79971D - Long

I
CAMA/ !_- DREDGE & FILL 'v0 7L}9,7 A B C
GENERAL PERMIT Previous permit#
ew - Modification L1Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality /� y�( ���
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC l.J'7 C t 12-CO
les attached.
Applicant Name ( J Project Location: County w �p {r r
Address fer j mA Street Address/State Road/Lot#(s) ! OS' Htwtn.,AA
City ;:tIti,iiltiSiOrN State)r--L ZIP f 05
_
Phone#(—Y)_ E-Mail _ Subdivision
Authorized Agent m(y,S i A 61/4-...)tt, �5 City C.‘,..574 ,1 ZIP zezioct
Affected ycCw W ?r-PTA LIES ❑PTS Phone# (______)— River Basin
AEC(s): OEA HHF IH D uaA ❑WA Q'-�- �� �� �
Cl PWS:
Adj.Wtr. Body _--__--iar,.5�.Dr�____ {nnett+AtiSyunkn)
ORW: / no PNA no Closest Maj.Wtr. Body—LY.11 6 ____ �rn�..ctA
type of Project/Activity C�SfrxA--- YtQL Td1C._,Cr oi c 2 j J �`-a -( li`-1/44
Pier(dock)length%� ')c(pi • ) (Scale: ►v�� )
FixedPlatform(s� � tititStpdowas) fatly' Ny* //
Floating Platform(s) C �` s I7 (sllPdaw ... 4 .j 4 l
r
Finger pier(s)_IVr6/ (htEt i j� / o, / % ��r
roin length >. f /
number1441
J J
Bulk Riprap length �` .t /
a-,distance offshore_
-'" i SE
..stance offshore •, \, '`"'f a 1 ?�
h
O tt h ! , v` �. E1 ..i,,:IYr
Basin,than I g a;4 ' 4r,..lt /
lit
---
"(41
cubic yar• Aa/h `d
\ �- J / w
Boat ram �g,,� ='-t 't► 1 •
Boathouse/Boadl ,' f Jf 1 I :co. ;',Cft.
0hv) �M� r '...�'/' i
4E 2� :Door >�
sew _ � v, l �� iJ
Beach Bulldozing.. a f di
i aDsrr ' 11 /
'r _ I ewer aas s 4 t/ r??ff
Other �t, rwa MV, > ` if, t'f
Shoreline Length —Ii) _ 7.. ,,,,, K / - �{_ 7 / �/
SAV: not stirs yea i - / t i
:1 , 11111111 rra-WALL aclra-ems_ / /
Moratorium: rile yes /
i /
Photos: yes �� �� /
Waiver Attached: yes 504a. �', 5fri z 1 ....,.Intl,,
��. 'lRgGaas.aa"—
A building permit may be required by: Ike)eA)...) ✓LdvtiI Co.
(Note Local Planning Jurisdiction � • L- See note on back regarding River Basin rules.
Notes/Special Conditions 2, ti°r• kJjT• , ,_ & eXOZA ei
' F • mod. Pt I ¢c O7-1-4t1r7- .�Q ' for �.'i(- ice+
o(-k 6111110 hAVC .543 z (, 1`i",;,ec t f'F
o v'1' _ l �q� Gt_ 7.7.Z j
or Prinesd Name- - - PermOfifc's Printed
- -C - I—t- 'z
I Signature read com is statement on beck of permit" Signature
-
AgplketbnFee(s) — 2_L4 Chock. Issue70 Date iiirttli
Daoe

Consent for Use of General Permit 7H.1200
Lot Number/Address:"- 1<3 ' Pl da�10'n A . �J1. . 1 4,r1,D�1�. 27.3(409
County: 1 e4uio c Subdivision: 1\3 t
Criteria:
(check all that apply)
lei Primary Nursery Areas.
�8L Less than 2.0ft deep.
❑ Greater than 2.0ft but less than 3.0ft.
❑ Submerged Aquatic Vegetation.
❑ Bottom habitat.
Comments:
1-1R917(- m4?(b9a Vr(IC) , , . l + t\Yu L), —r.QV
cI41 t'i} Zia" U►.p tln?,-4-h -4\ 'PR.(ke,oat4At. -t t-. o rpov:loot.4c
k -Ck c- ©�' dock , -axe i S G -c)(. I/5" ern
cAvatoo+- 'S- - ` ckv oX. ) 8""IV;`ors w ke,,,fk-ck 9(oc.0.-vm.., Ao' '
permit condition of 18" stops on the floating dock
Decision:
Issue General Permit
❑ Elevate to Major Permit
A' .1 7S/AzZ9- 07/6/21
NC Division of Marine Fisheries Representative Date
NC Wildlife Resources Commission Representative Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: i AsoN LO1 tC
Mailing Address: I-10 1 MikgiT ST.
kni ,MIN(AToN 1t c 26403
Phone Number: (cu0) 410 19_1 a
Email Address: JASOfl @ J IQn9cuSitmVII mtS .UM
I certify that I have authorized MPt2.IA WILUAMS @ MWDEsiCAKI ,LAC ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: P 1ER PcND
CiATh60 ADDITION
at my property located at I '605 , IPCt.i1J Pc'J ,
in aw ut GkV. 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:
V1Siig�n
ture
1 'iA LO C
Print or Type Name
Ow1/4iE12
Title
4 / 2 / 20Z1
Date
This certification is valid through 4 / 2. / 2_02_2_

1. . •os a ervice
r CERTIFIED MAIL® RECEIPT
.1 Domestic Mail Only
- For delivery information,visit our website at www.usps.coma.
Wilpin3tprf ?.NC 213407
Certified Mail Fee +
'P 6. 0 405
3 $ t2.85
Extra Services&Fees(check box,add fee ImoFiate)
J 0Return Receipt(hardcopy) $ U•
D Return Receipt(electronic) $ J .Ill Postmark
Certified Mail Restricted Delivery $ $0 CIO Here
3 El Adult Signature Required $ $fl.
Adult Signature Restricted Delivery$
Postage
q $Total Postage and FeAs 05/10/2021
$
i46‘1 gAtAiele- CeltitS114
ste%Ati‘Vd‘oireiggim eon, (emelt, OR-
, 2-840S

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: ,lA1SNI LONG
Address of Property: I Bios AVALQ(SI AVE . w tLMIN.(ATaN1 NI, 28409
(Lot or Street#, Street or Road, City&County)
Agent's Name#: WILLIAM& Mailing Address: 51S4$ SUN COAST OR.
Agent's phone#: (410) U1Z—3311 W11,MINGT 1J rNL, Z8411
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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215.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, 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.) RECEIVED
I do wish to waive the 15'setback requirement.
MAY 2 5 211
I do not wish to waive the 15'setback requirement.
DCM WILMINGTON NC
(Pro e 0 er Info atio ) (Adjacent Property Owner Information)
ignature Signature
JASON LONG% `jo MW DESIGN, U,G.
Print or Type Name Print or Type Name
1805 AvAn.4N ANf 1813 Ave- ON AVE.
Mailing Address Mailing Address
WILMINIATON la 1840°1 W1t.M1NUTONi NL 2-8401
/City/State/Zip City/State/Zip
'j1oL�1l- 3.311
Telephone Number Telephone Number
5/10I21
Date Date
Revised 6/18/2012

,
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. . ' !nature
IN Print your name and address on the reverse X IP
❑Agent
so that we can return the card to you. ❑Addressee
• Attach this card to the back of the mailpiece, B.,,Rc wed by(P,rinte/Name) C. Date of Delivery
or on the front if space permits. — (/�1 ��11 v�f ! ifff P
1. Article Addressed to: — D. Is delivery address different from item 1? 0 Yes
Nit N IANNOV ee CO ANTy - If YES,enter delivery address below: 0 No '
255 G‘Uvv2NMeNT Catrt-R-OR
vvluvitNu1N/NL n4G 3 -
H11111111
111111111111111111 II III 3. Service Type 0 Adult Signature 0 Priority Mail Express®
0 Registered MaiITM
❑Adult Signature Restricted Delivery ❑Registered Mail Restricts
9590 9402 5325 9154 5041 35 o Certified Mail® Delivery
❑Certified Mail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
H
2. Article Number(Ti
7019 11i Iililfiiii,jii::ii'lliii' rlllillllill;ii IiitiIiiili`iii
pC rnrm'1R11 .li

g. . •os a ervice
CERTIFIED MAIL® RECEIPT
Domestic Mail Only
For delivery information,visit our website at www.usps.com .
W ,
7 ,rt
J Certified Mail Fee $
0405
1
Extra Services&Fees(check box,add fee afiy5.4cAte)
Return Receipt(hardcopy) $
1:]Return Receipt(electronic) $ $CI_0 1,1 Postmark
3 Certified Mall Restricted Delivery $ Here
3 Adult Signature Required $
Adult Signature Restricted Delivery$
3 Postage
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$Total Postage and FeAs 05/10/2021
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Sego Ato N omens 1404
3 &met and Apt No.,orP
2z.2, WINDCr RILLS DR ,
e ZIP+4
c4WitiviiNGTON NC 7-13401

•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: ,AZON LOKICA
Address of Property: 1 5G5 Awm..43N Ave 1 WILMjNGTOn) WC Z64Oi
(Lot or Street#,Street or Road, City&County)Agent's Name#: (AMA W Il t AM S Mailing Address: 5J55' )9�
SMN COAST DR.
Agent's phone#: t 6t1O t9t1- 3311 Y II.MtNt(ATON i NC. 2$4 II
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing.A description or drawing,with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215.No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift,or groin must be set
back a minimum distance of 15'from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
RECEIVED
I do wish to waive the 15'setback requirement.
MAY 2 5 2021
I do not wish to waive the 15'setback requirement.
()cm WILMINGTON, NC
(Pr arty O Info ti n) (Adjacent Property Owner Information)
ignature Signature
JASON Low. `10 MIvKS(414 Lu..
Print or Type Name Print or Type Name
1805 Aw tON 1WVE • 23$ YV I N I)M uIU,S I)'-
Mailing Address Mailing Address
WILMINGTOfJ 1 We 18+31 1NII.AINGTON 1 N(, 28469
City/State/Zip City/State/Zip
( °Ito) (91l' 331 I
Telephone Number Telephone Number
5 J(OjLt
Date Dale
Revised 6/18/2012

•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse gent
so that we can return the card to you. X ....i �41 A .�� ❑AddresseE
• Attach this card to the back of the mailpiece, B. Re.-ived .y(Printed ame) C. Date of D liver)
or on the front if space permits. 1 t
1. Article Addressed to: �/, �^y D. Is delivery address different from item ? II e• '
AVALON OAk. 4O' • If YES,enter delivery address below:
ZZZ ININORIIIISDR
WILMINGTON NC /81I-01
Milli
I I IIIII II I IIIII I IIII I I II II III 3. Service Type 0 Adult Signature 0 Priority Mail Express®
0 Registered MaiITM
❑Adult Signature Restricted Delivery 0 Registered Mail Restrict[
❑Certified Mail® Delivery
9590 9402 5325 9154 5040 67 ❑Certified Mail Restricted Delivery ❑Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Contirmationr
'-''--•-ed Mail ❑Signature Confirmation
7 019 1120 0002 0524 7917 ed Mail Restricted Delivery Restricted Delivery
$500)
JR Enrm SRi 1 .h Jv 9rhl C aani 7Fan_n9_nnn_oncn rinmactir Rari irn Raraint

Chock
Data Received Date Deposited Check From(Name) Name of Permit Molder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Cekann4 Cokann2 Column3 Column/ 1 Columns Column. Column? Column. Column9
7/11/2021 _ Sea Dog Marne Construction,LLC EAJ Futures First Bank _ 1381 $ 200.00 GP$801620 PA rct.12841
•
7/11/2021 Logan Marine,LLC David Highsmith BB&T 7462 $ 200.00 GP 1I80145D_ _ _ JD rct.14902
7/11/2021 _ _ J Long Custom Homes LLC Jason Long North State Bank 2570 $ 200.00 GP 979971D _ _ BH rct.14109
7/11/2021 Patnot Boat Lift and Dock Maint,LLC Wendy Ashe Aguesta Bank 1127 $ 800.00 OP 980143D JD rd.14350
7/112021 _ Amy T Faulkner .__ Chns and Amy Faulkner BB&T 1755 $ 200.00 OP 880185D BB rct.14065
7/11/2021 _ Donald Barefoot _ Charlie Chowning BB&T _ 5009 $ 200.00 GP980183D _. BB rct.14066
7/11/2021 Backwater Marine of NC _ Richard&Mindy Jones BB&T _ 1384 $ 200.00 GP9801540 _ BB rct.14057
7/11/2021 Witham H Green same First Citizens Bank 1049 S 400.00 GP$803120 BH rct 14101