79974D - Burns

01110(LAMA / DREDGE & FILL N9 79974 A B C
GENERAL PERMIT Previous permit#
)�. 'New Modification 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 I SA NCAC Q , ( Cd6
❑Rui attached.
Applicant Name R �vrv�S Project Location: County 1 `AX'
/
Address ` 44.2- ' tr nw[xa& ark Street Address/State Road/Lot #(s) '
City t/.Jt StateL ZIP 2 Lc' \ Jf2\
Phone# (it() 756-5 ((}}" E-Mail 4 - Subdivision
CY(
Authorized Agent pht-Q�( ��1ir(Jt�`( Ikck MI City v ;Iyu.R,.0 ZIP Z 0 1
Affected tI cW DEW PTA ❑ES ❑PTS Phone # ( _)_ River
Basin
AEC(s): OEA ❑HI-IF C IN CIUBA Li WA Adj.Wtr. Body i C1vlCr i a7A CINA A(�. (nat na /unk
0 PWS: f�lW t-k)
ORW: yes / PNA no Closest Maj.Wtr. Body-_
Type of Project!Activity J V\S44.0 YLew c{p k 11A-k-i
(Scale: 1 n- 7 b) )
Pier(dock)lengt\
Fixed Platform(s) N.QQ r I { f 1I
Floating Platform(s)7> U/��24 i 1 f 1 j i i I -
F Iger pier(s) --j - - 1 j , ' i". --- c.1/44 ,j ell
-f
Gr.in length i ,��1 •
umber . , - - - I i j
Bulkhe../Riprap length � � ? � I � I
avg.' tance offshore ; j
max di tance offshore
Basin,channe + , I C * I k } 1
} j I I '� I I j i
cubic yards -1— _ I
Boat ramp {�{
Boathouse/Boatlift - - - rt - - -- - _../t-- -I-
-jr
__ _L Iler _- j - �- _4,--1 ! 1 j - / . .
j
Beach Bulldozing I I --1 1 • -_, _.. 0
Other j j ate. �����
11it ' : 7 _, \\
Aq
Shoreline Length 4 - 165 � . _ ` ( j I ' I
SAV: not sure yes t t - 1 ,� I I j ( -__ —_ ' �j
Moratorium: n/a yes Q' ! f
i
0441_
Photos: yes ® 1 ! i — ,----: —Waiver Attached: yes I ! 1 , i I
A building permit may be required by: 1 )°W `tOt 4 . A( CAytR( • ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ` i _ n�} '
Notes/Special Conditions 1 c,c (29_ 4 p5 CkI C� ham. ' O'-
rcL ` V rilpci i e.0n "ti/wCk Aa-r '64'07 -fttr-t v\
Daniel Shirbey ‘ -gV-4 I'
ent or Applicant Printed Permit Of N m
1110 - > � L.L.-2 , K).Z2.2.
1
Signature **Please read compliance statement on back of permit** Signature F t

toCAMA/ ❑DREDGE & FILL N9 79974 A B C 6
GENERAL PERMIT Previous permit#
> g:New "'Modification El Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality t' • i��
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC � R
❑Rul attached.
k�'
Applicant Name —gvr�Sn Project Location: County ty )^ 1r
Address CD`t u 7- 11rnKX,Od.. 'RA Street Address/State Road/Lot#(s)
City 601 StatelL ZIP ZELLbck ct5S1M7E
Phone# (ail) z5-5{" ' E-Mail Subdivisionnl ��//JJ
Authorized Agent �Aigi-e . < r1r JnQ,le ri J Ar(U v �
City l/�lll -'\' Z8"!.ZIP
Affected ❑CW IXEW IVPTA ❑ES ❑PTS Phone# ( ) River Basin
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA N/A Adj.Wtr. Body 5i t�eCA CAl `k. (nt a /unki
❑ PWS: 1�1-Lv
ORW: yes /6o PNA t5 j no Closest Maj.Wtr. Body
Type of Project/Activity �nS� Y1�c�, �or,lC IDS 11�
er i
_
(Scale: � C) )
Pier(dock)length,,
\ ( I 1111
Fixed Platform(s) ��qq J le, 7 {
Floating Platform(s)Z�? , vz4 ( (I
I
F'.ger pier(s) 1 NMI ).. •�11®a 1 t Eli&
Gr in lengthIII -
umber �� ....
�s
Bulkhe../Riprap length ■■■ __ �_ ■■ ■ i ■■ ■
i
avg1 ! !
tance offshore , ,
max di .nce offshore i Rpm". 1 E
Basin,channe 1 i i 1
I fig
, , ,
; , i
cubic yards f
r
Boat ramp 1 1
II__. VI_ M
Boathouse/Boatlift , } all._--.._..._ , ! 1 ! Mit I...__ l I + —.
a, . , , ,
1
II -1111
Beach Bulldozing i I ■ �■� UMW ■ - G•,
, 111
Other =U T Nil 1IIMIFMLTLMEiiiillIl
f., 11111•1101111111.1111111 t►UNIMI ill
I IMMO 111110111111113111111111110111011111.
Shoreline Length 'I- /b 5 s mommimminimmum _...... ' • ■
SAV: not sure yes • •11 • • •Moratorium: n/a yes ~ t
Photos: yes (GI
Waiver Attached: yes ni -w-- i- I , ' ,
A building permit may be required by: 1'3' ¢ DNie( (...o t1�( . 7 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �,,��``�� ` _ �� �}�
Notes/Special Conditions ' ' • i'.A. \��d( ri-A 5 egLi '� . ,y1a QQ " '
R rV
' -EV-ki
Lit or Applicant Printed Name PermitOffi -r'c Printed N m
Signature **Please read compliance statement on back of permit** Signature , / 1

Cf4MA/ ❑DREDGE & FILL N° 79974 A B C D
GENERAL PERMIT Previous permit#
)� ❑New _Modification ❑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 I 5A NCAC (�u • ( e�(--
❑Rules attached.
Applicant Name -ET{L --gvt v.S Project Location: County '`..)-e_L...) ' .t• `-T
Address ,..0L(Lf Z inn CIA -Q & Street Address/State Road/Lot#(s)
City (.AjAVkM }
c C Statet(_ ZIP 22L(O \ ) \
Phone# (CY)tO ~' -51.'' E-Mail �" Subdivision
Authorized Agent :kr-t ( <) kV(Leck rile; ,)A•i City LA....lI W t r ' ZIP Z '/0Ct
Affected ❑CW t EW ElPTA ❑ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A ��
AEC(s): Adj.Wtr. Body SIN nkl_w^YcOck C (nat 36)/unki
❑ PWS: 1 �
ORW: yes / (o PNA .t '�( no Closest Maj.Wtr. Body
Type of Project/Activity J r\`+ca Y1.Q L 6 O(le_1'y t 1
t it /
(Scale: ( `2.0 )
Pier(dock)length
Fixed Platform(s) \ I
J I I
Floating Platform(s)Sit 6)YZ4-(
i
Fipger pier(s) ._.... _._.... -.
Griffin length « A.,...,C�`-r+ CAvs...—Q.,
I '
umber —._._.--................-..... --
—
I E
i_.._..
Bulkhead/Riprap length I — '
avg distance offshore \ j
max distance offshore •Z r- V d��,�
Basin,channel'. i c \�1t,'"(�`� i ,
r}} i I
cubic yards I A N. .�
i r o . z`tl "f•"-
Boat ramp • I
Boathouse/Boatlift �..__.._........_..__� _ _ `
— ....... '• 9
I I
Beach Bulldozing i �{ h�\�
Other L J _ C. r"
Shoreline Length 41- it 5
i
SAV: not sure yes —�-- r i .
Moratorium: n/a yes ©° ...... ......� rt _ —� —......_.__.._._.-I--_.
Photos: yes 1 �� __
i.
( ; ,>(7 .And A
Waiver Attached: yes � I
A building permit may be required by: .l✓ 4kovcf rOt,K.( . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)//�� ��}
Notes/Special Conditions atk C i 5 2Q Q
Pig. s c_. ;'-\ `U /5/ -6DoK1 \vim cce 19Ck ►10i P t ' is v\
gV tt cso,L.
Agent or Applicant Printed Name Permit Offi • ed N
-,'-
Signature Please read compliance statement on back of permit Signature / /

r
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Er'r— 1 v r n 5
Mailing Address: `1'/ I S t. ,rn(,J 00 c) gel 4
IJc_ d8YO9
Phone Number: .S-0 '{— 0)3 (v - 5 7 ' 7
Email Address: J i 77/ e ya k00. c.do 1'"'
I certify that I have authorized Daniel Shirley/ Overbeck Marine Construction LLC
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: J1/4.1 e u.► dock aJ r ri v•-p
at my property located at (7y`(d SG.t„&,.soi) (?J 1iJ,f sj �� AIL d r r ,
in)ie„i 1le.r..g,P-er 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
n
6('i L ('vre1 S
Print or Type Name
Pr14 d r••e i
Title
I I
Date
This certification is valid through a 11 S l d

II
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/VAIVER FORM
Name of Property Owner: 0e(C0-k* ,Sts‘nr S`1v`'t t
Address of Property:
`t3` 5hv nwooc) v I\tr A-10( kVQ 21(04 /((i_i C-
(Lot or Street#, Street or Road, City&County)
Agent's Name#:Overbeck Marine Construction Mailing Address: PO BOX 462
Agent's phone#: [phone] Wrighstville Beach, NC 28480
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. Contact information for DCM offices Is
available at http://www.nccoastalmanagementnet/web/cm/staff-llstit or by calling 1-888-4RCOAST.
No response Is considered the same as no objection if you have been notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
0. k I do not wish to waive the 15' setback requirement.
(Property Owner Information) (RI a criian Property 0 er Information)
I�tCXCr Cc_ A.JI .( �
gn -
Signature Signature t�
ErTL Burns Ct-L6:---
Print or Type Name Pnnt or Type Name
,qg 01 3kn„ ►. ed 44. 6`138 .91kwoo() "el__
Mailing Address Mailing Address
w;Ir"i� " , NC- a4;)Y01 Ujj\miA*11 i ( actyo5
City/State/Zip City/State/Zip
S-ay- 03 to - 5 7? 7 9/o32 -212
Telephone Number/Email Address Telephone Number/Email Address
a / t s-i d--oa ( 2 -25 - 21
Date Date
(Revised Aug. 2014)

§EPIOER: COMPLETE,Tt!/S SECTIO11j.x ; 400 finfti LA.. ' f r? !1 + PI.. R, it .
Complete items 1, 2, and 3. A Signature
Print your name and address on the reverse X 0 Agent
so that we can return the card to you. 0 Addressee
Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: 0 No
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9590 9402 4542 8278 9262 27 0 Certified Mail estricted Delivery 0 Retur Certified Mail® n Receipt for
0 Collect on Delivery Merchandise
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation'"
ired Mail 0 Signature Confirmation
7 017 1450 0002 3631 6798 .red Mail Restricted Delivery Restricted Delivery
3r$500)
PS Form 3811 , July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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ENDER• COMPi `rH1S 5gCT1 i OMP ET frS SEC ION ON DELIVERY ,,, " ;E;,,i
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A. Signature
' Complete items 1,'2, and 3: /� aJ‘,j1
Printyour name and address on the reverse �' C _• Agent
x G�/ ,
so.that we can return the card to you. 4 0 Addressee
Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. to of slivery
_ C.
i
_ or.on the front if space permits. � . v�11(� CO�O
•4 cle Addressed to: D. Is delivery address different from item 1? ❑ Yes
ern 1 Rye RA- s'I,JV ( ( If YES, enter delivery address below: 0 No
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3. Service Type ❑ Priority Mail Express®
11111111 11111111 II ll I I III ❑Adult Signature 0 Registered Mail'"'
0 Adult Signature Restricted Delivery 0 Registered Mail Restricts
❑ Certified Mall® Delivery
9590 9402 4542 8278 9262 10 ❑ Certified Mall Restricted Delivery 0 Return Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation"
'-i Insured Mall ❑ Signature Confirmation
7 n 1.7 1.U I,n n n n P R L R i. 7 n P c 1 Insured Mall Restricted Delivery Restricted Delivery

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'Check
v.d Date Deposited Cheek From(Nam.) Name d Parma Holder Vendor Check number amount Permit Number/Comments R.e.bt or RdufNReelloated
1 Column2 Cdumn3 Column) Column5 Column!, Column7 Columne Column')
021 Philip Pretter same Wells Fargo 4096 $ 200.00 GP#79976D BH rct.14111
021 Overbeck Marine Construction Eric Bums SunTrust 5439 $ 200.00 GP#79974D BH rct.14104
'021 Bruce Marek,P E. Bill Michaels,et al. Wells Fargo 2107 $ 200.00 GP#74591 D Tmac rct.15553