85704D - Settle & Barrier

CQCAMA ❑DREDGE &FILL N9 85704 A a
GENERAL PERMIT Previous permit
� Date previous permit issued
New ❑ 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 pursuai
++,, r•
I SA NCAC � R & ❑ Rules attached. Ef General Permit Rules available at the following link: www.deq.nc.gov/CAI
Applicant Name' : f ° ': + Authorized Agent ii,
Address—NA
r4� � j Zt' aF r Project Location (County): Rr 4/'C
City �AC I SJ,Sko%_`State Cam' ZIP Street Address/State Road/Lot #(s)
Phone # (fto) b 2t ��?3
Email 9 t hJ jr,✓1yo i, is (yr7 Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body a n
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Bodyt�
ORW: yes/no PNA:,'Yes/no
Shoreline Length r�tAgrQf
Access Length ,arC
Pier (dock) length xkii F1,191 M
Fixed Platform(s) / i X 1. f1
Floating Platform(s) 11771-Z
Finger pier(s) 4�
Total Platform area !!rr'-/ R ifr V* Af17
Groin length/# rw�
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse[Boatlifh
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes 10
Riparian Waiver Attached: yes RD
A building permit/zoning I
,cOA,
be required by: rr�'� �.
❑ TAR/PAM/NEUSE/BUFFER (circle of
❑ See note on back regarding River Ba
❑ See additional notes/conditions on I
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
?� - r�

ment of Compliance and Consistency
lermit is subject to compliance with this application and permit conditions. Any violation of these terms may
ct the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
iermit must be on the project site and accessible to the permit officer when the project is inspected for
Hance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
It, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
and use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
yen obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
Late of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
nation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
Basin Rules Applicable To Your Project:
ITar - Pamlico River Basin Buffer Rules F-1 Neuse River Basin Buffer Rules
icated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
ie River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
ivision of Water Resources. If you have any questions, please contact the Division of Water Resources at the
iington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
s/Additional Permit Conditions:
ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
area and disposed of in an appropriate upland location.
n of Coastal Management Offices
ead City Headquarters
mmerce Ave Morehead City, NC 28557
8-2808/ 1-888-4RCOAST Fax: [phone]
Carteret, Craven — south of the Neuse River, Onslow
s)
th City District
3riffin St. Ste. 300
th City, NC 27909
4-3901
Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)

,'CAMA DREDGE & FILL N9 85704 A B C
Previous
G,E N E RAL PERMIT Date previous permit issued
L44ew j 1 Modification Complete Reissue [ 'Partial Reissue - 4.ZUZZ-
As authorized by the State of North Carolina Department of Environmental Qu irty and the Co3sdl Resources Commivaxi in an area of environmental coruern putsuwt to
I SA NCAC - . 074, t.W_ Rules attached i Y! Cacneral Pertrxt Rues available at the fcliov"ng Ink Arules
Applicant Narne Authorized Agent
Protect Location (County) _y�(t`
C`"-1eQ�', _ S. 4�! , ZIP & ,__._, _ Strict�A�djdresx State RoadlLot k s
Phone A+ (JtLtl lGc�1r r�.j
Email_" pljGl '[ S Subdrvkwn _ ✓" __.
City - I_____ZIP
-t.CLlL---y--_ _
- f ('�
Affected cvi ✓ EW vrPTA ' ES C PTS Adt Wit- Body_ _ man: urtki
AECisi OEA IHA r UW SPIMA 0 PWS
I__i _ . Closest Mat Wtr Body ,11,/1V-__�---
ORW vrti PNA.fyeyno
9n,ar..�11ne Lenglh t7L1L_—
�j�..
ACte 4 LengthK11L_I
Pier (duck) length iinr
fixed Platforms) _LCXJ41
Floating Platform(&) &V, 1.L:
Finger pierhl Q CN:,A-
"Ital Platform area 016
[;or:, iengTh/v r ASM Pk? ,
$u�M*i+gad,' Rii:rau fertbRtt +«"
A,g riauna:r- uashore
Sreavwater/Sill
-
Niar dm nce; length ..� __...
Basin, cl, snnel
CubicVar-as
Boa, "mp
Other
SAv obs •rver3 yeas /%1[p (rl7 JSi UJLTi
� .Ir, lufr, nja ye, f„� N i
Site Pnc yf., o hit 5
P oatian Waiver Attached, yes 0
A building ermit/zonin Qerm,t m4l be
�,, r �1�'Il�'►�._. ��_ rite �_ �t
R lr'ltd •�
^ [_T4
LL
t
�P iJ��t ti
F
T11) �135JLoA4-
ti4 `d&,Nrr 1(45E A3
i AM AWARE Of STATUTES, CRC ISUW ANO CONDITIONS THAT APPLY TO THIS PROJECT
,ir r,i: ii , rJE, N "le
N +rase it t mpf ante statement on back of permit •'
Ip�f
;.pputandn tells) Check n/Money Order
TAWPAM(NEUSE/BUFFER (circle ones
See note on back regarcitng River Basin rules
l See- additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name /
Signature
Ala 014 a __
Issuing Date _ Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:�rc
Mailing Address: i l� K� P— 4 �—, %�WJ4
p T
Phone Number:
Email Address:msorc��c�G, e
w
I certify that I have authorized welsh 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: New Fixed Pier, Dock, & Gazebo
at my property located at 114 SE 23RD ST, OAK ISLAND, NC 28465
in Brunswick
County.
I furthermore certify, that t 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.
Print or Type Name `
�ro Y' (lam 5
Title
Date
This certification is valid through

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FO f VF GEIV
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND nl=i Ix/Fp
(Top portion to be completed by owner or their agent)
Name of Property Owner: % �,/
,Z'S / C1 fi /
Address of Property:
rDEC . 9 20
Mailing Address of Owner: 160/ E C;a- 1 s lq vid ,Dr Cc, k7-%tqd X�C 2E,465
Owner's email: Owner's Phone#: t! V 2 7S' Sz' / f
Agent's Name:
Agent's Email:
Agent Phone#.
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. DCM representatives can also be contacted at
[phone]. 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.)
100 wish to waive some/all of the 15' setback
zii
-OR- 4nature of Adjacent Riparian Property Owner (ARPO)
-
I do not wish to waive the 15' setback requirement (initial the blank) CAA S
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO:
-IO
GMailing Address of ARPO: L-W } � . y'
ARPO's email:
ARPO's Phone#:
Date:_*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

Rhonda S. Davis
3080 Union School Rd.
Clinton, NC 28328 N.C. DIVISION OF COASTAL MANAGEMENT
DJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be
a..Jbe completed by owner or their agent)
Name of Property Owner: FOC)k q J E S
Address of Property: _ S Z I'd (Ipltf'
l
Mailing Address of Owner: 308C �1(71©n �CJJiIQ
Owner's email:
Agent's Name:
Agent's Email:
G1 /�C �5 �
C�-/AJiGf3 f�C 283
Owners Phone# 6 10 `' �,Io ` 21 a 2-
Agent Phon
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. DCM representatives can also be contacted at
[phone]. 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 someiall of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner (ARPO)
I do not wish to waive the 15' setback requirement ,initial the blank) _Palk
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO: _r 5 ;—�D S26l / 3�
ARPO's email: �1bvx61 r1 ARPO's Phone#: 'I `('— 132—
I
Date:—t/ f g fJ f4*waiveGr s valid for up to one year from ARPO's Signature'
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOIIECEIV
CERTIFIED MAIL - RFTI IRnI RP:r9:1oT DC:rni 1r:L1Trr,%
(Top portion to be completed by owner or their agent)
Name of Property Owner: 0 17 ! 0a /-� _/�; Iq I0 C/
Address of Property: L rd
�j DEC 9 20
1�rll�j1,p
S
,,��CC , { 7-6
/
Mailing Address of Owner: `� ! 1, "4 S A ri `d Dr Cc, k7- r �' i,i_/ %JC' 2B lV6
.
Owner's email: Owner's Phone#: /f G ) 7S' SIZ /l
Agent's Name:
Agent's Email:
Agent Phone#:
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. DCM representatives can also be contacted at
[phone]. 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
-OR-
Signature of Adjacent Riparian Property Owner (ARPO)
I do not wish to waive the 15' setback requirement (initial the blank) /
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO:
Mailing Address of ARPO: L
�n cll'��ti► �� �c�."t slc.�
ARPO's email:
Date:
ARPO's Phone#:
"waiver is valid for up to one year from ARPO's Signature"
Revised May 2021

Rhonda S. Davis
3080 Union School Rd.
Clinton, NC 28328 N.C. DIVISION OF COASTAL MANAGEMENT
DJACAT 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. F0 f) NI S
Address of Property: IZ S Z , rd �� r C-4-
Mailing Address of Owner. 30BC C1(710n SCJ)y0 �(
Owner's email:
Agent's Name:
Agent's Email:
p C I- /"i6� fJ C 2532
Owner's Phone#: 610 - IQ � qo —21 -32-
Agent Phone#:
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. DCM representatives can also be contacted at
[phone]. 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 Sinn the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner (ARPO)
I do not wish to waive the 15' setback requirement ;initial the blank)
Signature of Adjacent Riparian Property Owner. -►-1 .� ({ _ ��
Typed/Printed name of ARPO: rY(�1r1,�FY �1 ,n �nfPJ�i .�i5
Mailing Address of ARPO:
ARPO's email: h01✓1&-ri ARPO's Phone#: �I (''� -IQ� — / `32_
I
Date: IJORwaiveGr s valid for up to one year from ARPO's Signature'
Revised May 2021

11/2022, 2:32:57 PM 1:625
0 20 40 80 ft
arrel Lines Roads
Easement County Boundary Condo Common Area NC Hwy
0 5 10 20 m
Easement -Utility Parcels Interstate Source: Esri, Maxar, GeoEye, Earthstar Geographics, CNES/P
Radius Ticks Parcel State Road USGS, AeroGRID, IGN, and the GIS User Community
Easement-Misc Condo Unit US Hwy
Brun
Eaglevew, Inc. i Brunswick County GIS i Source: Esri, Maxar, GeoEye, Earthstar Geographics, CNES/Airbus IDS, USDA, USGS, AeroGRID, IGN, and the GIS

11/2022, 2:32:57 PM 1:625
0 20 40 80 ft
arcel Lines1:1 Roads I.T.T. '. . '
Easement County Boundary Condo Common Area NC Hwy
_ 0 5 10 20 m
Easement -Utility Parcels Interstate r� Source: Esri, Maxar, GeoEye, Earthstar Geographics, CNES/Ai
Radius Ticks Parcel State Road USGS, AeroGRID, IGN, and the GIS User Community
Easement-Misc Condo Unit US Hwy
Bruns
EagleView, Inc. i Brunswick County GIS i Source: Esri, Maxar, GeoEye, Earthstar Geographics, CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS L

.d
Date D.—t.d
Check From Nam.
Nam..f Pernik Holder
V.ndw
Chwk number
Check
amount
Permit Numb.ACommante
Receipt w Rerund/Reallmated
Column2
Cdumn3
Column)
Columns
Colum"d
Column?
Columnk
Cokunn9
122
122
122,
122
122
122
122
_
Pressley Wicker
'Terry Turbeville _
Welsh Construction LLC
Sea Dog Marine Construction
Town of Oak Island
same
same
Stephen Settle_
Martha Khan
same
Isame
same
First bank _ 2704
BB&T 120
Coming Federal CU 1001
First Bank 1657
BB&T 87318
BB&T 87317
First National Bank 1004
$ 200.00
GP #86079D _ _
GP #85456D
GP #85704D
GP #85538D
GP #85539D
GP #85540D
GP #85718D
PA rct. 16525
PA rct. 17527
PA rct. 16519
$ 200.00
$ 200.00
$ 400.00
$ 400.00
$ 200.00
400.00
IPA rct16133
PA rct.. 161 32
Town of Oak Island
PA rct. 16134
Philli Simpson Jr.
PA rct. 16135