80253D - Sanderson

DAMA/ _ DREDGE a FILL 9 SO A B C
GENERAL PERMIT Previous permit#
'ylNew Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality pp� ll
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V~( ' (Z°
J - . S '\ Rules attached.
Applicant Name Gl�`L� S,(�.AA cl.L t., t Project Location: County -k 11.e}2----
Address Q7.2 C10OL. Fit V Street Address/State Road/Lot#(s)
City S_�►tj State(\C ZIP ZV` "' �2- -►'' `' -
Phone# L`I)(p0 -- OWE-Mail Subdivision _
Authorized Agent__ 14C JV\ Pc12--/019 City ZIP_
7 CW )qW )0PTA G ES OPTS Phone# ( ) River Basin * O I
Affected -OEA -HHF IN UBA N/A
AEC(s): Adj.Wtr. Body 1- A-N ice' 64 Cv (flat /man /unkn)
ORW: yes PWS: PS'/tl , SO vt�
/� PNA yes / no Closest Maj.Wtr. Body. �
f _ t ) ti
Type of Project/Activity PC--I Jt,Lc'I"C— 10-17 i ff. c' ( 4 S4&tt p`-a p.' A
(Scale:
ll�'LG )
it
Pier(dock)length / /
Fixed Platform(s) —__ 01' /.\/
Floating Platform(;, pV- 1 A j____ / • , ���f ) ) f_i P t���
Finger pier(s) /4- !t,LJ1 �N fr 'r"- iv
•
Groin length
nu ber le G
Bulkhead/ rap length
avg di ffshore ?1•6TieJt.
max dnc o hore
:::: ! eo /,ç
,chan °� ti /x o� 11I
cubic ramp
Boathous g >j I f t4 1-4 PT-
a \
\\NN / .
riliC:j,
Beach Bulldozi _ }f ( tad, V`L�-1..—
�`
Other
Shoreline Length 'r/ JU //11°12—`-_4/Lr' Nit;
SAV: not sure yes
Moratorium: n/a yes r� ' Q /Photos: yes
Waiver Attached: _. I— AiAt rz'.`'
6 --
A building permit may be required by: l t%( 7/t"1A-- __ Se- note o back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
A /
Age t or Applican Pri ed P rmi er' rin a NaameY '-'' —�
j2_-31-ZI
Signature *4 Please re compliance statement o ack of permit** Signa r_ ;( r ,._

0 17 CAMA/ ii DREDGE & FILL ND 80253
GENERAL PERMIT_ Previous permit# A B C
>' New ❑Modification Complete Reissue LI Partial Reissue Date previous permit issued N. -.,
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 ( `
f ❑Rules attached.
Applicant Name Vp � - �, l`xl ',t9w‘ Project Location: County -PEN -
Address t VZZ Ci V C WA0, • 6( V a Street Address/State Road/Lot#(s)
City It S CAA f State NC_.- ZIP 7y4 --7- Z'ic)K E
Phone#6161)(Do 6 --(AV E-Mail Subdivision
Authorized Agent t JCM P\-11 rlJti City ZIP
Affected ❑CW 1KZEW C I PTA ❑ES ❑PTS Phone# ( ) River Basin VT, O ,
AEC(s): El ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body BAN(L' t NC7--- (nat /man /unk
❑ PWS:
ORW: yes / no PNA yes / o� Closest Maj.Wtr. Body —TO(S I l-- c 0 cJ for.
Type of Project/Activity 10( c -C- Lee 0'411{ I e c-Id f l '! 1 ''C-? f)f.fA ,
a (Scale: t,P4 f )
Pier(dock)length
Fixed Platform(s) f / 1 1 I i
I : l L *I I l ,
AW- t 'Floating Platform( • I_ /�
f
g pier(s) XZ15:Fin Finger1.......:. 1"1�v 4 _-r {----,_. t 4.'�-j
Groin length t 1! e
number r . ... _.-- l .T_...._..� —
Bulkhead/Riprap length i
avg distance offshore
max distance offshore � f��s'�
Basin,channel j 1 l 1 h, , !
Qs ,,�
1
, :/
cubic yards i♦ i • f /
Boat ramp , f T ( //
Boathouse{-Bbatl> `i, 'I I- f—
......_ —— ..i/
w
r�(
...- I — 1 — - /.
Beach Bulldozi � - i ( ( t i
j I
Other i � i 1
} i { i % i
I i i i '
Shoreline Length -4—f— 5U / 1.01, L41,
I NA
SAV: not sure yes I I '
Moratorium: n/a yes ( i i i } } I
Photos: yes IV1�
_
L
� I t—j I
Waiver Attached: es ' 4— �`(r "7l+" • /I
A building permit may be required by: `0 f 'S A-tA-- t`t . I I S-- note o- back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
47--
Ageht or Applicant Printed Na a Ptrmit er' ri edName
Signature **Please read compliance statement on back of permit** Signa

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _.- 4 • C".14111
Mailing Address: lot?. CAsesi•N.► S1od•
. '-'-'_ _t * I l'ii,e.. .4.1", 04.
Phone Number: . al 1 64G_
•
Email Address: 'L. � 11/� 1 •Cli 1SA
1
I certify that I have authorized __ 5colopTheelk_ Abe/
Agent/ ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the fol wing proposed velopmentk Vei docoott _L.4..
10.3 . Ia. % reav%56, .
at my prope located at IOZZ _. . •i;14 r. ' _,
in __l _ _ County.
1 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:
_ .56S . _.. _
Sian re4,
314" 61 . Sgbek
Print or Type Na
ail)
Title
1l7 / 7 t
Date
This certification is valid through!Z / 31 / Z i

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: Stuart Sanderson
Address of Property: 1022 Carolina Blvd Topsail Beach NC
Mailing Address of Owner: 1022 Carolina Blvd Topsail Beach NC
Owner's email:[e-mail] Owner's Phone#: [phone]
Agent's Name: Southern NC Marine Agent Phone#: [phone]
Agent's Email: [e-mail]
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.
aI 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'setback •�
Signature of Riparian Property Adjacentp 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: Charles Todd Parker
Mailing Address of ARPO: 19 Williams Circle Lexington NC 27292
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: 12/31/2021 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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Chock
Dab Received Dab Deposited Chock From(Name) Name of Permit Holder Vendor Check number amount Permit Number/CommentsRecalPt orRefund/Reallocated
Columnl Column2 Column3 Column4 Columns Column4 Colunn7 Column° Column.
9/2/2021 9/7/2021 Judith Kurzer same State Employees CU 4489 $ 400.00 OP 080193D _ PA rel.12797
9/2/2021 9i7/2021 Scott Blankenship same Bank of America 1045 $ 200.00 OP 980199D PA rct 12800
_. 9/2/2021 9/1/2021 Southern NC Marine LLC Charles Todd Parker First Bank 1470 $ 200.00 OP 880254D JD rot 14924
_ 9/2/2021 9/1/2021 Southern NC Marine LLC 'Stuart Sanderson First Bank 1471 $ 200.00 OP$80253D JD rot.14923
9/2/2021 9/1/2021 Maritime Coastal Construction.LLC Bill Thomas CresCom Bank 3406 § 800.00 OP#80303D B8 rot 15819
9/7J2021 9/1/2021 H5 Construction,LLC Kimberly Swain Truist 1072 § 200.00 GP 8802840 B8 rot 15528
9Y2l1021i 9/1/2021 135 Construction LLC Kate and Sharon Jarvis Truist 1076 $ 20000 OP k802850 BB rot 15527