85958D - DOUGLAS

0X- ElDREDGE & FILL I N� 85958 A B C ,D
GENERAL PERMIT Previous permit
Date previous permit issued
❑New ❑ Modification ❑Complete Reissue ❑ Partial Reissue
I
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Co fission in an area of environmental concern pursuant to:
15A NCAC617 `"f . 1 A W 0 7 11.11012 ❑ Rules attached. General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name ( Authorized Agent I 137
i%
Address Project Location (County):
City CCf. 04 State I ZIP " Street %dress/State Road/Lot #(s)
Phone # (Mr ! 7 4a W.
Email " h 1 1(f 4 � Subdivision
)��
City Ci1Gf ZIP
O
Affected ❑ CW ❑EW [PTA ES ❑ PTS Adj. Win Body
(nat/r is /unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWfS Closest Maj. Wtr. Body aA 6'V 4
ORW: yes/ti9 PNA: yes/60)
Type of Project/ Activity JV110J2141
Shoreline Length 18b L 1-
Access Length
Pier (dock) length Y a
I Fixed Platform(s) i - 19I
:5f • D d'i rjr r!H &-.Z V (Scale: YJ S )
Floating Platform(s) 16 to W I �
Fingerpier(s) 4
Total Platform areah� SF
Groin length/#
Bulkhead/ Riprap length' W
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp ..a
Beach Bulldozing
Other Tt ��
SAV observed: yes �(b�
Moratorium: n/a yes l2�iCr
Site Photos: yes
Riparian Waiver Attached: yes n
A building permit/zoning permit may be rei
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, C C.RULES AND CONDI IONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
-'h9entorNf0,NW Permit Officer's PRINTED Name
Signature "Please read cor Nance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing D tee Expiration Date

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:
1-1 Tar - Pamlico River Basin Buffer Rules F-1 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

d -,AN',1 0111111-111-111
GENERAL PERMIT
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Leslie Douglas
Mailing Address: 304Indigo Dr. Cary, NC 27513
Phone Number: 919-244-1849
Email Address: IeslieCaldrgtriangle.com
I certify that I have authorized Chris Lovell
Agent ' Contractor
to act on my behalf. for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 130 W Liana ur. van uiana. rk- _av»
Brunswick
In
County.
new docking facility
l furthermore certify that ! 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:
».d
0sow:- 455 wa EDT
Ip1V MQ$
—P;�—Zk�
Signature
Leslie Douglas
Print or Type Name
Property Owner
Title
/09I06: 2022
Date
This certification is valid through 09/06/2023

*Not a Survey (Not to Scale)
Depths Taken 8.18.2022 8:32 am
Photo 8.18.2022 8:28 am
Waterbody Width: 67'
Davis Canal 1/4 Width:
PNA: No
Shaded Allowance: 800 sq. ft.
Proposed Shaded Impact: Approx. 560 sq. ft.
-1.36'
-1.67'
-2.83'
-3.41'
-3.62'
-2.93' -3.48'
-3.68'
75' -2 39' Fixed 1
12k Boat Lift #1 -1.95'
-1.9�0' •
15'
-3.68'
Waterbody Width: 55'
-3.58'
15' x 14' NVorA sLtr 1/4 Width: 13.7'.
— — •—
fet Ski Floa 'ng Kayak Launch
Lift #2 w/ stops at 18" (8' x 10')
• -1.26' -1.84'
Fixed Walkway 6' x 27'
Replace Existing Bulkhead in same footprint (Approx. 126'
P/L
234JF042 130 W. Island Dr.
(DOBRZANSKI) (Schnell/Douglas)
15'
128 W.
(FA

CA
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: in ofas
y
las
Address of Property:. �/Jc S( % �Ct - l��a!/l�;k
Mailing Address of Owner: 4ar Zr
—�—
Owner's email: Owner's Phone#:
Agent's Name: Chris: Lovell Agent Phone#: [phone]
Agent's Email:
chrislovel1smc24(agmail:com
ADJACENT RIPARIAN. PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be comaleted 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
description or drawing, with dimensions, must be provided with this letter.
I DO NOT.have objections to this proposal:. I DO.have objections to this proposal. .
if 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 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 any proposed pier, dock,. mooring pilings, boat ramp; breakwater, boathouse, lift, or
groin must -be setback 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 shin
..the appropriate blank below.) -
I DO wish to waive some/ali of -the 1 V. setback
Si nature of Ad'acent.Ri adan Property Owner
;rip_
9 J P. P. Y.
I do not wish to waive. the 15' setback requirement (initial the blank] PCD
,Signature of.Adjacent Riparian Property Own ,-
DOBRZANSKI PAUL a sr fi70'BRZANS1d CHANDA
Typed/Printed name of ARPO: .
Mailing Address ofARPO: 1991.8 HAYFIELD CT HAGERSTOWN, MD 21742-6714
ARPO's email: [e-mail], ARPO's Phone#: [phone].
Date: 9.1: 022 *waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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Your item was delivered to, an individual at the address at 1:24 pm on September 2, 2022 in OAK ISLAND, NC 28465.
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Parcel lnfo-86M
ParceIID: 234JF044
Parcel PIN: 204615532338
Calc. Acreage: 0.37
Legal Dea iption
L-43 B-282A S-18%LB PLAT 1316
Owner Information
Owner Name:
FAMY E ARLENE TRUST
Meiling Addreu:
5785 SE PINEHURSTTRL
HOBE SOUND, FL 33455.1105
Deed and Plat Rafarwtw
Deed Book: 02160
Deed Page: 1370
P at Book:
P at Page:
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Called The Sheridan at Hobe Sound 9.6.2022.
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<
N.C. DIVISION OF COASTAL MANAGEMENT �aU QM
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: L&,514%rwA
Address of Property: 130 f
Mailing Address of Owner: �0{ TnJ-1 jy J) r
Owner's email: Owner's Phone#:
Agent's Name:
Chris Lovell
Agent's Email: chrislovellsmc24(cgmail.com
NC Z7513
Agent Phone#:
910-269-0240
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
C ZO'Y&S
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 DO NOT have objections to this proposal. I DO have objections to this proposal.
If 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 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 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
Signature of Adjacent Riparian Property Owner
Eem
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
FAMY E ARLENE TRUST
Mailing Address of ARPO: 5 -7 cbS S f—:-- Pir,0LAC S� ( ('I H06P- 56"Adz FL,
4�—ARPO's email:
)eate:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
3345-57-
Iros
Revised July 2021

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Amico, Patrick J
From: Ben Brink <[e-mail]>
Sent: Friday, September 9, 2022 11.59 AM
To: Amico, Patrick J
Cc: Chris lovell
Subject: [External] Re: 130 W. Island in Oak Island
Ruth Violette 1123 AM (24 minutes ago) {r
tome
Ben, the person who received the certified letter is in "memory care' which is a locked facility and we do not sign for certified mail at the front desk for those residents.
Thank you,
Debbie Violette
Ruth Violette
The Sheridan at Hobe Sound I Concierge
SENIOR LIFESTYLE
5785 SE Pinehurst Trail I Hobe Sound, FL 33455 1 0772-218-7999
On Fri, Sep 9, 2022 at 10:32 AM Ben Brink <[e-mail]> wrote:
Patrick, -
I spoke to Debbie at the front desk of the Sheridan at Hobe Sound (Senior Living Center)9.9.2022. She said that they
cannot sign for certified mail sent to a resident. Debbie's email is [e-mail]. I have requested a
formal email from the director of the facility stating that they cannot sign for a resident's certified mail.
Can you do what Tara said and write up about the multiple attempts being made?
Ben
On Wed, Sep 7, 2022 at 1:16 PM Ben Brink <[e-mail]> wrote:
Hey Patrick,
Chris Lovell asked for my help on this one. I have him copied on this email as he is the agent. You mentioned that you
have the check for this application.
No luck getting in touch with Ms. Famy by calling the Sheridan at Hobe Sound as of 9.7.2022. No waivers requested.
Thanks sir!
Ben
Coastal Permit Guy, LLC
[phone]
Helping you get your work done!
1

COASTAL
P E R M I T GUY

Amico, Patrick J
From: Ben Brink <[e-mail]>
Sent: Tuesday, September 6, 2022 4:24 PM
To: Amico, Patrick J
Subject: Re: [External] 2 attempts to a neighbor
Sorry for so many emails:
This is an assisted living facility and I have a call to them to see if I can get in contact with Arlene Famy... They have
certain privacy restrictions.
5785 SE PINEHURST TRL
HOBE SOUND, FL 33455-1105
On Tue, Sep 6, 2022 at 3:48 PM Ben Brink <[e-mail]> wrote:
Got a game of cat and mouse because the address changed within the last 2 weeks and I notified both of them:
2880 NE 14th Street Cswy Apt 7.12
Pompano Beach, FL 33062
and
5785 SE PINEHURST TRL
HOBE SOUND, FL 33455-1105
On Tue, Sep 6, 2022 at 11:54 AM Ben Brink <ben@coastaIPerm itguy.com> wrote:
No but I can try. Can you ask Tara if we need to continue looking if we tried twice and don't need a waiver?
Ben Brink
[e-mail]
910-302-5725
On Sep 6, 2022, at 11:37 AM, Amico, Patrick J <[e-mail]> wrote:
Have you considered contacting the tax department or water department for the Town in Florida to
see if they have an updated mailing address associated with the one you've sent mail to?
Patrick Amico
Environmental Specialist 11
Division of Coastal Management
1

Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
[phone] (mobile, preferred)
[phone] office
From: Ben Brink <ben@coastal permitguy.com>
Sent: Saturday, September 3, 2022 4:47 PM
To: Amico, Patrick <[e-mail]>
Subject: [External] 2 attempts to a neighbor
Hey Patrick,
I sent two certified mails to a neighbor. Can you let me know what DCM requires for a CAMA GP (no
waiver necessary)? See attachments. This is for 130 W. Island.
Ben
Coastal Permit Guy, LLC
[phone]
Helping you get your work done!

COASTAL
PERMITGUY

Amico, Patrick J
From: Ben Brink <[e-mail]>
Sent: Tuesday, September 13, 2022 8:33 AM
To: Amico, Patrick J
Cc: chris lovell
Subject: [External] Re: 130 W. Island in Oak Island
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Morning Patrick,
Any updates on this permit application status? Are we able to get it issued with the current application? Thanks sir!
Ben
On Fri, Sep 9, 2022 at 11:59 AM Ben Brink <[e-mail]> wrote:
Ruth Violette 1133 AM (24 minutes ago) {l
Ben. the person who received the certified letter is in 'memory care" which is a locked facility and we do not sign for certified mail at the front desk for those residents.
Thank you.
Debbie Violette
Ruth Violette
The Sheridan at Hobe Sound I Concierge
SENIOR LIFESTYLE
5785 SE Pinehurst Trail I Hobe Sound, FL 33455 10 772-218-7999
On Fri, Sep 9, 2022 at 10:32 AM Ben Brink <[e-mail]> wrote:
Patrick,
I spoke to Debbie at the front desk of the Sheridan at Hobe Sound (Senior Living Center)9.9.2022. She said that they
cannot sign for certified mail sent to a resident. Debbie's email is [e-mail]. I have requested a
formal email from the director of the facility stating that they cannot sign for a resident's certified mail.
Can you do what Tara said and write up about the multiple attempts being made?
Ben
On Wed, Sep 7, 2022 at 1:16 PM Ben Brink <[e-mail]> wrote:
Hey Patrick,
Chris Lovell asked for my help on this one. I have him copied on this email as he is the agent. You mentioned that you
have the check for this application.
No luck getting in touch with Ms. Famy by calling the Sheridan at Hobe Sound as of 9.7.2022. No waivers requested.
Thanks sir!
1

Date Received
Date Denashed
Check Frain N-me)
Neme of Permit Hclder
Vendor
Checknumber
Check
-mount
- P—NNumbeNC—ents
Recelnt or Ref—d/Re-Ilac W
Column!
Column2
W-3
Column4
Column5
Column6
Column7
Columns
- Column9
9/29/2022
Sea Dog Marine Construction
Bonnett
First Bank
1926
$ 200.00
GP #87469D
BB rot. 17903
9/29/2022
Joel Klass
RWJ Investments LLC
BB&T
667
$ 400.00
GP #87476D
BB rot. 17901
9/29/2022
Tomm Adams
same
Bank of America
110
$ 200.00
GP #87642D
BH rot. 17721
9/29/2022
Barry Crews
same
Members Credit Union
5556
$ 200.00
GP #87462D
KB rot. 10366
9/29/2022
Christopher Lovell
Douglas
First Citizens Bank
102
$ 600.o0
GP #85958D
PA rot. 17736
9/29/2022
James Williamson
same
Truist
4752
$ 200.00
GP #87431 D
PA rot. 17734
9/29/2022
Pippin Marine Construction LLC
Harold and Prince
Wells Fargo
6117
$ 400.00
GP #87461 D
KB rct. 17805
9/29/2022
Southern NC Marine LLC
Gerow
First Bank
1548
$ 200.00
GP #87486D
JD rot. 17695
9/29/2022
Steven Farmer
Holt
Truist
5533
$ 200.00
GP #87493D
KB rct. 10367