85318D - Jeremiah

I��(USN 1 °', CAMA DREDGE & FILL A B D.
Previous permit
GENERAL PERMIT /
Date previous permit issued
New Modification I I 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:
U I 5A NCAC -f I 1'!_O0 n Rules attached. K General Permit Rules available at the following link:www.deci.nc.gov/CAMArules
Applicant Name Css..... 7 ,}r .Lo„ .AYtm,a� Authorized Agent 's(44'�- Q..*c,. A c,,Lk...*
Address i'2„ �A^^.',T1 kin tw o o a rze Project Location(County): 1,;+ .;A Svc,t(...\C.� I
City t>?,V' i'\A Of 0 State 7(_ ZIP 21 C Street Address/State Road/Lot#(s) i yd' Al. i11t✓-C. L, .-
Phone#(j) S99 24/3 I
Email rtM1-ef2.ent� k7 r�eq,^^c:. I. CO'.... Subdivision f
J �J City t t a K.c ZIP 2 Li(v 8
Affected 174 CW EW p PTA ES n PTS Adj.Wtr.Body !e^` (n.t/man/unk)
AEC(s): n IDEA n IHA / UW SPIMA PWS Closest Maj.Wtr.Body .'•1".' CV'._.1C--.
ORW:yes/no., PNA:yes/flo,,o
type of Project/Activity /s l`,441+1 ri e ,--) A ofVA 4.t ,k,i. w,i ti Z �1 , „, . , S k'k l)S
(Scale:NT S )
Shoreline Length r
Access Length �x_2K ----
i i
Pier(dock)length (t "24 ! € I I , ,
Fixed Platform(s) I,—
-"` ! j —I-- a..
•Floating Platform(s) J p - '
i I
j
i �, 2 $►, .�� es(,. „ P, "c �,
�, _,
..rۥrrri
Finger pier(s) 0 _ ,. e 1.
E
Total Platform area / -r1 I- I 1 I I
Groin length/# I ..___.
Bulkhead/Riprap length IP } -L.
Avg distance offshore
Breakwater/Sill __ A
Max distance/length _ _ "_ _ _
Basin,channel
Cubic yards )_ - ,__ k,..
Boat ramp Y ' .a..,
Boathouse//Bo � '
Beach Bulldozing i I ')— {
t
Other 1
SAV observed: yes no ,. ;3 �_, r N,,,,
Moratorium: n/a yes CD L, '"h
Ill a
<11
MOM
Site Photos: yes ,. •-- 14 e, _ 6 .. .
, IlE ' IIIIIIIM
Riparian Waiver Attached: ,[� o . .„,'„ .. .L i ! ! � � �
A building permit/zoning permitlit m-y e required by: ,S t V )Q.c.CteN
pp x,,.* ,Y 7 r C •n n TAR/PAM/NEUSE/BUFFER circle one
Permit Conditions (•.., t` c. c_ 'Clli �\ ,1 % �-...k-\o r zze. ( )
1r-. �. . .,41 o . ( e.,..- See note on back regarding River Basin rules
See 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)
Applicant PRINTED Name Perryr-) is RRINTED Name '(i -7
4gent or - `-- Jam,,�� ,- Z"t` -24•

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
•
Name of Property Owner Requesting Permit: fruit?,
Mailing Address:
1�3� ,I�t4t f ,lllrlaA3/+1i� 1,./
4 �'IC 2.712.
Phone Number: _2
Email Address: ,
r .
I certify that I have authorized b 4(J►'
)
Agent/Contractors
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
kIMAJZ
at my property located at / a f �snr f�h C
in AgaindmeLCounty.
I furthermore certify that l 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:
ignature
eirY) 647/171104
Print or Type Name
01,4M dl(
Title
6 I G f 2O,z. r
Date
This certification is valid through / / 'l,1/2"/

N.C. DIVISION OF COASTAL, MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL i RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or
their agent)
Name of Property Owner: 3C6tY\ Lt \ `ijt l�,�'1 Y _Vti
Y`
,, ff0 No r
Address of Property: `C �
I r / m
Mailing Address of Owner: ) J 2- l OVA()RA - IV OY we Di r 1 p0( J / ( 2 3( 2
Owner's email: oc bn J c P avtuv``Owner's Phone#: "It CI SLI 2- 2-go
Agent's Name: UM \ of 6\W9Wa40r Agent Phone#: `I D 51 t (bC)
Agent's Email: to\wellZO 0 ll rncA y . 4-
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 de ' tion or drawing,with dimensions, must be provided with this letter.
c
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 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.DCM representatives can also be contacted at
[phone]. No response Is considered the same as no objection If you have been notified by
Certified Mall.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must he 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 16' setback
-
Signature ofAdjaebnt Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: �{ /1
Typed/Printed name of ARPO: Da,U k G 1 1atne
Mailing Address of ARPO: I? PT yI\QYX,1('I►Y �',�'d-iY m(i�f' Qp I.s C 2It
ARPO's email: °W i d,�► lUrn6 0 wi �'Pv0 s Phone#:- —7 ol-- zO 2 fz5 .0
Date: 772-3 /2--1 *waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

•
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL ' RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top Q
portion to be completed by owner or their agent)
Name of Property Owner: O O OY) < I\; IM i �-rn �ci-lc,
Address of Property: IL{-( 5 i 0 6-1)1()
Mailing Address of Owner: 132- UX VtA- 1��}}DD�'cv%tioo `�� \0D Z73)2
(.1.
Owner's email: "PYI J '-� �y 53� w�i er'ls�honee##: °I ti 9 CU2 2°di )
Agent's Name: _V1y DL1v Ct. 61,L QLAY- ►t"_ Agent Phone* "l,1,o 515 1 WO
td\k Agent's Email: VI i0 (0 �`i't'vt.C..• V '—
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.
XI 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 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.DCM representatives can also be contacted at
[phone]. 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 i
.% / fr---P
Sign:tore of Adjacent Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 16'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner:
�_ 11--'
Typed/Printed name of ARPO: YU CC- Lc Ssc.Lf
Mailing Address of ARPO:
(�0f �—VY���Y12DY1� �
ARPO's e Y�S` S ItliAtt G 8 Tv`eta Loi&Si t i her))
mail: U ARPO's Phone#.•—1,© 3 b I I.S 26jr-P1
1
Date: /1/7 2A
r1--1 *waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

c
, [ ,
1 ; CAROLINA BLUEWATER CONSTRUCTION
"ki
.1 ► Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr. SW,Ocean Isle Beach, North Carolina 28469(910) 575-7100
JINKS CREEK FEEDER CANAL
16-0"
13'rt' 1'
12'-0" EDGE OF DREDGE CHANNEL
1r-r
PER HEAD ALIGNME NT
(
- 5 OFFSET FROM EDGE
�_ l 16 x e'Alum.Floating a? OF CHANNEL)
12'6 x 12'6 I Dodk w/10 Pies I 4
I 10,000#Boat Lift I ro I
&10"Piles
c 15-0 SET:ACK
•J----* z
N ce 3 K
7t_II 4 to
CLC-
a n 1 0 J----- 4 m
al� a s �! i et zl-.
ZIO" 3 `. \ b"
Cl
I
i MEAN HIGH WATER LINE RU
15'-0"
SETBACK 1 5'x 5' ALONG BOTTOM OF EXISTING BULKHEAD
N Haltom'
ai i1 N
--..i.4
__ - _
_ 22-5
• ■
Deck Above
11 IN
Deck Above
House Above p
J
Q
(S House Above • F
o
V) f
DAVID&KATHERINE THAMES m 1, BRUCE&CAROL KISSAL
DEED BOOK 4546,PAGE 919 o DEED BOOK 3970,PAGE 1180
LOT 18,BLOCK 14R b.,rn LOT 20,BLOCK 14R
`° II FJevam"I House Above W
a
Z N
111
111111111 _O
N
II. IP
LOT19
4,915 SF
0.11 ACRES
55.fffi' _ -1.91 Lot 19, 1405 North Shore Dr.
S79'03'18"W
Sunset Beach,NC
t r (30 RIGHT°`F-w Y) t CAMA-Pier Plan i

Cheek
d Date Deposited Check From(Name) Name al Permit Holder - Vendor Cheek number .mount Permit Number/Comments Receipt or Refund/Reallocated
•
Column2 Calumn3 Column,. Co/unn5 Column Celumn7 Cobnn! Column9
21 Jerry Ennett Town of Topsal Beach Coastal Bank&Trust 4211 $__200.00 GP#80290D JD rot.14094
21 Carolina Bluewater Construction,Inc. Jason and Kim Jeremiah BB&T 23965 $ 200.00 GP#85318D BB rct 15550
21 Steve HallCom Real Estate,Inc. Steve Hall First Citizens Bank 1331 $ _200.00 GP#85628D AW rot.14879
21 Coastal Dock Builders LLC Patsy Weyher Bank of America 1009 $ 200.00 GP#85626D JD rct.16012
21 _Bradley Hartsfield _ same Wells Fargo 191 $ 400.00 GP#85627D JD rot.16011
21 Mark Adams Mark and Lisa Adams State Employees CU 1097_$ 200.00 GP#85674D BB rct.15549
21 AMW Docks and Marine Construction LLC Donald Denton BB&T I 6306 $ 200.00 GP#802350 BB rct.15548
21 Delta Dock and Boatlift Tommy Poole First Citizens Bank 9179 $ 200.00 GP#85636D JD rct.15588
21', Carolous Building Company Rick Stafford ,First Bank 1489 $ 200.00 GP#85625D IJD rot.16010