White Oak River, LLC 88916C

88916
2i1``°u'"` MCAMA El DREDGE & FILL A B D
GENERAL PERMIT Date Previous t�
Date previous permit issued
KNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC O?N &(,LC�_ ❑ Rules attached. �6 General Permit Rules available at the following link: ,± .deq.nc.goy/CAMArules
Applicant Name i
Address A�gAa
CityI
Phone #) .
Email
Affected cW OEW
AEC(s): ❑ OEA IHA
ORW:
PNA:
V-PTA ES PTS
11UW ❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision _
City.
--
Adj. Wtr. Body
Closest Maj. Wtr. Body
Type of Project/ Activity ��F/ rg (2 M-CO) j9F F�X1 S CIM6
n
Shoreline Length
Access Length � � ' lU''-/� �`� }�� -I--•
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finer pier(s) �1X IS I 1 J 31 [9r
Total Platform area Z
Groin length/fl
Bulkhead/ Riprap length, --
Avg distance offshore
Breakwater/Sill
Max distance/ length I--- _
Basin, channel _
Cubic yards
Boat ramp
Boathouse/ atli
Beach Bulldozing
Other
N
AV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached;�rtt�vVy>>�
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A building permit/�permit may be required by:
� TAR/PAM/NEUSE/BUFFER
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Permit Condition �U�
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(circle one)
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See note on back regarding River Basin rules
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See additional notes/conditions on back
❑
AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND 5EVIEWED COMPLIANCE STATEMENT (Please Initial)
Agent or Applicant PRINTED Name Permi fficer's PRIN D Name /-
Signs ure •'Please read compliance statement on back of permit" signat re
zjgc' m #I a I hit el as
Application Feels) Check tt/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: White Oak River LLC
Mailing Address: 160 Plantation Drive
Swansboro, NC 28584
Phone Number: [phone]
Email Address: [e-mail]
I certify that I have authorized Crystal Coast Marine Contracting
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Construction of Concrete Finger
Piers / Boat Lift Pilings / Installation of Boat Lifts
at my property located at 206 W Corbett Ave
in Onslow County.
l 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:
�Gll7GfW S141911,fo`1
Randal Swanson (Dec 8, 2022 11:32 EST)
Signature
Randal Swanson
Owner
Print or Type Name
Title
1 / Dec 8, 2022
Date
This certification is valid through / /
DEC 0 8 2022
0CN-MH0 CITY

N.C. DIV1Sl�u ei-'QA01-AL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO
CERTIFIED MAIL • RETURN RECEIPT REQUESTED T1HAND DvFORM
HAND DELLIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: whi3t, QgiK Z vek- LLB
Address of Property: w (,-nV-hA44-
Avg 'J&tr2
Mailing Address of Owner: to p1 v- ca r 2
Owner's email: LiSeyyO td11n*� Owner's Phone#:
Agent's Name: �. Nl�lrtrl r-I-t
—e._�� � Agent Phone#:clt®-3 - -564
Agent's Email: �� nti,A-; E�.q�� G��1 r ooS+rnati i r►e co
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom DortLon to be completed b the Adjacent Pro a 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.
W 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 90 days of receipt of this notice, Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. 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 ofAdjacenf Riparian.
-OR- Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) �1 C
Signature of Adjacent Riparian Property owned
Typed/Printed name ofARPO: "t'awri ®F Svvpiy��bp:
Mailing Address of ARPO: wp► „v_ GQyye_Ul �v Sv,.nS 2!1��%f
ARPO's email: gij{%4 >�y�(l .S'r"t t,i �11 b • ARPO's Phone#: rC j�1 32 (F' L-1 LI z�j
1 f �C , it`>
®ate: I J1 '� *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL ' RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: whj±e, Q2K ViVf r t_t-G
Address of Property: 20w vV C Cy be J% A\/e, 3VVQY)SbQV-0, N C, 2$SI>4
Mailing Address of Owner: _1top Plgn-ha-1-jQh py gVy0, nc,bor0, NC, 2165F]4
Owner's email: ',cehoaSP.wale+rfion�2 Owner's Phone#: RIC-4�0-i- 1"1al
gCYIOI l � • CUk�
Agent's Name: {,&JS-1cQ1Agent Phone#:910- 2S-$4'e31
Agent's Email: q r� G1 Co Yin c� i
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.
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 400 Commerce Ave., Morehead City, NC 28557. 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' setbac
-OR-
o Signa djacen Riparian Prope y Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.-
Typed/Printed name of ARPO: Kobeydr Or C'pjy01y n M2,Oi clOw
Mailing Address of ARPO: 210 OYc1C10le, Sl• SeQLk�oyt , NC 23S1b
ARPO's email:
ARPO's Phone#:
Date: ----*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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206 W Corbett Ave
Octobor 27, 2022 1:1,128
0 0.0075 0.015 0.03 mi
i, , , ,r,r 1 . I
0 0.015 0.03 0.06 km
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L community

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December 9, 2022
SIN
1:500
0 0.004 0.008 0.016 mi
0 0.006 0.01 0.02 km

206 W Corbett Ave
October27, 2022 1:1,128
0 0.0075 0.015 0.03 mi
0 0.015 0.03 0.06 km
Esr( HERE, Gamin, (c) OpenStreelMap conbibutors, and the GIS user
cormunity

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■ Complete items 1, 2, and 3.
3 Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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9590 9402 7703 2122 7301 52
2. Article Number (transfer from service label)
I i t I t t gaLlf70q '-7,30 71(1�9
PS Form 3811, July 2020 PSN 7530-02-000-9053
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mall Express®
❑ Adult Signature
0 It Signature Restricted Delivery
❑ Registered Mall-
❑ Registered Mail Restricted
ertified Mail®
Delivery
❑ Certified Mall Restricted Delivery
❑ Signature Conflrmationm
❑ Collect on Delivery
❑ Signature Confirmation
❑ Collect on Delivery Restricted Delivery
Restricted Delivery
❑ Insured Mail
❑ Insured Mail Restricted Delivery
(over $50M
Domestic Return Receipt
X / ❑ Agent
�//lol ❑ Addressee
B. Receiv oy Printe C. ;/t f D Iivery
D. Is delivery address different from item 1? Yell
If YES, enter delivery address below: ❑ No
Service Type
❑ Priority Mail Express®
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❑ Registered Mail Restricted
9590 9402 7703 2122 7301 69
❑ Certified Mall Restricted Delivery
❑ Signature Confirmation—
Cl Collect on Delivery
n Signature Confirmation
2. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
Restricted Delivery
PS Form
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11, July 2020 PSN 7530-02-000-9053 Domestic Return Re