86074D - Erwin/Clark

'o1*oiCOAST41N❑CAMA ❑ DREDGE & FILL N9 86074 A B C
GENERAL PERMIT Previous permit
41 Date previous permit issued
©*New []Modification ❑ Complete Reissue [:]Partial Reissue u'= y -Z-7 2 Z 4 �
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:
15A NCAC Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.Yov/CAMAr u1es
Applicant Name �� Authorized Agent __ ! + / / C
s�jo 7
Address � VV � Project Location (County): �':`. i a1 4(1"1A'
City '.S /a kid
+State ZIR A Lf ) 5 Street Address/State Road/Lot #(s) TI D 4 K ^ 02.2 6;1
Phone # O
Email C, VA t77 L(1 1 LIit cc?tY� Subdivision
City "' . " ZIP
Affected ❑ CW ❑ EW ZPTA b' ES ❑ PTS Adj. Wtr. Body 1:44,4 6&;--za (nat/r5iWY-6nk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtc Body
ORW: yes/no' PNA;'yesrno
Type of Project/ Activity
i
Shoreline Length /.,V?T
Access Length >1".✓k -
Fixed Platform(s)
Pier (dock) length ? 'R!Yf '. t�.
Floating Platform(s)
I
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length r.
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/,Boa ft ?
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes no
A building permit/zoning permit maybe required by:
Permit Conditions %:.I
!- Z.,d
I AM AWARE OF
CONDITIONS THAT
(Scale: Njc�, )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
ITO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name ! J�•) v v
Signature "Please read co nce statement on back of permit" ,
Applicationtee(s) Check #/Money Order
#/Money Order
Permit Officer's PRI TED Name
Signature r
Issuing Date Expiration Date

Statement of Compliance and Consistency
This 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.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F1Tar - Pamlico River Basin Buffer Rules 1-1 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:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
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)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

(1?rN"ew
*Wty 1CA►MA ❑ DREDGE& FILL N9 86074 A B c
GENERAL PERMIT Pt�uspermit
Date previous permit issued ❑ Modification Cj Complete Reissue Ej Partial Reissue
As au"hwrWby d�w San of North CaryCommission in Npartment of Environmental Quality and the Coastal Resources CommissIn an am of envinanrnentai corteatn P u sure" W
15A NCAC .-Z 1&Qft,.,, ,_ __ _ _,�,.., O Rules attached. ❑ Oral Permit Rndes avallabkt at the fnNowara Nnk: tDl�
Applicant N" r �AiL 1'F,T • r s OF � sr
VV
Zi
aty �s
te
a
Ennad =a I&M, iqywl Subdmsion
City ZIP
C/PTS
• Cla.Mal.hr Body
OR &
TYPe of Project,/ Activity
Shoreline Length.
Access length _4
Pier (dock) length
Fixed Platform(s),
Floating Platform(s)-xJ&1 ---•—
Finger p"t(s)
Total Platform area
Gram length/p •�•
Bulkhead/ Rlprap lengths _.
Avg distance offshore
Breakwater/Slit
Max distance/ length
Basin, channel
Cubic Yards
Bost ramp sm.
Boathouse Boadi��.iwp�
Beach Bulldor ng 2M
Other
SAV observed
Moratorium: n/a
Siee Photon
Riparian Waiver Attached
OF
Q
no
Signature "Please read compliance statement tin ba(iC of permit"
Application Fee(s) /f Check #/Money Order
_W4( COXC
-
(sate: X% )
0
TAFRAMINEUSEBUFFER (ctrcia one)
QSee note on back regarding Ricer Basin rules
0 Sec additional notes/conditions on back
(Please Initial) " / C-4 c
"t;....... 41 wfa
g te
w Ising pate Expiration to

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Hannah Erwin and Cynthia Clark
Mailing Address: 121 SW 6th St.
Oak Island, NC 28465
919-200-3994
Phone Number:
Email Address: [e-mail]
LLC
I certify that I have authorized CPG, ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: CAMA Permit boat lift
at my property located at
121 SW 6th Street (Oak Island)
,
In Brunswick County.
1 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:
HannahTwin (Ma, 16, 202211.11 EDT)
Signature
Hannah Erwin
Print or Type Name
Property Owner
Title
1 / 16 / 2022
Date
1 16 2023
This certification is valid through I 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: Hannah Erwin / Cynthia Clark
Address of Property: 121 SW 6th St. Oak Island, NC 28465
Mailing Address of Owner: 121 SW 6th St. Oak Island, NC 28465
Owner's email: hannahlerwin(agmail.com
Owner's Phone#: [phone]
Agent's Name: CPG, LLC (Ben Brink) 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 28405-2845. 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 om all of the 15' setback
Signature of Adjacent Riparian Property Owner
ma
i do not wish to waive the 15' setback requirement (initial the blank) __
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Bart Milburn and Marta Dash
Mailing Address of ARPO: 124 SW 7th St. Oak Island, NC 28465
ARPO's email: milburnb(%gmail.com ARPO's Phone#:
724-316-0746
Date: Received 3.19.22 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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Consent for Use of General Permit 71-1.1200
Lot Number/Address:121 SW 6th St., Oak Island, NC
County: Brunswick Subdivision:
Criteria:
(check all that apply)
XPrimary Nursery Areas.
❑ Less than 2.0ft deep.
❑ Greater than 2.Oft but less than 3.0ft.
❑ Submerged Aquatic Vegetation.
❑ Bottom habitat.
Comments:
boat lift will be in water 24" NLW
Decision:
® Issue General Permit
❑ Elevate to Major Permit
NC Division of Marine Fish
03/23/22
Representative Date
NC Wildlife Resources Commission Representative Date

Waterbody Depths:2/9/2022
Width: 105' 9:25am Preliminary
1/4 Width: 26.25'
—15.5' past
edge of CW
COASTAL
WETLANDS
Proposed Single Piling Elevator Lift (see ' T
below)
17' 36" @ NLW \
24" @ NLW �y
Existing 16' f
Fixed Proposed 3' x 15' Finger Pier Platform DAVIS
18 @ NLW
CANAL
Edens & ;------------------
Autry Inc. 19' 6'
123 SW 6th Erwin/Clark
121 SW 6th St.
UUAJ I AL
WETLANDS
- ---------------
29'
Milburn/Dash
124 SW 7th St.
SS 2000 LB Skiff Lift- Storm Features:
Surge • Rated up to 2,000-lbs.
• Powered by the superior AMS Power Hoist.
• Clam shell cover.
• Bigger Over sized winder for greater speed.
• T60-61 marine grade aluminum aluminum.
• Stainless 7.19 aircraft cable.
• Cable clamp adjuster.
• Aluminum pile mount or docK/seawall mount Ispecify mount at time
of order).
• Wooden bunks carpeted bunks- 2' x 6'x 8'
• Cradle:5'4'
• Track: 16' x 8' x 5'
CPG, LLC Page 1 of 1
COASTAL PO BOX 1661 Existing/Proposed Structures
Carolina Beach, NC 28428 Applicant: Erwin/Clark
ip
P E R M I T GUY 910.302.5725 Date:3/17/2022
Scale: Approx. 1" : 20'
[e-mail]

CAMA / DREDGE & FILL ( NQ %99?6
A B C
GENERAL PERM1�eo��' Previous permit #
New 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 SA NCAC
Rules attached
Applicant Name :A (lit., ' _ Project Location: County
Address_ [ S(�r, f _ Street Address/ State Road/ Lot #(s)
ll
City State i'ti ZIP .4
Phone # ( ) E-mail Subdivision
Authorized Agent_r� /%Cr �.r_ _ _ City ZIP
Affected CW 'EW 1JPTA DES r"PTS Phone # ( ) __ River Basin
AEC(s): OEA HHF ❑ Qi D UI&A N/A Adj. Wtr. Body
,, c (nat /n7AD1L
Closest Ma Wtr. Body
..
ORW: yes Ino PNA yes ' no I' y i 7...:.---
Type of Project/ Activity 7 `-rk'0 [ -e r'i iris
"re( A/1 S
IL
Fixed Platforms :. ► r v ty ai c1► i'vf __'._ _ �_ .—. t — 1
Pier (dock) length _ ±. y� _ _-_—
{
Floating Platform(s)
Finger pier(s)�r
r
M
t -
Groin length
number
{.
Bulkhead,' Riprap length
krj - i -
avg distance offshore r!
max distance offshore ?
Basin. channel j :.�7tivj {!
cubic yards
_ I
Boat ramp --
Boathouse/ Boatlift
Beach Bulldozing PA.',+. rf
I
Other �[;<r/r �Ct•,r�— ---- .i..... �,_..'1
Shoreline Length
SAV. not sure yes no
Moratorium: n/a yes no 1 '
Photos: yes no
1?.� ...��'ri Ey . tit F,•i� fr::�. , :1
Waiver Attached. yes no _ _ .......
__.
A building permit may be required by: , 411� L14GW APIl t' See note on back regarding River Basin rules.
Note Local Planning Jurisdiction) --� — Q�.,.�
Notes/ Special Conditions ¢' n t (LS 7,�(a} wj� �-f ;i a/ S/i
- __ ---___ -._� _cif-.� ._ _�15-�li Arr��:•�i
gEent or Applicant nt Permit 'a

Date Recalved
Date Deposfted
Chock From Name
Name fpormlt Noktw
Vander
Chock numhw
Chxk
amount
Pormk NumbedCommanb
Receipt or Rolund'Rwfi c ted
CW-1
Coumn2
Cd—.3
Column/
Column5
Columns
Column?
Columns
ColumnD
4/20/2022
133 Tarpon, LLC same
- -
Somers Land and Sea, LLC Bermeo
Logan Marine, LLC Kraemer
Tarpon Time, LLC same _
John Kopp same
Brent Shiva same _
North End Builders NC LLC Levine
Wells Fargo
1035
$ 400.00
GP #85750D
PA rct. 16145
PA rct. 16139
PA rct. 16144
PA rct. 16143
PA rct. 16138 ----_
4/20/2022
- -
United Bank
3029
$ 200.00
GP #86083D
4/20/2022
BB&T
7924
$ 200.00
GP #86078D
4/20/2022
FidelityBank _
1002
$ 400.00
GP #85749D
4/20/2022
BB&T
7686
$ 200.00
GP #85544D _
4/20/2022
4/20/2022
_
_
F & M Bank
8347
$ 200.00
GP #86077D _
PA rct. 16142
SunTrust
1095
$ 400.00
GP #86076D
PA rct. 16141
4/20/2022
_
Hannah Erwin
same
SunTrust
155
200.00
GP #86074D
IPA rct. 16140