85628D - Hall

fC°"i"‘, ►2,CAMA Li DREDGE & FILL N9 85628 A B C
a GENERAL PERMIT Previous permit
Date previous permit issued
ew J Modification v Complete Reissue _Partial Reissue
As authorized by the State of rth Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC a • [/7.,,e,© [j Rules attached. z,151 General Permit Rules available at the following link:v ww.deq.ncgov/CAMArules
Applicant Name .1.— ,.��.46 Authorized Agent N ""
Address G [.�k��//�+" Prolect Location(County):
City PA State !" ZIP tl Y�/ Street Address/State Road/Lot#(s
Phone#0)1, 1 .— Z
Email Subdivision
City /fb'r*
ZIP
Affected CW EW ,) [11dl.Wmi..PTA ES PTS A .Body Ti / � man/unk)
AEC(s): E OEA IHA uw E SPIMA ❑PWS Closest Mal.Wtr.Body 1/} £d i
ORW:yes) PNICO(no
Type of Project/Activity 1/ 9 Iti1 fixed, ri:tc.
•
(Scale: 5 )
Shoreline Length I— (P
Access length t J
Pier(dock)length Bo )( fr` �^ �,�_y/r !
Fixed Platform(s) ,C�'^ � (�� t!i i- (/ /�4/ ,V
Floating Pla • (s)
Finger. r(s) Ai oi(•cc- �j t./, 1�
Total Pla,orm are X ' / F— eyLST6—
Groin leng • li ( Off, (�2--
Bulkhead/Rip •.len r e f er 4
Avg distance offsh• • `r 'O 0 ! �.
Breakwater/Sill G E 1/ 4, f Nip+
Max distance/length 4/V./ "P-AVP4'r +t, d y
Basin,channel KV I
Cubic yards lifell'" pi,
Boat ramp r�„
Boathouse/Boat' -f'
Beach Bulldozi ,/ q
"9-
F'
Other4f
SAV observed: yes O P
Moratorium: n/a yes
Site Photos: yes '
Riparian Waiver Attached: yes dipIP
A building permlt/zonin mit may be requ r by. iii
/� r TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions K ���
!` tr t // See note on back regarding River Basin rules
K 1
• C See additional notes/conditions on back
I A RE OF STAT ES RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVI D COMPLIANCE STAT NT. (Please al) a
•tAte./r // . . • :- ,
Ag or Ap.A. t PRIN.D :#/_ P mit cer's PRINTED Nam
I� 4Ir Zrl�-2Z
4 at re' Please read compliance statement on back of permit"xSi e

430(mrk CAMA DREDGE & FILL N° 85628 ABCD,
GENERAL PERMIT Previous permit
Date previous permit issued
El New ❑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:
I 5A NCAC l 6 ❑Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name • / _ / Authorized Agent
Address 1. / F... r, e % (C _ Project Location(County):
/ y / i ( ty):
City ' ( /I State /r`7( ZIP C Street Address/State Road/Lot#(s)- A ..
Phone#(r_) 7/ /�
Email Subdivision
City ` [,ZIP
Affected n cw I ,HEW ❑PTA ❑ES III 'T PTS Adj.Wtr.Body e_1 f,_ ' ' �j/7 i L.ian/maunk)
AEC(s): Il OEA Ill IHA UW ❑SPIMA PWS Closest Maj.Wtr.Body Fv !fi!. C $C1 c//v"/:
ORW:yes/no PNAr yeS/no type of Project/Activity Vh�i'l((l ,' At).�Y }
/ (Scale:NiS )
Shoreline Length
Access Length :i:::iu.1 ..(7, �■ .���� �
Pier(dock)length 1 '
Fixed Platform(s) ll gimp? 1 IIIIIIIIIIII
• sr , 44 7
II 1
Floating Platf Km(s) j
Finger pler(s) iii:i '' 3 ' id- / ® �1111.17311#111111111111111111018111111111111111111111111
/trI2O' .e
e� wry arr�.r���i�:�
Total Platform are ' NM_._..,....,. IC:EIMPiTlP
II
Groin length/ El 111111=mowsmswill111111111111111111
# 1 - ) j j
Bulkhead/Riply len #--.
Avg distance offsh ' i 1M
Breakwater/Sill r. r" r ! ml
111
Max distance/length
Basin,channel '_._' t ram— __irlaiii -^ _'_.__.; -,.__
Cubic yardsimiiiii.
pti
Boat ramp/ /' .-.ray • IEa /
" y.......�...� .._ F .
Boathouse Boatlift` j
i 1111111111
IIII
Beach Bulldozing r ) I '
Other d i , ,4
__ som Ns
SAV observed: yes (t o)MEE . ...._. ... __i
Moratorium: n/a yes 4 +
Site Photos: yes :__
Riparian Waiver Attached: yes 410/MEIN II
A building permit/zoning permit may be requjre by: f .
J / n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions i 'ii r' (ri dr!/47. ( 'r
fir) ), / 14 r. , n See note on back regarding River Basin rules
t' 2f./ r"-.. , , a ;', ;
/ . n 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)
-t•'Lt..-- 7,
/ //
tgent or Applicant PRINTED Name Permit Officer's PRINTED Name

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owneror their agent)
Name of Property Owner: v"'�1 k(2- ) C- /44//
Address of Property: ( 7 t S Cr-eek, e Gt) —? 7/
Mailing Address of Owner: '1417 }Uc C Cr c`. e �4�,�,�1, , ,,r.� �� £S t I f
Owner's email Owners Phone#: 9(D J-r .7z z'`7
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property_Owner)
I hereby certify t at I own property adjacent to the above referenced property. The individual applying for this
permit has d cribed to me, as shown on the attached drawing, the development they are proposing.
A descripti or drawing, with dimensions, must be provided with this letter.
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 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
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15' setback requirement i ial the blank)
Adjacent Riparian Property Owner: .
Typed/Printed name of ARPO: b(-)1V r VS r
Mailing Address of ARPO: a�( I r;N• (1-o�\�n��•� �� - 613(4«1
ARPO's email: r fos ��IrNc.t-kk�1,A CRPO's Phone#: (D -b( (q- ((a.�
Date: l D " 13 - 2-) *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 NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed' by owner or their agent)
Name of Property Owner: S \-� bc-A l
Address of Property: 1-{ 1 5 (reek- l ANc'_ / �.11 �`�N /UG i/1
Mailing Address of Owner: WI fry(S l pGUL L �J LAJ:1r`4 NC._62.8q(
c���
Owner's email: �ch\cr_ M�JMNe- \e� (5wner's Phone#. (/J 'i9ifl -32-2 `1
Agent's Name: Agent Phone#:
Agent's Email:
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 r drawing,with dimensions, must be provided with this letter.
t� 1 s
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 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
Signature of Adjacent Riparian Property Owner(ARPO)
-OR-
I do not wish to waive the 15' setback requirement(initial the blank)
igna _ f Adjacent Riparian Property Owner: 4d/4
Typed/Printed name of ARPO: S ( (ljvN e/
Mailing Address of ARPO: 301 rh yS. reel LA) / L)tS e-- Ask (
ARPO's email v\�t���L`�c� ��o.,ARPO's Phone#: q(( c2`7'- 31,E
Date: '-) -,4P-0,90;24 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

1 , l F� I`c AV-i `.. VV.V'''U j" \\ 1 . ALL D15 i Hi��,L�
NIP F05TER \ "- -\"—''
DB 474 PG 32 `` f I v�'S f fit}' �-t`� 2. Tt115 LOT l5 5l
/ -'-11.i1N.:,\ ,'.,�; . r. . ` ,}a`{\‘ COVENANTS C
\ .N SET 3. LOT OWNER.5I
— y - — -/ �. r\ TAX RECORD
MhWI -). 4. AREA CALGU'
° 600„� Np11� I ZI 5 �O �„ ►`
552°05'34"E 76. I I ' S61 0.`,0 t 5�T \ ,,----N
'\ • �F 1°'
10'SIDE Sk'\CK \ /i y� '� ' 4°' e
-I LINE hEREBY
I \ I ABANDONED 30' GAMA \ O A TER LINE AT
\�' ips RAISED IWAC
BUFFER \ IGt1 WA
I \��� I PLATFORM \ AGE OF BULKNEA
VY
r —ROOF
N OVERHANG 1
l N CONC . I �' s a d''/
I ��� PROPOSED - 30.Q' y : Li
Q I GRAVEL ( _ \
i tt `R'ESID�NCE
i 6,
o ZONE AE ( I 0) 4 111 I I
�I _ —�,. HII••� II
I PIER
� C,
1 ShADED ZONE X I CONC II I �O�J
ONC I
I
- )
I WALK I I a — 30'FRONT BACK ___.I _ �� ���(�
I IINIII � I1,00-
---
I � I
I o SEPITIC FIELD \ i SEPTI> — �~ �
H827d0E TAN — , — — — ' � NFU
/I 0.02' la SIDE SETBACKI
p FD. NAIL) -'
N56° f 5'00"W 75.00'
3 94 137.22' (TO MhW) 57 I°48145 W
? / IMPERVIOUS
SEEK _ANE ShADED E AE ( I 0) PROPOSEDIM
ZONE X ( 2CN
LOT AREA WI
NIF PERCENTAGE
TERMINUS OF I 4607 PG 29I0
Of B
RIGHT 1
__.,r, o rC-)

Chock
M Date Deoostted Chock From(Name) Name d Permit Holler Vendor Check number amount Permit Number/Comment' Recent or Refund/Reallocated
Column2 Column.] Column Ca/umn5 Columns Calumn7 Column!' Column.
21 Jerry Ennett Town of Topsal Beach Coastal Bank&Trust 4211 $ 200.00 GP#80290D JD rct.14094 _
21 Carolina Bluewater Construction,Inc. Jason and Kim Jeremiah BB&T 23965 $ 200.00 GP#85318D _ BB rot.15550
21 Steve Hall Corn Real Estate,Inc. Steve Hall First Citizens Bank 1331 $ 200.00 GP#856280 _ 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 rct.16011
21 I Mark Adams Mark and Lisa Adams State Employees CU 1097 $ 200.00 GP#85674D BB rct 15549
21 I AMW Docks and Marine Construction LLC Donald Denton BB&T 6306T$ 200.00 I GP#80235D BB rct 15548
21, j Delta Dock and Boatlift Tommy Poole First Citizens Bank 9179 $ 200.00 GP#85636D JD rct.15588
211 ,Carolous Building Company I Rick Stafford ;First Bank 1489 $ 200.00,GP#85625D IJD rct.16010