85542D - Koch

EQI AMA n DREDGE & FILL NO 85542 A B C
Previous permit
GENERAL PERMIT Date previous permit issued
Eg�lew ❑Modification El Complete Reissue ❑Partial Reissue � Q ,- i l'2DZ2-
As authorized bythe J91e of Nortit Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of enwronmenral concern pursuant to:
1 SA NCAC Rules attached n General Permit Rules available at the following link: www dea rK.2ovICAMAniles
nppircant Name
,, { A
Authorized Agent
Address (`
_ _
Project Location (County): ED 7 3 f A 11 n l 7T
City
State AK
7JP-2—"—Ir:"
Street Addr State Road/Lot #(s)
ZitPhone # (�,
�,�___
��
,
Subdivision
f
City ZIP j
Affected (gCW
©EW �TA
�ES OPTS
AdbWtcBody nail anlunk)
AEC(s): 11 OEA
IHA uW
OSPIMA 11 PINS
Closest Mal. Wtr. Body _ i+ 1/t iVf"f
ORW. yes, R&
PNA&..
Type of Project/ Activity _
r
Shoreline Length _ l)
Access Length ^
'
i�
Pier (dock) length
t
aF'
Fixed Platform(s) r X
r
},
Floating Platform(s) 71 14
�'t
Fingerpier(s),
Total Platform area
Groin length/tt
—
Bulkhead/Ripraplength
F �'
.rn �
14t�: ..+�'] �'t'x►• : ;ice
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp t N1
Boathouse oatli t0� Y 1 a
Beach Bull
Other _ _
SAV observed` � yes �b
Moratorium: Va yes
site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning p it may b required by:
Permit Conditions
I AM
nt or A0I%nt�PRINTED Name re
Si nature "Please read complianmAtatement an back of permit" signature
h10
Application Feels) Check II/Money Order Issuing Date
17
t4 -
(Scale;N�i—S )
TAR/PAM/NEUSE/BUFFER (circle one)
ElSee note on back regarding River Basin rules
See additional notes/conditions on back
Initial)
Expiration Date

hGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Gretchen and George Koch
599,mimosa Place
Oak Island, NC 28465
315-246-9823
[e-mail]
I certify that I have authorized CPG, LLC
.Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development_ docking facility
at my property located at
Rn Encwit*
in
County.
236MAo18 (Oak island) 13 Pebble beach
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to eater
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Mfarmation:
5rcb:hcn Kcch IFeb 15.202 1355 ES' I
Signature
Gretchen Koch
Print or Type !Name
Property Owner
Tine
2 1 14 1 2022
Date
This certification is valid through
2 14
1
1 2023

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Gretchen Koch
13 Pebble Beach Oak Island, NC 28465 (Parcel ID: 236M.Aoi8)
Mailing Address of Owner: 599 Mimosa Place Oak Island, NC 28465
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Ben Brink (CPG, LLC) 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.
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 [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 scan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent, iparian 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:
Mailing Address of ARPO:
ARPO's email:
Lacey and Jan Gane
598 Mimosa Place Oak Island, NC 28465
[e-mail] ARPO's Phone#: [phone]
Date: t�jT 1� ` ' *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 NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Gretchen Koch
13 Pebble Beach Oak Island, NC 28465 (Parcel ID: 236MAoi8)
Mailing Address of Owner: 599 Mimosa Place Oak Island, NC 28465
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Ben Brink (CPG, LLC)
Agent's Email.
[e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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. 9
description or drawing, with dimensions, must be provided with this letter.
1 �• 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 [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' setbacks
Sfgndbre 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: Jo Ella and Kenneth Willets
Mailing Address of ARPO.. i i Pebble Beach Drive Oak Island, NC 28465
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: _3 ---1 2 o .a a "waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

Triangulation
from Property w
ahiWd,.
Pin to pier and
existing bird
i r
feeder to pier
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VICINITY MAP
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INTRACOASTAL WATERWAY
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I ROTE: THE C.ANA, TOTAL AREA OF
ENWW"AIENIAL CORCE•M LES BETWEEN
.114E MEW 460H WATEWrE AND ME 76'
ESTLARNE SHORELINE . 7O64.0 SF.
OAK ISLAND
�y1 1-3586 I
�sit�%
ZONING
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FLOM 37202011600L OATED "/2016.
ON T146 W& ME M T'Fi7 M10 OEOWLS 1180" OP. -pE ►GMD
6s AM SA* dMM REMA LDILM 01NCRRTSE 1O1E0- a oLlr
W THOVAS M VON CANION.
LREN=:
OEM ROOK J6ir. 66: R ^W 16CLOPZM W THE BALMYNX OOtWrV.
NORM 0MIAM REGOR:R OF OEEDS.
MS 5 TO 00lTNT '1NA7 OH SEMEYOER tTTh 26M. 1 SU101ETFD ME
PROPEM SN06M ON MS H/O. RA THAT M Tnit URFS MID 146E
6YLS or THE 611ROWA, r ANY, ARE SCOM THE AWA Or
MS PROPOM E 675 AC KS AS M 000.66467E
COW'DGTIOM TIMJ/r Or CLORNIE 6 1.10.0m
sKTav D. v6R - - ------
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TAX PARCEL f 236MAO1B
LOT SURVEY
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.cONs # [MIRArCE
FOR: WALTER LINK
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LOT 10OX437.78 IRR
mmyommm
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OAK ISLAND, SMITHVILLE TOWNSHIP
W64Yh SE.11EO pid101R
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BRUNSWiCK COUNTY, NORTH CAROLINA
o+iMsiA"u�
VCS & CO., INC. C-2160
1 YAUPON WAY
V S OAK ISLAND, NC
GRAPHIC SCALE
sz��a�66
C TELE. (704) 3a1--1557
EMAIL vcsbrunsco0ec.rr.com
T UMN - 60 FEET

Supplemental Photos for 13 Pebble Beach (Koch)

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Home (/) / Products (products.html) / Water Levels (stations.html?type=Water+Levels) / 8658163 Wrightsville Beach, NC
Favorite Stations
Station Info TidesM/ater Levels Meteorological Obs. (/met.html?id=8658163) Phys. Oceanography (/physocean.html?id=8658163)
NOAA/NOS/CO-OPS
Observed Water Levels at 8668163, Wrightsville Beach NC
From 2022/02/15 00:00 LST to 2022/02/15 23:59 LST
5.0
4.0
3.0
N
2.0
c
L
1.0
2
.
Tuesday, Feb 15 2022, 12:24 LST
0.0Z
11111
Predictions:-0.214ft.
Preliminary: 0.09ft.
00:00
02:00 04:00 06:00 08:00 10:00 12:00
Nvn
14:00 16:00
2/15
2/15 2/15 2/15 2/15 2/15 2/15
2/15 2/15
— Predictions — Verified — Preliminary
Options for
8658163 Wrightsville Beach, ...
From:
Feb 2022
To:
Feb 2022
Units
Stand:
Timezone
LST
Datum (datum_options.htmi)
MLW
Shift dates
0
71
Back 1 Day Forward 1 Day
Interval
6 min 1 hr
H/L Day Month
er fc
18:
211

(https://www.noaa.gov/) TliiEg� (n
�a�iRERIT
Home (/) / Products (products.html) / Water Levels (stations.html?type=Water+Levels) / 8658163 Wrightsville Beach, NC
Favorite Stations
Station Info Tides/Water Levels Meteorological Obs. (/met.html?id=8658163) Phys. Oceanography (/physocean.html?id=8658163)
5.0
4.0
m 3.0
2
N
2.0
c
z
1.0
0.0
00:00
2/15
02:00 04:00
2/15 2/15
Options for
8658163 Wrightsville Beach, ...
From:
Feb 2022
To:
Feb 2022
Units
Stand:
Timezone
LST
Datum (datum_Options.html)
MLW
Shift dates
©°
n
Back 1 Day Forward 1 Day
Interval
6 min 1 hr
H/L Day Month
NOAA/NOS/CO-OPS
Observed Water Levels at 8658163, Wrightsville Beach NC
From 2022/02/15 00:00 LST to 2022/02/15 23:59 LST
06:00 08:00 10:00 12:01
2/15 2/15 2/15 2/15
— Predictions — Verified — Preliminary
er fc
18:
211

Data R—t-d
Date Dapo Ned
Chock Fran (Nam*J
Name otPwmlt Holder
Vendor
Check number
Chock
amount
Penult Number/Comments
Receipt wRetund/Reaft—ated
Cokannl
Column2
Column)
C01-4
Co1umn5
Column!
Cdumn7
Column8
ColumnD
3/31/2022
- --
3/31/2022
3/31/2022
3/31/2022
3/31/2022
----
AMW Docks & Marine Construction
Dennis Hurley
Si a
same
same
Busker
Edwards
Truist
- - -- -
CresCom Bank
Wells Fargo _
United Bank
First Bank - --
Truist
7176
$ 200.00
GP #86013D
GP #86066D
GP #85710D
GP #85713D
GP #85705D
— —
BB rct. 16927
-
BB rct. 16922
BB rct. 16929
BB rct. 16930
BB rct. 16931
tmac rct. 16283
Tmac rct. 16287
-------
Maritime Coastal Construction LLC
Timothy Howard
John McClure
3462
$ 200.00
5301
$ 200.00
1060
$ 200.00
Sea Do Marine Construction
1694
1011
$ 200.00
3/31/2022
_ _
--
H5 Contruction Services, LLC__
$ 200.00
GP #85721D
3/31/2022
G ory Holden
Doug Ter _
_
United Bank _
5549
$ 200.00
GP #85719D
3/31/2022
_
Charles Duckworth Money Order
Harris
Wells Fargo
19-618495
$ 200.00
GP #85709D _
BB rct. 16932
_
3/31/2022
Jason_ Hegge __— _ _
RCDC Holdings, LLC
Truist _
1004
$ 200.00
GP #85511 D _ _
BB rut. 16935
_
3/31/2022,
_
Grice Construction
Emory
Truist _
11048
$ 200.00
GP #85711 D _ - - _ _
BB rd. 16934
_
3/31/2022
Gri_ce_Construction
U ton
Truist
11049
$ 200.00
GP #85712D __ _
BB rct. 16933
3/31/2022
sou them NC Marine LLC
_
Bryan
First Bank
1507
$ 400.00
GP #85413D _
BH rct. 17551
3/31/2022
South Cape Maritime, LLC
_
Winston
Wells Faro
1384
$ 200.00
GP #85717D
KE rct. 16960
3/31/2022
Delta Dock & Boat Lift
Yelverton
First Citizens Bank
9289
$ 200.00
GP #86090D _
JD rat. 16317
3/31/2022
Southern NC Marine LLC
Hanb
First Bank
1568
$ 200.00
GP #86089D __ _
JD rot. 16316
3
3/31/2022
3/31/2022
—George
_
H Edward Wright
-- —
Koch
same —
same
State Em loyees CU --
Bank of America
-
4327
1570
$ 200.00
$ 200.00
GP #85541D
GP #85542D
- -
PA rct. 16136
PA rct. 16137
3/31/2022
---
H5 Construction (1 of 2 _ _
Wallace _
Truist
1018
$ 200.00
GP #85720D
Tmac rot. 16286
3/31/2022
H5 Construction 2 of 2
Wallace
Truist
1012
$ 400.00
GP #85720D
Tmac rct. 16282