85996D - Milne

ID
w�sr
nrl
85996 a -B. c
k [CAMA '{EDGE;& FILL
. Previous permit = `
GENE �'ERM IT Date previous permit Issued
0£om late Reissue ParEial Reissue '` 1
New ❑Modifcatlon p ❑ .� &1
As authorized by State of North Carollna Department'of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: -
f5A NCAC � Rules attached. General Permit Rules:available atthe following link: www deq nc goy/CAMArules
r.,
Applicant Nam7me Authonzed Agent f I it �tf P J
Address? ��(lyj'.1� Project Location (County)" a1sf Iti'
` �. -� p r
City (d� 4# 6jitr rState _ ) ZIP G10 _ StreeggtAddress/State Road/Lot #(s) p
hone # ( 904
Email ff° 1i -- " lsi PGriOz ry"r'lf'f5'A t) ( 71 , Subdivision -
I
Gty T ,f/f°1: zip.�c
Affected . ❑ CW, [4EW " of PTA .FIES PTS
AEC(s): OEA "' ❑ IHA - UUV SPIMA ❑ PWS
ORW: yes/r o� PNA: yes/no
Type of. Projtect/Activity° VM, JOAS <€
Shoreline Length t t '
Access Length'
pf
.Pier (dock) length — Q if
Fined Platforms)
'Floating P.latform(sy' . A , Y, a - `
,Finger pier(s)
utr�a.
Total Platform area
Groin length/# i;r-cl'f
Bulkhead/ Riprap length.
Avg distance offshore
Breakwater/Sill -�
Max distance/ length'
-Basin, channel •a^
Cubicyards=--
-Boat ramp
Boathouse/ Boatlift
beach Bulldozing ---
Other '
SAV observed- yes no {
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attach no
A building permit/zomng,permit may be required by.
Permit Conditions h< f fir., " ett-z%'-
IAT APPLY TO THIS PROJECT
Agen"r Applicant PRINTED Namef>
JA
yy� .
Signatur`etu*Please read compliance statement on back of permit"
- {-` ter_
Application Fee(s), , Check #/Money Order
Adj:lNtr. Body I/#6)t1'ierr( .'r ✓7 if`'C'(`ffil'anlutk)
Closest Maj. Wtr. Body'
{ 1
7
TAR/PAM/NEUSE/BUFFER (circle one)
(`* See note on back regarding River Basin rules
F] See additional notes/conditions on back
ND REVIEWED COMPLIANCE STATEMENT. (Please Initial) (__L 'J47.A,.
PermitO 'ce.rr's'PPRTN DN¢afmje
sign upe
Issuing Date', Expiration Date

AGENT AUTHORIZATION. FOR -CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _, -. �.� 4 AM t (_1J.2
Mailing Address: 31,5 (L+ &J - t iu G G L t A 2
t
Phone Number•; � 33"7 9 46 6
Email Address:, QRIJ mrc;u tt s!`���
certify that I have.authorized CW :bVw_o&I i J S 6C?r Z. -"T LOe-0 uk
(Agent /Contractor
to act on :my behalf, for the: purpose of applying forand. obtaining all CAMA permits.
necessary:for the following proposed development: \ . �.5:f L A [ X St 1 N
OL' .0i f B.�:Gi It FT .� l4' ZJL j >t S i%n
P. :._ j
�� !�...%+, frllP. �fLlu4,y. 06C- ' a. i=LPAI I tr . Cpac,i_ iA; SrMJ1 .r-W F. 21
at my property located at /14/ S, P-A,O
in 'County:
furthermore certify. that I am authorized to grant, and do in fact grant permission to
DivWon 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:
Signature
Print or Type Name
Title .
Date
This certification is valid through 5/.16 1 Z 0

slo
OF COASTAL 'N.C:,DlfA N'
AWidgki,'WOARIAN PROPERTY OWRI
ERNOTIFICATIONMIAIVERFORM
D
ItT UR ED or HAN 13 ivi 7
CERTIFIESMAL
crop
e J�
ownirbrih their jo!I,tg- 0:,completed.
Pro perty
3
d
d"
AA�iA; JA) j'06-: �'GCOA jL a
Ad
dress of r.",
owner's emp,:
Phomw
Agent
{ Agents Co
k'j)A p
Email t�,� E)
-i.ADJACENT RIPARIAN PROPERTY 6WNE'W-5CERTIFICATION'-,��:
jh]jgjrfjo'n to 6e comploWd by the Adi cant
1 hereby o@itify That 1 awn property adjacerrt to the above reft ?4.rhe i"*ual ap*ft:for "S
properly
bcd'-#oMpi-as shiW'nvor,,ft:,aftdwd &a�0sR &Ved.owl6rd they are propose
'o ftrift' Mud kar&Aded We ffft IWO
DO NPT'D
to.'
1. Do hNe:6billct oth
'
is propos 1.
hi4d.
hi�e bean % Of
77v�w'hjoe -ob
you nmW noft 00, Ka vwbk*
'1 16 ijWngJ4W6'.10,*p of mcwOt of M Malice.Conv"ffdmcO shoutd be
WneW, (9)c.
millmilled127 Cak&,hW DramOf NC.
Am"!, Dm pmte"ftwlescw&%olwconh~st
IW72%, 1 No rtmW .- conskkredaha same as*q if you have f w~ by
0) 6
ic
WAIVER Sit-lidk
that any, prwos"
W back -a fdhi(num diatoms of am of riparim-wom unkm *,*vod by 6* ("s,
se�b� you ow.
vr (N you %*,Im to an som
�Pmp
rvta w*Ww"
ppropflawl3br*
'7 7,
1 DO wish In
vw8"jsdi*Wi ofthe I51-setback
ftsdan ATW"�(ARPQ)
-;OR
mcpAremnt (Itiftl the b[6r*),
-.Udwn,6twish'twm
Signature :df Adjacent lk6l6n"O*�"v pv(lff--
Yi Ali Am
IOWILL -.0 riq,,Add
aim
ARPhIm
Date-i,"waivec is vaNd for io toam Y".r:
g

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: _JAW v -JA1JL M441a _
Address of Property: jlq :S_T4fWF4AUVUi _ A¢I✓:L $UPpG( NC- Vx
Mailing Address of Owner: 3-75 RU✓1J(,V6 C2p012 -rZAI .. /hAn7AKi.tr SAfddi a3 r 03
Owner's email. iA�Jl m"_AJ 4,Ir4 Bm' Owner's Phone#: TOO- 3-3'7- %-:4e
Agent's Name: GIA) Y n14.1 SOd Agent Phone#: 9/D - .Sof- &/I l
Agent's Email: 51.IPi Zl�2p RmrrS 7,7 0 GAt A,� , 64M
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adl
I hereby certify that I own property adjacent to the above referent
permit has described to me, as shown on the attached drawinc
A description or drawing, with dimensions, must be provided wilt o
ut
I DO NOT have objections to this proposal. I D-
nl
H you have objections to what is being proposed, you m 7
Management (DCM) in writing within 10 days of receipt of
malled to 127 Cardinal Drive EXT, Wilmington, NC 28405, DCi o
[phone]. No response is considered the same as m o
Certified Mail. M
O
WAIVER SECTION ru
I understand that any proposed pier, dock, mooring pilings, boa' nu
must be set back a minimum distance of 15' from my area of rip _
does not apply to bulkheads or nprap revetments). (If you wish t ti
appropriate blank below.) c
r�
I DO wish to waive some/all of the 15' setback
ME
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
❑ rw.n tio�yn I+.wo+q
❑a.uw n.r anra.aow,.r
❑�niee4rd.wa�.a
-1`MAY 14 ?,022
0
Typed/Printed name ofARPO: ti%.)( L,�ei 614& £.d7-se)o2/szs ii iorn JAyLs 690"111
Mailing Address ofARPO: l (I FJX 5
ARPO's email:
ARPO's Phone#:
Date: S - / Z,' 7 *waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

4 E E i F'��'' ltll{; 19 i s ; 0� at�j ���� Hip
Ali
Sol u
ISO
�41i d e1" iiE1
f;
� I I � 9 ��li�7i � %s'sss f � �ii i61 �•�0 w� i ',ief'� a� _
1 , 41
i
i
\ w
� 1 �
WW"
V
'� 1 — •1 \ 1il
11g \
I 1 is
,
1 , l
1
--------------------
L UCO, LL C.
\J :axo eu:v.:ix6 rnxe "..x

Date R-1-d
Defe D.o Ifed
Check From (Name)
Name of Permit Holder
Vendor
Cheeknumher
Check
.mount
Permit Number/Commenta
Re..1.f or Refund/Realloe.fed
Columnl
Column2
Co1umn3
Col-4
Columns
'
Columns
Column?
Column9
t
W-9
6/8/2022
6/9/2022
Jerry G Mills Builders
Hager
First Bank
1208
$ 200.00
GP #85924D
BB rct. 18004
_
6/8/2022
6/9/2022
Patriot Boat Lift & Dock Maint, LLC
Sigman
Aquesta Bank
1206
$ 200.00
GP #87714D
BB rot. 18002
6/8/2022
_
6/9/2022
B & K Marine Construction
Smith
_
BB&T
1727
$ 200.00
GP #85972D
BB rot. 18003
6/8/2022
6/9/2022
JJ, LLC
same
First Bank
1760
$ 200.00
GP #87723D _
PA rot. 17645
_
6/8/2022
6/9/2022
Lighthouse Marine Construction Inc
Don Jordan
___ _
Coastal Bank & Trust
4274
$ 200.00
GP #85963D
JD rct. 17681
_
6/8/2022
6/9/2022
Luco, LLC
Milne
United Bank
5280
$ 200.00
GP #85996D
PA rot. 18027
6/8/2022
6/9/2022
_
Robert Layne
same
Truist
.2002
$ 200.00
GP #87735D
PA rct. 18032
_
6/8/2022
6/9/2022
Richard Chilton
same
BB&T
5737
$ 200.00
GP #87734D
PA rct. 18031
_
6/8/2022
6/9/2022
Sea Dog Marine Construction
JR HuntleyHomes LLC
First Bank
1770
$ 200.00
GP #87732D
PA rct. 18033
6/8/2022
6/9/2022
Wayne Rooks
_
same
_
Ally Bank
1255
$ 200.00
GP #87708D
I TP for JD rot. 17537