80265D - Thompson

0 II CAMA/ ❑DREDGE & FILL No 80265 A B C
GENERAL PERMIT Previous permit#
)C ❑New ❑Modification El 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 l 7y 2�Q
❑Rules attached.
Applicant Name ,se . , T�CY�( Seri Project Location: County F'1 +,{/�(,,�
9►�
Address U D (,(/,,set.
CArktect-.( Street Address/State Road/Lot#(s)
City eflArtk 41. State ZIP )796 90 /&e f 1 GO/
Phone# 7 3 3 t, 6 iri� !
( ! ) � E-Mail jDr_f't�c�'��5�t���(tr�<,(��Y,jy��; Subdivision
Authorized Agent 1;((A{11 j 0b:(p f,cyk. City /r`/,,&,/ 'fJa ZIP
Affected ❑CW KIN' Ir fEPTA ❑ES ❑PTS Phone# ( QtQ) 0 -93C River Basin (,(,faq
AEC(s): ❑OEA ❑HHF ❑IH ElUBA ❑N/A Adj.Wtr. Body A l(//w
❑ PWS: ©a /man /unki
/ /o
ORW: yes / no PNA yes /'no Closest Maj.Wtr. Body ``f //t
Type of Project/Activity c ; ;/ 11` fi i (7 .. c`
fi '0; (Scale: /(f 3 )
Pier(dock)length Ir/1:/ _
Fixed Platform(s) r k&rlr!Fj
Floating Platform(s) %6 k it' I (alit C ! jjtj affigilJc , , !
Finger pier(s) •
Groin length --- Oa
number Venc %4=r
Bulkhead/Riprap length } r�/ t 1 �,
avg distance offshore .I:* Ty . I "" isr—T +D k : 16. /
max distance offshore--- `—11--- !::,:1foin__iiiiiii i
Basin,channel111 . i '
cubic yards ` ` i li •
Boat ramp ' i ; 1 , i X. t
Boathouse/ oa 'Bet�S�w ___.4] {'f6A5' Yt.' { ...... ,/;de.PO
I
t ' t
Beach Bulldozing �. �'■ �!�'''q� r �
Other I i•
liii ,
/i("I - /
repo f.,T_ iti,,riN
, ,
.. , , I 1 , ! co F,Nomed / , ,
, , I ,, _, : a., , , „ „ , 1
Shoreline Length `' " ,7Ul■R,I ': •
SAV: not sure yes nq / �� �� �r i
Moratorium: n/a yes i f y4�'f ,
Photos: yes � � i_ Div •' .� __ � ' .(.�. ,- �
f
Waiver Attached:)',j no -rap' ...4, //1 .� / P ' I y �(.r_ l
A building permit may be required by: (eivt ' / V,/ AA .'-- . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) n
Notes/Special Conditions 7/ / )" -'j ., r
s I gems ! -1 `/," 'ttes
/7eirti my A.?(-1-iwr 071,647 —yi.
lira - lniu k S� t&/i 11_it it'll S-(8.21 .
Agent or Applicant Printed Name Permit Officer's Printed Nam
" ( a`1! (� 12•I •21
Signatilte Please read compliance statement on back of permit** Signature

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: .�os-cN Q . \_ e„o,?sc
Mailing Address: ZZ o0 V�«oc�• ��K
Cr+ARt` \\I1t NC.. 2.751(0
Phone Number: 910-- 7 3( (0 14 t5
Email Address: o s o 114
COP"
I certify that I have authorized R't s 1 1-+orn s 0.4
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: vv\�., a
at my property located at 3 co q t ss+s tss..Lw L , r 1-413L)CAa Bk-a.c K , rke
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:
4:112
Signatures
Print or Type Name
© cap�a zcL
The
013 1 03 / asat
Date
This certification is valid through 1 1

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: J ost-% 'L r o .sc,�
Address of Property: -30 o W1/4051^h why i t3 ligeACA . 402--
Mailing Address of Owner: 9-2tX7 01iACAT (2-0) CAW-`ktu j\IL, 2-1 (o
Owner's email:1or.Y'lb s-A4e likIC t 1 .CrAM Owner's Phone#: CDC. 73(o. (QIt
Agent's Name: 'PM �I�WtSc� Agent Phone#: .3& ].oT3a
Agent's Email: Qit ` 4-VEASSOc.i►h-erj60 (*t,t MLLc\
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.
Ar 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.DCM representatives can also be contacted at
[phone]. 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 tc waive the setback, you must sign the
appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: -tom-vim ->L `
Typed/Printed name of ARPO: `�^�5 Pork L T t l ��, �p1�v� ( . .4 o I)-
�,e l"fie Sike- t
Mailing Address of ARPO: '>t Ne c:r. Dv.:‘,/6_ R v ?j44
ARPO's email: eee.vr,c:ath,ARPO's Phone#: - 41," 3(53
Date: � ZI *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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: . ist:>tk
Address of Property 14v i P lid- 214
Mailing Address of Owner: 27,Ct> iviic.ialdt ' C t
C.iiAik �{iu. 1i3C 2/Stio
Owner's email: t . " s o c.9e4 qiL •734. t,�t' »
• q �=C.+:v� Owner's • '?^.ram'. �
Agent's Name: ;t:s
�`�' Agent Phoned: 91G, 30.
Agent's Email: -Wsi- T+, :efkcsi.ltlkS
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
l hereby certify that l own property adjacent to the above referenced properly. 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.
DO NOT have objections to this proposal. i DO have objections to this preposai.
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.DCM representatives can also be contacted at
(91O) 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 c:nparian access unless waived by me(this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback.ycii must sign the
appropriate blank below.)
t DO wish to waive sorreiatl of the ; setback
AC _ • ;_�
Signat re of Adjacent Riparian Property Owner(4RPO)
-OR-
I do not wisn to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Properly Owner
Typed/Printed name of ARPO: D NN i 5 m C-1 e k t:W i -
MailingAddressofARPO: ( SOU inceRl cK 1\) D , 8 t��L'3L., /0 r?. 2 '150
ARPt3's elriait: act..ei.-.4 L
(1 Ir1CCtr�C leo% c R�a�rtip ARPO's Phone#: Q 4L - 4 7 3 -7 3 4,,5
Date: 9/ 1;oat *waiver is valid for up to one year from ARPO's Signature`
Rev's'ed May 2021

,,,,,,sciv oc- ,,t(c'->")'1 \ 3oot ,,..tv49.01.- otcf
/ L:54 1)-'4'* i
I IN
, ________--------
` a� • ,+tk. k, P"..,,, l-c-
Prr ii
s3,--- --
r 4ye�l"4'
111111°
11111 --- \
(�y 1 t
1 �\ 15'4,
\ \
�\ �j, c Cam, ? '3 � '
\ i
V- 23z� r ' �o�o
SS d l
1
i.
\ ��Zx
i
\ .
U
1
c---46 f__
C

Cheek ,
sad Oct.Deposited Check From(Mane) Name at Permit Holder Vendor Cheek number amount Permit Number/CommentsReceipt or Refund/Reallocated
1
1 Cahn., Column., Column/ Cokunn5 Columne Calunrr7 CsWmn a CoWmna
2021 PFL Construction,LLC Craig Losito NAVY Federal CU 1 ____2304 $ 200.00 GP/80247D JD rot.14918
2021 Coastal Marine Piers Bulkheads LLC Joanne Simpson Wells Fargo 23988 $ 200.00 GP.80318D __ BH rot.14124
2021 Coastal Marine Piers Bulkheads LLC Kevin Walker Wells Fargo 23989 $ 200.00 GP/80317D BH rot.14123
2021 John McClure Sue Osborne _ f BB&T 884 $ 400.00 GP/80274D BB rd.15618 _
2021 Parker Trace 8 Associates Joseph Thompson _ First Bank 1289_$ 200.00 GP 1802850 PA mt.12849
2021 John Green same South State Bank 4701 $ 400.00 GP/80186D PA rot.12850