Hollis, Bruce 88442C

�°`°"" I�CAMA ❑DREDGE & FILL N9 88442 A B fl D
If
Previous permit /
3 � GENERAL PERMIT Date previous permit issued �
�ew ❑Modification [:]Complete Reissue ❑ Partial Reissue
As authorized by ft�he ]Sttaate of/North
�Carolina, Department of Environmental Quality and the Con Resources Commission in an area of environmental concern pursuant to:
I SA NCAC D 1 T 11 1DO ❑ Rules attached. General Permit Rules available at the following link: wwwden nc gov/CAMArules
Applicant Name
City �I ,
Phone #
Email
Affected L c'w' E9,6
AEC(s): ❑ OEA ❑ IHA
Type of Project/ Activity
Shoreline Length l0
Access Length ^/
Pier (dock) length A Do,
Fixed Platform(s) (ZAZ
Floating Platform(s) 9x Z4
Finger piers)
Total Platform area
Groin length/N
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length If
Basin, channel 11�
Cubic yards
Boat ramp
Boathous oats
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permµ oning i
Permit Conditions in
ZIP
D,PtA g" ❑PTS
❑UW ❑SPIMA ❑PWS
kyes V V
es 1(
y o Y�ba`JQ
e (no
{ryttat/y be required by:.
PRINTED Name
W W
Authorized Agent y(,e
Project Location (County):
Street Address/State Road/Lot #(s)
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale:
A2�')°
9I'Lq j2
1
Z W�-eite,leUmfl 0'' pP -n
SCJ
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
rij
❑ See additional notes/conditions on back
(Please Initial)
Suture "Please ad compliance statement on back ofpermit'* -�-7�^ /
ApplicationFeels)Check /Money (Orrd-/err

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:
Tar - Pamlico River Basin Buffer Rules 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

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date G I l o /'22
Nameen of Property Owner Applying for Permit:
C)rvcG I�:S
Mailing Address:
q LU SOrAOv1 H6\S DriUf-
C4.a�I,\ W;\\ , NL 17
I certify that I have authorized (agent) I i pp:r �ot�rc ov�S�t v c� b0 N to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) pt i"T, p Of, %4 Cs aZeyo
at (my property located at)
This certification is valid thru (date) 1 T/% % /
Property Owner Signature
-ronso. I\ N(.
Date

DJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to c l k,"s Is
t (Name of Pro arty Owner)
property located at �. D s nrr l C r t`e\!..
(Address, Lot, Block, Road, c.)
on km go-yAr 66,i in 14 T a is 5 &11 N.C.
(Waterbody (C /Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposai.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
* SLR- 6-doe-VJ
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Ziff, 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.
(Property O�nerformation)
0,�-
Telephone Nu berl email address
Date
Property,"ner Information)
uri
Telephone Number/email address
Date! --
(Revised Aug. 2014)
`Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEME�NT
I hereby certify that I own property adjacent to & . r J.�o'w tkoI US s
(Name of Pro erty Owner)
property located at � I
� OS�-t <`k.ke_
1 n (Address, Lot Block, Road, etc
on kk l so.Tac T)e�1 in . N.C.
(Waterbody (Clty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
A' - I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing tdevelopment must fill in description below or attach a site drawing)
StL d^tlOGtntd
t \ \ck c C'v-tea eV/zVz Z
j� e k'L' V
127
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.)
I do wish to waive the 15' setback requirement.
Ali t- I do not wish to waive the 15' setback requirement.
(Property O ner Information)
oh/�-
Dare
`Valid for one calendar year after signature'
(Adjace t Prope y Owner Information)
Signal
Print o Tr pe Name
Mailing Address
Pl a tt. A �
Ciovstate/Zip
Telephone Number/email address
7/G/ZZ_
Dare'
(Revised Aug. 2014)

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I hereby certify that 1 own property
property located ate,
,on A1ligator.Say•,
The aoppli t has described to me, as
- P I have no objection to this
I have objections to this pi
DESCRIPTION AND/OR
Andi'Id rpropos"
Proposed for.2
Approximated ,
10 foot by 10
'2Y foot floati
Boat lift
See attached d
See attached p,
I understand that a pier, dock, mooring
must be set b ck a minimum distance I
me. (If yo ah to waive the setback, yi
14 I do wish to waive the is, a
1 do not wish to waive the
(Property Owner Information)
SYgnahtre
Prnr Nmet
36art Street
NC
-1r —fr7 --
'Valid for one calendar year after
Is.
N.C.
the develiop 7
proposed at the above
Beach, NC
Ig pier
with m
location
concept
ramp, MGM
rater
boathouse, lift, or groln
r area of ripe
ion Items
unless waived by
it the aPPrOPr
ate i
ilank below,)
sment, 4
tfFi'oa
ri•G'cy- ?'r-
quirement.
Owner I fon motion
ldjacent Pro
gnefure0
B
ce
Hollis
fat or Type N
e
9
J
rdan Hills Drive
aping Address
C
a a
Hill NC 27517
Py/Stawop
map address a @Whiteoakcorp,ca
ilephons N m
e
ate'
(ReVANd Aug. 2014)

I
I.
C
I hereby certify that I awn property
94a0e
property located at . Osprey Ci
rcle,
(Ad
on Alli atom Ba
(Waterbody)
II The applicant has described to
, as s
loco 'on
,00
1 have no objection
this
I have objections to
this p
DESCRIPTION AND!
R D
(lndvldaa/ propooft devekpm
mg ma
Proposed`
os.2
Approxima
ell;
10 foot b
10 f
Nfoot f
oatl.n
Boat lift
see attached
dr
see attached
pi
W
I understand that a pier, dock, m
oring p
must be set back a minimum distance
of
me. (If you wish to waive the setb
ck, yo
1 do wish to waive th
15' se
I do not wish to wa
a the 1
(propertyne formation)
�i
Mailing Address
North Topsail Beach, NC
8460
-
citylstate/Zip
443-388-2030 'uliocasan
s@gmai
Telephone? a be lamall address
1' 11
_
Dare
u
"Valid for one calendar year
fter sigr
nt o 41A4C
d
pr
OGl< s
nO
tN
Projerty Owner)
N rth Topsa l
Beach,
etc.)
, Lot, Bloc
Road,
in North To
ail
Beach Onslow County N.C.
tty
(
own andfor County)
below, the
development
proposed at the above
posal.
Y
teoakcorp
2-1
(Revised Aug. 2014)

N.C. DIVISION OF COASTAL
AGENT AUTHORIZATION
Date 11 13 'y
Name of Property Owner Applying fog{ Permit:
Bruce Hollis
Mailing Address:
960 Jordan Hills Drive
Chapel Hill, NC 27517
I certify that I have authorized (agent) PippilL Marine
behalf, for the purpose of applying for and obtaining all C
install or construct (activity) Pier, Deck, Float, and
at (my property located at) 2 ospr y Circ e, North
This certification is valid thru (date)
Lla
Property Owner Signature
_ to act on my
necessary to
Beach, NC
11 13 p-1
Date

Line Table
Neve Directico vlevh
--- --------- ---
Ll N 62- 17'37- E 4.13
1.2 N 62, 11'374 E 27,23
L3 vl 720 23'454 21.16
L 4 N 51,57,31, E 22.21
LS N 59607,214 E 1.63
L6 N 43- 45'4110 E IT."
Ll N 62:01'30- E 15.31
LO N 53 42'49' E 11.6t
is22.62
19
PPOPOSEP IMPEVIOU5
3
BUILDRIVEIN1660 SF
G 1865 5F M6 33LOT PG
D
TOTAL 3525 SF
PERCENT 19.3%
A613VE HIGH WATER
04 3.3 6 36t3.
LOt OfiA *H MAP
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ACCURACY t`iAND TW f TH:S MAP
I&ETS THF At 101'1106is OF T14E 3TANDARDS
OF PRACTICE 'OR LAND SURW-fW6 IN NORTH
CAROLIWA (21'1 MCAC 5r.
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Line Td71e
NOW Oirectim LeVh
LI --t4 62.17' 37" E---4.13
L2 N 62611'31" E 27.23
L3 N 72.23'45" E 21.16
L4 N 51.51'3Y E 22.21
a L5 N 59°0T'21� E 7.63
L6 N 43'45'49 E 11.90
LO N 53°42'49" E 11.61
L9 N 69.10,39" E 22.62
LOT 3
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I CERTIFY THA'i 11415 MAP WAF, DRAWN UNDLR
MY SUaERV I S I frN rROM AN ACTUAL. SURVEY
MADE JNOER Mf SUPERVISION FROM INFORMA-
TION SHOWN ON PLAT$ THAT 714E POSITIONAL
ACCRMEETACY IRLOUIREMENTS O OF P
STANDARDS
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OF PRACTICE F'OR LAND SURVEYIt4U IN NORTH CAROL►NA t 21 AICAC 56• 16001. so 's 0 30 60
THIS '» OAY ul C!/i!w ._ 20A-, _
SEAL---------------------------------------
PROFESSIONAL
LAND SURVFys..TR"
GRAPHIC SCALES 1"© 30'
OWNEIV.
ADDRESS:
PHONE:
ORAWN164
SCALEsYw 30'
REV. 10104/21 6 APPROVEOiG1f0 1 SHEET t OF I

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