80155D - Baer

, CAMA/ EDREDGE & FILL
NO 80155 A B 6
ENERAL PERMIT Previous permit#
>' New iModification __Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality Oi-/-f '2 O n
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
/ ❑Rules attached.
Applicant Name &e'i' �c Project Location: County -"S„ ; c k_
Address y- 0( p� ,A.nn 1-4 /ic.c2-- Street Address/State Road/Lot#(s) y20
City Sdti.tv.tiC+e�d State N c' ZIP21S5C 1 oil, n A
Phone# C') L(Z o I 000 E-Mail i)v)ci eve A off. red"' Subdivision
Authorized Agent SCo+( (i)va•1 ,,vim C (i"kt. ISLS City s+�1^S�� (2j,pa c v� ZIP 2g-t1 t,8
Affected 0 CW EW PTA ❑ES Phone# ( ) River Basin 1-v Mtaf..✓
AEC(s): OEA ❑HHF ❑IH ❑UBA . ❑N/A Adj.Wtr. Body CAA^4-( (n. /unk
❑ PWS: �
Closest Maj.Wtr. Body ' 1`C C✓-c-c( _
ORW: yes /'"no PNA yes / 69
Type of Project/Activity I/►S(-r-,�� ,\f,.„o c1c,,?5. L(,,. ,.,,..i-,.... Z Ctii,v:<\.(-Ze e1 cc/r
(Scale:
Pier(dock)length
Fixed Platform(s) NII
III -i Floating Platform(s) *1(p t� —Finger piers) '�tA.i
Groin length j f ! _ I--
r
1
number .__�___-.�.—. '......._
Bulkhead/Riprap length t — 1 s 1 -...
avg distance offshore �J l ;
s n
max distance offshore ' j
Basin,channel r3 i
cubic yards I l
Boat ramp
Boatho Boa • YI — H I-
IBeach Bulldozing �
Other }
r. . I itl. . i i
Shoreline Length-‘"-)C2 I i I I-
SAV: not sure yes no I r I
o
Moratorium: n/a yes n ._.._ L+.. '� i
Photos: yes — � L.- "'
Waiver Attached: /yey[ no
A building permit may berequired
iuiu red by: ,,.SQ (1e,c,c
See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) •
f
Notes/Special Conditions ( ) 0( L.- < <` (,, .�\ ,-o"� Kit CE��` Q*Sn^ -i 6,,,... k., K.1 (
I
('tNi 7 ,, .-,.( , , c r
, S G.,o:. U J s
,t,.1�.. �I-. '-'4" ----- 7-22.21
Agent or Applican P N Permit Name
Sigmtu e Ple o p' ce statement onb'ackof permit** Signatur
I _

• AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 6'7e_61,4 L , 3
Mailing Address: 130 1 A \;t„o 1 e[C Rc Q
Somnker tiC 2-13S $'
Phone Number: 336 L , 1c O(
Email Address: �eo��� bae ayl.c �,
I certify that I have authorized 1—ry (; 1)10e 6,45-'r,,c /,'a-,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 3;A 1-C km ‘y �{�� t 0Log__
at my property located at I-120 pi:s\ 5.6e1¢ Sonse( 26;,l ,
in -P[V4Swie.k 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
Print or Type Name
D.vAe �
Title
LA
Date
Z /
This certification is valid through I / ZZ

4 ' CAROLI NA BLUEWATER CONSTRUCTION
---,AI ,` e. Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Pr. SW, Ocean Isle Beach, North Carolina 28469(910) 575-7100
CANAL C
10'-0" 16'-0' 1// 13.-4' "I 10'-0- 'I
16'x 8' I 1
4 Alum.Floating I 12'6 x 12'6
zo Dock w/10"Piles
10,000#Boat Lift
ktfr , _�� • I i i w!10"Piles
/ VI 14 104 9' 1 §
I a
Y4l` a
a
i I i
t. 1 I l 15'-0"Setback
.s 5i / /
Ibs NS -'- I Existyq Wood Bulkhead
\ • Nit_I "
N10`4529-W 50.2T MEAN HIGH WATER LINE RUNS
ALONG BOTTOM OF EXISTING BULKHEAD
14.-6"
A
—
HESTERS OTB,LLC.
DEED BOOK 3787,PAGE 976 I JANET B.DANCY
LOT 24 ® ® DEED BOOK 284,PAGE 638
LOT 26
Deck Above
Screened Porch Above
• 4
House Above House Above
• r B
House Above
■ — B
of
• Ir ■
t
B , ,.
LOT 25
4,768 SF
0.11 ACRES
Lot 25, 420 Dolphin St.
n Sunset Beach, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PJER/MOORING PILINGS/BOATLIFTYBOATHOUSE)
I hereby certify that I own property adjacent to Cc.c(lc L . i7..�r 'g
(Name of Property Owner)
property located at 't -o bo(Y t„, Sic,& 6
(Lot,Block,Road,eta)
on Can. G
,lrl 5J4144- r ,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/boatlifl/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 wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled In by Individual proposing development)
,1) -� t�.c L 4 ah wi 4'. J't(v c f rcr
/t0 cf„),r 4.. .�,j.c,,4 OhPfr ) (I C
(Applicant information) (Riparian Property Owner Lilbrmation) ..._
h failing&Ahem nature G/
,�.,«.,e, e l d ►l e z htS ,���iars on?L G C
004/State2ip Print l)p4 N 1�= -''�C'
Telephone Number Tcckphhonoo-Number Q
DateDate

ADJACENT RIPAARlAIy PROPERTY OWNER STATEMENT `
WO.RA PIER/MOORING PILINGS/BOATLgTBOATROUSE)
----------- --'- _ g-- :---,z,--v--.:,.ztAsr---+-x---*k--=-r-v---:---,-r--, _--___-- - ----,----,v-_,-,,,,r_77_,-2,-----w---__,--,_-_,-------,--,--p--*--- ,7_
I hereby certify that I own property adjacent to G c-o r e L . 'L...e r ,s ---:-7.-;7---;:l
(Name of Property Owner) �-
property located at `t -o Do(t h ., ,,«,E
s 1
(Lot,Block,Road,etc.) _
OII Cane ,in 5.,41 Ut.,at. �� 1
w � '7 k,N.C. - 1
(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 oathouse
must be set back a minimum distance of fifteen feet(15'}from my area of riparian access unless 1
waived by me ess
L 4`
I do not wish to waive the setback '�
requirement.
_kill() Isla wish to waive that setback requirement _ i
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: )
(Ta be filled in by individual proposing development)
!TG"G„,-,)qs -{b a i— cLA eei d(+c wi/4S• c.Sfi(ucf4rcc 1 i &e
4e' Gia3er - l0 '''"--F 't-e 4k-43 j.trA-f re -) tiA c_,
r
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._., , Informatiou} i i °o }e vier
� a
silt _ _�
ng`Aeldress
"elephone li be Telephone umber __K_. __

Chock
Date Ro nNod Dab Daaoaltod Chock From(Name) Nama m Permit Nokia' Vendor Check number amount Permit Number/Comments Receipt or Refun&/Reallocated
Cobnnl Colima Column3 Column/ Columns Column6 Column? Column8 Column9
7/22/2021 City of Southport same First National Bank 70494 $ 400.00 GP#80213D Tmac rct.15551
722/2021 H5 Construction,LLC Kathenne and James Wooten BB&T 2592 $ 200.00 GP#80188D BB rct.14075
7/22/2021 Charles Duckworth Money Order Chris and Mary Batten Western Union/Wells Fargo 17-768053926 $ 200.00 GP#80160D BB rct.15603
7222021 Carolina Bluewater Construction,Inc. George Baer BB&T 23647 $ 200.00 GP#8015513 BB rct.15602
7/22/2021 AMW Docks and Manse Construction LLC Tim and Debra Suppenfield BB&T 6305 $ 400.00 GP#801841) BB rct.14069
7222021 Lighthouse Manse Construction Blake Peterson Coastal Bank and Trust 3843 $ 200.00 GP#802260 JD rct 14085