80239D - Miller

0 I CAMA / DREDGE & FILL No 80239
GENERAL PERMIT Previous permit#
5Cc
>�% `JNew Modification ! lComplete Reissue ❑Partial Reissue Date previous permit issued ''r 7.-02
As authorized by the State of North Carolina,Department of Environmental Quality r,-)�� l v O
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
.,.c,r O Rules attached.
Applicant Name C C , A � t`
ek ' t Vt,r Project Location: County (3t ' 1 t--
Address (1 ( q yr ,i ;(7.. c,.,,n aA Street Address/State Road/Lot#(s) y 61
(04E n 1
City C ha L State N ZIP Z ZZ fv l L,, yti (�N � S
Phone#(!j)3('-I G(4( C.) E-Mail II Subdivision
Authorized Agent 1 \0,Or k.u ''-(5 �-0—c('y,k(tau, City ()(,e-w- l S(t f)c <c h ZIP 2Fry(o y
Affected CW LEW A PTA ❑ES ❑PTS Phone# ( ) River Basin L.,—6 4✓
AEC(s): OEA El HHF ❑IH ❑UBA 0 WA Adj.Wtr. Body C6 GI (nat /r ar/unla
❑ PWS: A t W W
�� Closest Maj.Wtr. Body
ORW: yes / PNA yes /
Type of Project/Activity in `)[-.1\ (\- .,,, c' 1 o ,\--A., A 0,„ ,,,< S S G.C.
(Scale: N T S )
Pier(dock)length
Fixed Platform(s) � : . I +6 '
(
Floating Platform(s) U XZZ- 1 I 1— —
•
Finger pier(s)
Groin length r
number —_. _1—,._,. _.. :
>
Bulkhead/Riprap length E�� 1 II
�_...
avg distance offshore ! }i I ��u •, I j
max distance offshore I 1
Basin,channel j
cubic yards { 1 �" I'"i ' 1
Boat ramp f `g (J ' '
Boathouse/Boatlift — 1_y4t
` t'Y
;
•
Beach Bulldozing i , ? 0
Other {
1 r H e1 (,_„,,, .- , 1
d I Alr�►�<,✓ Q��� i i
Shoreline Length (U u t ' I C =' j I
S ..~� I i I .
SAV: not sure yes no i — 1 F
f i
Moratorium: n/a yes — — +
Photos: yes _ �`t __(17,c1� T__ '
Waiver Attached: yes no 1
A building permit may be required by:l` - l S( --C. \,�( c. ( b . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction), /� t \� 1
Notes/Special Conditions • ' 1. trc�(i c. �U -_,, ,\ 'r..1 0 G�'T SIT c K.—Lk-AAA.Ct—c l i •I
.—
Se_(.. A F/- 1,.._ J \ rc „.,� \_� c\e.., 1-3021
Agent or Applicant Printed Name Permit Off er Printeed Name \ ..........,
Signature **Please read compliance statement on back of permit** Signature

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0 LiCAMA/ ❑DREDGE & FILL N° 80239 A ` C ��
GENERAL PERMIT Previous permit# �
>: INew CiModification -Complete Reissue ❑Partial Reissue Date previous permit issued Z II "� { -
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
❑Rules attached.
Applicant Name Project Location: County
Address Street Address/State Road/Lot#(s) Li
City State ZIP - .---
Phone# ( ;) E-Mail Subdivision
Authorized Agent City ZIP . V t. �
Affected ❑CVN ❑EW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin (- - t., 7`
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (nat / is -/unk
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
(Scale: .,j t j )
Pier(dock)length
Fixed Platform(s) i ' 1 l( I I \ �_
Floating Platform(s) ! t \ { _
i
Finger pier(s) '
----;-._.d...... __,_.. }- Irk: - -........_.....-----.— ---_....._._._..___
,,•I'`"' ,��
i I 1
Groin length
number Ii _ — I f I i, ,
Bulkhead/Riprap length i t — I — ,''I I,I- -- -' ' ,
avg distance offshore { I "\�
max distance offshore j I I I 1
1
Basin,channel } i 1 {
cubic yards ';'A `. -`l'' , , I -4 ..
Boat ramp e; l .:.k; Sty
Boathouse/Boatlift —_....._ I _ \. j f
•
Beach Bulldozing i ti / ! I
Other j {
n Mj.1\A r �, ,,
Shoreline Length f r_i V •t 1 . I I ' -"+- i
SAV: not sure yes 6o ` 4 1 '
Moratorium: n/a yes nqi _._..__.._............ ..
— — I
Photos: yes no .t , i ... .
Waiver Attached: yes no 1 lI . + • ,.., ., i • 1 ' ,
A building permit may be required by:( ( . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions •
Agent or Applicant Printed Name Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Cc?I'wARcl I 1 ec
Mailing Address: 2_15 N. 'P,,nL S-k-yne-4
g30') CU.Az 6ge 1QC 2g2O2
Phone Number:
• Email Address: (4, C e ruucc v,n> <e . c
I certify that I have authorized H5 Construction
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
-CAA— dJ oC-r.—
at my property located at 4 °I Q u.vAL44_(),,)o. S .00-(,44.1 ,R,¢.4 ,Qc
in _a_uws
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:
`efIctic<4\677144/
Signature
wLed
Print or Type Name
Title
L / zl i 2021
Date
This certification is valid through / 2 12 0 z I

H ANAL
C 8X22 FLOATER 0
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49 CUMBERLAND- MILLER

CEfuIPIlo MAIL• RETUBN RccwoPT R ►ESTER
DIVISION OF COASTAL,MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAiVER FORM
Name of Property Owner; &ct w►,eot l Bute fv1 t k cIZ
Address of Property: (u.t Rif Ie
(Lot or Street#,Street or Road,City 4 County)
Agent's Name#: H5 Construction Mailing Address:
Agents phone#: 910-88,D-4381 218A Mt. Pisgah Rd.
Supply, NC 28462
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 dascriulion or drs►wtna with ditriensiortis must be arovtded with this!attar,
t/ I have no objections to this proposal. I have objections to this proposal.
if you have° Neotlone to whole being propgl+ed,yop Milstnetily the plWslcn of Coastal Management(CCM)in
writing within 10 days of rgcwlpt of this.notice. Oorreepshdprice should bemalled to 127 Cardinal Drive Ext,
Wilmington, NC,284054945. COI represental vea•cap.el o be cbntectedat(910)700.7215.No response is
considered the aame as ao ob/eotlen If ya p hove 4$tihetiie_tit b+-Geft11ladMa11,
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breekWater, boathouse, lift,or groin must be set
back a minimum distance of 15'from my area of riparian aeons unless waived by me. (If you
wish to waive the setback,you must Initla(the appropriate blank below.)
• i do wish to waive the 16'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjelent Props Owner Information) 4136-7,// t,/ ge40A-,
Noel. Q,aok''''
Signature Signature
&&Glance gage V I%(k-r2 ( ccepec,,
Print or Type Name • Print or Type Name
2 iS nl. P,cnc '�3307 t033 Zoc��czo@ can ot
Melling Address Melting Address
•
/\)C 2 20 Z 14 c �-, POD n1 C 2: 2CZ-
City/State/Zip l ?City/State/Zip
804-31U- 01,1c1 oo9c
Telephone Number telephone Number
•
V(Z.o 1.7_2.1 _..� _ `120) -20Z
Dale Dale ^`
Revised 6/18/2012

PARMIMMALKnaiNG T liRIVE$740
r '
DIVISION OF COAST T
lR
ADJACENT RIPARIAN PROPERTY jWN s NC3Xtt`ICAttONMAtftER FORM
Name of Property Owner: Bruce Miller
- Address of€ropatty: •9 Cuinberlan
not or Street*,Streator Road,City&Cvunty) .�'..
~-• - Agent's Name#: H5 Construction AWN Address:
Agents ohonott 91f t-8V-4381 218A Mt. Jsgah Rd.
Supply, NC 28462
I hereby certify that I own property adjacent to the above refefenOod reroperty. Then V8
applying for this permit tfas described to me ea eitcpr #on the atieatted d developinent
they ere proposing.64,2EgdottamsbakwaltsitioncpasgatladiagatE,
have no objeettons to this proposal. nave elict tioes to this proposal.
ffrotthavesatoceonetostibatiabeisePro$0.4470$1 et tgiidisi0h �t hr
Wag motet 10 doe of Ma .lpl of arts:atettca.
��� �tputd die itie}t+D¢to�Y7 COMM Dttvg ts5ft;,
,, mn, S-18¢6: t ro maaenialif41 t a ;cal s 01d fi -72; tw stta.►€a'
otmltiet
ri a►ar ire if "'a
ligerM
xmatei
stand that a per,dock,moorf WAIVER
bee a �diSaantenve B' per'braid tea,boalbO.ree,TA or gttt rn the get
wick to wake The setback, my s of semen poem oaten waived by me.( you
you mat O itN I The , prarniate.blank ba ow,)
'l I do wish to waWe the t8 setback requirement
Cv
_ 1 do not web to testae the 161 setback requirement.
•
(Properly Owner information) (Adjacent Property Owtter Information)
. . —
,Wgnsrture t
6iAtmect 8az vt,t A-, l4ade
ttorT or
215 IJ.ri% * 30 q 7 s.7r'{Wing Addams- Marine Addams
C'k„,e_kb z.. N C. 2-%20 a c� 1i sac i4C 2�tiL,
GayfalilefzJp v03 ;tote;
-31 - Ltcl -S �
reteeftone&Unbar Tekkohone steer
tz")1 Z L., d1t 1 z t
Date Dale
Revisedsh0zviz

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