79939D - Nason

M, reCAMA/ ❑DREDGE & FILL N°. 79939 A B C
1.1
110 GENERAL PERMIT Previous permit#
Y— ►``-' ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality -�A
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCA 2-C.J©
� 11 AA ,, ❑Rules ttached.
Applicant Name ,_ eNCIOu"\ N10.' `r'\ Project Location: County IQ ched .�
Address /PES 'ryia' r Street Address/State Road/Lot#(s) S,1/4v'4.
City �-Aw- k-DY\ State Nk.. ZIP 2 fL( t_
Phone#( ) E-Mail Subdivision
� clko r%h�e Q with
Authorized Agent City LO.ki "•-`' ZIP 2601
Affected ❑CW ❑EW 11TA JICES ❑PTS Phone # ( ) River Basin �<""�
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑WA � a.„„,,Adj. Wtr. Body ()oW CAYtak I (nat AtMlunkn
❑PWS:
ORW: yes / PNA no Closest Maj.Wtr. Body F [ft5�1'x'1`�C'
Type of Project/Activity T, 40--e Q /j,e i. i-7seCJ. c tc c /pfQxv.'\.
(Scale: IL -5 )
Pier(dock)length "'
/ZRO' i
Fixed Platform(s)
boating Platform(s) I
(1)11
••nger pier(s) I I
.in length
number . �.__.....___._ ; •
y
Bulk'ead/Riprap length "_ �- _"
g distance offshore I- . I i I
m. distance offshore i
l [i
Basin,ch. nel l b
, 1
Q1k �
*�" ,
cubic y. ds i t- { ;� t.
. • 1- E .3
Boat ramp �`. I' v ) --
Boathouse/Boat
Z`'-) n-cl
1 f9 Beach Bulldozing I .2-0 A
Other `' 7:1—= - a
a— I I
i l j [
f i Y 1 I I i
�2 ' j
Shoreline Length -6 J� k
_ .
SAV: not sure yes ...• y____ j I —
Moratorium: n/a . yes ® 6 ,p 1 , \\'
Photos: ,; , , 4 f , .
-..
Waiver Attached:L+R& noi i
A building permit may be required by: (0 . [ i See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) ) 4 t �( iY' r�
Notes/Special Conditions �1P4Te'r� *j4c&Q h-�Q 19(11 ( L)i VLIC X 11`) r t' 4 - epfr14,4-
A '.',., o"q-H, f7eor loca_Qi 5 -Q2.r ` -Q e,i0.Q te7vldr s tt.-c>�(
CiD Q -- v-V1A-v,_ 4-ive,u,.... 8-42•2j_
Agent or Applicant Printed Name 4 Permit Officer's Print d Name
Signature **Please read compliance statement on back of permit** Si nature
g P P g , f I

to ❑CAMA / ❑ DREDGE & FILL N° 79939 A B C l
GENERAL PERMIT Previous permit#
>� ❑New ❑Modification ❑Complete Reissue El 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
❑Rules attached.
Applicant Name ct• t\.... a5O•P'••• Project Location: County • -,c t,,\e-,-t Y
Address ( tp �-- c Street Address/State Road/Lot#(s) Stac IMl
City LA—)t 1kx.-- S\c-sr\ State NC ZIP 2€cfC-(1
Phone#( ) E-Mail Subdivision C,kan y1 \G.\ t._.h
Authorized Agent City Lk .):1`IA, t ZIP 2 fL((Jc\
Affected ❑CW DEW PTA gES ❑PTS Phone# ( ) ) River Basin C \—
❑OEA 0 HHF ❑IH ❑UBA 0 WA , /!�/ (
AEC(s): Adj.Wtr. Body /1,cki. au��h C�n" (nat la _lunkn
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body /�' Smt �cziCN
Type of Project/Activity c „P �� 1 xeA\ 4—QS-k/p1t f CKW\
(Scale: 0J1-5 )
Pier(dock)length '
7
Fixed Platform(s) .7 /V { ID i
loating Platform(s) '
'nger pier(s) '::
'
Gpin length
� • l�p(
number � 4........-............ T.-..-..-............._..._.._... -._._._._.._.__._ l� �'` _ �._.._......L_
Bulkhead/Riprap length i i
avg distance offshore
4ycvelr\l'
m distance offshore1 / I I 1
Basin,ch nel j I ‘rt"_\^
! ! 1 i ' i
cubic y ds { -L
Boat ramp ! � � I } �/
Boathouse/Boat elf -r- ►-i-`- _........._�_._.. �._........_._..+_. �_
1 - /
Beach Bulldozing x ' I �i
Other , I f , t
I j ! i
Shoreline Length -II' �I i
1 tT I
i
SAV: not sure yes :noa •
, �+ I
I
Moratorium: n/a yes � � ,�{v�� I I I W _. .._. ` ----.--- _
Photos: yes no i _4 — ....___..0 -- —
Waiver Attached:: yes no I
L
A building permit may be required by: l V `4 Co . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �I + t r '
Notes/Special Conditions iIAi--CYAN " at�Q I K b0 i (4 u..1*V11` -I-COy“4-4.( `� r Io.c i o (at 6
) 7(I 7(TCt (G2COk(S-L4 ` -�tC ..Q,i�C �reS�Iadr s 1•Z' )(t , .
eC k cO w 4-L
Agent or Applicant Printed Name 1 Permit Officer's Printed Name
Signature **Please read compliance statement on back of permit** Signature

0 7'CAMA / - DREDGE & FILL Na 79939 A B C
CD
GENERAL PERMIT Previous permit#
)�.Yi\lew (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 15A NCACC4 Z®d .
DBits ttached.
Applicant Name
1 N Project Location: County vw o-.(jr"
Address /( .')( Street Address/State Road/Lot#(s) S,l4V A
City ;AV.".(n{-OY\ State JC ZIP 2 e({61
Phone#( _) E-Mail Subdivision 1 Chan .�C n'e &
�
Authorized Agent City 5,\dv.N-)' ZIP 2131tiO
I
Affected ❑CW ❑EW PTA I1 ES ❑PTS Phone# (____)__ River Basin LV-7--. _
0 OEA 0 HHF ❑IH ❑UBA ❑N/A 4/+
AEC(s): Adj.Wtr. Body 6A HctvON a t.',I (nat , yunkn)
0 PWS:
ORW: yes / PNA �( no Closest Maj.Wtr. Body �ack
Type of Project/Activity cl..-i\ /k --ri` cd• cQC-kiptiz}- '(W'.
` LLL (Scale: 11-STS )
Pier(dock)length '*--- _
Fixed Platforms t ..#-...... _ i f ,._ ...1 — .a 1
F-1.7:-
)
bating Platform(s)
`�. _. j j_ 11 jF i a i .
nger pier(s) 1
G .in length A - j
j -t ' �
number :�.._ -_ ) + . J i
N •
Bulk •ad!Riprap length i .�... _.. - - I --•„-- -t--r}t}r'4►W _ _J .�. i
distance offshore )." - ` . _ # I; c._ __ ..r / . ''p_ i . ... _-
m- distance offshore " j EE t ,
Basin,ch. nel . # ; .: _L� .., } - -t i .�- r-. -a __. ._ E
cubic . .s r i. 1 __ ___ l !_ ( l i i T_ i - i . _t--- -
1 i!
.r111
Boat ramp 1 i i ' i 7..r._
Boathouse/Boaz •� _ M 0 1—--- ` - I ft - . , .
Beach Bulldozing Jr i ��-
i -
other ��l I
T ( i.
■ i 1 , .. .
tt 3j� r ► - r { L a
Shoreline Length Tl 1 1_ _ i -- / - - 4 �--"-i
SAY: not sure es ' 1 ` y 1;
Moratorium: n/a yes F I 1 t -a i f `_ i__(-. f
Photos: yes .t t 1.- -r Lt
Waiver Attached:Lt no ' �_ -1 ; i 4 1, -It'" • ti 1.- i 1 . } I. . t
A building permit may be required by: (N)` ("....) ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) r
Notes/Special Conditions } CAN (4'QQ k �)1/�(4 1,vi+ rrs,. "pc 4-k- 5 r1 t i o . Loiric
t. v H. rz x) 1 c9c�f tjrt's�7tC., ` ,f 022 ij' _Cj U 1 d(Y�+-�5' 4'V0 k( .
J
ICE -3-0.i. N .S ,-.. v-y; i,4-
or Applicant Printed Name Permit s P Name
CD_ .Q. (/ '(. 1- --
Signature ITIPlease read compliance statement on back of permit•" Signature
04 4241 ft __ 8(6(z 1 L2I f Z(

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: ��.r-Aa`'t t C47,-) r 1/4-.,.t 1 NC. 5 o vx
Address of Property: 116 ACi c hk PI( vC,, k r,i1'"A-�q�+o..,. r / e, 2 S`t ei
Mailing Address of Owner: S ,,v,c 'k 5 a ti ovi �Jt
Owner's email: I'1k5vt4,jo.fd kh e,0�v ;1-c Owner's Phone# q(D 2 2-6 'G)21
Agent's Name: N/"I J Agent Phone#: ti'/01"
Agent's Email: N/Al
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.
K ,4/tiV 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 28405-3845. 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 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 to waive the setback. you must sign
the appropriate blank below.)
,� I DO wish to waive some/all of the 15' setbacks A � 71` „Ai/
Signature�� of djacentt Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner.
r � / ' / � ,
Typed/Printed name of ARPO: //��/ Z., &ff'7 I t , ( )/Gx/
Mailing Address of ARPO: /l$ /0 nei(f( 4)fQkilti Aim i 'U2 020
ARPO's email:CC'OKiE/,c-�tE / l»L.rw\ARPO's Phone#: ( /0) se,:,/6 --/q 6 4
Date: '7// /�b� *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: Co v T vke s„i' --5a MIL So
Address of Property: ) 8 A%i/C.. 0,f;V ;-bt �•1 / /vC 2 YO,
Mailing Address of Owner: Sete,C A 5 a �t✓ J
Owner's email: ncnsovv ,3o4-dcr-1 eria,l.c owner's Phone#: 9(0 - a 2-/6 "CO 2-`i
Agent's Name: h/ H Agent Phone#: 7`r/ /1
Agent's Email: I✓/q
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
descr n or drawing, with dimensions, must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
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 28405-3845. 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 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 wi waive the setback, you must sign
the appropriate blank below.)
X I DO wish to waive some/all of the 15' setbac
Signa of Ad' nt Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner,
Typed/Printed name of ARPO: TY° ht.\ T5e /w1 e I t
Mailing Address of ARPO: 8 t,v 6 0�- I-vr J Z3/69,
il
ARPO's email: i'-5CAc- t twat (`CO'"1
m ARPO's Phone#: %I' M 6
Date: SZ-/21 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Lit-)
s.E
,04:2l.
LINE TO BE ABANDONED oo tea"
S 1910'42" W 10.00' id �``i
NS S 19'30'42" W 9.32' FROM RBS 0
CL OF 10' DRAINAGE EASEMENT r3¢ram .\
AS SHOWN ON MB 7 PG 59 N 4 G K
o ,, 12
--
/co -- -- 1 5,45E
/ 0.35 A
RBS S 68'37'21" E RECOMBINED
EIP 29.99'
N 19'30'42" E
9.32' •BS
RBS zs.s0,
/ 7.0 ,, , RBS S 13'39'00" W
Z`
f ty /
1a, / ` ,P N ��•4 r OCIS NO Iv Su
©O" Cky
50' CANAL /. . .k �"` .,� f9J fTg,
R/W AS • �,. N 0O 04 n 44' 1 i
/ SHOWN IN / h'11�,
IV
/ MB7PG59 `'
is / / Oft
!wer- / / r- -.....
• -. . .
i/or- / / • �` -- .
5d / • / `' So' CAN.
plot / / -.. , R/W AS
and '� SHOWN I
/ `` MB 7 PC
tt:l;ty / ./ AREA A FROM PREVIOUS LOT 66 `..
-'`TO BE RECOMBINED INTO PREVIOUS ' • -,..,
LOT 65 (AREA A = 286 SF)
/

soot es Imo.sear
CERTIfICATE OF OWNERSHIP,DEDICATION AND JURISDICTION
Certificate Disclaiming Water/Sewer Sultobility With this recordation. New Hanover County I(WE)HEREBY CERTIFY THAT I AM(WE ARE) THE OWNER(S)OF THE
NotwithstandingNew Hanover Countyl of thisplot,lots shown on said plat accepts the dedication for stormwater and PROPERTY SHOWN AND DESCRIBED HEREON AND THAT I(WE)HEREBY
ppprow P ADOPT THIS PLAN OF SUBDIVISION WITH MY(OUR)OWN FREE CONSENT AND
may not receive Health Department approval for on site sewoge dlspoaol systems, easements.nor for individual water supply systems,nor does such approval guarantee the DEDICATE ALL STREETS, ALLEYS,WALKS,PARKS, CONSERVATION SPACE AND
q qq //////JJJJJJ i. 2r7 OTHER AREAS TO PUBLIC OR PRIVATE USE AS NOTED. ALL ROADS AND
availability of water or sewer aortic.from The Cape Fear Public Utility Authority. // / �/� 2/• DRAINAGE EASEMENTS ARE DEDICATED FOR PUBUC UTILTY PURPOSES.
C my Engin r Date FURTHER,I(WE)CERTIFY THE LAND AS SHOWN HEREON IS LOCATED WITHIN
\ THE SUBDIVISION JURISDICTION OF NEW!( R COUNTY.
DATE GNATUR OF OWNEJi(S)
/ //^ \ DATE SUBORDINATION CONSENT OF MORTGAGEE AS APPLICABLE
\\
---
/ A-x7 \ Certificate of Disclosure-New Hanover County Flood Plain Manogement
/ M47.20' \ \
/ eD-sly lle'IB• `` cis
B-5 64'34'5I•W I(we)hereby certify that prior to entering any agreement or any conveyance with
e=4246' EIP \ pf,W \ a prospective e buyer,I(we)shall prepare and sign,and the buyer of the subject
red estole shall receive and sign,a statement which fully and accurately discloses
/ ��hA that the subject real estate,or a portion of the subject real satote,is located
/ / OR/ - \ within a flood hazard area and that the buyer must satisfy the requirements of
N the New Hanover County Flood Plain Mono ement Regulations prior to the
/ El• s 7o-71,aa OR7/'/(BO, Iseuon f canetruc lonpermits.
/ E Riwj / 2r
jSI
/ y urea wMY o e
/ �/ W ® EIP \
/ I o� 17,435 SF \
/ / 4 0.40N Acres \
r/
. RECOMBINED ACREAGE s 7p.zj, \
E 1
e LINE TO BE ABANDONED 8 ri ItOat' \ \
/ S la'30'4Y W 10.00' nH
/ / / NS S 1910'42"W 9.32'FROM RBS : O `\ \
/ / I Q OF 10'DRAINAGE EASEMENT ,l7 ``\\`\ \
/ N AS SHIwM ON 4B]PG Sa @' \
RB
8/l 7o-11 a3 W ��
Is?I 15,458 SF
/ / 8/ s• " 0.35 Acres ``���f\gD.f -.\
/ / 3/ p1�37'21'E RECOMBINED ACREAGE - e. `�.�.\\\\
�/ /841 N la'30'42'E \AB
g
/ 2�/ / 9.32
RBS RBS 0
/ 'el / terse• RBS S ts'3s'00'W •
�T
/ \ /— s.to' ,EIP
/ I.\lt'L-C\Cy0 �3Ah(�CO(1 / / _'`s_RBS b'F /
/ RBS (67\ /
/ Review Officer for the Cape Fear Public Utility /
Authority, New Hanover County, North Carolina, / S7p7'co,M ETISONa BtWltgr� RBS a' /
EP/ certify that the map or plat to which this / /
certification is affixed meets all Authority /NY R CANAL `� �4. . I7e.at• /
standards and requirements for the public /SHOWN IN / 3o b /
LEGEND: utilities as set forth by ordinances.With the / MB 7 PG 59W /
EB= ELECTRICAL BOX recordation of this plat, the Cape Fear Public / / /
EIP- EXISTING IRON PIPE Utility Authority accepts the owner's offer / C•--\\
ERB= EXISTING REBAR of dedication for the public water and/or sewer / / /�..\ _\
FH=FIRE HYDRANT purposes all easements, common areas, and/or / /' —. \
HB=HOTBOX rights of way shown on the plat as dedicated / / 50'CANu ' RECOMBINATION SUR1
OMBH L ELECTRIC H D O RX for public utility purposes. Approval of this plot / / R/w AS - _ LOTS 85R de 66R
OHPL= OVERHEAD POWER LINE does not guarantee the availability of water and / SHOWN IN
CHANNEL HAVEN
PAT= PATIO Me 7 PG 59
POR = PORCH sewer services from the Cape Fear Public Utility / LOT A FROM PREVIOUS LOT 8
SC SEWERRCLEANOUT Authority. % TO BE RECOMBINED INTO PRENW a a S (Vicinity Map N SsN) Tar w MASONBORO
IOT 65 (AREA A=288 SF))
SCP==SCREENED-IN PORCH CAPE FEAR PUBUC UTILITY AUTHORITY c�,.... cc"AnY NEW HANOVER 'TAM NC
SSMH= SANITARY SEWER MANHOLE C' / ."'9,4
fibk
WM = WATER METER �y .AQ , ` et��e- �,^� CERTIFICATE OF APPROVAL R �N DOT' 10/21/20SCALE 1•=30•
'ley: \ `71\�,� ` . ,-'-
\+y¢`n�P NEW HANOVER COUNTY PLANNING F DEPARTMENT r OWNER:
Review OHkar Title V Date vnsaia,aoti§
E SITE PARID: R07213-012-009-000
"(`^`(^"" )1ID,�I)oy /7A��'�'(Af JEWELL JOHN M SUSAN M
DATE PLANNING DEPT. 118 AOUA DR
{{ DB 4036 PG 185
30 t5____ I 'Nt1 PARID: R0 721 3-01 2-008-000
I. GRAPHIC SCALE THIS SURVEY IS OF A RECOMBINATION OF EXISTING PARCELS, A �A's JEWELL JOHN M SUSAN M
AREA BY COORDINATE COMPUTATION COURT-ORDERED SURVEY OR OTHER EXCEPTION TO THE DEFINITION OF 208 CHANNEL HAVEN DR N
SUBDIVISION. DB 4036 PG 165
—REwxlxu2oNING.R-15
I,Gary W.Keyes,acetify that this plat was drewt under my supervision from ea actual survey made under •I my supervision(deed STATE OP NORTH CAROLINA COUNTY OF F'f r 1L 10, STATE OP NORTH CAROLINA 4Je..3 1•ts vvmA,r COUNTY
dram Book ,Page J or other source as noted);that the boundaries Oct surveyed are clearly indicated .r
' in
drawn from information found in Barak ,Page (err other source es noted);that the ton of �W.Nome,L� ho'.P.C. 1 (,.%f.^$^1i ` Jlavia,Officer of Of,.I ao.o County, Piled for Registration at R..L15 0 M. f.k3crtu.TDA( 4 20,.g.its
N(`w�"'•.,, certify that the sup o plat to which this certifiWion la affixed roads ell
�/ precision m ululated is 1:10,000 ;that this plat was prepared n accordance with G.S.47-30 as amended. # oat for recording. the Regular of Deeds Office Recorded in Book (oQ' Page 3
;.. '•; NC Firm C4CJ86 statutoryrequireme
f.• 5EA1 Witness my original signature,registration number and seal this 29 day of oCT A.D.,2o?D. PO Bar Ib24 Wrkitteelle Dealt NC 28460 /' I C (1 fq I gotta ( nth BY Q A�L 904 ,Q
E. L-J3E1 <910)228 4273 cdm „I:t o 1DA1e RBa ssr — �o pay T
l�o`\Yr f �p�ls L43B1 `c `� s! aoaoo4(a599 1
' .tarsi 3'. , J `'' Surveyor Reguaationlf 'T~9}
'.,,t4,rIIE lorct4^ M. f)wso3 4f0 008-002Y
vy,�p` k l�� 5e 3Fs0

Check
Date Received Dete Deposited , Check From Name) Name of Permit Holder Vendor Check number amount Permk Number/Comments Receipt or Refund/Reallocated
Calumn7 Colima Column., ColumM ColumnS Column! Column? Column! Columno
8/9/2021 !Full Rudder Creative Jordan Nason BB&T 1095 $ 200.00 GP#79939D BH rct.14117
8/9/2021 !Land to Sea Construction,LLC Daniel Clements First Citizens Bank 494 $ 400.00 GP#80248D JD rct.14912
8/9/2021 !J Marker same NAVY Federal CU 1236 $ 200.00.GP#80227D JD rct.14086