79945D - Fisscher

0 yCAMA/ Li DREDGE & FILL NO 7't" Q A B C
GENERAL PERMIT Previous permit#
New iii Modification JComplete 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 I5A NCAC 0�r I
� • 1-2d
Ru '';;attached.
Applicant Name fry)l rnl 5 5 k-Qie Project Location: County L4..
Address 3 `. 5 /idl elwt ..q Street Address/State Road/ Lot#(s) (2.4 1140/7k 4QL
3 LAN
City -AU1llt/rwt State?C ZIP 274-70.7'
Phone# ( ) E-Mail � Subdivision ��V' O^`{ � .�"1\A I' q
Authorized Agent `S t %j K)c> 1y City k)1\1Atiility ZIP 2�40 /
Affected CW VIEW 1 PTA M-ES ii,PTS Phone# ( )- River Basin 1e, G
AEC(s): oEA ❑HHF J IH UBA El N/A Adj.Wtr. Body 9 ik+ ij/i5M (nat /unkn)
❑ PWS:
ORW: yes / PNA es no Closest Maj.Wtr. Body 1� �CQ
Type of Project/Activity QQ,p(f}C,Q_ ey -r �-'°�j2' CAcz s `. M' r`�' 3
I I'
�p LC�p Q�C_2.S (Scale: )
Pi- (dock)length g,� 4 v, z
Fixe•Platform(s) '.*r- , * ;
Floati : Platform(s) 11, `
rd A i
Finger p -r(s) 41 , '}
-F-�
Groin len_,
numbe n�- ,
Bulkhead/Ripr..length
avg distance•ffshore ..E. $ ' * . 1;;t
max distance•fshore - Sh
Basin,channel
cubic yards
n���
CT
Boat ramp
�_' °l -'f nco,
Boathouse/Boatlift I
v.i
Beach Bulldozing k Itir -3•
Other g1�32 CtGCtsS
'' C )c C 1 GtCCtSS , 9 33
Shoreline Length
+f l Z.ct
`:z
$AV: not sure yes ® rinti s`
Nltidrftt
_ fin
Moratorium: n/a yes 6 If �,.is`,
, a,s
Photos: yes ® i t< t`[s 1 ,.., ,�;v. !_.•.,•..
ca
Waiver Attached: �y 2. no (L?,i. .. ( .. ..
Lf4 v,� `
A building permit may be required by: Y Ei Gr:, • See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) "'� ��� ^ -� n
Notes/Special Conditions J1�0 dock-An -4[a\Al pPfh JI b'\ aLt,1�'�^ `c.C..a c
""-@r- ,'✓"u / "o✓ q_i ,... v `o'GL
Agent or Applican rin ed Name Permit Officer's Printed N e
C.--
Signature * leas ead compliance statement on back of permit** Signature
-
157 2401f6 VZ/Z1 1f ra1 z4Isste Ex iration ate
Application Fee(s) Check# P

AGENT AUTHORIZATION FOR CAMA PERMIT APPLiC
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Name of Property Owner Requesting Permit
Mailing Address
/
'I/ 414-1 t--
Phone Number: (417 - 111L1/
Email Address: Li LA; (Q • / //-), f (--
I certify that I have authorized -
Agen /-
t ,,ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA perriits
necessary far the following proposed development - ,
at my property located at tz_ f'` ik,A.ji.),TO)(-1--; L./4/c Lt.‘,
njtt . CountY
f furtnermore certify that I am authorized to grant, and do in fact grant permission to
Dsion of Coastal Management staff the Local Permit Officer, and their agents to enter
cr the aforementioned lands in connection with evaluating information relatec to this
permit application.
Property Owner Information:
,
4 f
ignaWr
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rznzr Type Name
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N C DIVISION OF COAST AL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Lt f 4 ` ')r I LAND OF LIVERY
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ADJACENT RIPARIAN PROPLRT'v OWNER'S CERTIFICATION
Bottom porn to be cornpteteu by the Adjacent Property Own;:-
,, , . .
•,-1 With 1.1
If you have objections to what is being proposed, you must notify the N C
Management [-'DCM .n wr'tf<ng within 10 days of receipt of this notice Corresp, =a,
mailed to 12' Card:naI Drive EXT. Wilmington. NC 28405 DCM representatives can
'910j 796-7215 No response is considered the same as no objection it you have t}t<7n rye:stied b;
Certified Mail
WAIVER SFCTION
`. pier ' . .: t roat ramp oreanwcite-- •
� J; tiro.. S ru , . ._-, Df riparian ai. e,s unle_;,
-';.rd;. It hits►, to waive. 'I'll' se:tt\-,
I DO w<st? is rissil `„ut'sr:_41i cif the 1`, setback ,
ar}r ifler.. AlI,r citt 1-±roart.in Cri.j stet.
-OR- r`
I do not 4i0<,11 '?4 w.0.01 Pti, ',l'tie.rc (-+ ntvrfet 'ilo41,i1 (Flit 01000
, f' :,,irGift Idfulia-ttey 1 iWiFtsr r•;
Typed/Printed narire of A RP
Mailing Address of ARPO ;1 'L G,r�,d, �' (,�. 1: � ._
ARPO's email- r ' :'1�r ht�. ARPO'a Phone#: ' )/Z ' -:•
Date: r = - ' t 'waiver is valid for up to one year from ARPO's Signature'
Reused May 202

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N C DIVISION OF COASTAL MANAGEMENT
[ ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
'..;t I-.!- ti It %PAIL ,,zi • it?N PI I if iT,REQUESTED or HAND DELIVERY,
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,)i,r11(,, Is, t,, ( (gittiletrid hy owner or their agent)
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di to dte-?dP, 5 rta., I. Co'iTI., , i, qi 6; - 4.111— /q c7 (
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ADJACENT RIPARIAN PROPLRTY OWNER'S CERTIFICATION
Bottom portion to be completed bythe Adjacent Property Owner
' heret'‘ i t--1'-n. I' al I 't•-, 1:40Pori‘ ri(i.,i( .21,i it' ".t lb -..1= -' •ft.rt,n- .,ilpf-pcirty -,,+- , -°
°-- 'lc's, ''t-q.', '.. °Iv as sho%•.'; -4, V-ii.. ,-,.i iii-, 11,iii.in.i the dovelorici.,-$ • i'-,. - ' - ,°.
''''• OCS',--,7'1.'' J- •.V.-:es. - :. A itr jirr en- P in -,.._".-, --,* '.t.- i,' ;. ,,Jec. -vitt' this tette'
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/ ..77.=;.. \--- '-.).te -)b)ecttons 1‘) '..r‘is i•rt.,, ,...i _ _ i DO have oble, tii.,,
If you have objections to what is being proposed. you must notify the N C Divrsion of r_ousla.
Management (DCM) in writing within 10 days of receipt of this notice Correspondence z---.,1-.),Jic t ,
mailed to 127 Cardinal Drive EXT. Wilmington NC 28405 DCM representatives can aisc• c*•-• ..:'on-lc:E-r2.
(9/01 796-7215 No response is considered the same as no objection if you have beer, ,-,0,,,fief), t. ,
Certified Mar;
WAIVER SECTION
i ur.oernc ti,id, d-iy proposer/ pier ("JOCK moo!., , pritElqb boat ramp breakwater
must to.- ye'. tr,a-_f a rhoimum riitary.c.,. (44 1‘)' 'fr- - -•E , ,)f riparian access urles‘, ,.,„i,-..
dries rv). at,piy (,, !).ultir-...dri,, Oi rti- f) revelry OW' .A.; sh tci waive the c,ett,a.:- . , must
=-IPProP',dif.: biarie buir)w
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t DO v,/, ,v tr, 11-0 0: :•-..t etit:;011 Of It if! .1' So;t1):11..K ., / ,
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Sr di ilut.ortt'f?ipailan Propeit4 0+%nt-f ,,...
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Typed!Pnnted name of ARPO. / ) ' /, / - - s ('-.C. t I (i-....-t i.- , t ';•"- ,
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Malting Address of ARP°, ---. z. ,11( ,_, f e: 1,Pele i,,, , i.-- -r,--",
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ARPO's email * ...: ,.
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'`e i P''' f(t!"(- . •a; ARPO's Phone*: C)/C-- -(.1: 2 Lr• -
Data: '"):' -:' ,, --A. .-- ..,._...
"waiver is valid for up to one year from ARPO's Signature* ,.
Revised Fil,,, 2

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Chock
Date Received Data Deposited Check From(Name) Named Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column) Column2 Column] Calumn4 Columns Column) Column? Column(' Column)
9/23/2021 North Carolina Baptist Assembly same Fvst Citizens Bank 5687 $ 400 00 GP#80369D Tmac rct.15564
9/23/2021 Coastal Marine Piers Bulkheads LLC Richard Paschal Wells Fargo 24012 $ 200 00 GP#80346D _ KE rct.15742
9/23/2021 Coastal Marine Piers Bulkheads LLC Monique FIssher Wells Fargo 24040 $ 200.00 GP#79945D BH rct.15635
9/23/2021 Coastal Marine Piers Bulkheads LLC William Fuller Wells Fargo _ 24042 $ 400.00 GP#803750 BH rot.15633
9/23/2021 Coastal Marine Piers Bulkheads LLC Mackains Revocable Living Trust Wells Fargo 24041 $ 400.00 GP#799440 BH rct.15634