❑UBA ❑N/A Adj.Wtr. Body i�,41"kit 6i(O\ 6ul (nat / /unkr
❑ PWS: n-� ,
ORW: yes / no PNA yes / n-o`', Closest Maj.Wtr. Body '�"�-ww
Type of Project/Activity .Q.9 tom.) 1Q 5
kit i--1 ' ic) f (Scale: ('f.-.ZC )
Pier(dock)length
Fixed Pla O 4
Floating Platfor t I i
t
Finger pier(s) j . 1 + 1 1 1.►�V .}
Groin length ff ! i ;
number t c- -- --
`Bulkfiead/Riprap length r ..._,C -4, L. I + `
avg distance offshore C.2
I. `Cl t �,�
max distance offshore (� 1 V `e I �`'
V
Basin channel / " IV / 1 1 �,,,
!
2' ` i 1
cubic ds V ci +
Boat ramp . �Y 1
I
Boathouse/Boatlift _-- — —-- — —
i
Beach Bulldozing
Other C(1.1 T 20 eiiSTUA j 1 6(1)&034%rk ,
a' 1 f t
.,..4
}
N4( ! !
, , ,
} I Shoreline Length A 1— GO -r-
I
SAV: not sure yes 11./f . . � C
Moratorium: n/a yes � 1 ----
`_—_ _ .. .. .
Photos: yes 1— .p I
Waiver Attached: yes
o (�,
A building permit may be required by: 4nwn 6,41 ( C) ci. 'C.� See note on back regarding River Basin rules.
(Note Lo Planning trisdiction 0 � 1 1 k\fnS t �( 5 `+'2 �-/k
Notes/S pe ecial Conditions � IS (
v
c 4.k
-� yf�✓� ALLent or Applicant'Printed PermitOfficer;s Pr ted N .. / '
v i
Signature **Please read compliance statement on back of permit** Signature o' (.`- 1..I

M AA/( D As FILL
FILL
ci-:11 C) 80309A B C
GENERAL PERMIT Previous permit#
` New L)Modification ICompiete Reissue .Partial Reissue Date previous permit issued
As authorized by the State or North Carolina.Department of Environmental Quality O,w1
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC + 4 i CI ,
C��,, 1 attached,
Applicant Name "`�'� 'tiCF,t
Project Location: County��
Address 1 K "PI Street Address(State Road/Lot#(s)ZIE444
't�
City State ZIP Z (1
Phone#( . ) E_MaII Subdivision
• Authorized Agent t c+�'0t*''t City C i''itl. ZIP, 2 4 2e
Affected C CSTDEW O PTA S OPTS Phone# ( ) River Basin ¶ S
AEC(s): OOEAL ❑HHF 0111 ❑t1[W WA Adj.Wtr.Body M 61104. (hat r /tutkn)
Closest Mai.Wtr.BOdy
ORW: yes/eP PHA yes / oC ( (y [ (�
1'pe of Project/Activity rit.t�J pJ\ " t1Ptrak at 1y.. ^7 .
' aC-' � • V (Scale: �b w 4 dy )
Pier ock)length r" T—
Fixed Pfa (s) , I--: t .-1"-.. -i—.t.....%_ -����HP 1' '`(. Lrykty`i t .._—. ,� _r -r ! 1 ""'-17
Floating Platter _t._., — f- 'i
Finger piers i 1 M I..4 ,. , .. y -` i--j 1 ) _.f
Groin length 1_, 1
r w
•
a i t t
j
.L ]tL� !
number r ; } P tee 'i 1._.k.. y� , C- , .�a-
Su kiprapiength_ ^j' I �._.._ + I_.t..a...-. "{ tip+ 'S� ► 'C ._..._. !.— --- ,
V :
avg distance offshore�e .L. €- __-t. L.- •4rr ;---_ .. j ,( f
max distance offshore { ) 1 t; I ; % -�
j 1 '' asnasarr ,
B channel _.�_ >Sf—�+ __ ti
{
Boat ramp — fi—r F
Boathouse/Boadift`
i
-L _. k tee ,- !' ?
Beach Bulldozing -.,..,. .1. _.rt: _ -w...,._i Ala i' ._ 4,. 4- _�,__ -. t H-f-
ocher 60,26 kiku �'t. lt! } �,/ '`: it ®� burr;
t.3 i •--i--4 -1 ` ,- __i k
Shoreline Length A '4 �,_ ��
i
114 ' I l H.. i
SAV: not sure yes t 3.-._. ._- - _�. _ -._1..._;
N/ F` s -i t .-- � r- _-} i ��..—..
r, T �� t
Moratorium: na yes i f--t _ 1 f t s `ir i ) I i
Photos. yes a j' _1 ti _.j._ ._.i 1. i L_ "'
�} �, r-- ,—_.�_ ii .,..
Waiver Attached: i ? s4 :` t f
yes o .,`
A bufoing permit may be required h.
b ,T'L 6Arr i{liC_'� f 1c ❑See note on back regarding River Basin rules.
(Note Local Planning jurisdictiori A ��
Notes/Special Conditions (} lIth 6 (,afu�S, z]L ,
, . _
.........,_ _.. s .
*ix- f_.4ri.
4 ,,,,,firb.‘ {—\35cL4-
/14,0,,-7.-
,- t• Applke Pr! am* T Per a! � Pr ted N/�I�)�]
OW
e*Signature Please re compliance.st a nt on back of permit ISigatu ; / I •
SeCA CP q f zl
AppticanonFee(s) CltedstF batting ate Expiration Date

17..t..•.y
+• .C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM _
Date /;40
Name of Property Owner Applying for Permit:
giia_ AEG/
Mailing Address: •
w
/ / 2 ?/ ,V/ac e
I certify that I have authorized (agent) 7, /i c i-in to act on my
1' 1
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) / '&/i4j eact,
at(my property located at) �7 ,C�A/d e a �� g ,(
This certification is valid thru (date) f.2/431 / G7 .
f9C3de
L�iag�aoao ti
Property ner Signature Date 1
RECEIVED
APR 28 2021
DCM WILMINGTON, NC

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: r�j j a / , /e
Address of Property: _22 7 /L-f/ i d& �/fe a,v% //, 46- ,2hYZ,
� (Lot or Street#, Street or Road, City&County) /C
Agents Name#: //;/ A'21ir2 Mailing Address: i34x /a7(
Agent's phone#: FM- 71-oZb 3ie M//n( n wz u AZ L, Q4�d
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 must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-listin_q or by calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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.
Y I do not wish to waive the 15'setback requirement.
(Property Owner Informati n) (Riparian Property Owner Information)
Signatuife Signature
Poote
Print or Type Name Print or Typei(ame
o 5 K pr1a+ P \ac.e 2 z9 El oro,t 02 G -e
Mailing Address Mailing Address
(q_ Q1S ( ci CoAoll &IPA RECEIVED
City/State/Zip City/State/Zip
c (01 -49A-k4 c q / - i N C � 1-2g- APR 2 8 2021
Telephone Number/Email Address @9rnat( , Telephone Number/Email Address
COm DCM WILMINGTON, 11/4C
� - ,Do0-I 4 - 1 L 2-0 '7 J
Tinto

i
f, 7TIf l D IL R TURN RECEIPT REQI�ES I?
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOMWAIVER FORM
hams.of Propriety Owner �,..?14G�_ 12 e .
Mavis or PriV.rty ?' orrr�
it ot or Street•. Skeet or Hoed. City a County)
s pnOrvet t �11'' 'a", ? !4�1_//rl� • v ii /�f �r ( A).6 44 r
-¢. r-tr Ce" 'r Mit I own property adliceel to trte above referenced property The andzv+duaa
a •~ s Pe ts�has Ocs.^•f+bed to me as shown an the attached drawNw) the development
mare Prvcowl0
I have no olyjc bons to this proposal, I have objecoort s to this propo sal-
VyUQ Am oqf r*one w eft/is asinepreipased,sou Mann nobly rho Dhoolon of Coastal(Ora", On wrong NOMA fa� of receipt of/Oa nonce_ Contact soon far DC�M�pis avattabie at trre Are!,
ass as c�ns,�drn.d ty'�er sari as nor?!t 'tt►Yt+caf # or by 14U-4RCO�IS T.
objoceon if row hr+ver down rooted by C.rbfrod Meal
WAIVER SECTION
Livers:,Livers:4ml the a pier. dock. moors per, boat ramp, breakwater. boathouse. of lift must
be set tack a minimum m distance of 1 S• from my area of npanan a
you wtsm to waive the se you t�I1 the ap ur +�*s`3,w by r (f
pr'pOrWite blank below ;
------•— I do vest! to way the 15 setbaCs requirement
I do not wrs,h to wat.e the 15' setback r
QQcatrnnOrtt:Pro .
party Owner Information)
1 ka r Cr � Eetiornn ` one)..
-IitoSia
1101664 Si • f -0 if
61 ilea, Poole
rrtt tx T��t ,
tt ) Film or ED
wing +sea —~
MiNkly
` "4.6 4ef aY 2zi• CM WILMINGTON, NC
-_a.sdgoaa4:L.......444.
gg - --"tea € / j net
LaSkar
�r b5.

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Check
Dab Received Date Depoalted Check From(Name) Name of Permit Holder Vender Check number amount Parmlt Number/Comments Receipt orb
Cdumn1 Column2 Column3 Column Columns Column& Column7 Cclutnne Column#
6(3/2021 _ Gary Stanton Anne Bank Check Brent Elmer,, First Bank I 30273079 $ 400.00 GP#80133D _._ JD rot.14326
6/3/2021 Pippin Marine Construction LLC CJ Bouchard Wells Fern 5800 $ 200.00 GP#802821) BH rot.12890
6/3/2021 Pippin Marine Construction LLC Gone Poole Wells Fargo 5801 $ _ 400.00 GP#803090 BH rd.12889
6/3/2021, Archie McGirt --- _1111JBJBPropteriesLLC First Citizens Bank 8961 $ 200.00 GP#801688D — KEn�.13449
8/3/2021 Michael Ann Williamson _ same _ Truliant Federal CU 1487 $ 400.00 GP#801290 BB rct.14934
6/3/2021 !Otte Construction Redfern Scott LLC BBXT 14671 $ 400.00 GP#801231) BB rd.14941
6/3/2021 Grice Construction John and Linda Morgan BB&T 14667 $ 200.00 OP#80128D BB rot.14940
6/3/2021 Once Construction '.419 6th St SB LLC BB&T 14668 $ 400.00 GP#79997D BB rot.14939
6/3/2021 AMW Docks and Marine James McLeod _ BB&T 6243 $ 200.00 GP#79999D BB rot 14938
6/32021 Carolina Bluewater Construction,Inc. Craio Miller BB&T 23458$ 200.00 GP#80172D BB rut.14944
6/3/2021 F 8 S Marine Mike Desmond First Bank 1021 $ 200.001 GP#80183D KE rct.12851