74824D - Struble (2)

orF- 6,
0 TICAVIA /. DREDGE & FILL O. 74824 A B C
G E • L PERMIT Previous permit#
/T,New od' '' I eissue ❑Partial Reissue Date previous permit issued -
f.
As authcri!ed by • e .te of �1 . oli ,D partment of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC n /`-/ ' /Z a0
{ r=e,10
Rules ched.
� E'Applicant Name }}dd V �7 W` .2 'V r '� " Project Location: County
Address /0&(J/ ..--t/ � i-ze.€4,.. Cf")'� Street Address/State Road/Lot#(s)
City
Q/C State/`"G ZIP 27 f'3 f_) 0z- �-v(' l 1A,, .
Phone#V28)3 q / `4k/E-mail Subdivision p
Authorized Agent 6-it6 r /� City /b p' i /0- K� ZIP ZK is
Affected ❑CW )®EW PTA ❑ES ❑PTS Phone# ( --j--- River Basin 7}1• (7 •
AEC(s): ]OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 73 I ( 4/4 man nki
0 PWS:
ORW: es no PNAyes o� Closest Maj.Wtr. Body �pC'CY Oc.i
y / r /
74-
•
Type of Project/Activity 1lA Sr
al
(Scale: /i l P )
Pier(dock)length G t J
Platform(s) lif Z4 .....„...----
Fixed44/40--a,m--Abvr,/,- -------- -
Floating tform(s) x P.- 'w '/
Finger pier
I Ni
Groin length /' • V I
number
Bulkhead/Riprap le h - *x' j
avg distance offs re a I
max distance offsh e I '#"'
Basin,channel • j -
t I
cubic yards
f Boat ramp n� $ y. ��
BoathoysE�Boatli 3
Beach Bulldozing \
Other
\ ' -____ "
/
Shoreline Length 60 l__ 6-!,
mi
SAV: not sure yes - .' -.`�_ 1 -.__
�' off r,� --
Moratorium: n/a yes �w 1
. . _
Photos: yes n.
1 - • i G
Waiver Attached: UWN Q` ��b� � �U �
A building permit may be required by: �� /(Al A 6fr-- . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
YiOL,---U- (c"\— . - 10.21
Agent or Applicant Printed Name ! P itOffic is Printed Name
7J 16421
Signature P ase read compliance statement on back of permit Signa e

.'0. CAMA/ ❑DREDGE & FILL - A B C Cp
ENE'RAL PERMIT
'ew -Modification Previous permit#Complete Reissue —Partial Reissue Date previous permit issued
As author/zed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC D(7
d . (2-60
71'
e J Rules ched.
Applicant Name 1.' 'i"- 5"6'tJ �' C' Project Location: County i dt.
Address „rip t .Lc Q�c- Street Address/State Road/ Lot#(s) /'
City gil State/✓GZIP Z1‘r3 iftZ C+- L `" C.-LA, ,
Phone#j�Zt) �' `o YiY E-Mail Subdivision aG
/Authorized Agent 62l.ro4'/$r •41Z-r//� City f�'jrp • #'tee ZIP
Affected ❑CW EW yri PTA ❑ES ❑PTS Phone# ( -)----'—. River Basin IA/a 0
AEC(s): ❑OEA �HHF =IH ❑UBA ❑N/A Adj.Wtr. Bodyreit man
❑PWS: Tit ORW: yes a PNA yef� Closest Maj.Wtr. Body
% ► / f
Type of Project/Activity
(Scale: /'1r.. t
r
Pier(dock)length
� O Z� � �
Fixed Platform(s) !'I'(_M*, 641U0 I
Floating'aform(s) Z_.... t_ -_..
L
Finger pier I
Groin length • ��� I
number -A- ! -,
Bulkhead/Riprap le • h �_ _— —
avg distance offs' •re —
max distance offsh. e
Basin,channel -
cubic yards
Boat ramp
—
Boath
Beach Bulldozing —
Other
Shoreline Length �'�j/y
SAV: not sure yes CO �_ _
y�•/I� - —
Moratorium: n/a yes v
Photos: yes d +� /�� �/ L, y� /� •
•�"�'��Waiver Attached: .--L mail�T -- 4-6V-
L/e! A _ '/_-/{/ 7kitti ...71
A building permit may be required by: 0. '/S 4lrit- er14 • See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ( -
Notes/Special Conditions
r-
1/1,,,
Ag t or ig,licant Printed Name P " ItOffi is Printed Name
Signature **P -. e read compliance statement on back of permit Sign. e
"7 / "ram-- CI . . / I -►► f I., 1--e7.

•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: w/ ( /N e Og
S� L1
Mailing Address: / 06 0 J bk6e404 qA71
tv r 77613
Phone Number: 2 2 e- 31(7- /iiI
Email Address: u S 1r2 S s i7/97 /7/4/L C&A?
I certify that I have authorized VL- L IA DOC/ ,4 f�d 87'L/F1
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining,all CAMA permits
necessary for the following proposed development: /'1��/eal 4,/l'1/ 117/1-44
5/4
at my property located at 7 ' 7 VEL fit) L /t/ 7`:06A/182;1 ell A , y
in / 11PtI 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
Jti5/6N/ c-KiewLe
Print or Type Name
Title
5 1 19 , 14
Date
This certification is valid through I I

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to `5-3S14 v 5 j,�c�8c. c 's
(Name of Property Owner)
property located at 6/Z)Z �v .v 'v
(Address, Lot, Block, Road, etc.)
on c-s C *v- , in 7v�•s,.GZ1PVic':•/ , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
�✓ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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 below.)
I do wish to waive the 15' setback requirement.
4 I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjace Pro rty O `.information)
siA1-1:"
ignature Signapffe
3 i,Lv e4 a- /i!' /6
Print or Type Name Print ` Type Nye
Mailing Address Malin dress
City/Step/Zip City t te/Zip
`23 9 9yJ/ v4 - df/J-2/%
Teleph ne Number Telepho e7/7/9/
be
D.S- o/2Ozl
Date
(Revised 6/18/2012)

} • ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
•
I hereby certify that I own property adjacent to 5T4-v /A3 Y ..c 's
(Name of Property Owner)
property located at 9 Z 'Lvi/v 4.i4'0-
(Address, Lot, Block, Road, etc.)
on w i:-5 C iv*..e- , in ersliL/,s.Qc%/ t ,/,'/1, L- , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
r
' I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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 below.)
I do wish to waive the 15' setback requirement.
Cf-12V
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
t �/ '
signature ature
3,)s„-c., 5�,E[le«�' h �Q . - S&LI
Print or Type Name Prim or Type�Na� �V�
Mailing Address Mailng Address
Cit i/Sta /Zip Tt.??ae/Zi119:::444/3".."- �`16ao2 369 yygito 3.2T—
Teleph ne Number Telepho e Nurnb r
&5- Ci/2 C e. 1 6- I I'7 / a Cc. -/
Da Date
(Revised 6/18/2012)

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• CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: ,71/6'T L, 5-7/24, 44
Address of Property: 'l/eZ
(Lot or Street#, Street or Road, City&County)
Agent's Name#: C IZ /V/2// Mailing Address: 3 7 /5/7410 j, Cr-
Agent's phone#: 99/c 5 c a' / 14' isr�.¢�� C eS'c"/T
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. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no objection if you have been notified by Certed Mail.
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 below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Pr- erty ne onririation)
zgnature
S razo ge.a" Sign re
Print or Type Name
Mailing Address tint or Type Name
City/Sta 1Zip c
2Y369 yell , Mailing Address
Teleph'ne Number
Ol
eqr tOS7 20e-1 •
D. • City/ tvZip
RECEIVED
pia e 624-. 2/3/1
AUG 10 2021 Telephone Number
GTON,NC '
pCM W ILMIN Date
Rcviccr!R/1 P/')n10

8/5/2021 USPS.com®-USPS Tracking®Results
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Tracking Number: 70200090000183219219 Remove X
Your item was delivered to an individual at the address at 3:12 pm on July 16, 2021 in HOLLY
RIDGE, NC 28445.
C✓ Delivered, Left with Individual
cp
July 16, 2021 at 3:12 pm
HOLLY RIDGE, NC 28445
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Check •
trod pelt Dmme d Check Front(Name) Name of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Reallocated
1 Cohiner2 Cokerm3 Colum 4 Column6 Coomna Column? Coomna Cnknma ,
2021 H Hilton Yacht Si Ship hunter and Susan Britt TD Bank 185 $ 200.00 GP 180179D BB rct.14950
2021 Grice Construction Theodore&Knsta Nodal! BUT _ —14672 $ 200.00:GP 180128D BB rct.14947
2021 Grine Construction Cape Fear Tran_poll LLC BB&T 14673 $ 200.00 GP#80127D BB rd.14948 .
2021 David Heilig same Wells Fargo 1552_,$ 400.00 GP#80000D BB rut 14949
2021 Sound Side Marine Construiclion LLC Trent and Molly Woodcock First Citizens Bank 118 $ 200.00 GP#80103D BB rd.14942
2021 Backwater Marine of NC LLC William and Jenna Cox +BBBT 1326 $ 200.00 GP 180159D BB rut.14948
2021 Shelby Lawrence iJames Lawrence ;Wells Fargo 6175 $ 200.00:GP 180134D JD ret.14327
2021 Allied Marine Contractors LLC Michael Lautenbach 1First Citizens Bank _ 10170 $ 600.00 GP871878D JD rct 14077
2021 Delta Dock and Boatlift _ Justin Struble _First Citizens Bank 9101 $ 200.00 GP#74824D. _ JD rct.14080
8
2021 Carolina Marine Construction,Inc. Martha James Chaffins ,First Bank 12688 $ 400.00 GP#801840 KE rot.13447
2021 Coastal Marine Piers Bulkheads John Spencer ._._,Wells Fargo 23817 $ 200.00 GP#12397 JD rct.12397
2021 Town of Surf City same First Citizens Bank ..--_, 85235 $ 200.00 GO#79918D JD rut.14143
2021 Coastal Marine Piers Bulkheads Peter Donat Wells Fargo _ 23882 $ 200.00 GP#79969D _ 1BH rct.12898
2021 Thomas Cruz same Wells Fargo 171 $ 200.00 GP#79970D Bit rct.12697
Z021 McAdams New Hanover County SunTrust 1817 $ 400.00'GP#801300 KE rct.12852