85366D - Hess

•
4. le CAMA DREDGE & FILL NQ 85166 A B C
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GENERAL PERMIT prev spermet
Date previous permit Issued
)(Nev. Modification L Complete Reissue Partial Reissue
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o+0'41 N CAMA DREDGE & FILL No 85366 A B C D.
GENERAL PERMIT Previous permit
Date previous permit issued
[Ti New n Modification Complete Reissue n Partial Reissue
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 0 1 1{' i-'1(•L1 n Rules attached. 0 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
r. /
Applicant Name CO Y -/ Cl t7 d Ai((t� I Authorized Agent -(Address _,/ O Dr +rj('i"'i j Y1`�Q,61,•`_._ Let "e- Project Location(County): . • 1,
City 1 tl4, /Q t,( VC/ `'1:1(t State 1\,}r ZIP 27 5,2 b Street Address)State Road/Lot.#(s)
Phone#( );-39 F4 F 3 t 9, 12) 1Ct✓ /I. TIC.
Email j i.,rr; l' C Gt(,' Subdivision
t
City IO I Q,\ FPl C'4- ZIP,.A'Goa(-�'n
Affected CW \ EW )4PTA n ES n PTS Adj.Wtr.Body Cat.
et - / (nat/Ma fi 0n/unk)
AEC(s): OEA IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body g//1' //1/'
ORW:yes/no PNA:yes/0 /
"ype of Project/Activity •x r 1,n f�.. ° /6' ., , f /7/P4 41 if h dei-/ �'',n C l/Ir%,,,k l%
(Scale:M C )
Shoreline Length
Access Length
j
Pier(dock)length
Fixed Platform(s) ..
i
}
( 1.,
Floating Platform(s) - T
_. f� 1- 1
Finger pier(s)
Total Platform area '.� �. + a 1 d
Groin length/# rt L { �..
Bulkhead/Riprap length -^^ -- - L
Avg distance offshore �— . L. f ._• ' .. t
Breakwater/Sill • ,—
MaxI , MI -, ! -- as —
distance/length § - —` ti '—'
Basin,channel 4� 1 f i'ti*f -v l�,0 ,�
Cubic yards j �� +a`� �
Boat ramp 1�.. �/ d _ ,. 7_
Boathouse/;Boatlift 11) Gr/ =rr-y /
r
Beach Bulldozing I ,-Si 'I C +IS( VIA
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Other `7): +:,C /.{L() I a
SAV observed: yes no E + 2
IA_ Cl f G 1 .1 1, ( �c ; _ ) (M i to
Moratorium: n/a yes no
Site Photos: yes no --•F--- — r li I{ .6.f !/
Riparian Waiver Attached:; yes no /,At I `` ' t ,,,!
A building permit/zoning permit may be required by: T pr 1'/ /-,, f",/ / ",?('fit
• n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions f.. E r'' ; /. /?(J
nSee 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)
}4G•
f►r,( (l
\gent or Applicant PRINTED Name Permit O ccer's RINTED Name
A._

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Cory and Kelly Hess
520o Doughtymews Lane
Mailing Address:
Fuquay Varina,NC 27526
Phone Number: Soy 239 8787
[e-mail]
Email Address:
CPG, LLC
I certify that I have authorized _
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development docking facility(boat lift)
located at 123 Charlotte Street
at my property
Brunswick unswick 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:
Signature
Cory Hess
Print or Type Name
Property Owner
Title
- ---------
10 25 2021
Date
10 25 2022
This certification is valid through ! /

Existing Structures
10.28.2021
IT
A
1.
113 . t___Ii
op ,y
s �
Proposed Boat Lift CANAL
*NTS N. 14' . 125'
12.s' 1.1
10'
-4I.'
14.5'
i Existing Bulkhead i
-PAL 50 LF i
^P/L
121 Charlotte 123 Charlotte 125 Charlotte
(Moss) (Hess) (Williams)
Waterbody Width: 96'
Width: 24'
Bulkhead to terminus of floating dock: 23' 10"

11/1/21, 11:09AM Coastal Permit Guy LLC Mail-Moss 121 Charlotte
POIG rna i l Ben Brink<[e-mail]>
Moss 121 Charlotte
2 messages
Mike Moss<[e-mail]>
To:Ben Brink<[e-mail]>
Cc:[e-mail]
ADJACENT RIPARIAN PROPERTY OWNER ST,
4 .01.v I les,,
I hereby certify that I own property adjacent to
i 23 Charlotte St. L-354
(Name of P
property located at
CANAL (Address. Lot, Block. Road. (
on . in I'olden Beach
(Waterbody) (CitytTowi
The applicant has described to me, as shown below, the developr
ioc ton
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED C
(Individual proposing development must fill in description belo
See attached drawing Of docki

11/1/21, 11:09 AM Coastal Permit Guy LLC Mail-Moss 121 Charlotte
I MI IV\.I.J1.4.41/'J U 1411. u 1JI4I, VVVI\. I I I%/vl 11 IV ',/II/I Iy J, VVGI I1.1111F. VI'..ul\tl%
must be set back a minimum distance of 15' from my area of npan.
me. (If you wish to waive the setback, you must initial the appropnz
goodigfrt I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Prop
Signature Cory Hess Signature* (
Print or Type Name 5200 Doughtymews Lane Print or Type Nan
Mailing Address Fuquay Varina, NC 27526 Mailing Address
City/State/4 hesshco,ahoo.corn City/StateZip
Telephone Number/email address Telephone Numb
Dare 10/25/21 Date*
11 /
'Valid for one calendar year after signature*
Thank you,
Mike
{ name : "Mike Moss",
title : "AVP,WW Partner Field Sales",
mobile : "704-609-2105",
email : "[e-mail]",
location: "Charlotte,NC",
Ben Brink<[e-mail]> Mon,Nov 1,2021 at 11:09 AM
To:Mike Moss<[e-mail]>
Thank you sir!Have a good week.
Ben
[Quoted tea hidden[

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ` "`% Ile"
property located at
,:,t hazi++ue St I c;.t (Name of Property Owner)
AtiAl (Address.Lot. Block, Road. etc.)
On . In Il++IJcn Rea.h Rrun s ti N C
(Waterbody) (City/Town and/or County)
The applicant has described to me as shown below, the development proposed at the above
bc� 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)
See attached drawing of docking facility.
WAIVER SECTION
I understand that a pier. dock. mooring pilings, boat ramp. breakwater, boathouse. lift. or groin
must be set back a minimum distance of 15' from my area of npanan access unless waived by
me tt\ou wish to waive the setback.you must Initial the appropriate blank below )
ditli /t I do wish to waive the 15'setback requirement
I do not wish to waive the 15'setback requirement + r.:,•i,.ct,.
(Property Owner Information, (Adjacent Property� Owner Information,
/
Signature t ory i 1t.s Sigiiarrire• Gary or Rachel
Print or Type Name., . I k+ ht.mcws I a ne Pant or Type Name
,_+x, u 9213 5kipawa%
Makng Address i•uquay Varina.\r. :-;irr Marling Address Waxhar.,Nt:2M1-j
Ciy/State/Zip hesstx4vahoo c+,m City/State/Zip
Telephone Number/email address Telephone Number/email address
Dare 10/25/21 Aue• 1 1 /1 /21
Peed Aug 2014)
'Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby cer that I own property adjacent to eery Hess
tiry .s
tn;Charlotte St.L-3S4 (Name of Property Owner)
property located at
CANAL (Address.Lot Block,Road.eta)
on in !ldden Beach/Brunswick ,N C
1Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
„�. I have no objection to this proposal.
I have abjectloris to trfs proposal
DESCRIPTION AND!OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing devolopmor+f mast till in description below or attach a site drawing)
See attached drawing of docking facility.
WAIVER SECTION
I understand that a pier, dock. mooring pilings. boat ramp. breakwater, boathouse, lift,or groin
must be set back a minimum distance of 15'from my area or npanan access unless waived by
me. llf you wish to waive the setback.you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
ilka•
.r . -�• ^°}- I do not wish to waive the 15'setback requirement.
125 t:rlarlottc
(Property Owner Information) (Adjacent Property Owner Information
o
Signature cm Hess Slgnotrrre* Michael or Patricia.Williams
Print or Type Name Print or Type Name
5wo Deughtyrnew Lane 46 Gtceivastle Drive
A11r11Ylrg AddiQas Fuquay Marina,NC 27s26 Alf Pinehurst.NC 24374
City/State/Zip be tboi!yahu u urn [e-mail]
Telephone Number/email address Telephone Number/email address
Dare 10/25/21 ire` 11-6-2021
(I/wised Aug_2014)
"Valid for one calendar year after signature*

Williams APO
Final Audit Report 2021-11-06
Created: 2021-11-03
By: Ben Brink(bengloo alpermitguy aom)
Stabs: Signed
Transaction ID: CBJCHBCAABAA4g2oN 1vdi24EOIbTm3kP5RoYD6ny618J
"Williams APO" History
in Document created by Ben Brink([e-mail])
2021-11-03-4:14:47 PM GMT-IP address:97.87.76_107
C,-. Document emailed to Michael Williams([e-mail])for signature
2021-11-03-4:15:20 PM GMT
t) Email viewed by Michael Williams([e-mail])
2021-11-06-221:43 PM GMT-IP address:108.28.60.185
4 Document e-signed by Michael Williams([e-mail])
Signature Date:2021-11-06-2:27:00 PM GMT-Time Source:server-IP address:10828.60.185
0 Agreement completed.
2021-11-06-2:27:00 PM GMT

i
ed Date Deposited Check From(Marne) Name of Permit Holder Venda Check number amount Perri Number/Comments Receipt or Refund/Reallocated •
Column2 i Columns Column/ Columns Columns Coamn7 Columna Columns
321 Burl Sniff Money Order Elizabeth Taylor BOKF,NA R2095683601f$ 200.00 GP 885364D _JD rct 15599
021 ''Lighthouse Marine Construction Inc 1120 Crutchfield LLC Coastal Bank and Trust 4023 $ 600.00 GP 685640D JD mt.15597 021 _Sea Dog Marine Construction _ Diane Smitherman First Bank 1522 $ 400.00 OP 8802640 PA rct _15971 021 Oceans Edge Ventures,LLC Frederick McConnell Truist 12224 $ 400.00 GP/85342D PA rd.15963 _
021 _ Cory Hess same Wells Fargo 52511017 $200.00 GP 685366D PA rd.15972
321 NCWRC ,same elel.tnnrictransfer 138715 $ 400.00 GP085346D PArd.15973