80143D - Ashe

CAA /1)4DREDGE & FILL N9 KU 143 A g t iI
GENERAL PERMIT Previous permit*_ —
ew Modification Complete Reissue . Partial Reissue Date previous permit issued__ _AS a,rl,o+rzecl by!he State of North Caroltna,Department ai Environmental Quality tAti �'a f� /Ir 7
nrd the Coastal'etu a cis Cnmmtss,on In an aces of environmental concern pursuant to 15A NCAC S
Rtil sttach d.
App icons Name r4p �j�. f —— Project Location: County W-r-
Address I etc-1 K I £J/ fr. , Street Address!State Road/Lot#(si
�C.tyPVT/RV) State ZIP Z r4 l'q ievG -
Phone#40 3i32a - E-mail _ Sundlva•on
A;.thor:zed Agent ra_1 , jot• 21 /1)D�fL_ .ty ZIP
CW & �W TA ES ` PTS Prone # ( _ ) ---_ Rivet Basr' 6 .
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0EA HHF _IH UBA _NIA Act Mr. Bodyyv n lunkn
AEC(si: Pws I far 1 - „yv q re
ORW. yet r PNA yes 1� Closest Mat.Wtr.Body .�O1 V��
Toe of Project/Activity 1f Lkc z VIL� 17 / N 5 rf ti---
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A burning perr.,•t may be required t,y /,A a 0_t Aga.._ ' See.•iota on sack regard.rg R.rvct Bawl rt,les.
Note Local Nanning jurrsd+c von) ��/
Notes.: pecial Conditions l/L 5E '1/
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CAMA / ❑DREDGE & FILL No 80143 A B C
GENERAL PERMIT Previous permit#
��-% Q.New ❑Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality D.,P , . , (U D , ' /z 9"and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑Rules attached.
Applicant Name w:C-N 171 P Project Location: County C
Address 1 9 C 9 l< i 06.4 L,.- /4JN,Dl 06 o k , Street Address/State Road/Lot#(s)
City P .fj State I-- ZIP I rt'lig tT 4A r
Phone#k)3)32 D6�E-Mail Subdivision
Authorized Agent LP�t 'r l 0 E L / v City ZIP
Y
Affected ❑CW W PTA )LES ( p ��❑PTS Phone# ( ) River Basin v• () .
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ). 11N 0./ ( Vrnan /unki
❑ PWS: ,�,/
ORW: yes / no PNA yes /� Closest Maj.Wtr. Body 7b `7c 1�` 7!2N/7
Type of Project/Activity ((,,- (C U V j L- Ar A i\)() / Ni 5 7 A-
- : : r /'W I,— '(4 (Scale: i\j j 5 )
Pier(dock)length ■Fixed Platforms) f � •' ■—_ a l
Floating Platform(s) j , 11111 iri
Finger pier(s)
Groin length
I 1 -t-' —III 1 I : 1 ' MOM : 1 1 . -I 1 !
number + ,.... ligibill‘';• saa4_,_
• ' 7/46- -p ! !
ulkhe /Riprap length i��. _� } . .._..
avg distance offshore ""( .1 : i �i`■
max distance offshore mati _ it4uamMIPMS i
Basin,Ckinnel '
ds i .■�� ��,I cubic yat IMOIll ,
Boat ramp I ,r ���� IUK�
Boathouse/Boatlift 1�.." �� �'I 1 I ri-____1„141. ........... 1 —_ `.......
s l — �..
Beach Bulldozing , �. ,_� k „I {
Other �mu ___�� �� —
Shoreline Length f/'� /j,,Q , ZM IrIIIir IIhNgllIlltll R
SAV: not sure yes MI_-_
I
r 011 if., 1 _... _ TT
Moratorium: n/a yes 4....... l..__ }..
Photos: yes Y��'TL' — --
Waiver Attached: yesdia, I '
111111
A building permit may be required by: / 'AL,Bt_'aa� 'ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _
Notes/Special Conditions I V _ .s i 15 / , k-- %r 111-� 4`� //t/
al c A L 1 AA -NT A S / /5 7"iA — f 19 .4E-6M 72)
5 L. t 1-N,fX
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or Applicant Printed Name , Permit Of er's Printed Name
kl —...._....----.
Signature **Please read compliance statement on back of permit** Sig re

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: \A_ end y Ashe
Mailing Address: 1959 Ktnns LandingRoad
J
4--\amp sfeac MC a 8LILIS
Phone Number: 3 a0 - OL0L4 0
Email Address: I nCo@ lure Ltsa.. , Conn
certify that I tvI S'•. A '
C��ui that i have authorized ��.+ D ,v� 4
Agent/Contractor
to act on my behalf, +or the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: lrred91 n `O r 100 (05
htd khend rplacemen - and new dock. .
at my property located at 1159 Kir1C3s Lanet r Rd.
in lPender County. �J1 JJ
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
enoly I- he RECEIVE
Print or Type Name D
ne; JUL 06 2021
Title
1 T / ':( DCM WILMINGTON, NC
Date
This certification is valid through I I

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Wendy A5he
Mailing Address: 1959 K i nc5 L.a r1Cl.t n Road
a.mp s#each N C a&'1 I
Phone Number: _ Lo v3 - 3.QO - URA O
Email Address: 11 11o< lure U.Sa_ . Corn
I certify that I have authorized Rdr'1 o(- l xx { Dcck Mai n4-
Agent/Contractor
to act on my behalf, Nor the purpose of applying for and obtaining all CAMAA( permits
necessary for the following proposed development: cl I gor . 100 5 ,
hu_ikhenri replacemea1- Qnd nev dock .
at my property IocatE d at 115G ki nCIS L.anth nQ Rd.
in Fender County. JJ JJ
I furthermore certify that l 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 Inform4 tion:
Sign. Lure
\endy A5he
Print or Type Name
Owner
TitIE
I T I
Date
This certification is valid through ! I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A 1q.K ��C 's
r Na of perty Owner)
property located at ( T�3 t�; GC.4-kNciC
Address, , Block, Road, tc.)
on =0_. Lij , in , N.C.
(Waterbody) ity/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
EocatioA.
I have no objection to this proposal.
I have objections to this proposal.
DESCRI'TION AND/OR DRAWING OF PROPOSED DEVELOPMENT
5 �
(IfidIvI aI "> ,
. _ .... iita **447bw**ifikach-a°sib drawing)
'2 i
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3 . I-5-" r 4)
ce_k_ -U l .Asx—P .•4-e w .0/ A=A -
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y
WAIVER SECTION
I understand that a p er, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a rninlmum distance of 15' from my area of riparian access unless waived by
me. (If you wish to w<ive the setback, you must initial the appropriate blank below.)
X. I do wisi, to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property
�Owner Information) (Adjacent perty Owne nfo ation)
�
Signature Sign till •
Vic ry dN t \AL I t i pp., I`'ksS -e-- (Ail
Print or Type Name Print or Type Name
19 59 i` rN IZ.t. L. ( -.-
Mailing AddressItttVildTs
City/State/Zip c �g Li y Cit state `. { ��
(z)0 • 3 • Ol;tto q19 3s13' D ifii
Telephone Number/email address Telephon Numb r/email address
5/?81 , <S 31 �/
Date Dale*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I awn property adjacent to Zan ,\N- • 's
(Name orf�,Property Owner)
property located at ( R 3 9 K IN ovs
`(u
(Add,'ess, Lot, Block, Road, etc.)
on C vJ , in 1.4N4 sA-cp•A , N.C.
(Waterbody) (City own and/or County)
The applicant has dE scribed 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.
DESCRI )TION AND/OR DRAWING OF PROPOSED DEVELOPMENT
au Q-� a--�-
3 Ers. i 5Ti -� . t
d goc r`in' ' 1
y
WAIVER SECTION
I understand that a p er, dock, mooring pilings, boat ramp, 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 wo ive the setback, you must initial the appropriate blank below.)
I do wis to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent •roperty Owner Information)
4,44. /
Signature fratu e*
Print or Type Name or Type Name
�q s4 i` r% rz) / 9,3 / /d kl s La ha4y pof
Mailing Address M T g Address
City/State/Zip City/Statag'ip
(oo • 300• o6Lto WO- 9-- // 6)
Telephone Number/email address Te(e hon Num er/email address
p p
512~312► S .3 j-Z)Z�
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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Check
Date Received Date Deposited Cheek From(Name) Name of Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Colunnl Column2 Column3 Cdumn4 Column5 Column(' Column? Cdumne Column9
711112027 Sea Dog Marine Construction,LLC EAJ Futures First Bank i 1381 $ 200.00 GP#80162D PA rct.12841
7/11/2021 Logan Marine,LLC David HiphsmM BB&T 7452 $ 200.00 GP#80145D JD rct.14902
7/11/2021 J Lone Custom Homes LLC Jason Long North State Bank 2570 $ 200,00.GP#79971D .BH rct.14109
7/11/2021 Patriot Boat Lift and Dock Maint,LLC WendyAshe Armenia Bank 1127 $ 000.00 GP#80143D __. JD mt.14350
7/11/2021 Amy T Faulkner Chris and Amy Faulkner BB&T 1755 $ 200.00 GP080185D BB rot,14065
--- _ -_.- :BB rct 14068 -.
7/11/2021 'Donald Barefoot Charlie Chowninp BB&T 5009 $ 200.00 GP
7/11/2021 Backwater Marine of NC Richard&Mindy Jones BB&T 1304 $ 200.00 GP#80154D BB rut 14057
7/11/2021 William H Green same First Citizens Bank 1049 $ 400.00 GP#80312D BH rct.14101