87403D-OLDHAM

`°"'41 ❑]CAMA ❑ DREDGE & FILTse
C N� 8%4O� A 13 C Previous permit
i 4,G E N E RAL PERM Date pre jous permit issued
y New Modification ❑Com lete ❑ Partial Reissu /r
As authorized by the State of North
Carolina, Department of Environmental Quality and the Coastal Resources Commission in an are of vironmental concern pursuant to:
15A NCAC Rules attached. General Permit Rules available at the following link: www.degnc.aov/CAMArules
Applicant Name + )I/1 ti t;. LL C
Address
City State zip
Authorized Agent C, ri
Project Location (County): ..r
Street Address/State Road/Lot #(s) '—/ o S/ /" ;
Phone # (_ )
Email : t c � Subdivision
City �` r zip
Affected ❑ cW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body t�La ' ` (nat/man/unk)
AEC(s): ❑ OEA HIHA HUW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no
PNA: yes/no
Type of Project/ Activity
r
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
..........:............ .
Floating Platform(s)
Finger pier(s)
Total Platform area j
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes C n
Moratorium: n/a yes
Site Photos:
Riparian Waiver Attached:( ye no
A building permit/zo iag.permit may be regi
Permit Conditions
I AM AWARE OF STATUTES, CRC RULES AND
Agent or Applicant PRINTED Name
4
(Scale: /J %)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
r v + See note on back regarding River Basin rules
THAT APPLY TO
❑ See additional notes/conditions on back
(Please Initial)
Permit Clffibgr's PRINTED Name
Signature **Plea ead compliance statement on back of permit**
Application Feels) , Check #/Money Order
Signature
z. L Z 2-
Issuing Daie Expiratio D

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:
F-1 Tar - Pamlico River Basin Buffer Rules F1 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

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Art Caiunce nllshorr
Breakwater/Sal
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Ratm., Channel ....,.,_„
C:ub+C Wards
Boat ramp
eoa:ho,re! coati+ I
&*at + BvQefar,ng
oft'er
SAvobS4rved- Yes �2
momfonurm rVa Yes
Site Pholos
Riparian Warren Attached
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11 We addrnonal notes/Cwidittans on baci
1 Fr WWARE Of STATW S. _ C RULES Ah'D CONOITIONS THAT APPLY TO Tl4l5 PRO.ECT AND NEYIEIU _ MPl1ANCE STATEMENT (Please inItsaq
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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:
Address of Property:
Mailing Address of Owner:
CCUyT CAANICtm Lw
Owner's email: Owner's Phone#: _ 52 - iylo - cos ctl
Agent's Name: Gs-c w-z Q,3 ,NSy Agent Phone#: (� ko 5-1 9 - CKY6
-Z 7511--
So 32-
Agent's Email: \-iJ y r\QA1L{ \' \ L-r lA,) q -" YA( �T—
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Rgrtlon to be completed by the Adlocent 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.
t
rl 1 Ct I DO NOT have objections to this proposal. I DO have objections to this proposal.
if you have ob/ectlons to what Is being, proposed, you must nothe 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 2W5. DCM representatives can also be contacted at
[phone]. No response /s considered the some as no objection N you have been notMed by
Certifled Mali.
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 IS' 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
Adjacent Riparian Pro
1 p party Owner (ARPO)
-OR-
Signature of Ad
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: 30nat'e, Q4
Mailino Address of ARPO: a ke r �� r'���
ARPO's email: 5 X�h U rO i! ARPO's Phone#: _JL r 202- oa�)
( Mai1. cornDate:7^ ! I Z 'waiver:V�d for up to one year from ARPO's Signature S� r
Revised May 2021

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIE1MAIL • REJURN RECEIPT REOUE�TED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Mailing Address of Owner:
Z] �0 C)\
CC �- VT G �� `lit m L^
\IYA
Owner's email: Owner's Phone#: DJZ - y( 4S Itl
Agent's Name:Gff' Q-Q. ` f� )c\!5- AA Agent Phone#: Okk6 s� �('e(. Ct5
Z-7SF7-
70 32--
Agent's Email: V \ �_'C �-l-> u YlL > "-
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(bottom portion to be completed by the Adlacent 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.
Pt E4P A description or drawing. with dimensions, must be provided with this letter.
Q 1 A -W- I DO NOT have objections to this proposal. I DO have objections to this proposal.
H 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
malled to 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at
[phone]. No response Is considered the some as no objection if you have boon not led by
Cortifled Mall.
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 slap the
appropriate blank below.)
I DO wish to waive some/all of the 15' setback 2�A
-OR-
Property Owner (ARPO)
Signature of Adjacent Riparian Pro
1 do not wish to waive the 15' setback requirement (initial the blank) -,14/
Signature of Adjacent Riparian Property Owner: MM
Typed/Printed name of ARPO _ L '__I © r)4- / tt e✓ n �?�
Mailing Address of ARPO:
�1c4 <,,=
R t l\
+ t- rx� i um Mo-4-o�� G �e (, cee r► 5 ° r,o gQ 9 ri �' • G o C)U�'l. /
ARPO s email: %� ARPO s PI%ne#: 3 07 -Oo57
Date: 'Z- 2 D " Z 2 "waiver is valid for up to one year from ARPO's Signature' �:k� Y
Revised May 2021

Joel
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Carolyn C. Oldham
Mailing Address: PO Box 9378
Chapel Hill, NC 27515
Phone Number: 919-933-8578
Email Address: [e-mail]
I certify that I have authorized Grice Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock Replacement
at my property located at 408 Marlin St. Sunset Beach, NC 28468
in Brunswick County.
I furthermore certify that I 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:
Signature
Carolyn C. Oldham
Owner
Print or Type Name
Title
08 / 04/ 2022
Date
This certification is valid through 08 / 0� 2023

Date Recelved
Date De tied
Check From ame)
Name of Permit Ho/der
Vendor
Chock number
Check
amount
Permit Number/Comments
Receipt or Refund/Rea/located
Column!
Co1umn2
Columns
Column{
Columns
Columns
Column7
Columns
Columns
8/2212022
John McClure
Starfish Rental Mgmt, LLC
United Bank
1179
$ 200.00
GP #87686D
PA rot.17972
8122/2022
Sea Dog Marine Construction
Bullard
First Bank
1865
$ 400.00
GP #87685D
PA rot. 17971
8/22/2022
Sea Dog Marine Construction
Goss
First Bank
1841
$ 400.00
GP #87683D
PA rot. 17970
8/22/2022
Gregory Holden
Simpson
United Bank
5665
$ 400.00
GP #85959D
TP for PA rot. 17777
8/22/2022
Logan Marine LLC
Kraemer
Truist
8080
$ 200.00
GP #87684D
PA rot. 17968
8/22/2022
B & J Construction of NC LLC
Cohen
Truist
2547
$ 200.00
GP #87682D
PA rct 17969
8l22/2022
Grice Construction
Oldham
Truist
11300
$ 200.00
GP#87403D
BB rot 18094
8/22/2022
Jarrod McCracken
same
Coming Federal CU
91
$ 400.00
GP #87406D
BB rot. 18098
8/22/2022
Permit Pals
Caudle
CresCom Bank
3813
$ 600.00
GP #85775D
PA rot. 17965
8/22/2022
Michael Kostello
same
Pinnacle
268
$ 200.00
GP #85776D
PA rot. 17966
8OZ2022
AMW Docks & Marine Construction
Bogley, LLC
Truist
7339
$ 200.00
GP #87698D
BB rot. 17927
8/22/2022
John McClure
same
Truist
756
200.00
GP #87407D
BB rot. 18099