80282D - Noll

0 CAMA / DREDGE & FILL BTU p OU2 p
N . 02 A B C
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As aut rized by the State of North Carolina,Department of Environmental Quality }}��
and t Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ,ion
l
ff// ID Rules attached.
Applicant Name J�S�n c l...�jpi i1 (�pt Project Location: County �. i••�S,,,, ,..�
Address 1 ` f ve v ,�7 n �„ c. �/ Street Address/State Road/Lot#(s)
City S..ee( i State J ZIP 7 'f 4 to Z,
Phone# 1. _UY� - A v\‘ Q G,( Subdivision
( � �1 2 EMail � � • � 'j'l / .roM
Authorized Agent A�G M (gnu,, c. (`�Li i n..c� City ZIP
Affected ❑CW pEW TA DES ❑PTS Phone# ( ) p River Basin L,-.A.....,,,-
s ❑OEA HHF /❑IH' ❑UBA ❑WA
AEC : Wtr. Bodyt-t Adj. \W GYy/man /unkn)
❑PWS: • ll
-
ORW: yes /I PNA yes /ii� Closest Maj.Wtr. Body A�11J 11 W
Type of Project/Activity I‘&Lt.- Cc-t i k, „, b :. i '\ C.,. S
S
(Scale: 0 T )
Pier(dock)length
Fixed Platform(s) �--- _- ��
Floating Platforms) _ _ '
Finger pier(s) i
Groin length < �. '
number __.. ' i .� -_.... -I--
Bulkhead/Riprap length
avg distance offshore � l
�.
r..... 1
max distance offshore 1 1 ( jI
Basin,channel i I i i i
F'it4.
1/l. S1 M,
cubic yards j I
Boat ramp
Boathous oadift 1'L X 12' S, "� } ;` s. _. .._ , r "f 4,_ 1 ---_4- -
AI, i ' I--- --l-
Beach Bulldozing I I --i
Other G i .� P :1.
i ' ' t O,q
/-� uGUtCS�� � (-
Shoreline Length ^' 10 0 ' r ' A '+ M �/G GA
SAV: not sure yes _ J �� i I ' aC'n
C
1
Moratorium: n/a yes
Photos: yes ___.. - '
Waiver Attached: yes
A building permit may be required by: `k / . ,. 1, CO. 1-- . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _A
Notes/Special Conditions , k I ii t x, J C,r�.< cA„L.&4..
Agent or Applicant Printed Name Permit Off 1.....
ame
Si na ure **Please read compliance statement on back f permit** Signature
ZC� �D `TC� C`I- (0 -202 1 I - I o -202 -
Ap ' ion Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648I) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret, Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan, Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

p.
LAMA / DREDGE & FILL No 80282• A B Crs....?„,
ENERAL PERMIT Previous permit# -
New Modd,cation Complete Reissue Partial Reissue Date previous permit issued
Assiut ,led by the State of North Carolina.Department of Environmental Quality /�j
and Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 6.114 I!�-lJ`-'' . _ ._.
{ r (/ -t (j Rules attached.
Applicant Name},JSTtA i_C t r.1!r L.._�.Jib� W
1 �A� Pr cct Location: County . _/"••�,;"k''._._�._ -.__; _..
Address � } Nu Zr,_!vt. &PA.- Lj" . Street Address/State Road/Lot#(s)_._ _.._ .........
City �,� ( $tateN C, ZIP Zp 4(D Z _. ._..
Phone tt(e{'.t7U- 2 2.(J11-E-Mail _e.JO\Vilt11 C.?'e,J Subdivision
r.a�,
r�� Nc..tn.�„ Crty ZIP__ - ___
Authorized Agent O^.- V/�.^__ .Z" _. .,..__-.__
CW i'EW /f TA ES f PTS Phone# ( j _.__. ___ River Basin i..l!.1..�/
A tt�d OEA HHF ( iH 'USA .WA AA
AEC(s): Adl.Wtr.Body _ __AX _- Q' ,man junks)
ORW yrs l62 PNA yes ! Closest Maj.Wtr.Body__ -_ .. _ _ _.____.._ __..._..
At Type or Project/Activity l 4 i `.-,
` J .11� C-S
-cv1,a4.•- 14r44,_ (Scale: 0 TS )
•
mea(1Ptoc.....ys) ' `�.•/ 4.. \
Fb t.+t PBtbr+n(e) ------ \ /
Geary tt) ___ - _ J C-r+ytd� S),4 LosA Ai') t Z s
Groh Ia+en Sth - !(ra C.1.i le
number . ,
ih'
3uic Rap iength
zyg distance offshore '
maa distance otfthore - -
Resin channel Y rni L 11�(
boat ramp i � _ (4 4-1_,A, ,
t2'at1' v � 1 t_ --_..
_. \' ` n by
Y
1 t Y'Uffst {mil(
w yro. l.tlngtM__tit- lac.lS Auto iNnr_AO 21+'t. t0''"jfrlA•t. Ave' r (..)n144a
SAY: not sure yes _ - 7 A,;,n
tlo.aror4a<rt
® ` i e_...ka C12.
n'a yes141
Meow yes Waive►Anacton yes OP , i. t-
All building permit may be required by t 1 vA ra • ,Sec note on back regarding River Basin rules.
(Note Local Manning Jerisdiction
Noted Special Conditions
t�Qp.lert tr.•k1 "Jt-QA c Io.1ki Ch 43 pi V . CALL.. ...
-
Ape or Appacanc Irrroed /J perm(
e N Mre cempkance statement on taack perry*os
`.._._ -__are .__. �.
I
�xraw:; .•Ft a Issuing Date E,prrsuonDate

of
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Justin Noll
Mailing Address; 699 Augustine Ave SW
Supply 1 NC 28462
Phone Number: 910-712-2077
Email Address: [e-mail]
l certify that I 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: Remove and Replace Ex.Boat Lift
at my property located at 699 Augustine Ave SW
in Brunswick 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:
1•61714rer
Signature
Justin Noll
Print or Type Name
OwAJER
Title
O� / 3J / 202 /
Date
12 12 2025
This certification is valid through / /

CERTIFIED MAIL. • RETURN CEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONJWAIVER FORM
Name of Property Owner: Justin Noll
Address of Property: 699 Augustine Ave SW
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Sea Dog Marine Const. Mailing Address: 107 SW 9th Street
Agent's phone#: [phone] Oak Island NC,28465
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 p oposing.A description Qr drawing, with dimepsiops, mast 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, 28405-3846. DCM representatives can also be contacted at(910) 798-7215.No response Is
considered the same as no objection If you have been notified by Certified Mall.
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
wish to waive the setb i'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 O er Info tion) (Adj ent Property Ow r fo ation -)
Uti:CfireLi .
azure Signature V►L 0`"
I +J
Justin Noll V r ►,r11�� �0 G
Print or Type Name Print or Typg Name
697 Gv5T +E 3tAhln i Ave
Melling Address Mailing Address
PPLY, A/C. Z8V 2_ c� c wJ )e IvC �g3t,S
City/State/Zip City/State
(9/o ) 712. - 2 0 7 4 COO - 6'rt 5-1y&2
'telephone Number Telephone Number
.DULY 3 /, 202I .‘ACtcLI oR�
Date Date
Revised 6/18/2012

'4I k l
pp1 Vie:"-Y
C£RTWFIErf VAR. RETi1RN RECEIPT RECNIESTED
OiVISION OF COASTAL IAAP4AGEMENT
ADJACENT RVAR#AN PROPERTY OWNER NOTIFICATIONANAIVER FORM
same *r adoNer
Alkitsss of ProOor y.
699 A Ar SW
Mot or Sinai#.Satnt tirRase City L CalaWN
Aoi rrs Nana• Sri' Manse(P ntt. i Q�SW 9th Street
Atitioys a t 1143-1064111S2 — Oak ltiarsi NC.2M6S
$ !aar ► catty rot as ': '. vie abKawr ishoinced troPelti !two indfrodall
ar.srprio kir ete laao oolooritoc ts, sa w>gun on Vie alat sd drorievajtio a eivitioperlstit
trio?amp pompom t< IV erg vwfIl dratelariktrod
*w ke objects=to dui rsvprlsai I bow otyccosocts to this proposal
a 1.11,*AO messae.+racfoitsfirepemill poi mast osier Ow&m ew*/C.sa M tt 1i
• *mato s«Sops aker.if SW maim ConesoormillirceMaasMaidastoGrdlsoiA*VE
soidogsgik Ate. aionsJaaa Oat ripieseisoirer cage aerie a.tetillsoise at prp►7'1414flt a.riPsOces01 w
vrIns rMf cow sager as ss allissgwor arri,r 6400 bidet"MOW b G 101*.
WAIVER SECTION
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Check
Date Received Date Deposited Check From(Nana) Name or Permit Holder Vendor Check number amount Permit Number/Comments Racabt or R✓undmealloceted'_
Column? C✓umn7 Column.? Column4 Column5 Column.' C✓umn7 Column.' Column'?
9/16/2021 RG Marine Jim Schindlon Bank of America 993 $ 200.00 GP#80370D BH rct.15630
9/16/2021 Justin Not Justin and Kimberly Noll Merck Employees FCU 1040 $ 200.00 GP#80282D BB rct.15621
9/16/20211 Davey Resource Group,Inc. Joe Michalek United Bank 2318 $ 200.00 GP#80353D KE rct.15745
9/16/2021 Bun Sniff Money Order Leon Brown Wells Fargo Bank 5.9187E+10 $ 200.00 GP#80347D KE rct.15744
9/16/2021 David Morrison same First Citizens Bank 220 $ 200.00 GP#80341D !BB rct.15533
9/16/2021 David Once($200 credit from 5/18/211 S&A Hughes Family LTD Credit ON ACCOUNT(5/18/20) 17-7680537E Credit GP#80340D `none