85352D - Tolson

30 CI3LSIN CAMA DREDGE & FILL N9 85352 A B ✓
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GENERAL PERMIT previous
permit
Date permit issued ..
Li New Modification Complete Reissue Partial Reissue
As authorizes 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 I ( r\ \%0 V [1 Rules attached. tAi General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
i
Applicant Name o ly.. n 5 e n ncs t c,�Sa.h y Authorized Agent L 1 L_.3 '�'"1 `
Address I C\(, 0 \5_s.ts k ,V✓A �p"J i tag Project Location(County): (.."`S}l.).c K
City O kt. \c_1 rc.. �, State N(_ ZIP 2 c/5 ti tp( Street Address/State Road/Lot#(s) lL 1 G- )v S, LA,'p( ,
Phone#(jOI ) .)36 01ct1
Email jvi4"//cif .,,.,,,,1 i,,,,.,. Subdivision k
City S�w St y( c, (n ZIP Z. L,`o
Affected CW n EW PTA ES PTS Adj.Wtr.Body ' .w.+ C G.L \ (n m unk)
AEC(s): ❑DEA I I IHA ❑UW n SPIMA PWS Closest Maj.Wtr.Body , "AA- t C r<.-.,t_.
ORW:ye no PNA:y:- �wJJ
type of Project/Activity \s S\,:-c.-\\ \t^ ,\.° .\\I-_-,.. .;''• P y4 Sh-t (1)(j() .h T
C) (Scale:rJ T' )
r '
Shoreline Length
Access Length
Pier(dock)length 1\\11 �.. "� r" �;* (Z.. iy ,� r;A t_.. _ .,.'" r*Fixed Platforms) I
Floating Platform(s)
Finger pier(s) ...,,•._,_. S.=' .x_ r.. ...w.. .
Total Platform area -' t-
Groin length/# •
Stilkhead/R�+prap length_5_,,, ��-+....,..e,,.,.•_..,,r.---�—'""��.. plc
ATreigfince offshore �--rt' `� 1.tt .tijI
__ � i a ij I I1 «i I
Boat ramp i
Boathouse/Boatlift t ' I t ��
111
Other
Beach Bulldozing
i
1 i1
i
SAV observed: yes no µ /. J st"' i 7 ti , /I
Moratorium: n/a yes e L....t ( f 2.
Site Photos: yes I tr1 } r� ( °i :;
Riparian Waiver Attached: yes
A building permit/zoning permit may be)))required by: ,J V ti.1- P d V`
I Permit Conditions , �`�\)1 ,._ c\'" z_, �� 6c tr3;1,l `Cc; �,, c-,a �4 I TAR/PAM/NEUSE/BUFFER(circle one)
\\ C`)r, c,�1,, \\ L , t ttc, n See note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
grit ..Cc. - ° (oci: 11-ii i
kgent or Applicant PRINTED Name Permit Officer's D N e
ianatuta**Ploaco marl rmmnlianra ctatamant nn hark of narmit** Cionaturo

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: () e ± t o'-1 v cK., 1 0 (sc)�1
Mailing Address: D o C -S LA)e-e'e- 10e
Oct__ _ -T s Iz ,oc1 Li-L 1
Phone Number:
Email Address: S�)c�t.1 l5 rl�C. ma.�1 • e c• VY1
I certify that I have authonzed 1 c.�C ��`mot- } �t IM VJ VU C_k S
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
kx.) 2 L
at my property located at l D l k Y-VV , 6'-12:711,r, (")5�*t\,Qc,tir t• ) N Q,
in�ry nS LA),c_K.-County. -184 Cod
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:
Signatu
l H
� n lol� c� n ]",i �rv� ,►�o` to is o r�
Print or Type Name
Title
1 I I 2 12- vZ
Date
This certification is valid through I I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: f c.,.--) / JJ 0
Address of Property: L v v
Mailing Address of Owner:
02 Cs4v./9 v/41, uo 1 e, S W /30j, v A /1/c—. —rig'S'z Z
,* Owner's email:: Owner's Phone#: .
Agent's Name:' g'c:-/(, 6c�J Agent Phone#: "2)`r 6_5- C CZ e
Agent's Email:' Z c:.._kWc.5, ,Od d X' trni.4, L •COS(
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.
Xpi-V.- _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 Coast I
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
4,,
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement(initial the blank) /rli 1--
S� �
j
Signature of Adjacent Riparian Property Owner: �'� ,�^
Typed/Printed name of ARPO: /i//' f�q e�---/ T y delS z
Mailing Address of ARPO: /2./ b g VerSi de Z r --&-mSe T eQc4 /V1C
ARPO's email:m2i%<lonsil�`�'nco.l.ccivi ARPO's Phone#: 77g--moo - ZI B 3
Date: fir'- - 2 I *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
5. Z,

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Your item was delivered to an individual at the address at 3:11 pm on November 5, 2021 in
MATTHEWS, NC 28104.
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November 5, 2021 at 3:11 pm f
MATTHEWS, NC 28104
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Check
red Date beoos/ted Check From(Name) Nate of Perm"Holder Vendor Cheek number amount Permit Number/Comments Recelot or Retund/Reellocafed
•
' Celumn2 Column? Cokrnml Columns Column Column? Column8 Column
021 North End Builders NC LLC _ Kirk Andrews SunTrust i 1023'$ 200,00 GP#856780 i BH rct.15980
021 North End Builders NC LLC Robert and Patricia Ginsberg 1SunTrust 1022 $ 200,00 GP#85679D BH rct.15979
021 Michael Escalera same Twist 2929 $ 200,00 GP#856+5D BH rct.15978
021' Grice Construction Craven&Wendy Milligan Twist 10746 $ 600.00 GP#853330 BB rat 15942
021 AMW Docks&Marine Construction Glen&Donna Tolson BB&T 6395 $ 400.00 GP#85352D BB rct.15943
021 AMW Docks&Marine Construction Edwin&Amanda Marcellino BB&T 6367 $ 200.00 GP#85334D BB rct.15941
021 James Bucek same Wells Fargo 10971 $ 200.00 GP#856410 JD rct.16801
021 ,Sea Dog Marine Construction Gregory Taylor First Bank 1524I$ 400.00 GP#85323D BB rct.15944
021 Carolus Building Company Charles Hutzler 'First Bank 14931$ 200.00 IGP#85631D JD rct.16021
021 I City of Southport City of Southport First National Bank 71178'$ 400.00:GP#853750 Tmac rct.16840