85327D - Bednarz

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+�,`°"',� �CAMA o 85327 A B c
❑ DREDGE & FILL N -
40
GENERAL PERMIT Previous permit
g� oq
Date previous permit issued W I
tVew ❑Modification ❑Complete Reissue ❑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:
I5A NCAC 10 14- goo ❑Rules attached. ❑ General Permit Rules available at the following link:www.deq nc.pov/CAMArules
Applicant Name Q• C Authorized AgentC L\JC. /Pt
� Ofn
Address Sa�rKµt A Project Location(County): YAM Sot/•("IL
Chry 1 "'uset C'' ZIP 2 q-6I4 Street Address/State Road/Lot#(s)
Phone#(4(411 352 1.24 sw .4 44,izErggi,.-__-----
i
Email e V Yt ?Inc Auivit Subdivision -i-----,-•—
City__C24.k- (c,(044xi ZIP? `S
Affected ❑CW WEW ®PTA ❑ES ❑Pis MI.Wtr•BodY aii4/ Coil unk)
AEC(s): ❑DEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mai.Wtr.Body t/$ti/i✓/
�,/
ORW:yes,�� PN•, no
Type of .Project/Activity P n -1 / 0 rf}n = Sfpp i /'4/' ,' A
,{ f/ / (Scale s )
Shoreline Length e
i i
Access Length
Pier(dock)length k
Fixed Platform(s) 13"-X (7i ,
i
Floating Platform(s) s(r 1 D r I
. /���u�. `
Finger pier(s) r�• ' fAe'�f 7
° . 4 'ilioZw"/ ,
Total Platform area AS
Groin length/# --•"-•
Bulkhead/Riprap length — r
Avgdistance offshore '�0
G i M j
Breakwater/Sill f I�
i
Max distance/length I
f
Basin,channel
Cubic yards •
Boat ramp -
i
Boathouse/ ails IR�jl y • • M
Beach Bull g i.-
Other VawA'(? _.._ - i - - ._ ,
SAV observed: yes r Osev4s I. :eke-
Moratorium: n/a yes tttttY��tttXDDiDiD�.•• Rai tl&a I '
Site Photos: yes
Riparian Waiver Attached:xi Q no /
A building permit/zoning permit may be required by: ,4At 'r �_ ",.
/� ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions iI , // ./� , G r'i .�1�4!�' f //' lire_
/ 71 7i f��A 0,7' , << % '4 ei jP__f_ ❑See note on back regarding River Basin rules
(/M�� �'1 -� .," - - ❑See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT tease Initial)
,.��- Ben Brink (CPG, LLC) 'h P cF 4Lt[' to-Z5-2(
7"Agent or Applicant PRINTED Name Permit Officevs PRJNI D till we
fliv
ignature"Please read co�ip(iance statement on back of permit,�� I Signa ur�O' I
2190
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

/rg_ lAtrviS
a�CAMA/ i )DREDGE A FILL OU2U4 q g C
GENERAL PERMIT Previous permit#
XNew )Modification Complete Reissue 'Partial Reissue NDate 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 SA NCAC p 7 R. tAce5
I„Rules attached.
Applicant Name 14, Beal A 4 ik.. Project Location: County SVAStv,t r r
Address U`Gcats , .�H,/&&L't- Street Address/State Road/Lot#(s)
J
City - Stater ZIP 2 ?6/4 O. 4 S w 4 .c.f,i..
Phone#( n 3!1__ 50E-Mail-kMYi st?E O e Qo L t'Subdivision
Authorized Agent (-I6 (,,.l.c, City Q is fa, ZIP 2 4 S
Affected ri wV HEW De TA 4Es 1- PTS Phone # ( ) — __--- River Basin 1.44,44.1.e..0.
I l OEA (-.l HHF ' !Ili 1 l USA -1 N/A h
AEC(s): Adj.Wtr. Body l -' (Q/Z46man /unkn
]PwS: ksi d
ORW: yes /a PNA 6D/ oo Closest Maj.Wtr. Body
Type of Project/Activity 9 f`b/ fir Obis i j1, 7 2 .54 e leC 6 4;,1 Pk44-7
`r Jr S�'' (Scale: rI'S )
Pier(dock)length
Fixed Platforms)ii ire re"it,frt.eall
Floating Platform(s) F jY
Finger Pier(s)_
Groin length
number
Bulkhead/Riprap le 1 i
avg distance o it blif&-i
max distance off Basin,chart/id 4 A,Z,,,,k4M4/cubic yards
Boat ramp_ ��d r
i ,i ' i "it-e *aim
Box . : di —EZx f 2 —LSi r1,111
Beach Bulldozing - _ j
Other , r_,,,�p4
•
leShoreline Length._-Lc' i
SAV: not sure yes
i� ll
Moratorium: n/a yes 9 V44 j fi1 S _
:�Il✓
Photos: yes ® !
Waiver Attached:Ai ® no dW � "' D tr
edM1L s
A building permit may be required by: t.K ®t k/Cliziel ,See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �/ _ _/
Notes/Special Conditions /)M f .?cf,7 s- t NefellCei P' €#n ii t-�i lif. j est-4 14 4 4i-
No i4'CA4f ,,1, nep44' - r-/.. sMQ,a E 0,1 -la it<v G7�r alaer4
Ben Brink (CPG, LLC4 47
Agent or Applicant Printed Name Permit Officer P Naame
- n _.s _ _ w

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
.^r Eeu^ar_
Name of Property Owner Requesting Permit:
Mailing Address:
Kist '
G10-3C2-3574
Phone Number:
ternjohn71 oCao.cor>r
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
new dock,rig tao lity and shoreline
necessary for the following proposed development: s lbili 1On
at my pr erty located at 24 SW 4th Street Oak Island:,
In Bus* :k Count y.
I furthermore cert%r 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 apphcabon.
Property Owner information:
Signature
Ikdnarr
Print or Type Name
Property Owner
Title
6 , t 2021
Date
0 1 2a22
This certification is valid through r ,

•
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Consent for Use of General Permit 7H1200
Lot Number/Address: I"t SW 4th Street I,-1;Oak bland,NC 2I 4t+z
County: Bruin kk Subdivision: N/A
h'�
Criteria:
(check all apply)
miry Nursery Areas.
Less than 2.Oft deep.
❑ Greater than 2.0ft but less than 3 Oft.
❑ Submerged Aquatic Vegetation
❑ Bottom habitat.
Comments:
approve the boat lift With 18"stops
Decision:
IQ'Issue General Permit
o Elevate to Major Permit
.'<zrr-AQA4 Q4 7 ' 4. +tg- 06.15.2021
NC Division of Marine Fisheries Representative Date
NC Wife Resources Commission Representative Date

DAVIS CANAL
Low Tide-0.1 e 1:27pm 6/9/2021
121112
•
Boat lift
i ..711
Asutii=u431 1...•
• 7 ' , -
Existing Pict Headline - • • -' - .
IT: - . • ' 4• . •
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lel
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ft so ' 1
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10t i'IN 4*Street Oak bland(Birdmen) 'V
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DAVIS CANAL 5.5
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tow Tide 6/9/2021 5.51
5.5'
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Landward Landward
•
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Float Float piling
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
pr�perti' *cared at :.'W sire I 17 a-m,Parck4 II)'e4t
(Address.Lot. Block.Road.etc.)
1u. •l.u1s1 ,in t)el Mau,: .. , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to rte. as shown belo.,. the development proposed al the above
location.
I have no objection to ths proposal.
I have ooect o"s to this proposal.
DESCRIPTION ANDrOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must IN in description below or attach a site drawing)
See attached drawing of new docking
facility and shoreline stabilization.
WAIVER SECTION
I ttnders:a^d that a pier, dock mooring pings. boat ramp. breakhater. boathouse. trk o•groin
must oe set back a mtnimurr c stance of 15'from my area of riparian access rrless •falved by
me. (If you wish to waive the setback, you must initial the appropriate Clank belokr„
r447..
do...Ash to wave the 15'setback requirement
I do not are to waive the 15'setback requitement
(Property Owner Information) (Adjacent Property Owner Information)
rrla."
Sigrtattrte lobe autism. Ji oontre" Robert Behr
Pmt a Type Name Eats River Air. Fitt o'Type Name ,:s SW 4th m.
Mahrrg Address tuileigh.NC 27614 &snit;Addreaa to,k brand,tit' arytss
Cdy/Stafe/Ztp trrrijahrt-ro eoliraet Clty'StateZ'p nkltarhr?NenkNed/lNrr
Telephone Number•^erred address Telephone Number.emert address
Dart 06/05/2021 Dwe' 6/18/2021
(Revised Aug.2014J
'Valid for ore calendar,ear after sigratura

Behr_APO Form
Final Audit Report 2021-06-18
c,Bated 2021-06.15
By. Berl Brnk(bent6coastalpomilguy ccmi
Status: Sigred
Transaction O CBJC►+6CAMI+4AOu7yycl082Gb_GCgDy0822c0sPDo$t1
"Behr_APO Form" History
Document seated by Ben Brink uy corn)
2021-06-15-5:52.15 PM OMY-IP address 174.51 113 3d
Document ernaded lo Robert Behr(o utiob126(picbud corn)for signature
2021-06-15-5:52-54 PM OAT
Email viewed by Robert Behr([e-mail])
2021-06.15-6 94 0 PM GMT-IP address 174 193,1 152
Document e-signed by Robert Behr(olabob126@tcloud ct
Svgnabae Dale.202146-16-9 34 32 PM GMT-Tome Source serve-'F address '74 IN 5 f
geefnmre completed
2921-06-16-9 241 32 PM GOAT

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p"npMTt IeraMd as ...se al.Nei ..a...ramp..Pt........(M a..y O" .ArA
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P1 "r n t Pm isiO•R:ar t has Ors.•.br9 to .w as shoe.
'`,�,� - bean.. fro M"`lpe'^wM pa�eea�ea tt1M Omni
—' 1 Piet*..nNCMr,s HP Wk.arnDr»a1 :d A��K 6 r �� r ' �����
DE$CRIPTKIN ANO.OR DRAINING Or PROPOSED DEYEt..OPYEaR
Masallvatral alaRj—w cavaialwascat ate sr RN frt alssewaseen below sr sneak a Who etrwrbr
Sec attached drawing of new docking
facility
rhicau
set �I mootingtandpeer , p.h boat bnoakwatar boathouse MR a► bi thost
diorama of 1S'earn my arta d nslanan amass
lease*In rile tH you,Nish to wane the sabre* To,must mow Pee ammonia*blank beunlesslow. warv�dby
��•=1), 1 do to,.a+va the t S'setback requirement
tO+Wye the 15 setback requirement
( roPerrY r livrormafron) tAdpl arts h
,S%R.k71rlr1P + 1(---
J. Itrdnrr 4Xr,d•t,r• • t1+ertr,of hkha ltrrdebdurs
pm:oi`
ears Falb River Ase
srd S1.
Print Of TYPO Nang
41 u l SIN
t trl Ieland.tiC 211444
Cey.IMa✓1i4! (frr ii ,11Jlifiaol u►Or C .r irk F maiL`C twat
Ti�repAp�» rrM 910.620.0276 F�
_ TMaphor»Nwn3ar arllall Ed�eaa
l 06.05 2021 —— 6.23.2021 ���,,_
(led At+g 2014
'vaNd fcr one calendar yra,agar slprtallsra•

'Cheek
W Data Dcposlted Check From(Name) Name of Permit Nobler Vendor Check number amount Permit Number/Comments Racal*rN✓rmdReaeeuerd
Column? Column] Calumn4 Columns Column' Column? Column' Column'
321 Paul Usalis same MU Bank --.-- 3015 $ 400.00 GP#853200 BB rct.15927
- -- Major Renewal Fee#61-14,Waterway Park,St James Southport
321 J Taylor Ryan St James Port USNliance Financial 3874 $ 100.00 BRCo Tmac rct.16827
321 H5 Construction John White Truist 1035 $ 200.00 GP#856990 _ _____ PA rct.15959
321 H5 Construction Villi Jordanova Truist _1037 $ 200.00 GP#857000 —PA rct.155
321 H5 Construction Jennifer Susan Simmons Truist 1036 $ 200.00 GP#853010. ___ PA rot.15957
321 John McClure Mark Davidson Truist 706 $ 400.00 GP#85311 D PA rot.15953
321 Dilly Dili Inc. David and Luanne Lane First Citizens Bank 1662 $ 600.00 GP#85698D _— PA rct.15956 -.------ -.
321 Sea Marine Construction,LLC Waddell&Reavis First Bank 1470 $ 400.00. GP#85313D _. PA rct.15719 ------ _
321. Sea Dog Marine Construction,LLC Jody Frank First Bank 1.477 $ 600.00 GP#85316D _.____. PA rot.15721
321 Sea Dom Marine Construction,LLC Laurie Webb First Bank 1478 $ 400.00 GP#853140 PA rot.15720
321 Chucky Grant same First Citizens Bank 3140 $ 200.00 GP#85865D _PA rcL 15725
321 Sea DogMarine Construction LLC Scott Cutting First Bank --_ 1471 $ 200.00 GP#853170 PA rct.15722
321 John T Pappas John and Susie Pappas Wells Fargp 456 $ 200.00 GP#85312D Pa rct.15717
321_ .Denise Kloeppel Denise 8 Kirk Kloeppel Wells Fargo 2788 $ 60.0.00 GP#85698D _ - PA rct.15724
321 'Bruce Windham •same Bank of America 771 $ 200.00 GP#85697D PA rct.15723
321 Carolyn MacNeill Mable Buchanan BB&T _ __679 $__200.00 GP#85666D _ _ PA rot.15952
321 H5 Construction Patrick Walsh Truist 1077 $ 200.00 GP#85308D -_ _ PA rot.15951
321 McPherson Marine Services,LLC Steve Vest First Citizens Bank 4592 $ 200.00 GP N85329D PA rot.15954
321 'McPherson Marine Services,LLC John Bednarz .First Citizens Bank 4591 $ 200.00 GP#85327D PA rct.15955