80185D - Faulkner

0 ,CAMA / 1 DREDGE & FILL No 80185 A B C Cl2
GENERAL PERMIT Previous permit#
> [ New ❑Modification -Complete Reissue El Partial Reissue Date previous permit issued
1
As authorized by the State of North Carolina, Department of Environmental Quality U� ( 1 2-0
y0 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / r (-/
, El Rules attached.
Applicant Name br S t �.• (��`1Cvt t.✓
1 cProject Location: County ✓_}A S--^-' c)c-
1,
Address _ 6U C ,. Le- i 1 J►�# i.-e....__ Street Address/State Road/Lot#(s) 5 I 6(1nAa c...
City 9 c\, .1 State L ZIP ii Lc O J 14
Phone# (1(C1 )1122 G;'(a w E-Mail r hi, ': ( )c(C)(, it, 'ic^ Subdivision
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Authorized Agent _ City 0 �.-_- ( Sf ,Qe 4 C jn ZIP ' 19 b V
Affected ❑ /
CW EW lQ PTA ❑ES ❑PTS Phone# ( ) River Basin (. -..%i
❑OEA ❑`HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body ( A 4 1 (na et",unk
❑ PWS:
ORW: yes /.no • PNA yes / no Closest Maj.Wtr. Body A t W W
Type of Project/Activity /N 5/ i( he ,._., r f ,-1_ Q,. ,"i�r CO X r sn ny
°) ,. U
(Scale: I : 2 O )
Pier(dock)length 5 itp,
• I
Fixed Platform(s) I _ j G
Floating Platform(s) S°16' l• I
Finger pier(s) j i l I
Groin length _. �0, t" 1 . > 1 { 1
number _ ..._..!' —._
Bulkhead/Riprap length •-1 - _._..... -- , ,\ 1 - .__ -.. !
avg distance offshore
max distance offshore - •._, .
•
Basin,channel I
- 4,.' p-t 'kj., e
cubic yards -- _i_
Boat ramp l i . , • j {
Boathouse/Boatlift — — pvi-c: 2 L. . 1--_ --
Beach Bulldozing - 9
Othe(2)QY4 C c 041 10'1f 1
IA WV 54 6aCcel5 j , :
T I 1
1 L p L
Shoreline Length 50
I
SAV: not sure yes Co) —I__i_ H ` rr. Eu_i 1 53, 4 4�w^4.
Moratorium: n/a yes
Photos: e5it, b,_21+� _ _ F—........ ,..__. � w /N�fi.i,{ ..
Waiver Attached: yes no L Cr
A buildingpermit ma b aired b : O GGc^ Yt 2(�Ctt
See note on back regarding River Basin rules.
Y 9 Y egg g
(Note Local Planning Jurisdiction)
Notes/Special Conditions 6 o t L' 1-G I,�,L .,-•\\ o ,<(�(�, c� e , `�l- [�''✓�e
�l 1. Gi—&11--e C/'16 c,...\34\c,.�Zx v^�.""M,t per•�,"�. i
/ , JS ph(v)(/(•'2._ )..- cc. ,-. 4..,,, PS-Se., �
Agent or Applicant Pe, t AD' is Printed Name
Signature " I compliance ement on back of permit** Signature

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Chris & Amy Faulkner
Address of Property: 51 Richmond St. Ocean Isle Beach, NC 28469
Mailing Address of Owner: 3001 Cinder Bluff Dr. Raleigh, NC 27603
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
ki I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. 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 cart 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 any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback LOCAii(Q.A"
Signature of Adja e t Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Richmond St. Management LLC 53 Richmond St.
Mailing Address of ARPO: 200 Grey Fox Ln. Fayetteville. NC 28303
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 6/29/2021 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

•
Authentisign ID:A121EF03-C9CE-4713-9585.8090D4108A0C
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Chris & Amy Faulkner
Address of Property: 51 Richmond St. Ocean Isle Beach, NC 28469
Mailing Address of Owner: 3001 Cinder Bluff Dr. Raleigh, NC 27603
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
X I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. 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 any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback Aa,ll ,,
`9 iclfaxd.AriaRelean 07i062021
Signat ,gjArgarian Property Owner
L
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Richard Nicholson 49 Richmond St.
Mailing Address of ARPO: 110 Coleman Dr. Connelly Springs, NC 28612
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 6/29/2021 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Cheek
Data Received Data DapwiM Check Fran(Name) Name of Prmit Holder Vendor Check numbr amount Permit Number/Commenta Receipt or Refund/Reallocated
Cokunnl Corumn2 Column3 Column4 Column6 Coalmn6 Cokwn7 Column8 COWmn9
7/11/2021 Sea Dog Marine Construction,LLC EAJ Futures First Bank 1381 $ 200.00 GP#80162D PA rct.12841
7/11/2021 _ _ Logan Marine.LLC David Highsmith BB&T _ 7452 $ 200.00 GP#60145D JD rd.14902
7/11/2021 _ J Long Custom Homes LLC Jason Long North State Bank 2570'$ 200.00 GP#799710 __ 13H rct.14109
7/11/2021 Patriot Boat Lift and Dodc Maint,LLC Wendy Ashe Aquesta Bank 1127 S 600.00 GP#80143D JD rct.14350
7/112021 Amy T Faulkner Chris and Amy Faulkner BB&T - 1755 $ 200.00 GP#80185D BB ret.14085
7/112021 Donald Barefoot Charlie Chowninq BBBT _ 5009 S _ 200.00 GP#80183D BB rct.14066
7/11/2021 Backwater Marine of NC Richard&Mind y Jones BB&T 1384 $ 200.00 GP#801540 BB rct.14057
7/112021 William H Green same First Citizens Bank 1049 $ 400.00 GP#80312D BH rct.1410t