80204D - Bednarz

0 I4CAMA / i DREDGE & FILL \,\1° 80201 71
A B C 0
GENERAL PERMIT Previous permit#
>�—% I?eNew _1Modification 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 I5A NCAC d 7 14, lam
❑Rules attached.
Applicant Name i(%N Swint __ Project Location: County wat k.
Address / / 2-8 WAS
k. /' O•4l.f/`e--- Street Address/State Road/Lot#(s)
City .,"/ I, ( L_ Statelt_ZIP 2 /4 I 4 S w 4-` .0
Phone#( 3?2 3 50E-maii a1 ft (0 AD L t6vnsubdivision
Authorized Agent e1 6 (J(.L City V IS(and . ZIP 2U S
Affected r'cw DEW WPTA RES ❑PTS Phone # ( _) River Basin 1,00140640,
1 OEA ❑HHF D IN O UBA ❑WA
AEC(s): Adj.Wtr. Body t r /man /unkri)
7 PWS: he
ORW: yes /0 PNA �/ sb Closest Maj.Wtr. Body
/2 "-�/c it ti feigey,47
Type of Project/Activity ,�o/�� � �!jc� a -��e � A�
1 (Scale: I v lS )
Pier(dock)length !r �,a 1__
Fixed Platform(s)i,if %7 .4.�� i
Floating Platform(s) OtC II C�1/-__ 1
Finger pier(s) i I
I
Groin length ,—' i _ - - - - —. _..,
number - —---- *---� -- - - - - -
Bulkhead/Riprap le h •
avg distance o ore
—- bg4f 111
max distance offs re l , ,
Basin,channel — A/� / C` +V' �!'�a
!
cubic yards
Boat ramp '� r 1 , olio■ - j 1
-seci
Beach Bulldozing ! j
•
Other .--- `_ _ .
I
Shoreline Length ! '� i i j
SAV: not sure yes , - ;
Moratorium: rda yes 9 ' .. I �'I ) IN 6ikr F ,
Photos: yes ® •i , ! ,
Y f t _ pe1
Waiver Attached?Cl % no DL U 1/�i 'i.e, 1
A building permit may be required by: jt K o.k/S hmet ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) / �y�� / /� /�
Notes/Special Conditions nfi4 J VT S. ej?44€/C,.+ T ��?� i r"empr./ 44 (�ol(dr e r...fiit"
m/ eeCies/4 /91
/4 nt0friiau- P/C.. 5�a a E Or - i�Y r/Qv l.�1.tyt D.0 We4
Ben Brink (CPG, LLC)
liy,.1.,
Agent or Applicant Printed Name Permit Officer P Name
AA "
Signature "Plea�a r,ead compliance statement on back of permit" Se nature
20— tight 7/2l/7r IIJ.z /2c

411 Ei CAMA/ ❑DREDGE & FILL 9 80204 A B C
GENERAL PERMIT Previous permit#
--> ❑New III Modification ❑Complete Reissue Li 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 5A NCAC X 7 N , 1,20IG
❑Rules attached.
Applicant Name -1-ts-14 , ci A( rk Project Location: County FYVAS w 4 c IC
Address 3V5 ttt S i \,r4 , v it V`e. Street Address/State Road/Lot#(s)
City ye C91, Stater zip 2 7614 '‘;) 4 i L 4+t' �'-)Nt/(--
Phone#( 3I 2 ? 'I E-Mail-It^ {✓: ? lj« - (C E C6 c L i;
l � ( Subdivision
Authorized Agent ( 176 LL C_ 1 City i .I i ZIP 2g4 6 S
Affected ❑CW ❑EW PTA ®ES ❑PTS Phone# ( ) River Basin L be-.-
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ' pit
r S (lr f!! /man /unk
❑ PWS:
Closest Maj.Wtr. Body 1/�
ORW: yes / no PNA yes''/ no rr��
Type of Project/Activity - J r ,Pi ?r
/ (Scale: f S
Pier(dock)length G )' SC -
+
Fixed Platform(s) i 3 x 17 - , - - - 1 i
Floating Platform(s) C'c 1i , I
Finger pier(s)
-I
Groin length � '
I
1 •
number —__.---.
Bulkhead/Riprap le h -- — l._....._ �_'_. -A —_ �
avg distance off ore E (/s( 4'cL— 1
i
max distance offs ore
Basin,channel 1 /tt'r ff"'4
/ .4 k 1l
cubic yards
3. V
4 - i I ! }
Boat ramp 1 !
2
Jt ,
,
Beach Bulldozing i 1I '
Other --..�(� 1 1 ! I
1 t ,
Shoreline Length I j
. . I
SAV: not sure yes ,rf6i ,
Moratorium: n/a yes cit, sat _ I '
Photos: yes no') —_
Waiver Attached:x1 9 noPtC1NC* wren,.' I 3Pri✓Aii G t
A building permit may be required by: - 1/vr1 l k' lc /r'r ,7 I . - See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) LI / /�
Notes/Special Conditions ....3Siff,'S. (ll'/rec 4)/I/i? fe i/Se // / --60F/ . ito P -'(o(t /!,r,1n t
,`--- r-4- v,7 ./7, fit i f 4/,7. i/G _si',.(in r' E -/,/ `ho L ILA,tt d celiG,/
Agent or Applican Pri m��++ Permit Officer's P in`ted Name
•l ‘/‘ill a
Signature * Please read compliance statement on back of permit** S' nature•1 / r l

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: John Bednarz
2.a2a balls River Avenue
Mailing Address:
Raleigh,NC 27614
619-3C2-3574
Phone Number:
terr)ohn7I C aoi.corr
Email Address:
CPG, LLC
I certify,that I have authorized
Agent r Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
new docking facility and shoreline
necessary for the following proposed development: s:.atraization
124 SW 4th Street(Oak Island)
at my property located at
in Brunswick County.
I furthermore certify that r 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
Doha&dnarr.
Print or Type Name
Propery Owner
Title
$ 1 2021
Date
6 1 2022
This certification is valid through ;

a
A,ai.v,p.yr 10 USt AA.nrl.6Y2a•pniFM11MX$1HtA
7'.1...AND
i1
W111
.,
..
('onstrttetiin Addindum(Firm 2A3-1)
. .;:.ai,the receipt h and legal st/laanay .,(which arc ttaai+y aakn.•ssk Jltd ltuscr otk'n to purchase Jilt!Selhr
••re sere'r do sell and convey the I'nnperty to the terms and..a/Juan,of this t)tier l o I'urehasa•and Contrail and an‘
-__--._..... .._.._if_x:...0"'ate in acawtiancc with its terms Itotchcr the"l ontract i
I. TERMS AYI)DEFINITIONti: The terms listed below shall have the respective meaning gisen them as set forth adjacent n,
each term
Ia) "Seller":Si&(.lasestmtuns
th) 'Rover":John A. Redstart. 1 erri K.Hed.ar,
It) "Property": the Property .tall include all that real estate dkwnlscd hekne together with all apurten.atces thereto nelidinc
the inipnncments k gated thenint
NOTI: II the Property will intJwk a nt:ululattured t iibiki htnnis). Rtlyrr and Seller should consider including. the
Manula•tured(MtthtIt i I Iomni provision in the Additional I'nnisions Addendum I1tatiLrrd I Quin Ai 1-I)with this offer
street,1ddress 12.1 SN 11h'•1
t its Oak lslaud lip-211445
(,ntris Brunswick .North l at.aiit t
St)I F:t.osrrnment.al authority ova taxes.zoning.school districts.utilities and marl Jchs,rs nos Jitter from addn•.,shown
Legal lkscnptkn I(.(wnpkle Al! .pphcahle&
Plat Reference I o t I'm 17 .(thick swettrm 2113JI5 luhdn tsion t..nd.,mtmnno Not In'ubdisnwtn
.as shown tat flat Ik...k 111tk 31) at I'ae i s) }VJ
—the!'IN•Pli)or other idcvuticatuai n ndser of theProperty Is,2341 E1t12
t fiber descnptinn:L.I7 11-211S S.-I S.46 Air T111 1'I.30;394
'Some or all ctt'the Pvsapv.n may he dctcnlled in F)ced!took 2641 a(Page%s
(d) "Purchase Prier"
} 014 XX paid in U.S.Dollars upon the following termsS Ww1 in 1tY(PAW.IJ11 It11 Nth 1.1 1 made payabk and delivered to Seller by the I tlecitve Date.
S _ ..Gwt.iut HY INIIIAI I.ARNI S I M(ON1 V Ill 1'(Kl l made payable and delivered)kt I scrim Agent
pir1—ay, 7, honed m 1 aril!flph ItI fit IX .ish personal cheek lotlitt.l hank cheek I !wire
�_. transfer, eleonntttrnsh.•r.I11 III R with this otter 1ill w'thin lice tsl day.ofthe
r rvd..»t• 1116.11w Gate 1tt this Contract�� IlY(AIN)I IIONA1 a I ARNLSI ?MINIX IN.P(OS11 made payable and deltsercd to I senws
Agent named in Paragraph III) by cash. official hank cheek. wire transfer it ekttromc
transfer n..liter than t p m to
rivi.BE1AG Of Tilt:E.S E'V'('f.
S Ill' ASS(IMPl iON of the unpaid pnntipat balance and all ohh„aito ns of 'seller.n 111e
existing looam%)secured by a deed of trust on Ile IYi•pens ut aauwtkmac with the attached
loan Assumption M (Standardndtun(Standard I.win'AA-1 I
$`�� rv.vtan. RY SFI1.fR FlNAN( IN(. in attowl}aoce with the attached Seller Iinancing. Adkkmdurn
— —� i Standard Firm 2 A S-1 1
$ :X RAI AN(:I of the Purchase Price in cash at Seclkmtmt twine it all of which may he paid
with the poweeds of a new 114111l
klil ',..,,sits•
Page 1of12
fl
This(nem)omits apprnvctl hi: tiTANIIARl/171RM I2-T
North(arohna liar 1ss.atation © Hrriaed 7/211211
ncae•ow.north Carnli s AAroiga of Nt.Al.111RVIC,loco ,:>,, r 7R(120
(fuser innials J (rt Seller initials
.ww..........p U.S Irma.tea t....-,.lab rwe nrYy Mt awn Phr..1.I1.1.r M, ra*taro... Ili an tlV
..A.w...... v,.s..n.w.,.+,..sae h n+.g. .a.m rams.-aa..n.,.f r....r.,.p.,AMA wri m.......,

Consent for Use of General Permit 7H.1200
Lot Number/Address: 124 Ski 4th Street I.-i 7 Oak Island,NC 28462
County: Ilrunss+1ck Subdivision: N A
Criteria:
(check all apply)
P imaryNurseryAreas.
Less than 2.0ft deep.
o Greater than 2.0ft but less than 3.0ft_
❑ Submerged Aquatic Vegetation_
❑ Bottom habitat
Comments:
approve the boat lift with 18"stops
Decision:
(sue General Permit
❑ Elevate to Major Permit
ni14e,40A. G k` 06.15.2021
NC Division of Marine Fisheries Representative Date
NC Wildlife Resources Commission Representative Date

DAVIS CANAL
Low Tide-0.1'@ 1:27pm 6/9/2021
i
i2xI2'
t,'. .Boat Lift1, t xt!i oatIng sck �. .
Existing Pier`Headiirre 1 = ' L r t. r
'''`''` wore 1.Set! �: -26 0.. -...44140 lit*,
t;'xt7 overed Platform
.x—So 'ier
j
t • I-. i
't� Y t f rs
ri {. r w ..
124 SW 4'"Street Oak Island(Bednarz) '

. .
' -;"' #:-• ''
'4iAr' ,.,...4,,•4411t. .2-;-f_ .r:-
• - - l';. ,, - ..' -1-,-S a. 44 '4r. ' - a .,,,,
- '
-, 3.1
5.5'
DAVIS CANAL 5.51
5.5'
S.M.
Low Dde 6/9/2021
S.S.
-0.1'€.4 1:27prn
5.5'
4.1'
. ,
3.04' /
—
ki v. 1 2.0' A'
a --•,i \\.. .-
/ I 1.5W ..
t
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if''a_ ' . , 4-9',. • .•It".::1/4-,a
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i-`•.*'ir:i,-'ac'-ir.'•'
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f 4;
A
' ';e''4, 3.- . ..:,.. 7 • .4'-«..-37 f . -..,-... ' •,- .:. i'. 4,.41tr. ._
• m""*.........' _ I ".. . .
lieltib„,,,,s, - , k , . ••!,„„,_ , . e..d.4
• .,....-. -- - , -.....,. .
*....... -
-.......... t.
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Photo A ...4*
. .:
W.,_ , - .. ..... • .;• Photo B Photo C
',. - :'-'•
...„_ :-...'
r
•Be — Waterward Landward Landwarct
... ... . . ... .
' -
i Edge of . Edge of of boat lift
Float Float piling
t ASP IN 2.0' 1.58'
' .,. .' .
.-:
..... .
•
• 4
.... la
,..4
. .

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to !Wm&dnai, 's
(Name of Property Owner)
property located at 124 sw 4dis4 LA 7&:o:Parcel ID 2)41.1002
(Address,Lot,Block,Road,etc.)
On Isis C auW ,in Oak i Brumwi,k .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 ANDtOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
See attached drawing of new docking
facility and shoreline stabilization.
WAIVER SECTIOK
I understand that a pier, 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 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)
lain BoeNniAn l 211131 near (aa►"it •.rD'i
Signature ;ohm Redman Signature- Robert Rehr
Print or Type Narne (yzii Falls River Arc_ Pent or Type Nome ,26 SW 4212 St
MaMthg Address Raleigh,NC 27614 Matting A.ddresa (Ark Island,NC 2846S
Crty/Stete/ZIP terrijahn71o0001.com Ctiy'StateaZp „k'Nth rtb@ikkDi um
Telephone Number I erne address Telephone Number/enrarI address
Date 06/05/2021 Date* 6/18/2021
(Revised Aug. 2014J
"Valid for one calendar,ear after signature'

Behr_APO Form
Final Audit Report 2021-C.6-18
Created: 202 r-06-15
By: Ben Bnnk(ben t.coas:.alpermitgt.y.corn1
Status: Signed
Transaction ID CBJCI BCAAB.A10xc7gyRGB2Gb_GCgDy8822cBsPbbStt i
"Behr_APO Form" History
Document created by Ben Bnnk(ben@coastalpermitguycom)
2021-06-15-5:52:15 PM GMT-IP address 174.81 113.38
Document emailed to Robert Behr([e-mail])for signature
2021-06-15-5:52:54 PM GMT
Email viewed by Robert Behr(olObob 126 d,iclou d.com)
2021-06-15-6:04:02 PM GMT-IP address 174.193.1 152
Document e-signed by Robert Belo([e-mail])
Sggnature Date:21321-06-15-9:35:32 PM GMT-Time Source:server-IP address: '74 t 06.5 82
Agreement completed.
2021-06-18-9:35:32 PM GMT

•
adittarjaajlirjaauzjultiausaraajulAuumu
I hereby.er1Ay that 1 own W.perlr agaaeM 10 l.►.d...rs
s
Notion legated ii ,•.se A r n
I ..a...read ..,w 8..IMrwa et he»whr Oww i
on — - es..w.ri fAtIMMe.Let. �Readlr s _
_Iwetarbodyl.__ --_�llyfTown mower C�s{yt r'
thy oppsooni
Ptca.e lean kwab has dowsers b me as sho•en bolo., the development propoMO at ta above
Z� ,.ct«,n to!vs to sal Pt.i A/ '5 el ,e e U 7- ti£f/)
I ha.e ootecteon.to ems woposat ;o B/o! y /S_ Fr 1CTISAC�
DEECRI►TION ANOroR DRAWING or PROPOSED DEVELOPMENT
(rnd/veldua/propayy 4.4.341opmenr must fro en drsc rplton below or artae:h a site drawingl
Sec attached drawing of new docking
facility
I understand that afig S ECTION
peer. dock. mowing pilings boat ramp breakwater. boathouse Ire, or groin
must be set back a minimum distance of 15'from my area of npanan access uniess warned by
'lels(.sil;n me Of you wish to v.arve the setback.you must nasal
-----> the app opr;ate blankr:belO _)
1 do wish to waive the 15'setback re
quitement
—'-�db'�n '`to warve the 15'setback requirement.
(Property Owner Information) (Adjacent Pr
�;f. Ow In Itetwn)
... . , Please sign
Signature <-----
k+Ful Itadtf.rr S/$nar:try• Charles or Julia Bealeischtes
Prsrt or Tipe Name
642d Fails River Ave, Print or Type Nam*
121 SW Srd St.
M pAddrttss Raleigh,NC 27634 Alarkrtp/1----
ddr Oak Island.NC 2846
CdY/Sfita?/p ternpunnl i utiaol LothS
Cdy/5t�arLp FinaiUPhone
T ;--jelVt/n+oer/errylraddreas 910.620.0276 �_
Talaphone Number/anlai addraea
I)" 06=05 2021 —.— Date
6.23.2021 `
Dates
'Valid for one calendar yew Mot slansturir
(Revised Aug 2014)

Check
Data RocaWad Data Deposited Check From(Name) Name d Permit Holder Vendor ,Cheek number amount Permit Number/Comments Racelpt orR✓undlRealkrated
Colorant Coumn2 Column3 Column Columns Column. Column7 Columns Column9
7/13/2021 Logan Marine,LLC Ralph Evangelous BB&T 7502 $ 400.00 GP#80149D JD rct 14903
7/13/2021 McPherson Marine Servkxs,LLC Mikaela Schabrum First Citizens Bank 4303 $ 400.00 GP#802020 PA rct.12838
7/13/2021 Steven F Vest same Congressional Federal 1713 $ 200.00 GP#802060 PA rct.12846
7/13/2021 McPherson Marine Services,LLC Roland and Dena Lingle First Citizens Bank 4304 $ 200.00 GP#8020113 PA rct.12837
7/13/2021 Jonhn Bednarz same State Employees CU 6360 $ 200.00 GP#802040 PA rct.12844
7/13/2021 Hoard Peabody same Wells Fargo 1.0453 $ 400 00 GP#802050 PA rct.12845
7/13/2021 McPherson Marine Services,LLC Tracey Anthony First Citizens Bank 4302 $ 400.00 GP#802030 PA rct.12843
7/13/2021 Coastal Marine Piers Bulkheads Charles R White Jr. Wells Fargo 23918 $ 200 00 GP#80144D JD rct.14901