85455D - Holmes

socoMr4, "CAMA DREDGE & FILL No 85455 A B C I,,
Previous permit
y GENERAL PERMIT
Date previous permit issued
/New Ti Modification Ti 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:
15A NCAC i i)N IA co n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name Alit v( ill)by 1O s Authorized Agent �d L/, , ✓)'r� rens-i /,Lc i7 ni L.t.I
Address V3 A,'� i, Id Rom Project Location(County): j?,yJr r,st,fir f,
City Fa‘, 04 fA/1)/i2.,
State NC ZIP 9 303 Street Address/State Road/Lot#(s)
Phone#(710)C 1
/ 43ki' 4112A2` west 13
Email iglu nf4,/W1(S'i apgg(p „,,, 4.1 cowl Subdivision
�/ City ZIP
Affected n CW �W PTA ES PTS Adj.Wtr.Body li%A; 1,/1 ?-1,, e, „„),
of (nat/man/unk)
AEC(s): n OEA ❑!HA ❑UW n SPIMA n PWS Closest Maj.Wtr.Body Ql GW
ORW:yes/no PNA:yes/a)
L.
Noe of Project/Activity rva p105.1.1/7b r�,r• ti/fi e- s/ii `44-7//--1 a17 cI Pvft#/c/ ASS
2/v�/:. ,,. � . rkva keiv //(,a72'i 1 (Scale:MS )
Shoreline Length
Access Length _ (_....
Pier(dock)length r',1/41 Si MeT % 07k, To At
Fixed Platform(s) 6l r 13 ieX-}Cej;jflr * r ✓`''�
Floating Platform(s) r--"" } . 1 -.
I *1 1
Finger pier(s) ----
�i {
1 i I LL
Total Platform area A 16 ! 1 W. d d© I
Groin length/# --- Q:,.... S
Bulkhead/Riprap teflgih'•0 3 1 n
Avg distance offshore J ..t'xvs+._ ..,.. _. _ .............._. . ............. ..._...__
Breakwater/Sill ' 1 ' ' ' t # J I ,
Max distance/length ••••""""
Basin,channel --'� }� i tI
Cubic yards A __ ,-�...
Boat ramp —•• - — .__ }_ �!
Boathous/Boatli 1 '-lr t / i I i
Beach Bulldozing i - '
1 Q,,di ti,n� Pc
Other 1 .� I 'l
4 • � W P�et,C.�". Traf� - r ar k
SAV observed: yes ,A
Moratorium: n/a yes (��1 �`"�
Site Photos: yes 0 i (d /t •JV dQ �3 � � 1
Riparian Waiver Attached: no i 1 1 I
A building permit/zoning ermit ma be required try:
yy� K
/ n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions /(4•f.( 07,-i./� i
nSee note on back regarding River Basin rules
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS HAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. '('@lease Initial)
?244 (c NM b tJ i-1H-2Z
gent or Applicant PRINTE me o n, Pergnit�0g1� ffice'S PRI�LAZED Name
llaP4
.mno*i,rn**Dlnom rood rnm c*o n not nn L.or4 of nnrmi*** finnetnrn i

Statement of Compliance and Consistency
V
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 5. 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)

•
'`�'CAM . D RED 3E & FILL. }5 f ;; a
_-1 A:"•r,A Dare:pi r:Ylr t:s I rlrtl�l.�u d ....._ ..__..__....
' .' ;vjNew t.. :Modtt1ication , 'Coinpleie Reissue' ..?Partiat Reissue
•'.: Cri;;.1 tri-tit,..iii (' r 1 ICY t In r i { io G ,L i•.t U,.ra c�a Non)) ;:a,ta+, (:i:r:,r--. a,t l.:;v::..ua„!a:l;C!t I,�y�a:i t,:r+:o.. .. ,_ .. , .,. ,. . n , ... .>,. ,r,'t�., ;�r,
1 SA NC.AC att.
am_ 1 !):......at,•c:.;f :>IP,,ra!guit-a4v..ti.!-;;. ;tittlr.;.;,,,,,oy'1!; •w:+,lvi.rap:i<.:.rAt1 :.:•: c,
•
f.tJt•evii € s.: NO.. .., ZIP..a. 303_.... sAr`�,;.: r::..�...t:P,00z�._:::t5 . ____ti_.-.. ---- R....•
;',r,,.'-;'11011. s 430c' .._ . .......
� � w
,.: .4.[i7 1''14 1 S i .t PTS ;,:4 .a;.ro-:Y..t 1.1 47.4 .(tt .% L
;:' + LPN aSPIRA 'PJS Cos :r, tfvr;r.GrdyVrcef _ _ ..
Type of Project] utt r,te 4l etLilie,,74_..4Y11,_{..i..... e..44:Nl:SY_.adelS5.__--..._.._._
__.._. . '`1 _ 4 fit- a / .0 0 (stale:Mt'S )
rl.:((..b;:.•.?i,:h!:;h....VC13"191.". ,/t.e,,,,,,,,,,f, h
rI a
Po::.tx•:y'i'tt wYntil r�""' Ors;
:.::::.ale..,•,:tt:;a t!'"+, 1 9 -->.51,,
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fvf.,.;.•!•;:oiv,r:,'y:�,'•m e yes -1 —'.-\.� 4
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ea rv>aJt F*,r•,
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Stu0:i::itilti::•r;-----_ ______._ l Pirlriir�f'MsA"{��
0:)1 th44 Hon l`-ct trots rliti'vr
4R•24aer:trt,to n: yes p 33 MDDtb a33nDddq.,,.mo7 . v..., a 33MD001ot RiP.iri.in Waiver Attaclr:d-7414; no / �/
AtrutIrrin;petrrthoning tmum,vbeletltnn"ftry _l> _ _.©e.Glr�tll .............._ _.._ _ .... I-_
�����/j�t� �q.� �y L j TARJPAMINEUSEJBUFFER tL'rcle ono)
F;�fmit Crn,riltwn5_ ,t�fWS!�Q. _ '�L��:.�i4. ... . /__...__._...._.._..�.._-_._—_._—__._--- •--_ .
Sec note oil back regardvq;River paten rules
Li---_....__......__._.__..._....._..._.._....._..._....... . .._............._--_..._.__.._...._.__._------ u.,:NILlaten;I nnteskondttions Oft back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPUANCE STATEMENT. tu,;s:•lnihal). __
'.. 1 G4-1:11�('A'I ecti.�hp_;y.-P'� rAc.: ui_. ____._____..____
.nt,:•`rGS e t PRI.: N.to t 1 &r e4`v`v"1'1 nVP•r tl,...VRtH Cr Name
L;:r•..)..e;•'P.,;rr r=;.�d tc,npG:,nc••st:,u,menl m t:ac;;rA lrrnut'• 5ir;oatum
-- -- Q______ _-_l- cil ,.._.__ .Z..__._.__.___
„cp=,,..,,.cri r,,,?1,, {h;•,:r.lti Fd. i
`,n:.y Order !s�uln;,Mitt- c rdt?on Date

DowSign Envelope ID:5F6A402A-8E51-44C7-80A8-2A5E03E4E064
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Mary Holmes
680 FAIRFIELD RD
Mailing Address:
FAYETTEVILLE, NC 28303-5306
910-988-4360
Phone Number:
Email Address: maryholmes2009©gmail.com
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: shift boat lift to new location and
extend deck to access boat lift
at my property located at 4828 W Beach Drive, Oak Island, NC 28465
in Brunswick 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:
(—OoocuuSSigned by:
441
—FF C5B2C8 stgs
3!gnature
Mary Holmes
Print or Type Name
Owner
Title
/ 12/1/2021
Date
This certification is valid through I _I

DocuSign Envelope ID:A252436E-4B44-4988-8666-FB67CEFE4C21
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
MarName of Property Owner. Holmes
Address of Property: 4828 W Beach Drive, Oak Island, NC 28465; Brunswick County
(Lot or Street It, 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.
413S v_e no objections to this proposal. 1 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.)
DS
ANSIswish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
euSigned by:
p—DoeuSigned by:
Sign ata-F5B2ce505496_ Signature D9F11381ABBBD470_
Mary Holmes Walter C Moorman Trust
Print or Type Name Print or Type Name
680 FAIRFIELD RD 680 Fairfield Road
Mailing Address Mailing Address
FAYETTEVILLE, NC 28303-5306 Fayetteville, NC 28303
City/State/Zip City/State/Zip
[e-mail] fmmoorman@gmail .com
Telephone Number/Email Address Telephone Number/Email Address
12/1/2021 12/9/2021
Date Date
(Revised Aug. 2014)

- J
DocuSign Envelope ID:5F6A402A-8E51-44C7-80A8-2A5E03E4E064
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Mary Holmes
Address of Property: 4828 W Beach Drive, Oak Island, NC 28465; 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#; 910-876-0852 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.
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.)
''`f" ` I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Propert0r 9wnebyr Information) (Riparian Property Owner Inf rmation)
cu fined
Sign aturere""cB"96 Signature
Mary Holmes William & Pamela Van Horn
Print or Type Name Print or Type Name
680 FAIRFIELD RD 4830 W Beach Drive
Mailing Address Mailing Address
FAYETTEVILLE, NC 28303-5306 Oak Island, NC 28465
City/State/Zip City/State/Zip ; S`s P -y1'/y
[e-mail] 11Atv11. AR , CCsi
Telephone Number/Email Address Telephone Number/Email Address
12/1/2021 ! 2 /2i/ 2 i tt-1

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DocuSign Envelope ID:5F6A402A-8E51-44C7-80A8-2A5E03E4E064
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Mary Holmes
Address of Property: 4828 W Beach Drive, Oak Island, NC 28465; 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.
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.netlweblcm/staff-tistinq 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.)
11% i y I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property 9wner Information) (Riparian Property Owner Information)
cu igned by: J /
Signa`furF BC5g"ss°sa96 Signature
Mary Holmes William & Pamela Van Horn
Print or Type Name Print or Type Name
680 FAIRFIELD RD 4830 W Beach Drive
Mailing Address Mailing Address
FAYETTEVILLE, NC 28303-5306 Oak Island, NC 28465
City/State/Zip City/State/Zip _
[e-mail] a 14 e_-7'-(;/ A • C1j,l
Telephone Number!Email Address Telephone Numbed Email Address
12/1/2021

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Check
mind Date Deposited Check From(Name) Name of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Rotund/Reallocated
inr Column2 Column] Column4 Column6 CdunuM Column? Column8 Column9
12022 Burt Sniff Money Order Libby Simpson i BOKF,NA 2.0977E+10 $ 200.00 GP#85386D JD rct.16119
/2022 Sea Dog Marine Construction JR Huntley Homes LLC First Bank _ 1587 $ 200.00 GP#65475D TP rct.13484
/2022 Sea Dog Marine Construction Scott&Krista Blankenship First Bank 1603 $ 200.00 GP#85448D PA rd.16529
12022 _ Sea Dog Marine Construction Mary Holmes First Bank 1580 $ 200.00 GP#85455D PA rct.15675
12022' Vance Morgan Money Order Mark Ward BOKF,NA 2.0981E+10 $ 400.00 GP#85457D PA rct.13482
12022 Christopher Morrison Const.Inc. same First National Bank 1978 $ 200.00 GP#85444D PA rct.15670
12022 'Allied Marine Contractors,LLC Mark Wallace First Citizens Bank 10627 $ 600.00 GP 885445D PA rct.16526
/2022 Sea Dog Marine Construction Jewel&Christa Owens First Bank 1585 $ 400.00 GP#85446D PA mt.16527
/2022 Brent Shiva same F&M Bank 63401$ 400.00 GP#85692D PA rct.15672

RIPARIAN LIMIT
15' RIPARIAN OFFSET
LIMIT, TYP
HEAD RIPARIAN LIMIT
TO
!FT'
)IN)
_IFT
ION
I �
I I I
N
27'+� - Oh
i i I F
-I 15' •
01*
6' W'DE PIER
NHW
_ 4818
1)0
G
SITE PLAN (PAGE 1 OF 1 )
11 A A f'lv I 1111 A 21 I