85427D - Dean

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1."`“3"`t (c1CAMA 9 85427 A B C .
o
❑ DREDGE & FILL N -
GENERAL PERMIT Date Previousprevious permit -s--i8
New ❑Modification ['Complete Reissue 0 Partial Reissue
As authors: by the State of North Carorma,Department of Environmental Quality and the Coastal Resources Commission In an area of envirolunend concern pursuant to:
ISA NCAC 't��� �7 00 0 Rules attached. 0 General Permit Rules available at
the following link:gurisdkons,getc8MDASS
1
Applicant ()ntName \`C."t' i Lcii \�G�•'N Authorised Agent s- C�r1 S. c1O P•<�r
Address 10 CPI l �.r ps () �-S lJ r 2 Prolect Location(County): (j�'.,•ri r L iL 1
City ((/tc. i,,f, State (\r ( ZIP 2�ZZ T Street Address/State Roa4ltotif(s) !q � 1`."k et <S
Phone#'1v lOut 0011
Email w rs...) e.1 yn L r.-ti,(. .OA- Subdivision
J atr C'i� tt t 1.- al...."--C. ZIP 2 `(?S (�
Affected 0 CW EW PTA ❑ES ❑PTs Ad).Wtr.Body C G.�c ( (na usk)
AEC(s): ❑OEA jIHA t]UW ❑SPIMA ❑PWS Closest�.mi..Body A 1 LAJ`---) ,
ORW:yes( - PNA:yes I
Type of Project/Activity 4 S�.1 I 6o-4 I.4 t a c1jc C..-( .\"-6 plfi S 'Sc ha 4),, do ck...
(J (Scale: j✓ )
Shoreline Length_ ! SO ' .
Access length I` ( �
i\ i I ^
1
Pier(dock)length �-- l`� �`^Ul
Fined Platform(s) I
Floating Platforms) I '
Finger piers)
Stt��
Total Platform area _ etp
� I
Groin length/e • ! y—` ' . . . ._ , i . .
Bulkhead/Riprap length r` EA istl- �j
III
Avg distance offshore {.cYa(�' W` � '
i t'�C Breakwater/SillfhY-� tV.
a�u.". toes. Al'
Mac distance/length o t.t w 41 -- -• -- --I • i -
•
Basin,channel I • ' -s -- ' • - -
Cubic yards , ,{t.. (t.r JV (n G1dr 1/ w al a..el
Boat ramp
Beach Bull
Other /- / --I—
Boathou 3x3
Other ( I
•
I I
SAV observed. `''�I t\`\e`�`j u Ct� Jr a
Y`a 1 l� • LtAt...Z . _.._ ; .__. _ Ink Lela"-,Z -L e t.
Moratorium: n/a es 1
Site Photos:
Riparian Waiver Attached. e o 1 ' •
A building permit/tonin r ' y be required by:�t.e-w ( l]Q C.G N
Permit Conditions " k c. ci •• \ 4 NE
- 0 , A ❑TAR/PAMJUSE/BUFFER(cede one)
et..... 1L..e_ r/t.�_. ❑See note on back regarding River Basin rules
❑See additional notes/conditions on back i
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COI4EWINCE STATEMENT. se Initial) H N',-
/S._),' sr, G.r-G,f r t. c— rink 12-10.41
Agent or Applicant PRINTED Name Permit Officer's me\
5,gnature•• Lase read complian s•ce statement on back of perm Signature
v
Application 1(0 Check II/Money Order Issuing Date Expiration Date

.,.,0 e,.srplr^aM
g `cet°16rk%N 1CAMA I—I DREDGE & FILL NI 854 A B CZ
GENERALPERMIT Previous permit � U X Date previous permit issued 7 _` ^I$
I ..I 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:
ISA NCAC , 0 t"R 1-z 00 I I Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name 1A, \\0.— 4 1,c le. c_.., Agent , _. ••.e /"
/� �! Authorized �t �� U4 !'`�-.
Address 1 V q Lt( i' c - 0,.(c `; 6/_ Project Location(County): i )' -- j • L le j
City ( (At,/(,I'k State n j ( ZIP 2 O 2't 1- Street Address/State Road/Lot#(s) L. `.. ry c, S
Phone#WI) 9)Ca``n0`3-4
Email &•.c.n L....) Q.y _.c-c.-- 0 ,,,,.1..r,,.( r o Subdivision �"
City C ic.e.._. lt`).{ -•f.. � c - �'� ZIP -= 611 CO r-k
Affected I I CW EW PTA III ES Eli
pis Adj.Wtr.Body 1. c'.'''- (/� (nal� nit)
AEC(s): Ill OEA I IHA UW I I SPIMA ❑PWS Closest Maj.Wtr.Body Aw' "-)( L
ORW:yes/no , PNA:yes/ ] `' r
rype of Project/Activity '✓1 S�, �vti� �. C`j� c.+- tp "14 S n i, , n c1 C,.k..
Li (Scale: J/I)
Shoreline Length `.j0 l
I
Access Length ( _ ...3___
�o , I =::ri l�©ZER ��1105.011111141111111111111111111
Pier(dock)length � ; '� /� '����►� I
Fixed Platform(s)
3
.....
Floating Platform(s) I
' 3
Finger pier(s) 111
rillilliP
Total Platform area_ ....__
Groin length/# /(( lmill
Bulkhead/Riprap length ' ' —Avg distance offshore �. _ ' 1 •11I� . 1111
IflUI
Breakwater/Sill
Max distance/length
Basin,channel
Cubic yards , 1 A!III"flhl
Boat ramp , � �IllIUlilIl
r F
III 11111110111111111111111111111111111
Other
SAV observed: yes tos: n/aes f� I Ik4 Ell11111 !!HhIUIIiIIIi
Riparian Waiver Attached: e-.5� I 1 ! 11 i i i i
A building permit/zoning permit rrfa •e required by: �.t(..,.. (S`t_ a C'c C V`
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions (! `,)(,ic\1 I' l C -tk0 " c ° c.r_.s (� P� (')
r- Q c,,� , }. l,n A
V` ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CON9ITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
, - /af r i_'1 l(
t4 rt � `— c
gent or Applicant PRINTED Name Permit Officer's P e \
<_
.0

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves:Carteret, Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

DocuSign Envelope ID:CEF9EE04-8F81-4CCB-89D5-F9703D998F22
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Willard & Terri Dean
10941 TARA OAKS DR
Mailing Address:
CHARLOTTE, NC 28227-5493
7049060037
Phone Number:
Email Address: [e-mail]
I certify that I have authorized Sea Dog Marine Construction, LLC
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: boat lift
at my property located at 14 Leland Street, Ocean Isle Beach, NC
in Brunswick County.
Y
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:
-DocuSiyned by:
`I /I
‘,_ OcS'IFIRRII7GlAA]n
Signature
Willard Dean
Print or Type Name
Owner
Title
/ / 12/6/2021
Date
This certification is valid through / /

DocuSign Envelope ID:CEF9EE04-8F81-4CCB-8905-F9703D998F22
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: Willard & Terri Dean
Address of Property: 14 Leland Street, Ocean Isle Beach, NC; Brunswick County
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Sea Dog Marine Mailing Address: 107 SW 9th Street
Agent's phone#: [phone] Oak Island, NC 28465
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.
DS
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httpJ/www.nccoastalmana_gement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If
you wishDto waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian rawly Owner Information)
ocuSigned by:
Mari, RAJA, rbriut,hvt, Wif iaM,s
.. 27D5656A4D694AE...
Signal553BBD87BA470. Signature
Willard & Terri Dean Brandon &Amy Williams
Print or Type Name Print or Type Name
10941 TARA OAKS DR 476 WALNUT DR
Mailing Address Mailing Address
CHARLOTTE, NC 28227-5493 ASHEBORO, NC 27205-9498
City/State/Zip City/State/Zip
[e-mail] [e-mail]
Telephone Number/Email Address Telephone Number/Email Address
12/6/2021 12/7/2021
Date Date

DocuSign Envelope ID:CEF9EE04-8F81-4CCB-89D5-F9703D998F22
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner.
)1llillard & Terri Dean
Address of Property: 14 Leland Street, Ocean Isle Beach, NC; Brunswick County
(Lot or Street#, Street or Road, City&County)
Agent's Name#:Sea Dog Marine Mailing Address107 SW 9th Street
Agent's phone#[phone] Oak Island, NC 28465
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.
DS
QM- I have no objections to this proposal. _ I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified MaiL
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
igned
DocuSigned by:
kW RAJ& 11(LuA, hurray
Sigitatam3BBD878A470.-. Signature 8ABFA42D8A5D4F6...
Willard & Terri Dean Allen Murray
Print or Type Name Print or Type Name
10941 TARA OAKS DR 48 REPUBLIC RD
Mailing Address Mailing Address
CHARLOTTE, NC 28227-5493 CLARKSVILLE, VA 23927-2708
City/State/Zip City/State/Zip
[e-mail] [e-mail]
Telephone Number/Email Address Telephone Number/Email Address
12/6/2021 12/6/2021
Date Date

GRAPHIC ALE
30 0 15 30 .0 0
NM MI NIMEN 11•1111111/ EX. PIER
( IN FEET ) /HEAD LINE
1 inch = 30 ft.
r
RIPARIAN LIMIT, TYP. v
2
0
PMY H
Mc, BE GN s�
S BRP\4001A i7,0 PN0,5156'p63 /
W\L16PMB�PNO EX. 8'X16'
FLOATER
PROPOSED BOAT LI i
OPE RR\ N .\ '`10ESU SE 6 8
10' RIPARIAN OFFSET
� P\ZPRBEc, ONPN�Ol5\52 / LIM T, TYP
v CO.IA
o \4PE-P
RIPARIAN LIMIT, TY•
k°PY
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R P� EOM°N� S��OO PN O�5 g62 908
MAR SjREE ' c .
12\-E\-PNO
SITE PLAN (PAGE 1 OF 1)
MR.WILLARD DEAN 7-6
14 LELAND STREET ti� N S'i‘
OCEAN ISLE BEACH, NC 28469
12/4/2021 910.876.08S2

Check
d Deb Deposited Check From(Name) Name of Permit Hokbr Vendor Chock number amount Permit Number/Cammenh Receipt or Refund/Reallocated
Ceiumn2 Column? Column/ Column5 Column. Column7 Column. Column➢ e
21 -Port City Maintenance,Inc. Ken Howard South State Bank 30208 $ 200.00 GP#85474D KE rct.16241
21 H5 Construction Services,LLC Paul 8 Mindy Spreen Twist 1339 $ 200.00 GP#85432D BB rct 16031
21 Sea Dog Marine Construction David 8 Gloria Evans First Bank 1558 $ 400.00 GP#85428D BB rct.16035
21 - Sea Dog Marine Construction Willard and Terri Dean First Bank 1572 $ 200.00 GP#85427D BB rct.16034
21 Tidewater Marine Builders,Inc. Daniel Heacox First Bank 1033 $ 400.00 GP#85435D BB rct.16033