85525D - Bednarz

. .
iiJCAMA DREDGE t4 FILL 85S Z C I"
GENERAL PERMIT
f„ ,
convict*Rznix, Pa;tui Rrissur
'' *I:1 h•14rr
. __ _._. . ......
t.Lc_
. — Jtri:tc; Btdact KA.• ' )"4"'"°‘,.,he, M.Le14447Wt tr tr, t
CA4 aA atZtVer ' KThttt t.....3.,...rorsokyt riewiro,,,f,rAg--
- • Kik I 4 it_
216 4 Shwet AN*.11061111*%sett..,i II
. t o III lbk 4514 1R4
_ _ c, .016k I st4.)d 7W 471465....____ _
A,. (V4
Ai':. CAA ,loth U* 011MA ;OVA .,
.
_
__,...
Tye*of Pretiwti**cowry ArZiLl il2 aiishme 4.2 -slyr thilv
,.
isak kit+ )
_ . _...,... .
. 12'Ata'A.D.tuei
r
4 t 1$
origi
..............
..44- 00Wilti
a tqr IV- 3i5 . iVfl*"-
•410 3111411,
. .,..
Al
, .
C.:1::::2 lit 1 1411
* r
.100 al,. c"
a 1 etie-
.4„,„ph,,, w, 0 41 so.01601 Wejlt#16 tviliVed
114.A.An..........4'0 4 42)
.,../p. 1
i 114fr- (eirt44 fie all ,-ko 14041441 Ult Ilai LI,LOC,'a.,
reir$01 i.'. /A( 4 At"? ,. c too, no eel‘rlitalee 0 1r 1 i.....4. -t i, 4.4,114 116.or P.,..•1.64,
brio t i Skill i refre,ty ' A if 9 d I I*i', RA. ,,,e.140.ek.
I I,,,,v*fa..,.$...,...•1.11401.4 ""tI! 5
--.........— — ...- — ....-
A.,J M.,1011 C..N:A1.,1 f 5 UK _1 7.t.1,,Ltritti,)041 I 1111:APP.1.1 TO I.WS PISOKTI'ma mint wto t owkw•tt ISM I NO IT 401fr,..
* irk K`PhOsart, • pAryiti. ipatio
,
, ... .. ...-., ..,
..

AGENT AUTHORIZATION FOR C AMA PERMIT APPUCATION
Name of Property Owner Requesting Permit: John Bedn'R
242s Falls River Avenue
Mailing Address:
Raleigh,NC 176i 4
910-302-3574
Phone Number:
terrionr7'C'ao+.00rr
Email Address:
CPG, LLC
I certify that I have authorized
Agent.Contactor
to act on my behalf. for the purpose of applying for and obtaining all CAMA permits
new dock rig lac lity and shoreline
necessary for the following proposed development: s'.abilizati°"
at my property located at `24 SWaa, Street;Da�c Islard}
in Bnmsw+ck 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
permitapplicabon.
Property Owner Information:
Signature
lobo Bodnar/
Print or Type Name
Property Owner
Tide
2021
Date
s 1 2022
This certification is valid through

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own properly adjacent to '' 's
+�ctic.ah54 t r7 Rrn;PAVIAto?le Fon1(NemeofPropertyOwner)
propert1, ccared at
(Address, Lot.Block.Road.etc.)
/., :•1 On .uul n I .,L I.Lt I,' II,.r..Y , N.C.
(Waterbody) (City1Town and/or County)
The applicant has described to rte. as sho.:n Belo,. the de.eloprrent proposed al the above
location.
I have no objection to this proposal.
I have oz ect o•s to this proposal
DESCRIPTION AND'OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
See attached drawing of new docking
facility and shoreline stabilization.
WAIVER SECTION
I utdersta'd that a per, dock mooring pilings. boat ramp, break hater.boathouse. kit. or groin
must oe set back a mrdmurr distance of 15'from my area of riparian access unless .valved by
me. If icx sh to waive the setback. you must initial the appropriate blank below.)
�+ ►��^"�"" I do wish to waive the 15'setback requirement.
t do not wish to waive the 15'setback requirement_
(Property Owner information) (Adjacent Property Owner Information)
Sig/iv/fur Juke bededu. Sigruanrre' Aiken liefu
Print or Tyree Name (we falls Rmr A.r. Pin►or Type Name ze sN'4th m.
Mar*rig Address Rakish.NC 27614 Merung Address ,tak Island,NC rtrees
C4ty'Sfare.210 terrilahn7lowaA•.lam C+r,NSfiee" rp oklkohl rMalkluudxom
Te+ephorre Number'ernad address Telephone!lumber•email address
Date 06,,05/2021 rine' 6/18/2021
(Rearsed Aug. 2014J
'Valid for one calendar tsar sitter signature'

laarallaljellhateallemmensualimmt
I hotithr cwt.*lime i o..n W tt adisowet to spa t
•
lls p t ttra/Ntrq filitiMen
IthoPKti totalled M .♦*s ob o t..*a«y fitment.vet a...
Ore le...r:• tAMMs.L'Illei
avo
ovaterspolart
".6.f ttI�NO�t Aies dogerNeA k As itoor*, &mu.. (Iv iNvoioprnord proposed at IIN abs'd
--'-'-."...--* sours to otim tunoosa f Al '3 D R 9 L,ir" Ai rri)
_. _. — I ha..•4ay.cthons No M..aouo•a %"a' A 6it.Y f3Y i.<," Fr slTd9�.t
OLaCRIPTOON ANDrOa DRAWING OF►ROV011110 DSVIL ptlllttT
AMarlwr enspeasr dirmairossrat maw a•IP daismbeise belsw sr Mash a Salt atreu r„r
See attached drawing of new docking
facility
luwaft
I und.nta a trial a p do . moonnppings boat breakwater must be sal back a minimumdhtanc.of 1 S'from my sma of boathouse MR or mom
'rase sign me (If you wash to**re WV setback.you must KNVM pss
I the appgltM blank bettvw) wed
—_____> ..___ I du to wawa the 15'setback
requirement
G to*ant*the 15`
setback raKlu►envren
(Property Owner In/orrrinton) (Adorcrltt
Proparty
ve*--_- l Please up
Sign? turn _ s �-�-��
k tin Wiwi. 1i ►aster• Clarks l��
or lobo littdelrt
Pent or Type Alvy�e
t42a Falb River Ave PrvN or type Nattte tat SW led A.
ASaeig AddrMsa ita1nah.NC rTs» * i Addnaaa
oak ItlLod.NC a><M1
C'h' "p terriphn+tulittd.sua C' '�► F.mailiPbone
T yr ✓ *, M� 910.620.0276 F..
TNepha,»Number/arnatl aka
Da*t16'OS21 _. .�_. _ _ ___ _ _ 6.23.2021 Late
-Dam- ; _ _._._.__ ._-__ ---•_._
'Valid Ibr one cawndat setae ,. Atwood Aug 2014)

r1CAMA / DREDGE & FILL N9 80204
0 A B C
GENERAL PERMIT Previous permit #
yam-- Neu Modification Complete Reissue Partial Reissue Date previous permit issued
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 j , L
�j Rules attached.
Applicant Name Iyi , �14(IA 6r> Project Location: County !7►AA1;,. , ( i
Address _' 1 l-$ 4105 kAm. t -1)Yi h V't Street Address/State Road/Lot #(s)
City-- .t jt F 19L State C ZIP,f -6-/4 t --A 4 .. t,k, cit . 1A,.�`
Phone # (IQ) }'i 1 5 7 E-Mail }(' /i )/ (t,, 71t(--Y y't I r, Subdivision
Authorized Agent 1 t 1
k (...L ,. __ City 6ii 1 si,if:, iv./ _ ZIP E S
Affected J ` EW farm ®ES OPTS Phone # ( )__ River Basin Lu..'k 6c._
10EA HHF IN 0 USA ON/A
AEC(s): Adj. Wtr. Body r r,/S 61 vJl [mort
PWS:
ORW: yes / no PNA yam/ ao Closest Maj. Wtr. Body '�' V
Type of Project/Activity 1;? . 4 fl i;' / F / 7 -- I r t '1 4: , K�r t'%-,
6,0
(Scale: NTS
Pier tdock)length 7 --r
Fixed Platform(s) � —
Floating Platform(s) {w" 1i.
Finger piens)
i f i
Groin length i
number
Bulkhead/Ri ra kh h _
Rip rap $t
avg distance offshore J _ /114
max distance offshore l ;
Basin,channel t - { ._�.. } 1 i
y.
cubic yards -----r { i i , I _ . __ j
I- ._v -
Boat ramp
Boathouse/Boadift r2 12 —1" ..._ 41 i I
---' : - --- ' A i : I 1 I
Beach Bulldozing j-. +
Other _ +-+ � _ ' +, r---
a
Shoreline Length i } II
;
SAV not sure yes no . .
Moratorium: nia yes no 1 i.. t I
Photos. yes no L , . 1 . r ' . - i . . . .
. >.i fr1 cf ,,.4 el.Waiver Attached: yes no
A building permit may be required by: ., , ' -1 /"'. i / ' See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/Special Conditions , (4/1 .,
t // 'IL1 , .,• / ` --2/!/ I/A i, II/A44,14 Ni'll
4(
n 1t4'A'
/�, n _
Aeent or Aoolicans Pnrf�dldjrn 11r lPurmie`nf8rer•t Print:A nh.eee

lu...'•.•*.r.a!,a£• t 4,4 art*M.tr.Mr.,@r'wtttl r4
'. 1 4.14.1,
1
All/I1
t ,4e^4nw1w44.1.1.1.txkntt 1144,111 2A 1-I t
" ' ' .(,44 IAr et•acnitt ar,J klal wtfk tCa... .•t sins I.+Irt t►ttr*. &At...wk^tl♦: 1 flu.,:t nthr.to punkas a,.J 1r11,1
- .tact-t.to Sell and to nnc'p the I r ertert• .r;114 isms.an.;, 4+.211.rm..4 tht.t ttky I.: i4lr11,4.r NW t erttra.l ,rnJ 4ae.
_ ...�...e...ir In att.rrlallltr*lit u.?Ctnn 1t..xttt.th th, '. ,wrrr.k+-t
1 II KM% \II1►1i'1'lT111'V%. ITn t,rn,. (1.1,'c1 h.1.... .1,.t( 1,...., rt., rr-,l.rte,., nxratrnC et,,, '!wn ,. ,,, 1,40, Ali...c'Itt •,
'..Ik. ♦A. I. In•.•rm,rti%
.h, "11u..1 1..6u % ikdns lean K. 144a1sari
,., -l',..iw rtt IAc It'.,ItY1' 4%471 in IuJ. ,tot'I,.s....I crate.1,vnt.,J hrk.w t.,et1I.tf r.nh.dl arr.nt,nat....ihrr,.U•m,11.Itn.
thh %1.1.n•.0n0n/.1.444444,lrrn,°,
♦4/TI It thr I ttit•r. wiH tn.hut. a ntamll..,twrJ tn1 Mk, I..wlkt.t. 'ht..' riwl 1.;k1 dtivIJ t.tt.ttk, er..luJi,•i II., i
1Irn,,1,.'t•.''.11M4..MktIhwt.:1+n..1.ar,mtics \.1.Iun41.iiI'r...1-4.41. %JJr:tJan,.11.,,.Ltr3I.•n%711I I.wftr'ht.,Ilcv
I
•
N, • 124 NM 416 N
I t41. Island .riM'
0 krr.n•.ttI. '`,-.wilt 1 it,.lin..
1 101 1 t rn.n tt. ,,. • . , ,. . .. 1, ,t _ t.r.11hC'.and rtrall.k in.r ma. Jrilt-r 1 r.ar.wkkt•w..,twrwr. i
14Kat I h....-;,r i.0 .. 1
flat14..ltrttt.c I.+tItut t 14 4 4 '4.411.4+ _ 21t+-I% l4ritlt,l,P4r1r4kJ«m.tnttrr,'r.tIIsNit*/h4wba
As.t,•...ti a,Nat 14%4 \II1k ./11 it 1'a.:'d.1 .411.1
Ilse 1'1Pi I'll 1.r,.rhrt t.k1waIk 44'1 rwtnthty rrt tht 1'n,prn. . :4I./4,0:
t other tkwntet,ttrm 1.1'L2 11-it.4I A( iUI tl.4(394
s.rnr.n.a:,,t dor Ph4rm *tat IN.Jct.Ohrd on I krot It.,# 21141 :tl 1'at't M.+
I J t "Purchase tricot" dytaway
p1ut1 tit 1 1 l#111.tt.ark to II* I,.11..w.es; ,tr,I,.
4 ;4tN.M FIN 111 1 MI It.1 Nt I III mai. I.a s SII anJ%tettst1ttl t.• Ik-r h. ,hc 1 tie tl.c I tat,
4 4,11111.M 114 I/411111 I Ak1.1 11 Mt All 1 1N Pt 111I rrwrls ptrynhk ,Ind.L•hw•n..tt/.t I vr.w Aprrn
f t ,.T, r,wnKt1 at 1`ar.itr.ipl, Itf11n v x ,ash Itrrtal.1,.'i► .Nl,.toil hat* .1%r-4 wtr.
-- trattatt4 rk- tt.*.,t.ari.ir,I I(III k **I;tha..,t1..t 1 tic *Ithn.t,sa r i ot...•„I IN
a.•.Tr,• I Ikttlls.•I Ito,:r,i ihu I ..ntratt
t1�' 111 1.%1)1)1114 H 11 11 `,K11 1I tits NI\ III 1I 111I rn*k p.I.ahk anJ.k•h.tnd hi I*Tor*
lµnl natncU In 1'ar44r..l+tt llit 14. cash. 'Wicgl hank t is I. *on- irattUcv ,r ckrtr.rtu
:rtn•tt•r 1%,loner rt,..r.*r nt soot
11Ml Itl11 .01 1111 I.KC1.%11,
1 Ill 1111 %II'1 to t'. ..f .Ir, utrl+rtrol tan*tryl hal.aat Sikh all .,Mot alwat. ..1 Netter ,r, ttk
r_�.____ ._ .Aram.: k.atw.1...ttrtJ to a J..J .1 runt is Ihr Pt4114m ,,. a.tOnlencr wills Nu *UKh.11
I•tan�l..un,t*f w rt 1.kktwluvn r 1t..n.ltr.1 I onto '11*I l
4��� �t 1i1 1I 1 I I K I I•.1*/ IN,, on .k...rtl.rw',' **to oho.- Stet tired Nettry I Ir1:sk air k II5funt
.'Marrlsyl 1 Will '1+•1.
X ItAI AN( I • i toot, t'.r.hi' 1Y..,' In. 14. hi 1tltt,its'1n 1..rk. s all t.l w4tttfi 1114% Ii. Nod
w ill tips lit...,Mkt,, a at w t..alt r
I
1'1C. 1 .1 l'
1 his f.orm I.,,nlh apprmrd h. N1 A YIMRII i1NIM 12.11
1111
♦toeth 14I,.hwa Ktr '1•...I41••.,r int Ste%loird 2 O
ntn, c,n•Ninth/ artrl.as Q•Nut�'tsllmr,.I K1 tI II)K%. „ „.lus .,. t. '+M120
)•
11 1 II
111p,tY mil... , lcllar m 11141,
,.S4.111r......•.S Maul Soft...ff..o.,to woos..um•t.fr.. air n,tr....b.R'.n- •...a..t.,• rut..r.
MUM S•.... .,_..w...•.r...,t,,..,.v . ...... w,...,t ..« .w•.ti...n,J. me"•r••.,

Consent for Use of General Permit 7H.1200
Lot Number/Address: 124 S%S 4th Street I-17 Oak Island,NC 2n02
County: l3runsrrkk Subdivision: NIA
Criteria:
(check all t apply)
wary Nursery Areas
Less than 2.Oft deep.
o Greater than 2.Oft but less than 3 Oft.
o Submerged Aquatic Vegetation
❑ Bottom habitat
Conwnents:
approve the boat(lit with 18'stops
Decision:
ssue General Permit
o Elevate to Mayor Permit
/<i1,it. QI./a_ ;//a ram- 06.15.2021
NC Division of Marine Fisheries Representative Date
NC Wildlife Resources Commission Representative Date

. .
DAVIS CANAL
low Tide-0.1'@ 1.27pm 6/9/2021
' r . j .4
,:0 ,itt4i I iii
Existin Piet -•...
g Headline i 'i
- ---- -; --..-•••1--7-4-. . ..1 . '. 11ii..:1.-
,,,„ Si,
a. "41111044g ,a, ' sl. "
lookiiit
11 .
MEC 4.•:,,,,,.Tz.q- Apr. '''' •,, •
•
i 3 IL I--Covered Platform
1--so 'ref
.....r.4
•
1.iil ILidl
it NI.4"1 St teet Oak Island(Bednarz)
•

.4 ..•,• ;slit etc* *V " . r . -• 11,,,,,134,4
. . „.;
. . , .
„ . ..
.- .
DAVIS CANAL 5.5'
.5'
tow Tide 6.19/21X11 5
5.58•
5.5'
-0.1'@I 1:27prn
5.5'
• A. :1- 4.1
1011' ' i
, ii 2
, 11
1.3W .. 4 P
. ',N. .e.
/ 1010
• r4---
4/.......e. 7
g
..'' • ' ' . ..41gilj 4%r*:—...1 1 " r‘ 41 6.,•:°;°.Airt• ,.14 ‘k•Itl
, loV
.404:00;itir..r. .• ,,, i
, f J.
.0 '$854 •- IA .1,4
7 . , '.',4.t,',..5 4, 1"1,.' 1.,,, - AM'I`u.iiT - . - e •A ' 1
1' 1: '' ' - • . 1''4°A ' 11 . .
. ' •'6. 1 ' '. • ' ''' ..44:il '.'.''' ''-8•
'••••4' • ' • 1 il:4'N' 114.*:' '1...' : '1•11" . ''' , ,
4 '', -le' -',..,, • -' ;Iiiii; :. ,„ .; .... *,
1 4 . .., .., • .".. ,,
,1 ,„ ..,i •. ,,14:•7-....1,r", ''''-#'* )'' 1VC It4"11#4,•.. • :',
. r L'... ...' , V . ' . ....•`,-r,..al, .,..-
. ' at° 16 $i' ' ' ''* • f - •. )44, • %.,, -
1:411 .s, .i. • oe --*).%) ,. - `,, , ‘S.46-'•
.. 4'40 t'a14
...It. ' ik ..,. .-.. - ; z.... ..
#•'di 4' • • 'To . , ,11. -' yr t• .:40,„,„,....„1.4. .4
..._ ms..• - r"..: . 0,* T.
..7.;•'-,flpsilijosb,.: -. --.-E,r— . •.• , r. 4., • 10.t., •.06.6.,...
.. itir" ' l•I',#
., *• •. • ':21.4r.''zit: *lig' .
,.;
1144.44._ e . •imir.1/4_, If. . -
-
. a . . I.,'" . , •...
-.. ..— . , 14.6" I: iw. • . 4
- ., ....."
,..1,... . . 1 F .
Ph040 A 44.., , , ---- i =„
,. P h.,.•h Photo( .
..
•411
• liss .. Water&ar‘.1 landwa,d
E Landward
Edge of
Edge of
Floatof boat lift
Float piling
2.0 1 58'
. . *

Behr APO Form
Final Audit Report 2021-06-18
Croalsd: 202,-06-15
By Ben Brink(ber*aPcoasaape.miquy come
Status: Signed
Transaction D: CBJCwBCAABAAOuTgygIGe2Gb_GCgDyB422cB'PooSt)
"Behr APO Form" History
Document created by Ben Brink(bertpcoastalperrnitguy corn)
2021-06-15-5.52 15 PM GMT-IP address 1 74.81 113 38
Document emalea to Robert Behr(otubob 126@idoud corn)for signature
2021-06-15-5 52 54 PM Cam"
Email viewed by Robed Behr(olabob126(pidoud.com)
2021-06-15-6 M 02 PM GMT-IP address 1 74 193 1 152
Document e-sagned by Robert Behr(olabob126{pCloud cam)
S9natise Date.2021-0415-9 36 52 PM GMT-Terre Source.serum-PP address 174 106 5$2
Agreement completed.
2021-06-,6-4 311 3:PM GMT

'Cheek
d Data Dapmhd Check From(Name) Name of Permit Notch, Vendor Chock number amount Parma Numbonnvommants Receipt or Rarund/Raallocatad
Column2 Column3 Column/ Cokam6 Column/ CM.end Coktma Column➢
t2 2/28/2022 McPherson Marine Services Bednarz First Citizens Bank 4950 $ 200.00 GP#85525D PA rot.16547
22 2/28/2022 Robert Boggs same First Citizens Bank 1041 $ 200.00 GP#85530D PA rct 16510
22 2/28/2022 H5 Construction(1 of 2) Sheny Whitman Twist 1008 $ 200.00 GP#85524D PA rct 16508
a 2/28/2022 H5 Construction(2 of 2) Sherry Whitman Truist 1005 $ 200.00 GP#85524D PA rct.16508
22 2/28/2022 Susanne Hipped same Apple Bank 3233,$ 200.00 IGP#85531D PA rct.16550
22 2/28/2022 Sea Dog Marine Construction Bessie Mills First Bank 1649 $ 400.00 i GP#85534D PA rct.16548
22 2/28/2022 Joseph Koziak same Chase Bank 204 $ 600.00 GP#85536D 104 PA rct.16509