88472C - Orlando, Hernandez

*`°°" LJCAMA ❑ DREDGE & FILL N�? 88472 A BD D
GENERAL PERMIT Date Previous permit
3 Date previous permit issued
QNew [I Modification El Complete Reissue ❑Partial Reissue
As authorized by the Sjta�te of Nor/t�h Carol�insa, Department of Environmental Quality and the Coas I Resources Commission in an area of environmental concern pursuant to:
I SA NCAC T t I L �V ❑ Rules attached. General Permit Rules available at the following link: wsvw.c1w.nc gov/CAMArules
Applicant
921,VWU Authorized Agent �V Li l
r .\LAJJ," Project Location (County):
ZIP L7ff/z � Street Address/State Road/Lot #(s)
Subdivissiionn
City -AV / ✓7 ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adl. Wtr, Body an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mai. Wtr. Body
ORW:qo PNono
Type of Project/ Activity
Shoreline Length •t V
Access Length d
Pier (dock) length l`� 1t (a1r
Fixed Platform(s) jZ.Xl2) `•Fay
Floating Platform(s) r/
Finger pier(s)
Total Platform area
Groin length/H _
Bulkhead/Riprap length /s
Avg distance offshore
Breakwater/SIII
Max distance/ dmlength/•�
Gvn •h nni e-
Cubic yards ^/
Boat ramp
Boathous i
Beach Bulldozing
Other
J
(Scale: � )
18f loxtz 4xto (-laMrmwl swlfge"Lttf VV
Biwa lZf Z-
\ W
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: ClEy no
A building permit/zoping permit fray be required by:
or
r
r—
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Sign ure"'Please dgmpliarfce statementlfn back —of pemit'Signatro 3% 120Zz
Application Feels) Check q/ oney Order Issui� Dale Ex vatlin Date

❑DREDGE & FILL N9 88472 A BOC D
Previous permit
3 GENERAL PERMIT Date previous permit issued
QNew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Sjtate of North Carolina, Department of Environmental Quality and the Cow I Resources Commission in an area of environmental concern pursuant to:
I SA NCAC'Dr] r , at • 1166 ❑ Rules attached. General Permit Rules available at the following link: www.detI.nc.gov/CAMArules
Applicant Name �// ' CiL Cl Authorized Agent V / "L / /
Address 9M8 61t it C.FX//f'%w� Project Location (County):
City _A Late t�- ZIP 091 3 Street Address/State Road/Lot#(s)
Phone # (9" — 3
Email / IL,man�ge , gzwZ1 '('5D / Subdivision
City,/l/� ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ✓/!
ORW:6C PNono
Type of Project/ Activity <ags
' nD/7J,P2 ,L7`
/ , .Olei
.,eAl
v
Shoreline Length ' l
Access Length pI
Pier (dock) length IC (O1r
Fixed Platform(s) I2XI2I 4't(7
(610 , In x (Z
Floating P— I f rm(s)'/
�YfK sfcpc}awn ��
181nch� IOXIL 4xto FIL�4Drmw/ swlryrUtf-
elwa j21IZ
Finger pier(s) / doa(L— tove(aA
Total Platform area T—
Groinlength/N
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
_
Max distance/ length
Basin, channel /-"
Cubic yards
Boat ramp
Boathous
Beach Bulldozing �
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: es !�✓ "d
Riparian Waiver Attached: es no
A building permit/zoning permit maybe required by:
Per it Conditions
a-< S er Af/ �
i
I AM AWARE OF STATUTES. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLAIN
or Applicant PRINTED Name PernmXjficer's PRINTED
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
gn urea eases mpliance statement on back of permit" Signatur
Siy 22d)6 c3 ej �323 /,u / ,DZ,— /2azZ
Application Feels) QCheck tf/ oney Order Issuing Dale Ex1firatidin Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: —61I wiYtt—",I '-9 hg-
Mailing Address: Y- -(0& C. mltl sn s
Wa'41.�,1, Nt: 2,9173
Phone Number: f WO 2-6(a 2 q 13717 `/
Email Address: _yrlq/�rLe C)A C ct r acS!;e -/9 of
I certify that I have authorized Nicholas Cattano of N.C. Marine Construction
lae
Agent t Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
CC"CI-
at my property located at
in OVASt(-U� County.
i furthermore certify that f 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:
Signatu
rrwrllee `a._
Print or Type Name
Title
$ i L7
Date
This certification is valid through
RECEIVED
OCT 31 2022
DCM-MHD CITY

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USE TABLE
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STATE OF
NORTH CAROLINA
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NORiN CAROLINA,
"KOW CONNTY
11 WEETON LYALL, PROFESSHONAL LAND
SU RIDS0II NUMBER L44316 CEHmPY THAT THIS
PLOT FWI WY DRLWM YNOES MY WPERTSION
FROM AN ACTUAL OPS SYRUSY YADE YNDER Mr
■ura"W N(COPBOOK SI PACE UAND THIS
FOLLOW" WAS USED TO PERFORM
ME SURTET CLASS OF WRYST BI POSMONAL
ACIRVIN f SEO RMSI TYPE OF OFS FIELD
PROCEDURE: YRERIKOPEI DATUM, 1I11003'21)r,
NATDBBI OEIOD MODELI NOR) ODI COMBINED
ONO FACTON O.999110871 UNITE: US SUI1(EP1�2yyy,,,"""
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NOTES -
1. THIS SURVEY G OF AN EXISTING PARCEL OF LAND.
2. SIIBIECT TO RESTRICTIVE COVENANTS. EASEMENTS OF
RECORD, ZONING ONOINANCE 9 UNDERGROUND UTILITIES.
IFANY.
3. ND TITLE SEARCH BY SURVEYOR.
a. REFERENCES: D058]e PG 522. ME 31. PG a
5. FLOW ZONE r AE (EL 11) a VE (EL 13)
NCFIRM MAP k3]2W2T]D'JK. EFFECTIVE DATE BW 2020
B. ZONE: R-W - NORTH TOPSAIL
SETBACKS PER TOWN FRONT � 30. SIDE � 10.
FEAR -IQ
], FIELD DATA COLLECTED 3 w 22
PETER a SARBW IMTZ
D9 425I. PO51]
MEMOH
WATER S TEq PWERMBJI,Pot
PEPMBS1. 10fN891,Po4
LOT IB
Q1E]
D•az9ew NEW RIVER INLET ROAD
Sam NBFIIBUORMA
PROPERTY INFORMATION.
OWNER- HERNANDE20RIANOO TRUSTEE
ADDRESS: 4500 MORRIS PARK DR
MINT HILL. NC28227
TOTAL AREA 1.SC AC.
MAP BOOK 31. PAGE C
DEED BOOK 5501. PAGE 522
PIN #4277I28558&1
1,R\PIKSC\1I\FlI:T
PERSIS NOVA CONSTRUCTION
fIq OCF/JI CLUBORNE
LOT 140CFAN CWBVRIAOF
oN91rnv COUNTY
9NMP lbUXOTONN9MP
FfJY11•�LP WRCN BI�EM
31 2022
DCM-MHD CITY

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[)CM-MND CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: o L% � n' du tt i' c n a nd Z
Address of Property: it) 0 C cec),-n D u y)
Mailing Address of Owner. C) S K Vc P (} F'1- C61M j'}') 0 n S U0. t-yU h(kWi N(2 2' 17
cetUnGlo�t)hCrxpitcliGiSSPtS c6.-q' r�r n n �-' Z 2 �.�I,3
Owner's email..[ Owner's Phone#: / q
Agent's Name: N jlj(t P-i jl(' MAW t; C11 611 hI -Agent Phone#: �NH3 -q i I Z I �%� l] " LJ U 5 - 1 2—
Agent's Email: nc( acme 1 nc CZ( YYl(l.- 1 Co
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
it 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 Drfve 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
1 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 some/all of the 15' setback !I '' [r e & /'�j ��
�ti.ii J ✓...nvs../la ✓'1,.._ r ir`r' r �4/Cy
Signatu fAdjacentRipada pe Owner Y (!
I do not wish to waive the 15' setback requirement initial the blank)
Signature of Adjacent Riparian Property Owner:
����,��,//�� ��11 R.G-P�-kSnGr�Tid4
Typed/Printed name of ARPO: �1( 1 � bV4 N `` FiLe J ris N �.` ��SW I i1Nr►LT1 (�>�(�-0 (�ul(?w
Mailing Address of ARPO: 2-t)(}Si 11irt' Yltfc(� yI hi� 1�P<(� 1. tJ� N G 2g `1 tc (b
ARPO's email: IMIIe Vart+hC. Ogtj ARPO's Phone#: �10-- 1 3Li��
Date:
'Waiver is valid for up to one year from ARPO's Signature'
RECEIVES
Revised July 2021
OCT31 2022
DCM-MHD CITY

V
Postal Service'"
TIFIED MAIL° RECEIPT
tic Mail Only
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OCT 31 ?(177

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