85508D - Bland

. FAMA
❑ DREDGE & FILL N9 85508 A BENERAL PERMITDate prous pet issuedew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authors' by the Stag f North •Carolina [k
ISAarea NCAC partment of Enwonmental Quality and the Coastal Resources Commission in an of environmental concern pursuant Co.
�-}7 fir"`' {�f El Rules attadted. General Permit R Wowing at Wowingt�GnIt:yew,"dea ntov'CAMA ides
APPLcant Name J 1.8,-C.) C t.Z,•'An 1�1Cc•-' Authorized Agent
Add- k &k.c,•4'u P(4LG Project Location(County): � c.-A.S. diCity (� State_j j C.- ZIP 2`-S t O Street Address/State Road tot 0(s) L a+. 1
Phone*
U IA(So —M.ti,,, IPt t,t-,Ic.
Email �\ t,. t'�
Pt't�].c0'"� Subdivision
1 Q City Of,r-t.-. likti CLCL ZIP "/Quo 1
Affected
CW cEW PTA 0ES 0pTs /.Ads.Wtr.Body l Mal ( )
AEC(s): ❑OEA PIA UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body Pt kW k...5
ORW:yes/e/ PNA:yes/0
Type of Project/Activity 6A SNA,A.L (\.w Z c .r a3t_t1_ c_•t•b
(Scale:.$ )TJ )
Shoreline Length � So( '
Access Length /AI S w\
Pier(dock)length L{tc1 S \ �1� C -'wt ��
Fixed Platform(s) \
Floating Platform(s) 8?1(D clip I
St.r t
-r
Finger pier(s)
Total Platform area 12f) "
Groin length/It t
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill viCti Ole��n, "—�
Max distance/length •
Basin,channel / _ S Cc,4,,•,
Cubic yards k l�a � �N 4 C
% M ` .rt({ , S-
Boat ramp u. • M u I •-
rJNyJ r
Boathouse /b Y13 •
Beach Bulldozing
Other
Ir.,
1 ‘�--� stir ``
SAV observed: yes �"�tt' { �t l�np�C S
yes t Lo )� rtt•.t_(�t��.s�lc l v... Pt..•s„�10.
Moratorium: n/a l S "�.(k.A.A.rw` H Z
Site Photos: ye
Riparian Waiver Attached: �no ^� +"
A building permit/zoning it may requir by: tst�- 1J�erm Permit Conditions )oc lu ctk, A ".QT' L.Fi� ely A n ❑TAR/PAM/NEUSE/BUFFER(circle one)
L. ' t•tiC. S�� •t.4, o�1�.� See note on back regarding River Basin rules
Ci
'` i
❑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) CF
Charles Fox 16(1....N t•••••. ��wtrE. I-21-22
Agent or Applicant PRINTED Name Permit OtfiT D Na
(7i42 .d-oaf t �. .--- 5"Z1"�2
5ignat ••Please read mpliance statement on back of permit" Signature
Zc�iii
r,�� 2`io3� Iz.11za_ $ t/1.2.
Applicati n Fee(s) Check ri/Money Order Issuing Dat Exp ration ate

00“-°"'''` .[,ICAMA 7DREDGE & FILL N° 8550 A B C6
s = GENERAL PERMIT Previous permit f
Date previous permit issued
n New n Modification n Complete Reissue n Partial Reissue
As authorizedby the Sta f North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 01- 2.„ ,-, n Rules attached. General Permit Rules available at the following link:www.dea.nc.gov/CAMArules
- -
Applicant Name 1(AUrc 5 ? C t,I-,• k\ 1`t7 s i r
G�4r Authorized Agent t'••4..,Lt c, 74-
Address
I 1 0 t 2^e•1t+-i'v^ �7
(�C..e- Project Location(County): \ I '-4^S,-, C�r
City .Cu/ r^ State NJ C. ZIP 2 1�`i 3' Street Address/State Road/Lot#(s) L-Q 4
Phone#(` (C19 0 24SO 71\.,,_ 1)4. n..,L,.'6
Email tribe&" 0 61441 ct\`•, s,.,.•. i ,,., , to— Subdivision
0 F
City rj CR-t.._.. \ `A. i t t-C t.. zip 7 `(to 9
Affected r CW n EW PTA I I ES n PTS Adj.Wtr.Body (na ma unk;
AEC(s): n OEA n IHA fl UW n SPIMA n PWS Closest Maj.Wtr.Body A kw w
ORW:yes/ad PNA:yes/0
Type of Project/Activity tit n t. 'L \nc.,c k Lc,k,
4 (Scale:.- TS )
Shoreline Length 5LO`
Access Length 11141 S t l............... lI-.... .. , -..... -j {
Pier(dock)length 4 yrI S ,, F 1 { C r'� i f, r-"t��r I
Fixed Platform(s) �� !
Floating Platform(s) C!)`1((T 1 �� h ' c
0_.. o
Finger pier(s)
3
1 Z -.—w ._..__.._... ..._._... -- -
Total Platform area i 4,,
Groin length/# - 1 '
Bulkhead/Ripraplength -... _____.__...__.__ . ________._ ..__. , .. ._._._._ ._
Avg distance offshore !.... }_..._.
Breakwater/Sill j i3�tr, (t,1,,(- -
Max distance/length i { �^ N`
Basin,channel i S - r`y
Cubic yards .. ''.� 111
t�+e ci.{ ........
Boat ramp b M
1,141 . c -
Boathouse/'8oatlift) 1 rJ X I3 I ~
Beach Bulldozing
1
Other
SAV observed: yes l ' f t
Moratorium: n/a yes 'I I, ..tom t ,S.A 4,
Site Photos: y �T- - -
Riparian Waiver Attached: a no
A building permit/zoning permit a no
requir by: l t S<<77) �"
( TAR/PAM/NEUSE/BUFFER(circle
Permit Conditions t 1 t)of 1,( t� C. kk \ A ,\\ - �_ Pkn r I r( one)
:'‘- 0't 32 '7,1 C S , -,--i .a,. 0 ❑ See note on back regarding River Basin rules
nSee 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)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name

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
:ompliance. 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)

• Carr
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Matthew & Elizabeth Bland
Mailing Address: 110 Kendleton PI
Cary, NC 27518
Phone Number: Vr --, - ;Zg.12
Email Address: fi1,,1h.ule A /el d/-;,d Vite.,-7 J . !.o;
I certify that i have authorized Charles W. Fox, Ill /Charles Fox Homes, Ltd.
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Construction
r plus dock and boat lift.
at my property located at L-17 Peninsula @ Ocean Isle Beach PL 35$/525
9
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:
/, mod , 5,4,1/
Signature
Thomas M. Bland
Print or Type Name
Owner
Title
Nov /1 /2021
Date
This certification is valid through Nov /1 /2022

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Thomas and Elizabeth Bland 's
(Name of Property Owner)
property located at Lot 17 Peninsula (future address 16 The Peninsula)
(Address, Lot, Block, Road, etc.)
on Intercoastal Waterway Canal , in Ocean Isle Beach , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
t atio
.a. I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Please see attached drawings
' WAIVER SECTION
I understand that a 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
e. (If wish to waive the setback, you must initial the appropriate blank below.)
is I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)% (A 'acent Property Owner I r ation)
J ' /
,-' .saxes.
Signahrm f Si iwiltre x
Thomas M Bland -C\rOp�.e.A,i \. m,.EAp t; ,_ rt..
Print or Type Name Print or Type Name
110 Kendleton Place \ Tv p,s �%v..N.s ..a
Mailing Address Mailing Address
Cary,NC 27518 c_t..n..y `s�;z_.VJE-�v. ,NL Z .14 1
City/State/Zip City/State/Zip
919-880-2450 I [e-mail] 1CA-S16- '5Cz C1/4.nt\ @ -C.c‘f kyaus s cct•`
Telephone Number/email address Telephone Number/email address
12/2/2021 x z 13/ -1,C7...i
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Thomas and Elizabeth Bland 's
(Name of Property Owner)
property located at Lot 17 Peninsula (future address 16 The Peninsula)
(Address, Lot, Block, Road, etc.)
on Intercoastal Waterway Canal , in Ocean Isle Beach , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Please see attached drawings
WAIVER SECTION
I understand that a 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. ((IIIffJyo wish to waive the setback, you must initial the appropriate blank below.)
6 I do wish to waive the 15'setback requirement.q ement.
I do not wish to waive the 15' setback requirement.
(Property Owner Inform tion) (Adjacent Pro ertrr rmati )
---- 3.' /:,.-0'
Signature Signature* , 7
Thomas M Bland /°ikc bit 1 e itolc`s
Print or Type Name Print or Typ N e
110 Kendleton Place .520 Af ,,i/ 144, 14)3
Mailing Address Maili ddreJs� s ^A
Cary,NC 27518 �e' n /�L ,�� y
City/State/Zip City/S4g/�p!t k , �g `
919-880-2450/[e-mail] 1'( K�
Telephone Number/email address Telephone N be /email address
12/2/2021 I z-7 . 1
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

•
30'o MOW
le-OFOleo Flood i/ V4IVA7 II'siy'
mid. 1) �. 91aa SelbxJc
ada Ealbr:k with rolgFbq
with 81 a valaiCa
•rand valalea Dock
Kr-1 vw'
\/�f 3xie Boat Lift I i
I
Rap
15
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I
1 I
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I 1
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I
4.A5'
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Andrew f 1
Residence t I NewOwner
I I ! Not Noted
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i y
t i
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i ML 1

CANAL 23
5O'-O 23/32" _
16'-0" 12'-6 11/32" 11'-5�b"
Pier I-lead Alignmentr
( ) " Side Setback
16'-0" with neighbor
Side Setback signed variance
with neighbor 8xI6
signed variance Dock
10'-I I/I6
- - Boat Lift I
3xI8
0 Ramp
4 )
I j
I j
I j
1 A j
1
I 4'xi5'
Platform
4
I in
2'
•
LL
Existing Bulkhead / MNW
I
1 I - I I I I I

Check
Deft Received Duo D os d Check From(Name) Name of Permit Molder Vendor Check number amount Mni/kYllkenron cents Receipt or Refund/Realloce
Cokmml Cotm u 2 Column3 Column4 Columns CabaN Celtmm7 Cokmrb Celumn9
2/3/2022 Topsail Offshore,Inc. Maiy Taylor Coastal Bank and Trust _ 1403 $ 200.00 GP 1185555D JD rd.16809
2/3/2022 Washington Acres HOA same PNC Bank I 1109 $ 200.00 GP*85473D JD rd.16556
2/3/2022 John C.McClure Alvin and Janice Johnson Truist 754 $ 400.00 GP 185505D BB rct.16983
2/3/2022 Logan Marine LLC Hartman BB&T 7828 $ 200.00 GP#85512D BB rd.16982
2/3/2022 Jason Hegge -- Godfrey Truist 1002 $ 200.00 GP 185510D BB rct.16979
2/3/2022 Jason Hegge - Greene Truist 1003 $ 200.00 GP 185565D BB rct.16980
2/3/2022 Logan Marine,LLC Jeremy Haines BB&T 7799 $ 200.00 GP$85430D BB rd.16984
2/3/2022 Charles Fox Homes,LTD Bland BB&T 29037 $ 200.00 GP*85508D BB rct.16050
2/3/2022 AMW Docks&Marine Construction Watson Truist 7080 $ 200.00 GP/85434D BB rot.16981
2/3/2022 Rhonda McCall Francis Rev.Trust I Bank of America 1134 $ 200.00 GP i85507D BB rct 16978
a