85527D - Anderson

/0 "r",%,CAMA 1-1 DREDGE & FILL No 85527 A B C '�
GENERAL PERMIT Previous permit
Date previous permit issued
INew 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 r 'a 0 OD Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArulei
Applicant Name • ✓' /
pp Authorized Agent d d �7rilG�jL �� C�.17
Address 1 jr, yive --} \,\J pi, t1- ivt Project Location(County): 11S ' C C
City tic c-T 4fJi' State (C_ ZIP (1 � Street Address/State Road/Lot#(s)
Phone#( 5 00G� '`..(1, , i....
Email a fS-'60 jff '�. (&/"`i Subdivision '-
U City ZIP --
Affected CW MEW [PTA n ES n PTS Adj.Wtr.Body 4 Yk,/e ..Jnan unl,
AEC(s): I I OEA ❑IHA n UW n SPIMA n PWS Closest Maj.Wtr.Body ( (/j/7'
ORW:yes/no PNA:yes/no / e
Type of P'r�oj�eeccttP//Activit ifirp Or / ry 4j f ec Ord 1 y in t.:4-1 rf% r/ (i#iI�IJI 5
a G!"( iz J . . i -[n r '�anc __rtr7 /4- (sca W 1
Shoreline Length -115
i I 1
Access Length -�.+.. �� I j i --.-
Pier(dock)length Rki `n Eng �� �.
Fixed Platform(s) 0 Xi4
-_, - ; , ..... IN
MEI
Floating Platform(s) Grit/Si MC, t r I IM, iiriAlt _
Finger pier(s) ; ��
d /
JUG �r t;.
' 41
Total Platform area 30 5�(Qxti 1'1 ) l
Groin length/# .... (' M
.
Bulkhead/Riprap length-� I
Avg distance offshore —.- ill ,+ r ,
Breakwater/Sill {
Max distance/length �" pi NE' ,, ,
N ., r i
. ,
Basin,channel 1 ,....„i w 1 r _ '
Cubic yards is i-sz.•
Boat ramp II '
Boathousekf3oatlift)?i lit y(iS IV f , j ,
11111111111344 AM
Beach Bulldg ozin ,..�.� J i11111111111
Other
4 1
SAV observed: yes -___._.___
Moratorium: n/a yes
Site Photos: yes 3 161111114001011E
Riparian Waiver Attached: el) no ' / �/ al rt- _ _
A building permit/zoning permit may,be required by: �G /- 7 /I r ekflick-
Permit Conditions r j,(,l' /ii' �'' tic/ 7bA .�`r�♦ te0 / 05. ir9 n TAR/PAM/NEUSE/BUFFER(circle one)
�'"'ai''Ii ill fc.'IlcJrl/' fc4ce r�•��% 'C ` n See note on back regarding River Basin rule
nSee additional notes conditions on back
notes/conditions
AM AWARE OF STATUTES,CRC RU S AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
91P C{ ef_ F f"tYitIrAm, 2-n-22-
Agent or Applicant PRINTED Name Permit Office's,PRINTcD Name

;tatement of Compliance and Consistency
•
"his permit is subject to compliance with this application and permit conditions. Any violation of these terms may
ubject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
-his 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
)ermit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
ocal land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
las been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
-he State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
nformation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
fiver 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:
'lease ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
Iroject area and disposed of in an appropriate upland location.
>ivision of Coastal Management Offices
Aorehead City Headquarters Washington District
00 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
52-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
Serves:Carteret,Craven—south of the Neuse River,Onslow Fax: [phone]
:ounties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
lizabeth City District Wilmington District
01 S. Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
lizabeth City, NC 27909 910-796-7215
.52-264-3901 Fax: [phone]
Serves: Bertie, Camden, Chowan,Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)

iiii YCAIVIA DREDGE & FILL \jt, ;,,, 1 ),' A B C (1..,;:,;i
GENERAL PERMIT Pt evtous permit
Date previous perimt c.sued _ _
xi New Modification 'Complete Reissue Partial Reissue
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DocuSign Envelope ID:3EA43675-1485-41 E9-9307-51743D83D5CD
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Timothy & Beverly Anderson
188 YACHT WATCH DR
Mailing Address:
HOLDEN BEACH, NC 28462-5050
Phone Number: 336-596-0209
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:
replace boat lift piles in place,
replace pier head in place & replace floater piles in place
at my property located at 188 Yacht Watch Drive, Holden Beach, NC 28462
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:
E—DocuSigned by: 1 ,r��
�lWl 0.1A[M slut.
� nrouna•naaeea
Signature
Timothy & Beverly Anderson
Print or Type Name
Owner
Title
1/31/2022
/ /
Date
This certification is valid through I I

GRAPHIC SCALE
40 0 20 40 80 160
REPLACE BOAT LIFT
PILES IN PLACE
( IN FEET )
1 inch = 40 ft. REPLACE PIER HEAD
IN PLACE
REPLACE INF PLOLAACRE
I I
16'
121 ` I }
I
ANDREW THOMAS
REVOCABLE TRUST THE
186 YACHT WATCH
HOLDEN BEACH NC 28462
ANDERSON TIMOTHY E ETUX
ANDERSON BEVERLY D
188 YACHT WATCH
HOLDEN BEACH NC 28462
to 90
SITE PLAN (PAGE 1 OF 1)
MOORE PETER A JR ETUX
MOORE ANNA W MR.TIM ANDERSON
190 YACHT WATCH 188 YACHT WATCH
HOLDEN BEACH NC 28462 HOLDEN BEACH, NC 28462
12/15/21 910.876.0852

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property OwnerTimothy & Beverly Anderson
Address of Property: 188 YACHT WATCH DR, HOLDEN BEACH, NC; Brunswick Cour
(Lot or Street#, Street or Road, City&County)
Agent's Name#:Sea Dog Marine MailingAddress:07 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.
VI 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 ,//www., ,talmanaciement.net/r,,} :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)
f—DocuSigned by
/J r �
1 14411 ? II IA.11.YShIA.
Siglia:StreoC9a50 0136e4e_ Signature
Timothy & Beverly Anderson ANDREW THOMAS REVOCABLE -
Print or Type Name Print or Type Name
188 YACHT WATCH DR 2158 N WOODLAND RD
Mailing Address Mailing Address
HOLDEN BEACH, NC 28462-505( HENDERSON, NC 27536-3824
City/State/Zip City/State/Zip
[e-mail]; 336-596-02C
aria L);(71;I.omA.b Ci•-114)c. 6 L'i7l 25:42-5,3d- V/
Telephone Number/Email Address Telephone Number/Email Address
1/31/2022 OA/ i "�/2„152_2
Dare Date
(Revised Aug. 2014)

Cheek
Date Received Date Oeooshed Check From(Neme) Neme of Permit Holler Vendor Cheek number amount Permit Number/Comments Receipt or Rerund/Reellocat
Column1 Column2 Column3 Column4 i Column5 Column6 Column? Column8 Columns
2/22/2022 Jayne Nicholson same First Citizens Bank 6875 $ 200.00 GP#85557D JD rct.16812
2/22/2022 Chad Gamer same First Citizens Bank 7014 $ 200.00 GP#85592D JD rct.16566
2/22/2022 Allied Marine Contractors,LLC Donald Caison First Citizens Bank 10884 $ 200.00 GP#85593D JD rct.16567
2/22/2022 Christopher Gaddy _ same Suntrust 16668 $ 200.00 GP#85594D JD rct.16569
2/22/2022 Southern Envionmental Group Glenn Hodges Wells Fargo __ 8509 $ 100.00 GP#854090 BH rot.16262
2/22/2022 Robbie Hodges Glenn Hodges __ State Employees CU 1200 $ 100.00 GP#85409D BH rot.16262
2/22/2022 harry gross _ _ same BB&T 2430.$ 200.00 GP#85547D PA rot.16531
2/22/20221 Sea Dog Marine Construction Bridgewater POA First Bank 1 16401$ 200.00 GP#85528D PA rct.16645
2/22/2022 Sea Dog Marine Construction Timothy Anderson First Bank 1642 $ 200.00 GP#85527D PA rct.16546
2/22/2022 Bledsoe Enterprises Inc. Ocean Dunes HOA Twist 20242 $ 400.00 GP#85407D BH rct.16263
2/22/2022 McPherson Marine Services Grubb First Citizens Bank •
4911 $ 400.00 GP#85529D PA rct.16544
2/22/2022 H5 Construction Services,LLC Allen Westbrook Twist 1004 $ 200.00 GP#85526D PA rct.16507
2/22/2022 Bruce Marek,PE Bald Head Island Club Wells Fargo 2153 $ 400.00 GP#85548D Tmac rct.16278
2/22/2022 Bruce Marek,PE Bald Head Island Ltd,LLC Wells Fargo 1 2154 $ 400.00 GP#85549D ITmac rct.16277