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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Thomas Williamson and Kelly Collier
Mailing Address: 121 SW 24th St.
Oak Island, NC 28465
Phone Number: 910-587-0622
tkcable3@gmail.com
Email Address:
I certify that I have authorized CPG, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
CAMA General Permit docking
necessary for the following proposed development: facility
at my property located at
121 SW 24th St. (Oak Island)
,
In Brunswick County.
i furthermore certify that / 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:
To� Williamson ;NAr4, 20c21- E51'
Signature
Thomas Williamson
Print or Type Name
Property Owner
Title
3 i 4 i 2022
Date
4234
79CABLE INC
c as 9 asA�u f S C. 2x> i
�:0533Dii2l�:ODO5103i6581
s0000y
This certification is valid through 3 4 2023
Ai5two 5hW-DOW
;�kv� � VPt Sfi
IG�C (WA a�°��
-�\LtW6 dAOW`Q
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:
Address of Property:
Thomas Williamson
121 SW 24th St. Oak Island, NC 28465
Mailing Address of Owner: 121 SW 24th St. Oak Island, NC 28465
Owner's email: tkcable3@grnail.com Jwner's Phone#:
Agent's Name:
Agent's Email:
CPG, LLC
ben@coastalpermitguy.com
910-587-0622
Agent Phone#: 910-302-5725
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
noted 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' setbac " dv-- '
Signa 6A
Adjacent Riparian bdperty 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: Josh and L' r ok
Mailing Address of ARPO:
119 SW 24th St. Oak Island, NC 28465
ARPO'semail: _ Icslle_a,4,,0> 61"ARPO'sPhone#: q10 S-3V*9
Date: 3 LZ *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 DELIVERS --
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Thomas Williamson
121 SW 24th St. Oak Island, NC 28465
Mailing Address of Owner:
121 SW 24th St. Oak Island, NC 28465
Owner's email: tkcable3@gmail.com
Agent's Name: CPG, LLC
Agent's Email: ben@coastalpermitguy.com
Jwner's Phone#: 910-587-0622
Agent Phone#: 910-302-5725
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
CEIVE
AR 0 2022
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
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.
CAA—LI 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
re-M
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: rA r I I.
Typed/Printed name of ARPO: Town of Oak Island (LPO: urtney Milliron)
Mailing Address of ARPO:
46o1 E. Oak Island Dr. Oak Island, NC 28465
ARPO's email: cmilliron@oakislandnc.com ARPO's Phone#: (910)201-8047
Date: ?�� 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
*Not to Scale
*Not a survey (Measurements are approximate)
Proposed Docking Facility:
Depths taken at 0820 (3/1i/zz)
Existing Pier (4.5' x 24') Repair in same
footprint
ei _ __ ------ _"-
Chanty____
Approxirpate
Fixed Platform (10' x 12') Repair in same
_ -----_ ---__
footprint __
--- --- -""
Floating Dock (9' x 16') Shift West
DAVIS CANAL
i
Proposed 13'x 13' Boatlift
Established Pier Headline ......................_............
Proposed Gazebo (16' x 16' Roof Dripline --
-z.z5' @ NLW............y....................................................................._.
• �26' i1om edge of bulkhead extension
- "" i
Dimensions)
i 5 @ NLW
D
Coastal Wetlands'
i O
0
1, X
Shoreline: -257' —17' from
ge of bulkhead i \ 3'
Waterbody Width: -145'
! Iw
-P/L i I (D
Shaded Impact Existing: 520 sq. ft.
x
I
rp
SW 20 St.
3
ao
I
Town of Oak Island
121 SW 20 St. 5
rD
of
Williamson fl-
119 SW 24th St.
Crook
Page 2 of 2 1�T
Proposed Structures \
121 SW 24th St. (Williamson) y
March 7, 2022
0
Ir
*Not to Scale
*Not a survey (Measurements are approximate)
Proposed Docking Facility:
Existing Pier (4.5' x 24') Repair in
same footprint
Fixed Platform (10' x 12') Repair in
same footprint
Floating Dock (9' x 16') Shift West
Proposed 13'x 13' Boatlift
Proposed Gazebo (16' x 16' Roof
Dripline Dimensions)
Shoreline: -257'
Waterbody Width: -145'
Shaded Impact Existing: 520 sq. ft.
SW 24th St.
Town of Oak Island
Page 2 of 2
Proposed Structures
121 SW 24" St. (Williamson)
March 24, 2022
119 SW 24th St.
Crook
Existing Docking Facility:
Pier (4.5' x 24')
Fixed Platform (10' x 12')
Floating Dock (9' x 16')
Shoreline: —257'
*Not to Scale
*Not a survey (Measurements are approximate)
Waterbody Width: —145'
Shaded Impact Existing: 264 sq. ft. `f
—P/L
SW 24th St.
Town of Oak Island
Page 1 of 2
Existing Structures
121 SW 24th St. (Williamson)
March 7, 2022
approximate
DAVIS CANAL
Coastal Wetlands -
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119 SW 24th St.
Crook
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Chock From Name
Name of Pwmk HoMw
Wntlor
Chock numhw
Chock
amount
Pamrk Numbw/Cammanb
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Cdumn2
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Cdumnl 0o1umn5
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Columns
4234
Cdumn7
$_ 200.00
Coumns
GP #85543D
Columns
Tmac rot. 16288
4/7/2022
4ROO-22
TK Cable Inc.
Devon Mahoney
Williamson
isame Bank of America
5484
$ 200.00
GP #85730D _
BB rct. 16939
417i2022
Permit Pals
Baker CresCom Bank
`Buccaneer
3801
_$ - 200.00
GP #85706D
BB rot.i693_6
4/7l2022
_ _
H5 Construction
Hills POA Truist
1610
200.00
GP #86067D
BB rot. 16937