84553C - Renfrow, Hilton

+�CAMA El DREDGE & FILL N9 84553 A B O D
Previous permit
GENERAL PERMIT Date previous permit issued
[New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State � oyff,,N,�oort�rth Carolina, Department of Environmental Quality and the C tal Resources Commission In an area of environmental concern pursuant to:
15A NCAC _ �V[1bU %i Od O __ ❑ Rules attached. General Permit Rules available at the following link: wwwden m gQv/CAMAr41e3
Appllcana Name r_TJJ ILL v,. ILt•Xf1V 01A/ Authorized Agent_..11-✓/_--s�—�s
Addreresssa,,r— 1— ✓lr t. ^•/ _ qQ Project Location(County): `
Q meo—A/'� !�, St�ate_._ 1.. ZIP -- Street Address/Stain aNLot#(s)_-w�—�[.tpJ,t t�rl
Phone # ( ) -9.1t- .J0+-_ �" O�n)r� 1 rl O It� (._�s-!✓
Email _ _ 'Subdivision _
r_ — _ 1 -1 1 ..-1 _ 7 ((
Affected ❑CW �EW QPTA ❑ES ❑PTS Adj. Wcr. Body _ �O�hCi �man/unk)
AEC(s): ❑[. OEA , IHA ❑UW ❑SPIMA 1PWS Closest Maj. Wtr. Body.__ -
OR . yes/)no PNA: yes no
Type of Project/ Activity
Shoreline Length Z=
Access Length
Pier (dock) length.
Fixed Platform(s) _:!::
Floating
Finger pler(s)
Total Platform area
Groin length/B ._
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length -,
Basin, channel
i
Cubic yards T—
Boat ramp
Boat ram Boatli
Beach Bulldozing
Other i
SAV observed: yes
Moratorium: n/a yes
Site Photon: s no
Riparian Walver Attached: ,ye no
A building permit/zoning permit may be r
by:
(scale: ( .40 )
pox)
f vow i
I
a ❑ TARIPAM/NEUSE/BUFFER (circle one)
La See note on back regarding Fiver Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTE ,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Inida1)
_ =1.'nn WtrAr rA
Agen or ApplicapCPRI DName � p _ Pe tt Offl�der's.�IRIfJ�ijfp\/Q(�am/e� t1
lot se read compliance statement on back of permit'-tk[Signature
((VV1l � 4� Iao 2z- (b ! 2r� -- .
Application Feels) Check II/Money Order Issuing Date I Exp ration Date

❑DREDGE & FILL N° 84553 A B CC) D
GENERAL PERMIT Previous permit
3 Date previous permit issued
[New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State
of North Carolina, Department of Environmental Quality and the Cc tal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC � s / 2 �dy ❑ Rules attached. General Permit Rules available at the following link: wwwdec(_nc.gov/CAMArules
Applicant Name rR LTU�T _LI� �V, , ILU13Y DW Authorized Agent J �C--o tf \l-•
Address Z�l l l Project Location (County):
CtyaAUZqd
/� p 5k e— State ZIP LT] "I Street Address/State R ad/ of #(s)
Phone # (9l9_) _ I q � �yL.Oyl. - �.S
Email Subdivision�7
City Lyy-1'0 A ^1 ZIP L
Affected ❑ CW ©EW [gP'TA ❑ ES ❑ PTS Adj. Wtr. Body %i L na man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
OR . yes o PNA: yesis II r
Type of Project/ Activity � n�ANI 'G pu 1- I b'I CW' Oi I e-s k k A ppa+ 1 jac A 14-�t)A U O t-)
�/XYak 1ik+ (rl000l h -Fide learner) (Scale: It 46
Shoreline Length c7 n
Access Length4,�
Pier (dock) length / I Cb� I , ((%
Fixed Platform(s) / h J �/
Floating Platform(s) / ( �.^A /Ex(�'tl
Finger pier(s)
` Total Platform area '-w-SI�TIn,,gJ aus�r
Groin length/# QI pi,
Bulkhead/ Riprap length v 1 v
Avg distance offshore
Breakwater/Sill J
Max distance/length � I + `
)
Basin, channel
Cubic yards IL J
Boat ramp I Q.
Boathous Boatlift 1�`:�, _ CL
Beach Bulldozing s AJ \\cc
Other i��9 I Khp�RIv
SAV observed: yes
Moratorium: n/a yes
Site Photos: yps gno
Riparian Waiver Attached: ye no
A building permit/zoning permit may be required by:
❑
/�++ 1_ ' TAR/PAM/NEUSE/BUFFER (circle one)
PermitConditions q.VldNfit'L M -c !\ /h ,/ r
al, I W C)J` t'Q M (n uA 6 oc —k 4p, ❑ See note on back regarding River Basin rules
r((yf-.
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Applicant PRINTED Name
nature **P ase read compliance statement on back of permit** Signature
5i120C 23 412112D22, S (21)20-2-
Application Feels) Check #/Money Order Issui g Date I Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: &1ToN V leeNfl-Oal
Mailing Address:
Phone Number:
Email Address:
1 f� Ye vrUu/ 04inri'�, Goys
I certify that I have authorized C3 Scott, Inc
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 4'( t
at my property located at 2e,� .7(r cC/` �`neY��� .47XI iYf�
in County.
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:
Si nature
T��//ON i� �Lmi✓,7 `�iL�
Print or Type Name
�YoOP,v eecf ,gt
—� Title
_ l/ 6l '2
Date
This certification is valid through q
C i ofoa3
900
RECEIVED
APR 19 2022
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f�17di v I/ lea- ryeel 's
(Name of Property Owner)
property located at
(Address, Lot, Block Road, etc.)
on ej:2a . <(a v,91 -,in le l y4-YPZ, N.C.
(Waterbody) (CitylTown andlor County
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on locaxt_ iop�,
I have no objection to this proposal.
one of
—these I have o lections to —this proposal.
'ines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a 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
Initial me. (If you wish to waive the setback, you must initial the appropriate blank below.)
Here on
one of
these
lines
4Z6 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
✓ «�
Signature
DN �CE•✓�reG�%
Print or Type Name
aaz ze7� rf
Mailing Addre,s�5
�t/F i ce /z �s/e /ill 28S
City/StatelZip
Telephone Number/email address
4�- /6- 202z
Date
(Adjacent Property Owner Information)
E l
tture*
Se_o�'r QriggWrn4tl
rint or Type Name �J
')_O(D2 tEl­erc\k
L) V - iv 2
Number/email address
U / 20 a_2 .._--
*Valid for one calendar year after signature*
(Revised AuApj�01481 2022

ADJACENT RIPARIAN PROPERTYOWNERSTATEMENT
I hereby certify that I own property adjacent to /-%i �/if "/ 'V s
(Name of Property Owner
property located at 2 e 2 ze f1 "'7 X�,- i-d
(Address, Lot, Block, Ro id, etc.)
on /�o 1ve d� alvr' in��, r� //-7,7' 0 /drle`re7/ N.C.
(Waterbody) (Cityf%wn and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on location.
3ne ofIT
D.I have no objection to this proposal.
these— _ I have objections to this proposal.
ines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Initial
Here on
one of
these
lines
C_ K IXG6k'-Ck 5L�vv
WAIVER SECTION
I understand that a 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 (If you wish to waive the setback, you must initial the appropriate blank below.)
r�- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
SignaI .�yIre /'
le,
Print or Type Name, t
..LrJ ;Z ,Z0 d %
Mauling Addre/ssJ 7 /
rCr��ity/State/Zip //
Telephone Number / email 'address 6
//1i4/,7422.
ate
(Adjac t Property, Owner Information)
Sign�ure
IConalk
Print or Type Name ,
2 .- /:194
rmber/email address
-v RECEIVED
Dale
(Revised Aug. 20 W 19 2022
*Valid for one calendar year after signature`
DCM-MHL) ,ITV"

rf VIAV tv 14UU1 Cbz�
tuvvuiy rleNaleu oy: w xuu, inc
gate: 4/16`/22
pale: 1 ": 20'
t Q
t
M �
-'w
q,
202 20th Street
Emerald Isle, NC 28594
PropertV Owner:
Hilton Renfrow
Proposed Work:
-Install four 10" 00' piles to
support a new 7,000 lb. boat
lift,
-Install a new 7,000 lb. Tide
Tamer boat lift
2002 Emerald
Drive
1912 Emerald
Drive

I hereby certify that I own property adjacent to
piny located at oP O R a ®l� skft.
The applicant has described to me, as shown below, the development proposed at the above
i have no objection to this proposal.
- ra objections to this proposal. - - -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
pix& ritrat proposing development most till In o+escr ruon bdoW 4er attach a SIO d OW09)
�)W, s�, aid drPW�..
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of ri adart access unless waived by
me. (If you wish to waive the setback, you must Initial the appropriate blank below.)
LfM I do wish to waive the 15' setback requirement.
I do not wish to waive the 1S' setback
ns"
CO%
'Valid for one calendar year after signature" (Retrfsed AU9- 2014)