85576D - Vandenberg

rf LrNIV 1H Previous,wr....w1� / ._._.
GENERAL PERMIT ?SS� toDevious permitate
� � ^ issued
�( �,y (�M�,{rcation [ Complete Reissue []Partlai Reissue
As evaberwol by dr V
et of North Co .► Doparorrert of tr wer.weoai Quarry tee the C:extal Pro*"et Caw+y►sn M 1w NIS of wr.Montoontal concert qurwuw to
t SA NCAC OW/ 2'/'C 0 Auks esi.dyd. IA Gen Perrot AIM.aaAtM b
e at dew Fowltt -
A oar- t Name `1. (a 7 C_," . '" "�-- ulhortr Aei Ai. 0yY t -11
Addreaa PewLocation(C,o p) _.,._, "��•` '`�s
Oro�l.'/4. State MC DIP 4Y ie 1 Street Ad4atUw 11n 5taAltet A(s) `, i.r._---- ---
fowl NMI ameutepjii.ega f' e..`tiC,C.r•►. subdw.►on
Cie, 71P )( 77i.__.
Mfectedits Opts AdI.Wu&WY
A!C(a? O. g(Wa u► DUW OVUM ❑Pws closet ww.war k t
mu yes/0PNA vre
Type of PrOjecti Activity ;y� S—..Aj; )4 n�. t w' .'A. s•cs."-t. �"e0'�r•"S 00
__((__ a ll�t S�� [�i f s �..c� -440.411 coo IScslt_0
Cat '�
ACePel tenth 4--_ A 1` J W
P.r Weal*Arts as
need PyNOrMstILICro_gcic60N
IQ Yri !Ili."Q e t r.el
ikD i
mew Plarkr'Mif3 Cr`� t 0 1 r:
S' y S
Faller Poeffs)
1:r.
IOW PRAWN area tyl1 0114.41
Goals Jrnet to
IIwlMaaq/lle raP ieht+h
rug dbr M offshore vc`
»tact r.MuF I _ C4t S`,a;
na.dipwce!le-Fet•
,ate dargel— — ._ Illiti :t2;-
_ y 4 rs'1
kw am*
Lid t.�
6ordwaauelb+l.h ��---,�
aer..r 6u/daaiii r
Om,- 1 'Ui„t 1(4,t SV�i. ai MC-
1 O A tfte
SAY ctror yes — — —. r ►�. • - V 4'— •,
f loemte�,ar not Yr sg t. ,1 V G^Gf '5 •
; ,5t..,.
Phonon Warr Arta htd I no i
h
A bu.drwj Ptf^w'tIron rmrt t rtqun byS. gtt-C._ (� tr,R P�►M NE USE BUFiER kcal
Pervert Cmwdraonsiii.3_0 9176-14C-1
11. _L<_�C __4. t
Ai.-�` Ste note on back re/Min Mw
�c h �
4..r�11(ip•L _ C See additional neteliairsillilon
I AM WART OF S1ATU _S,CRC RutISAMO COrEO mONS THAT APPLY TO THIS PROJECT AND FIANCE STAT ENT. (Pietist inonali ql
i
Agen MO rt PAlhlE'Warne roma Omc
N Jr e
S.bna!urt•Weave lead tr>nlp surge ftriemi 4 n back of permit

its'`'''"'4 . CAMA n DREDGE & FILL N9 85576 A B C'_-f
G E N E RAL PERMIT Previous permit
Date previous permit issued
Q New n Modification n Complete Reissue I I 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:
0 I 5A NCAC �-r/ z-'J`JO Rules attached. r General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name £ C`"1r , I'` AA VC.nc, be-ea Authorized Agent t- t/." ` y .:--
Address r�l'Ov 'Z G.• (I � �' �/ �.J Project Location(County): � �' ^.5 A C+Ci
City S/c OP,'r 1 State Af( ZIP fi If c((o 7 Street Address/State Road/Lot#(s) ) S 71‘,..k4,
Phone#( )
Email ' • • . --- -s "1 Subdivision
City ' ZIP 25Wr II�
Affected CW EW PTA Li ES PT5 Adj.Wtr.Body ^ W W C lan/unl,
AEC(s): ❑IDEA IHA I i UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body A`W..,)
ORW:yes/t PNA:yes/no)
' r4)A 1S,)(fc� ) Icl \br -,,, t._,,1Z�• n 7r-,A-4- Ctr-.) Ief' ni , /VO
Type of Projeclt/�Activity t #.....Q,�O�,s � eTCc,; �.
';1r`� 9 iC+ STJ A., 126,,-1/ f r ck -! I,c-4-;, - --io(le. (Scale:!J 7 i
Shoreline Length 1 /01 ,_,
Access Length E�
% ,/
-` � S _..._.,_ J
,_
Pier(dock)length �\ i --It-
Fixed Platform(s) ' R i „Ze d
a t^, (yt x,sk".l r.. cr1 ;
Floating Platform(s)
1 1
Finger pier(s)
Total Platform area WO fl . 1,.,„‘,.
Groin length/# "_ I - .
Bulkhead/Riprap length -I
Avg distance offshore { 1-
Breakwater/Sill
Max distance/length
Basin,channel - '- ''
. 4 , , -4- —.4 Ell
Cubic yards
Boat ramp 1 ,.t,,,-,......„
Boathouse/Boatlift f _
Beach Bulldozing '""'
t L_. 3..
Other
t CAI fir'
SAV observed: yes __ �.._ ___
Moratorium: n/a yes } �) y ,,- G n�Q n41 cl r - I c.M` .5.
Site Photos: y t '_ ......._......_. ) , .. L•.�
Riparian Waiver Attached: P �no ' /, ..4 �� w "[ __.
A building permit/zoning permit maybe required by: /1 t 1 c/c �L C C h 4
r i \ n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions(si \�a <( -•(t fir•E., % \-....(� A p lle_ Pxi---\ . •C
,' ( P 1l ei�1-:'''''e„ '.-1 I pA S U r'.•--k t-\c,"c.\ .,‘ . +' n See note on back regarding River Basin rule
, .�1(--)A(, -I, LG._
nSee additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED C MPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Offic�Nat

statement of Compliance and Consistency
Ehis 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.
Ehis 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)
ias been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
Ehe 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)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit David Vandenberg
Mailing Address 1760 Twisted Oak Lane, SW
Ocean Isle Beach. NC 28469
Phone Number' 704.607.0898
Email Address: Vandenberg-David@aramark corn
I certify that I have authorized David Gnce
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Replacement of Dock at
end of existing pier
at my property located at 1760 Twisted Oak Lane, SW
in Brunswick Countrounty.
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:
jci\."
re
David Vandenberg----
Print or Type Name
Owner
Title
01 27 2022
1 /
Date
04 28 2022
This certification is valid through I /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: David Vandenberg
Address of Pro 1760 Twisted Oak Lane, SW
perty:
Mailing Address of Owner:
Same
Owner's email:[e-mail] Owner's Phone#: [phone]
Agent's Name: David Grice Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
X I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215.No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
c--
LLL���
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: ' -^--
Typed/Printed name of ARPO: Mike Moser, NC Department of Adminstration
Mailing Address of ARPO: .//‘. 4Jc / -> 'S- -1-9(;,` 42-:f Z "VC c'7G(.-S
ARPO's email: Mike ARPO's Phone#: 9/f' '1�C. d 2 7o
Date: //3i/? Z *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: David Vandenberg
Address of Property: 1760 Twisted Oak Lane, SW
Mailing Address of Owner: Same
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: David Once Agent Phone#:[phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner.—`--%;,l
Typed/Printed name of ARPO: Sitthisan Watanasiriroch
Mailing Address of ARPO: 3124 High Ridge, Charlotte, NC 28270
ARPO's email:[e-mail] ARPO's Phone#: [phone]
Date: / /2 7 /L O 2 U*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: David Vandenberg
Address of Property: 1760 Twisted Oak Lane, SW
Mailing Address of Owner: Same
Owner's email: [e-mail] Owner's Phone# [phone]
Agent's Name: David Grice Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
24--- I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback 6
illt)
Signature of A "scent Ri nan Property Owner
-O R-
I do not wish to waive the 15'setback requirement(initial the blank) N/A
Signature of Adjacent Riparian Property Owner:
-A7,611_.,45
Typed/Printed name of ARPO: Bent Tree Plantatio
Mailing Address of ARPO: PO Box 6366, Ocean Isle Beach, NC 28469
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: f -7�,--*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

\.18)- „
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be(completed by owner or their agent)
Name of Property Owner: l t' 1, - \i r - DGit; �x
Address of Property: i n L c '� c— C fr u— L_v- 1 �•L
Mailing Address of Owner
%)Gly% 1t'AY24,:,- —c-la�.rk.
Owner's email: C"1L�w' - l� Cci;"A. Owner's Phone#: 1114' (0C�? c t (
Agent's Name: "04:-I n LH (16 C Agent Phone#: God 91 S c( S
Agent's Email: elv(Ce-C'e.r)•4.' . D1,1 C6-MC< se r,,•,,L
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at(910) 796-7215. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: bCunJu % oi1✓S
Mailing Address of ARPO: J7� 771f1/4 1a f"" su.
ARPO's email: Joile fir' defoebt ARPO's Phone#: jv • - - —/-
Date: I/)f/ 2Z *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

David Vandenberg
1760 Twisted Oak Lane,SW
Ocean Isle Beach,NC 28469
[e-mail]
Dock Project Description
Replacement of Dock at the end of existing pier with 20'x22' deck structure with new pilings,framing
and decking. Boat Lifts on either side unchanged,floating dock unchanged. Existing structure
unrepairable to be completely replaced. Replacement dock will not alter 15' setbacks and does not
require completion of the"Waiver Section"in the Adjacent Riparian Property Owner
Notification/Waiver Form. Please execute the top section titled Owner's Certification and the Bottom
Portion of the form.
20'
• ••
• • •
• •
22'
• •
Approx. 6/12
Metal Hip Roof
10'
• -AI•
4 12,
4
• 2 X 12 Pressure Treated Bands
6' • 2X10 Pressure Treated Joists
• 10" Butt Pilings
• 6/12 Hip Roof
• 5/4 X 6 Composite Decking
Muddy Waters—David Grice

•
Check •
id Dab Daposltad Cheek From(Name) Name.!Perms Holder _ Vendor Check number amount Permit NumbedComments Receipt orRefund/Reallocated
Colonn] Column] Cok mn4 Column5 Column! Column? Columns Cokenn9
)22 John McClure Linda Warren Truist 837 $ 400.00 GP#860030 BB rct.16902
)22 Sea Dog Marine Construction 'Steven&Melanie Otwell First Bank 16471$ 200.00 GP#86007D 'BB rct.17000
)22 Hill Properties-1 of 2 David Hill First Citizens Bank 1387 $ 400.00 GP#860060 BB rct.16999
)22 I Hill Properties-2 of 2 David Hills 'First Citizens Bank 1807 $ 200.00 GP#86006D BB rct.16999
)22 Jill Kenley James and Jill Kenley State Employees CU 7873 $ 200.00 GP#85575D BB rct.16993
)22 Allen Murray patricia and Edmund Murray Benchmark Community bank 1036_$ 200.00 GP#16997D BB rct.16997
)22 Terry Hollingsworth same Bank of America 4167 $ 200.00 GP#85596D JD rct.14883
)22 David Grice Money Order David Vandenberg USPS 2.6393E+10 $_200.00 GP#85576D i BB rot.16994
)22, Lighthouse Marine Construction Inc Gerald Rhodes Coastal Bank and Trust 4157 $ 200.00 GP#85584D ;JO rct.16813
)22; Charles Fox Homes,LTD Callicutt Banch Banking&Trust 29073 $ 200.00 GP#85577D BB rct.16995
)22; Benjamin Elliott same TD Bank 126 $ 200.00 GP#85550D Tmac rct.16280
)22 DC Morse Inc. I CMT3,LLC BB&T 6580 $ 200.00 IIIMIIIIIIIIIIIIIIIMIIMIIIIIt.16903