80163D - Bailey

CAMA / DREDGE & FILL N' 80163
0 : A B C
GENERAL PERMIT Previous permit#
E !New Modification _]Complete Reissue CJPartial 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 t 711.,L2 6
_. ❑Rules attached.
Applicant Name r ProjectCounty t ' �P li/ Location: `r-77 :.
Addret �jJAe',! Verlye'd Street Address/State Road/Lot#(s)
City InatM State ij;`C ZIP :;i C/f.S l r f 5 t . ,
Phone#( ) ^ r,Pitt
o f I A i,Iey Subdivision
Authorized Agent t{ Pitt Pi/ ' City /(.IL T 5/(.7 IJ ZIP x 46.c
Affected ❑CW IDEW ®PTA ❑ES ❑PTS Phone # ( ) River Basin ' i/"lb(,
AEC(s): ❑OEA ❑HHF ❑IN ❑UBA ❑WA Adj.Wtr. Body 1,77/ - (- i r,.•-
❑ PWS. (nat /man /unkn'
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body C yr> l!< c' 'j,
r
Type of Project/Activity r"y) �; � " �;` ? .�". ��c �,/`.1 l(/''r 4 71;`'
(Scale: 77 5 )
Pier(dock)length A
r SC'LE ., & PAUL BAILEY
Fixed Platform(s) pl.'?l�'` 10 ;, SW. 18 STREET " -7 ~ _ _
Floating Platform(s) q F} /1 6, 1''` NM,{Siff :SLANQ N .5 .ir
Finger pier(s) t--' ,, ' i� 'Q
Groin length '' "ate - '.; =a3
number c Q
Bulkhead/Riprap length : ,--trk ..4 4 - a 1 . %` s to G
avg distance offshore 4 r$ -, _ a'
max distance offshore - '
_ ,,,v,
., .....,,_
. :,
...... „ ,.. .......... .. , .
P� WIDE PIEr +
,‘.7,„ 4,4::
Basin,channel — :..„.. . .
cubic yards "` N?s£ /APP X Atlt. ' -.
cam.
3
Boat ramp -"..,.' a
•
--Boathous Boa > i
Beach Bulldozing '''^'
Other 77•tti oD
N
Shoreline Length t/r 4.
SAV: not sure yes no I i / =� gr
Moratorium: n/a yes no /
Photos: yes no X2Q FLOATER %t.
Waiver Attached: 1 no � �- -- ��. - �= =-:_,.
A building permit may be required by: 1,Y'ri1 04: ,c`�/Z-;7f See note on back regarding River Basin rules.
( Note LocalpealPl Jurisdiction)' r f/ , /2
Notes/Special Conditions ,�ii�� 'r
2
Agent ord ApplicantPrinted Name PermitOOfficer's Printed Name
O
air- tIoAkikl4- r„;.,,,s.45,,,,,t.;,./---- 12-214.,-2A
Signature *-*Please read compliance statement on back of permit** Signature

Y AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Paul and Sherrie Etvir
Mailing Address: 419 Neil Ridge Road
Matthews, NC 28105
Phone Number: 704-519-9096
Email Address: [e-mail]
I certify that 1 have authorized Sea Dog Marine 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: Bulkhead and Pier Construction
at my property located at 107 SW 18th Street,Oak Island,NC 28465
in Brunswick County.
I furthermore certify that t 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:
i 1' ,111.1.L . LC -
signat J
i ti�Plt � �i G -'�vZti�t L-Zvi
Print or Type Name
j 6 r r3T Cr'i 'kk k�
Title
02 ID 1 _i
Date
This certification is valid through t 1_

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Paul and Sherrie Bailey 's
107 SW 18th Street (Name of Property Owner)
property located at _
(Address, Lot, Block, Road, etc.)
on Davis Canal , in Oak Isalnd , N C.
(Waterbody) (City/Town and/or County)
y�app a.rnt 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
tare setbc ou must initial the appropriate blank below.)
(..•• G �— I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement.
(P ert wner Information) (Ad a}:r7t5ti annation)
nalu Signature
kl f t err-lr✓ e an Charles Eames
Print or Type Name Print or Type Name
419 Neill Ridge Road 108 gSW 19th Street
MMatt�A drNs_8105 MO�a�klsl d NC28465
City t te/Z 2/S City/State/Zip
Telephone Nu ber Telephone Number
CW 05— Zp2 I
Dale Date fi </47
�
(Revised fi/1812012)

DocuSign Envelope ID:242E0209-2580-41C4-A3A6-70B6A91A46FB
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Paul and Sherrie Bailey ,s
property located at
107 SW 18th Street (Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on Davis Canal , in Oak Isalnd , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
___5fI 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.
Sf I do not wish to waive the 15' setback requirement.
•
o. :rty O e tIn - ma '•n) (Adjacentwt2rdV Owner Information)
i .
bir," ir ‘ st.,,,, ti,....ds
YaS nalu SignatiffErC797C66FCA9D4CC
t�I `tt le,j /&cr i<o , ) Town Of Oak Island
Print or Type Name ` I Print or Type Name
419 Neill Ridge Road 4601ggE Oak Island Drive
Main�7 Addre__Ss_8105 Moak Island,Address 28465
attnews, NGG z
City/State/Zip City/State/Zip 910.523.2439
Telephone Number Teler 24%20 u2 tuber
Dare Dare
(Revised 6/18/2012)

Check
Date Received Date Deposited Check From(Name) Named Permit Holler Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Columnl Column$ Column] Columns Column5 Column!! Column7 Column8 Column9
8/31/2021 Sea Dog Marine Construction.LLC Waddell Kissel!Lee Etals First Bank 1426 $ 200.00 GP#801650 PA rot.12795
8/31/2021 Sea Dog Marine Construction,LLC Paul and Sherrie Bailey First bank 117 $ 200.00 GP#801630 PA rOt.12793
8/31/2021 Michael A Young same TD Bank 2240 $ 200.00 GP#802890 JD rct.14093
8/31/2021 Gregory Holden Chnstopher Karsher United bank 55881$ 600.00 GP#801940 PA rct.12796
8/31/2021 __ Southern NC Marine LLC Alonzo&Vivki Kornegey First Bank 1472'$ 200.00 GP#80339D KE rct.15737
8/31/2021 Southern Envionmental Group,Inc. John Dash Wells Fargo 8404 $ 200.00 GP#799420 BH rct.14414
8/31/2021 Land to Sea Construction,LLC TomVevellen First Citizens Bank 505 $ 200.00 GP#80277D KE rct.15736 __.
8/31/2021 Dock and Deck Dudes.LLC Dan Habrat PNC Bank 1196,$ 200.00 GP#802760 KE rot.15733