JW Benefits Planning, LLC 78853C

%CAMA / 0 DREDGE & FILL N9 79853 A B U—C) D
GENERAL PERMIT Previous permit# �l
gNew 011odification ❑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 0)
rr y les attached.
Applicant Name K,n �V LLL Project Location: County �� nVL.
Address ''—'•G 'oo ✓ Street Address/ State Road/ Lot #(s)
CitylL t� T] ` State �ZIP
�` e�t
Phone #
Authorized Agent
���
Affected �CCW 'z\w .kI A _, ❑PTS
AEC(s): LIOEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS:
ORW: yes /� PNA / no
Type of Project,/ Activity
Pier (dolt) length X r-r-T-1
Floating Platform(s) s
Groin length
number -
Bulkhead/ i
Riprap length
avg distance offshore
max distance offshore
Basin, channel i
Boat ramp
Boathouse/ Boatlift — - — ---
Beads Bull ozingTI--j—
Other
Shoreline Length rt I
SAV: not sure yesCno
—
Moratorium: n/a yes
Photos: yes 11_�Wager Attached: yes
A building permit may be required by: �A
( Note Local Planning jurisdictlon)
Notes/ Special Conditions
read compliance statement on
�
CityN f V ZIP
Phone # ( ) River Basinwi �(aea&
Adj. Wtr. Boda,,4jlj na man. kn
Closest Maj. Wtr. Body---------- n
(Scale:'
❑ See note on back regarding River Basin rules.
•, . I _ A .A
Fee(s)

XCAMA / ❑ DREDGE & FILL J N° 78853 A B c> D
GENERAL PERMIT Previous permit#
g1New ❑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 15A NCAC
Applicant Name
Address
City IN -
I U
I b
Sta
Phone # ($2)
E-Mail
Authorized Agent
XCW
'16
'kfTA
Affected
AEC(s): El OEA
❑ HHF
❑ IH
❑ PWS:
CRW: yes /69
PNA
/ no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) K
Floating Platform(s)
Finger piers) �
Groin length
number
Bulkhead/ Piprap length
avg distance offshore
max distance offshore
Basin, channel
Boat ramp.
Boathouse/
Beach
Other
on
Shoreline Length (:��
SAV: not sure yes no - -
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes n
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions wtv�/.�--Ij-
WIN
City N
Phone # (_)
Adj. Wtr. Body_
Closest Mal. Wtr.
(Scale:'1/1� I / )
❑ See note on back regarding River Basin rules.
/ / A . A __Lf
Sign ure .. Please read compliance statement on backof permit**
Application Fee(s) Check #

DIRECTIONS FOR OBTAINING A CAMA GENERAL
PERMIT for a PIER, DOCK, BOATHOUSE/LIFT
To obtain authorization to construct a pier, you must submit the following items to your
CAMA Permit Officer:
Signatures of no objection to the pier, from both adjacent riparian property
owners.
Fill out the attached forms, complete with drawing of the proposed
pier, and have your neighbors sign and date in the appropriate place.
If hand -delivering use the form that states such.
If your neighbor will not sign the form, or lives out of town, you may
send the CERTIFIED MAIL /RETURN RECIEPT form, and 10 days
after the date of receipt (which is listed on the green cards returned to
you by the Post Office) the permit can be issued, even if no response
has been received.
QVI If any part of the proposed pier is located within 15 feet of the
Riparian Access Corridor line, the applicable neighbor must check
AND initial the box to waive the 15 feet setback requirement. A
signed form, without this box checked, does not constitute a waiver.
19' The Riparian Access Corridor is not the extension of property lines
out into the water. It is established by two imaginary lines that extend
at a 90' angle from the channel of the waterbody to the highground
property corners. Your Local Permit Officer can help you in
determining your Riparian Access Corridor, In some cases, a survey
may be required.
2. Drawings of the proposed pier:
Your drawing must include the following information (see attached examples):
<V' Your name and project address
�9' Names of adjacent property owners
Width of property and name of the waterbody
12F, Dimensions of the proposed structure, including distance to the
property line and Riparian Access Corridor line.
(No GkAr,1A
®' Any marsh grass border along the shoreline
RECEIVED
FEB 112021
DCM.MHD CITY

General Permit for Piers
Page Two
Q61 Width of the waterbody (this is the measured distance from the
waterward edge of the marsh grass on your side of the waterbody to
the waterward edge of the marsh grass on the other side of the
waterbody)
rd' Water depth at low tide, at the end of the proposed pier
IV. Distance from the end of the pier to any federally maintained channel,
if applicable. This information can be obtained by reviewing the
channel survey maps at the US Army Corps of Engineers District
Office, 69 Darlington Avenue, Wilmington, North Carolina
3. Once you have this information you should contact your CAMA permit officer and
arrange an appointment to meet you on the property and evaluate your request. When
you receive your permit, take it to your building inspectorto obtain a building permit.
This authorization is only valid for 120 days --contact your CAMA Permit Officer if
for some reason you cannot complete the construction within this time period. The
CAMA Permit Officer will inspect the finished pier to assure compliance with the
submitted drawing and all conditions of the permit.
Sample Drawings
15A NCAC 07H.1200
Attached: Riparian Property Owner Letters
Agent Authorization Form
s:\cama\shells\pier.dir

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:-QAw1tS L. W OLFE
Mailing Address: 3 i 3 5cy-r-CH 30nln)e_ 1 2
Phone Number: Gl ly' (01 9 q Do 1
Email Address: L tao LFE @ � W 61 ✓,) Uc5-r, . co w,
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: "P210 aYE bvc tG
2-0-2-
at my property located at 5LUM Sco7,c0 F>ovn/er N•"ryPSAI c-(3CAC0 JC_
in brJSLpGJ County.
l 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 enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property
Signature
J,g,.neS L. W OLG�
Print or Type Name
©W tj e/L
Title
1 / I I / Zo z-
Date
This certification is valid through / /.

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: 'JAvvl L S L. W t7 lam,
Address of Property: 313 5coTOIA &j/ r bQ TbP:SAt L &Act-)lJG 0^)5LVC0
(Lot or Street #, Street or Road, City & County) 0CV^l -r q
Agent's Name #:
Agent's phone #:
Mailing Address:
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the 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 a pier, dock, mooring pilings, 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
UJo LFf'
Print or Type Name
313 5ctrrcd P�oQAAn- (bft
Mailing Address
jJ DPSAIL .8> 14 (JC Z$4(aa
City/StatelLip
q 10 •- (gym ��OD
Telephone Number
I Ill ILI
Date
(Adjacent Property Owner Information)
. "
Signature J
Print or Type Name
Mailing Address
City/Statalzip
Telephone Number
Date
Revised 611812012

dr
h . 113
01
101
YOtA i� h {\ly, ti,rli fi 0 `G`C001Y
901,
108
IN
-
14 9010 �tia•, may. { ` �J'°� \:' t
cr,_ G.00gi.

b ,3A u 3
e,0aa _) 4
313
i
PO4-1 IG
ET,1-44. 1
N0RT1-1
TOPSAIL
� BEACH
9014
i
90 "1 l Fn 1 12'
9010
i RUI-1z1
SURF CITY
9008
s�
/�9006
of
SCt4-1C17 (%) Jl4-V3
January 11, 2021
e (AA. ':0
el , 1A-51
DD,IA-52
e.f i.1A -G2
s
� s �r) 105
r -r
'102
2107 160 N
i W E
e04-12 5.2
S
1:1,128
0 0.0075 0.015 0.03 mi
0 0.015 0.03 0.06 km
Swro : Esri, Mmar, GeoEye, Earfoster Geograpkcs, GNESIAirbus GS,

I�sz
a 1