80172D - Miller

SCAMA/
❑DREDGE & FILL No ly • 80172 A B C6
GENERAL PERMIT Previous permit#
>Z T\lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As autyorized 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 01-/4 I ZOO
( � ` CI Rules attached.
Applicant Name U(C4, a J' C \1-�✓ Project Location: County 115 r,A.S. .
Address cOc) ..3 (-{LC.- , A , [
Street Address/State Road/Lot#(s) 7�
City GI e.,e,.�h0r0 State II--ZIP 2—1 LI v -7 ( v r(„ cl S I♦
Phone# ) 9(8 ti S0 2 E-Mail C-fU, , q 1 6 4sc.,I*Go^- Subdivision /J
Authorized Agent Se_6(it C/ Jy,n} ,-t e,•• I ^'. Cityi�C.� (, i L JJC4C I.. ZIP Z V`I(,y
Affected ❑CW �IEW �'TA ❑ES ❑PTS Phone# ( ) River Basin L,,.•..�1e r
AEC(s): ❑O '' ❑HHF (❑IH ❑UBA III N/A Adj.Wtr. Body c e -C- \ ( /ma /unki
❑ PWS: ^
ORW: yes /rf1o, . PNA yes Closest Maj.Wtr. Body Ai L../
Type of Project/Activity � . n-c• 2 S I: O e k• -, < ,
1 r
(Scale:- f`,.% 5 1 )
Pier(dock)length L/)fic
Fixed Platform(s) yvia j
Floating Platform(s) ► ('�V, j
Finger pier(s) -1 1 1__.... } . ...*._
Groin length { f
i
number 1........-T.-_ _.. : .,.._. ....... .__ ,...
-
Bulkhead/Riprap length I
avg distance offshore i,n II {
max distance offshore
Basin,channel ' { -
cubic yards j 1
Boat ramp -7 i
Boathous oatli / ) v 1?s }......�_ — t — •
—
I i
T C iBeach
Bulldozing
Other /c jl 1,w
! ssj ,
lii". 1 1 1 i 1 I 1 ei/L- L-\\ 1 , 1
. ,
, , , , , if 1 , ,
Shoreline Length S6 ' { f I
SAV: not sure yes 0 1- �1\�= '`("1-' O U
Moratorium: n/a yes II p I
Photos: yes I i '
Waiver Attached: y ,,
A building permit may bebe rdquired by: O t Q(/'k t�`1,., (e (VI . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) (1• c i i(7.,
c -P
Notes/Special Conditions 01)Gc�, ,. ,,• �, ��. n.�- 1C(a t.r� • y�' \ ,,..f•
(2) 2 s\,cs 6..^t ,,-u.k u `
1�1�ii
1
Agent o 'Applicant ri 1 Perm: ice Printed Name
, � \o -, I L ;
Signatta_ lease t comp\n•• statement on�iack-of-perfnit* Signature I I i

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: <<z�1� .\\k , r.(Z
Mailing Address: §c,o �- ,�t
v en-�s hor-o k-} _7 `fin-7
Phone Number: (3 1)(, 1 f - t(���7
Email Address: ,. r
I certify that I have authorized
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ELQ l-O V 1‘ AkAll c Q
at my property located at ` ( ,Vvt b , l a h.C 1 st
in )1,M5Wi C'I t 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
C o-ate:
Prior Type Name
ciwYLQA
Title
l-2Izl IZ-0zE1
Date
This certification is valid through �. I 'l I 21'

ANle
::::a:[ i CAROLINA BLUE WATER CONSTRtICTIONI
� ;;���, Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr.SW,Ocean Isle Beach, North Carolina 28469(910) 575-7100 1
CANAL 2
/ ID.1' 13,4' r16'-0' il, IA 1
A.Fga Ma and tat or_______
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1711x17e Nu.floating
MIBeal Ulf Dock en Ur Mks
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--I \ CONCRETE 6w Ca
mp.w.DaA.n `
CHRISTOPHER RAY JOYNER
DEED BOOK 3982,PAGE 1272MI JAMES 8.SARAH BRADDOCK
LOT 51 DEED SOOK 2735,PAGE 743
min x�� LOT 49
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x Lot 50,40 Cumberland Street
CUMBERLAND STREET Ocean Isle Beach
CAMA-Pier&Lift Plan

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own p rope '` n� l
rty adjacent to � �(` ( . ,s
(Name of Property Owner)
property located at lie r ' ��
(Lot,Block, Road, etc.)
on 061,`,/ I.` 2 ,in flJ eW( f S
- ,N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below,the development he is proposing at that location,
and,I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I o wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
aSej-
(Applicant Information) (Riparian Property Owner fo tion)
geocti a. (sit/''
Mailing Address Signature
eodi /J L 44 O\Akr �,-
City/State/Zip i (
Print or Type Name
(11� ._ 5 -5-- ?it u -lei -3 t.3 -yb -z 7
Telephone Number Telephone Number
1( 2-1
Dat

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to d_vot6 1 lleg is
(Name of Property Owner)
property located at bell- 5t.) In! 72 o 51.
(Lot,Block, Road, etc.)
on 04114 o2 ,in ((//eV S &AL/ N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below,the development he is proposing at that location,
and,I have no objections to his proposal. I understand that a pier/mooring pilings/boatli$Jboathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
eRil- I do wish to waive that setback requirement
6-
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
011401114.12a6itiallei' 4.1-
(Applicant Information) (Riparian Property Owner Information)
6? 9 i9 a $TT) Zet cam, a (�.c n �6��
Mailing Address `�
katil eakil � f ,/� Signature S ✓�&A H ( <13 R ✓-1 D ) d cj L
City/State/Zip C Print or Type Name
Telephone Number Telephone Number
Yill 2-1 _ qID - 511 - b1 -1 (
nn

' Check
Deb Received Date Deposited j Chock From(Name) Name of Permit Holder Vender Chock number amount Perml itambenronxnor6 Receipt or Refund/Reallocated
Columnl Ceaerat2 Column3 __. Column4 Calming Column6 Column? Columne Column!?
6/32021 Gary Stanton Ange Bank Check Brent Elmers First Bank 30273079 $ 400.00 GP 180133D JD rct.14326
6/3/2021 Pippin Marine Construction LLC CJ Bouchard Wells Fargo M 5800 $ 200.00 GP 680282D BH rot.12890
_—_
6/3/2021 �Pippin Marine Construction LLC Gina Poole _ Wells Fargo 5801 $ 400.00 GP 180309D BH rot 12889
6/3/2021 Archie McGirt JBJB Propteries LLC First Citizens Bank 8961 $ 200.00 GP880168D KE rot.13449
6/32021*-- .Michael Ann Williamson same Truliant Federal CU 1487 $ 400.00 GP#80129D BB rot.14934
6l32021� Grice Construction Redfern Scott LLC BB&T 14671 $ 400.00 GP#80123D ,BB rct.14941
6/3/2021 ••Grice Construction John and Linda Morgan BBBT 14667 $ 200.00 GP#80128D BB rct.14940
6/3/20216/3/2021' ,Grice AMW Docks and Marine Jameion 419 s McLeod St SB LC B88T ----- 1 14668 $ 400.00 GPB#79997D BB rcl.14939
_ 6243 $ 200.00 GP#79999D BB rct.14938
6/3/2021 Carolina Bluewater Construction,Inc. Craig Miller BBBT y 23458 $ 200.00 GP#80172D BB rct.14944
6/3/2021 F 8 S Marne Mike Desmond First Bank [ 1021 $ 200.00 GP#80183D KE rct.12851