80282D - Bouchard (2)

3i±.3 77 ?nil A"Y`°'• l ,. '/- [p-�o-, (C.4rYYL
' CAMA / ❑DREDGE & FILL N� 80282 A B C
GE11L PERMIT Previous permit#
New odification Complete Reissue ['Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ��{, r ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC , 1
`� 4 ❑Rules attached.
Applicant Name 1 , • - 0c ` C% Project Location: County vb-�l
Address �(Ot c��J 1 ctJJ (J_ "( Street Address/State Road/Lot#(s) 255 a 4t,'c
City A f\ State-5C- ZIP 3(
Phone#(!) et3t--qj(' E-Mail _ Subdivision
Authorized Agent lt:`? Z"- City ( 4,,s-€se e-\ b-Ck'• ZIP Z-eciz8
Affected ElCW TOW PTA ❑ES ❑PTS Phone # (_ ) River BasinB �
❑OEA ❑HHF ❑IH ❑UBA ❑WA A
AEC(s): Adj.Wtr. Body h`
` { h (nat, P/unki
❑ PWS:
ORW: yes /� PNA yes /� Closest Maj.Wtr. Body ��w�
Type of Project/Activity �N, C. ,\
li /
j ,
(Scale: 1 -00 )
Pier(dock)length��lQQ{4t /�Qf , AQ G` ,c E (`"�
Fixed Platform(s)7Tp;/�r�6( �/`
Floating Platform(s) Yl2Zt(
Fi er pier(s) i I }- { �./
Groff ength � & f
nu ber \� 1 �� i—
Bulkhead/ rap length , 01' a �`��� Vk� I
-._� __'
avg dista a offshore _ I i \\d \
max distant ffshore
Basin,channel I
41911 l
E
cubic yards t 1 .AP - r r i '
Boat ramp "_ ' \ _ } )6I
aiG�'
Boathous=e ( �� 1 — , {
Beach Bulldozing 'Q r — • ; i '
f 1 V Other 6 iy iu,ni I I j d _ ri _ I j , I 11
j j ( i — `If I
I ,
-- .
/ MM
Shoreline Length 4! (Q V/ ■ _ 1
. , f
SAV: not sure yes ® _1_ , ,
, , , i _ 1
i
, ,
Moratorium: n/a yes ,J 5 IV, tk rR 1
Photos: yes 63 2_3�j `MCI-0,c- - I
Waiver Attached: yes 10
A building permit may be required by: (ou-'t- "6 ( Dk ( 'A. \ N\ . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)A � . L v /
Notes/Special Conditions ram+ lc, E� (*/'l� [^ k Cka l itiz. , ) '1
eikXO1 eek. 15 ' r o c,a.r. 1.:44,c
1 - a- 2
Agent op
App icant Printed N Permit Officer's Printed N.
Signature "Please read compliance statement on back of permit" Signature , _ ,(

0❑CAMA/ ❑DREDGE & FILL No 80282 A B C
GE L PERMIT Previous permit#
).----- I- ❑New odification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastat Resources Commission in an area of environmental concern pursuant to I 5A NCAC • j 2r0(-
`' r - , ❑Rules attached.
• (.\ovC1U C- f Project Location: County
Applicant Name C- J \,___kw -',.:,.•.---' '
Address WI Lk-JA +-tzkc-C,C (x- 1 Street Address/State Road/Lot#(s) 2.55 7c-c,aa 41
City !----\\,..) -k1 r\ - State I'$ ZIP -76.4�>(
Phone# ('?l') '- I, - C (`'t E-Mail Subdivision
- U
Authorized ent I<` V, ��\ $'Gc k ZIP ZF_i
Ag � � City f`� G�
Affected ❑CW W 1PTA ❑ES E PTS Phone# ( ) River Basin �_
❑OEA ❑HHF ❑IH ❑UBA ❑N/A t t`f� G isAEC s : Adj.Wtr. Body
(nat /unkr
❑ PWS:
ORW: yes / no PNA yes / Closest Maj.Wtr. Body A Lbw
•
Type of Project/Activity ,e7-, CA f&.W c x ....+Y\- CC 1`t ,`t"'
r�
Pier(dock)length .
(Scale: t =:3O/ )
Fixed Platform(s)'> 1�ar/(orinu�c4 `"\ I( ‘+` `'- (710 ilk �*
Floating Platform(s) / x II
Firyker pier(s) ./ T i
l L).)-
...._.—I
Groih ength { O '\ 1 j II;
tiNvlvt
nu ber 1 . p
Bulkhead/ rap length — T -i.. V ...... i f� —..-.........___._.. _...
I
t
avg dista a offshore ti
•
max distant ffshore �``�; '{ I
i
Basin,channel 1 •
t:
cubic yards
o �M —4
Boat ramp i �Ir.le- Pli
BoathousetBoatli / �)`13 - — _a j -----
I
D� `Q f _ I I
Beach Bulldozing 4 I d..y tr ; 4_ '
{ I
Other k M .k)!('. N-i t
I I P1‘1t7C.
_ -
-1-/ ._ . I
Shoreline Length 6L _ --
SAV: not sure yes no : i
Moratorium: n/a yes no -_._�► . r� ..—...........--._........_.._ ....._................-.-_._....._.-._._..__.....__.__.._.._...._..........._.._._..._.._.i
—
\
Photos: yes no
Waiver Attached: yes no i ,j
A building permit may be required by: U-K' 'g ( p J c ,' ' ✓UL- Y\ . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1_,( (�
Notes/Special Conditions '�A1 e :Cf22Ck 1di if ifl /7(t f koc 1\\A , I ..-Y-k k
e[ ( >`rat"-- 41. 15 ' • %.U.; ,C.•••- ' bakc -
VF,
Agent or Applicant Printed Name —ten PermitOfficer's Printed N
Signature **Please read compliance statement on back of permit** Signature , /

j
Orr.XCAR/IA / i_i DREDGE & FILL i V 9 80282 A B C e
GENERAL_ PERMIT Previous permit# •
y�% New `;Modification '-,Complete Reissue !_;Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality �, r ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC ti .
C
• t�D.-j C Rules attached.
Applicant Name uC Project Location: County_ ,no.iCl
Address (PO( (041 ccf y - Street Address/State Road/Lot#(s) Z35 t s'ita
City_--A1 fi� State- - ZIP 7-84 Jt
Phone#(atq) ct3l!ctaE-Mail _ Subdivision
Authorized Agent lC`v Tyr,. City__•04'4..14,61 9-7-s3 .ck ZIP 2-tZ6
Affected cVI/ � I C CPTA DES ❑PTS Phone# ( ) River Basin C
AEC s : 0 OEA 0 HHF 0 IH 0 UBA O N/A A`- , /^,;lI (nat /unkn)
( ) 0 PWS. Adj.Wtr. Body 1 V"� y��ct �GI,1j
ORW: yes /e) PNA yes /C/ Closest Maj.Wtr. Body CSt�W
Type of Project/Activity W - t
ti /
— (Scale: I .r3cD )
Pier(dock)length *""
Fixed Platforms)�9rp;�(oYt6( -( �- +-y - ----
- } cry.--- t 1 + -i
Floating Plattorm(s) 81c,ZI•( ? '•
w i
Fi er piers) e, t — t { 1 t
Groff ength . S' 1 , j f 1 )- _
Bulkhead/ ' rap length '--t._ t i-- ;-!( `4 -j- ._;- _ �� _ .p. f 1_-1. -;
-1---- F .-
avg dista a offshore i . j i , 1...! I 1--- \ f T�
F F. t
max distant ffshore - �� { j i i { = 1 }
t(
Basin,channel { .__ _. �1_ __ ' - T f t
I
-- i---i- {--- --t t j -4----_.__,_-#. fi -f ; i! t t---
cubic yards -;,�!`}--+-'r-` _.f„4' 1 F- j_1._ 1- i _1 f 1 1--
Boat _-=--1--1-- . -} i _ r, - -- _ ' -
Boat ramp t i ` P t i tt-+- i ! t t f i -( } �.
Boathous- ( 3)c13 --t- -I-.} + -f.._ 1__ •j yam_, _i _. L_ L_1 i. 1.._.-
, F ,-;1,i-t9z-‘11.' fkif te- . t-- t t -1- t - -4----L--
Beach Bulldozing 1_-.i._:r_-:_., t s / i --I- E ...�_ _ , ..
` /I- r , i d r
Other_6_1ye wotko,1 i : *. F - .. _r-._ ��.. ._ j. I i i I 41 ,
f i
-f-H- F I _
/ } I i L_.. - -
Shoreline Length 't 1 i -`4 E ( t i ' I— F-_ .
i
- --F- I
SAV: not sure yes ® . - ., 1 1 i- . - - -1
I
{ -+ --
Moratorium: n/a yes • �Y j f 't. I .: t__ -t) -F t
Photos: ye Gib 1 r S t i • `—' -i ---
. r Z 3 , - __._ i t Waiver Attached: yes L- -- _ �L_ t i I _ LL
• , I i
_ n t.(( 1A
A building permit may be required by: 1051�`t 'g (re.. 1 ..tom Y\ . 0 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) // �p J,- ^-- �n� �'� t I�l
Notes/Special Conditions 1-� ,76 e-1328 > 1� Pre(( r ‘C�l
eV cDc i-- 6 . 15 ' ( \'AI-t 0.n.. tfAC.-
.---V'31 PriA-4,,,....
,,
Agent
or Appk ' rime
PermitOfficer's Printed N, --
6.)
. .
Signaturm
c lance statement on back of permit" Signature
ii Zap 6'ee .
-- (4 r 121 tO(1/y(

•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Sig ;lure
■ Print your name and address on the reverse x% `� ❑Agent
so that we can return the card to you. 1� 0 Addresse
• Attach this card to the back of the mailpiece,
B. Received by er.i5ted Name) C. Date of Deliver
or on the front if space permits. / —Si—Z
1. Article Addressed to: D. Is delivery ad.'"- . ..7-4Vi$ m 1? ❑Yes
at of c�
C �cc yi If YES,enter de ivery ad ress ow: ❑ No
. .)c.-F' £. ✓`-<<-i-j/Id I APR 9. 8 ?q21
111/V A1a, LeI .it
DCM WILMINGTON, NC
Li'n r r1 G c-) s3S6:.
I�III 111I II Ill I I I I ill
I I 'I II I I I 3. Service igType ❑Priorityei Mail Express®
❑Adult Signature ❑Registered Mailrm
❑Adult Signature Restricted Delivery 0 Registered Mail Restrict,
I II . frtified Mail® Delivery
9590 9402 6418 0303 3480 95 0 Certified Mail Restricted Delivery 0 Signature Confirmation*
❑Collect on Delivery ❑Signature Confirmation
2. Article Number(Transfer from saniirx fahutl r'collect on Delivery Restricted Delivery Restricted Delivery
7018 3090 0001 9062 0301 auredMail
:ured Mail Restricted Delivery
lover$500)
DS Form 3811.July 2020 PSN 7530-02-000-9053 Domestic Return Receipt

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. •ignature
• Print your name and address on the reverse 161Lat,1 ❑Agent
so that we can return the card to you. \X. Pere --' ❑Addresse
■ Attach this card to the back of the mailpiece, B. ived by - t > .-me) C. Date of Deliver
or on the front if space permits. £L4NI$4. C -
1. Article Addressed to: D. Is delivery add=ss different from item 1? 0 Yes
obet L d _C L`„, 1.47?f If YES,enter dR r► E4 v: 0 No
`/a lJ(//c TV-s toms"-/— 'h C- . APR 2 8 2021
570 N: /ou,(// ' tie.
Di,11/7 i /V G 3 y 9 / DCM WILMINGTON, NC
3. Service Type 0 Priority Mail Express®
1111111111111111111 III In
I I I ll I I ll I I I II I I ISignature 0 Registered Mail",
Signature
Restricted Delivery 0 Registered Mail Restrict
-9590 9402 6418 0303 3472 03 0 Certified Mall Restricted Delivery 0 Signature Confirmation,
❑Collect on Delivery 0 Signature Confirmation
2. Article Number(Transfer from service Labe° ❑Collect on Delivery Restricted Delivery Restricted Delivery
0 Insured Mail
7 019 1640 0001 7 419 8325 lnsufred 00
Mail Restricted Delivery
(ovePS Form 3811.July 2020 PSN 7530-02-000-9053 Domestic Return ReceiD

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date *,.,9 /n . .-1
Name of Property Owner Applying for Permit:
Mailing Address:
If/D f &cz7 e Y G�
i8" 1
l
I certify that I have authorized(agent) /4; " y ),42,/tto act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
(activity) l /�',� /,)4/ p�f , .. y = °
install or construct activi � rJ ' : f .,� ��t�! s'f�,�.�'�. u,` ���
at(my property located at) 7 3 . C1/4,/ htfi e
RECEIVED
APR 2 8 2021
This certification is valid thru (date) /2 3( "2-/
DCM WILMINGTON, NC
Prop 0 ,ner Signature Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner
Address of Property: /7<ii(Lot or Street#, Street or Road,Ci &County)
Agent's Name#: ��/'/t0 /. t f Mailing Address: P J 'O-Y r =r= -/f
q/v V7/o2c.)__V ,=��;7'1 Al ..
Agent's phone#:
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 p posing.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 httpf/www.nccoastalmanapementnet/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
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.) RECEIVED
I do wish to waive the 15'setback requirement. APR 2 8 2021
I do not wish to waive the 15'setback requirement. DCM WILMINGTON, NC
(Pro— O • - In • (Ri ' n Property Owner Information)
41111, .
ature gignature
e.ff: goucita,vd 5 tee__ _ Vey
Print or Type Name Print or Type Name
I DI %A)40crer -6 S 0 6
Mailing Address Mailing Address
fl&tvt gX '?t/3 l i./c-
City/State/Zip City/State/Zip
9,9. 9319c/ 9 -2-S
Telephone Number/Email Address Telephone Number/Email Address
o? i0-/ —/2 -z/
Date Date
1.._ . i.. �. 6 �_ _� 1 /t .mow.. (Revised Aug. 2014)

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herebyateicianieletsuggenoutinanumart
certifythat I own property adiscent to C47 ND(A
properly located at 2.35 F O e,. (Nano ciEP�op.�e�Owner)
on / C Cott:. C' ,�,.f (Addre T '�
(alyfrown andbr Cotter) •
The appitant
has wed to me, as shown below,the development props , -r above location.
I have no objection teathis proposal.
I have moons to this proposal.
ceseRwrnoti ANEVOR DRAINING OF PROPOSED DEVELOPMENT
(leckai proposing dankw In dascnWan bow waged'a saps drawing)
Seg.- tnittkItik-47---
•
•
•
MedrialgialM
I understand that apier, dock, mooring pilings,
m waive
the setbackum dance ' V frofiaccess unless by me mta;t be set bads a
you must Initial the approve blank below_) youf wish to
I do wish to waive the it setback requirement
S1 \Z- I do not wish to waive the'15`seek requir�em
(Property Owner Information) G }
•
�.Type ``+� (pRs.r . er J/�Aff"
t{1 J ITI" F °rT e lose
1�7�J Ir A4 'v/ �t • .yy �d NIL "18
f ��ti ) • A ���V� �F`�lr� 2 �t�- �+lL;335—
\\Telephone Number / ?Amber
slate
Dais

ADJACENT RS)ARIAN PROPERTY OWN 8 STATEMENT
l hereby certify that I own property adjacent to C s iso t `
p�perty located at 23S— d (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on / a in Coti.,a. c- .{ to,t,J Ha +o'/e•1N.C.
(Wady) (City/Town suitor County)
The appBcant�/ has described to roe as shown below,the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRJPTiON ANOPOR DRAWING OF PROPOSED DEVELOPMENT
(`fncividuai proposing development must lily in description below or attach a site*awing)
€f—
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 bekner.)
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)I�- LJ C o \\ c ,vt
Sly": Sid a C_/
Print or Type Name Print or Type Name
floc km- 44`4,r— ikittil ('© a, ox '2U
Wing Address Mailing Add
C,4 . , ` 7 yr7 31 L to
►iZk C IStata2rp
d°t - ` jts-In v - l4V& 3
Telephone Number Teone Number
7_ Inn— 7 - raj
Date ©ate
(Pevieed&'1& 012)

•
Cheek
Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Cheek nuntlr amount Permit Number/Comment* Raealpt or Refund/Re llnwfed
Colomnt Column2 Column3 ColumM Column6 Cokanni Colu n7 Column., Column➢
_ 6/3/2021 Gary Stanton Anne Bank Check Brent Elmers First Bank 30273079 $ 400.00 GP8801330 JD rot.14326 _
6/3l2021 Pippin Marine Construction LLC CJ Bouchard Wells Fargo 5800 $ 200.00 GP#802820 BH rct_12890 _
_
6/3/2021 _ Pippin Marine Construction LLC Gine Poole Wells Fargo 5801 $ 400.00 GP#80309D BH rat.12889
6/3/2021 Archie McGitt JBJB Propteries LLC First Citizens Bank 8961 $ 200.00 GP#801680 KE rct.13449
_-6/3/2021 Michael Ann Williamson same Trulian �t Federal CU 1487, 400.00 GP#80129D BB rct 14934
_
_ 6/3I2021 _ Grice Construction ,.,Redfern Scott LLC B8&T _ 14671,$ 400.00 GP#80123D _,BB rcl.14941 _.
6/3/2021 Grice Construction John and Linda Morgan BB&T _ 14667 $ 200.00 GP#80128D BB rct.14940
6l3/2021 Grice Construction 419 6th St SB LLC BEAT � 14668 $ 400.00 GP#79997D BB rct.14939
6/3/2021 AMW Docks and Marine James McLeod BB&T 6243 $ 200.00 GP#79999D BB rot.14938
6/3/2021 Carolina 8luewater ConeWction,Inc.__. Craig Miller BB&T ; 23458 $ 200.00 GP#60172D BB rct.14944
6/3/2021 F 8 S Marine Mike Desmond First Bank 1021 $ 200.00 GP#801830 KE rct.12851