20200201 Ver 1_CAMA Application_20200204

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Jonathan Holland
2. LOCATION OF PROJECT SITE: 480 Roberts Road, adjacent to the AIWW and Topsail Sound,
in Hampstead, Pender County.
Location by GPS: Lat: 34°23'51.31"N Long: 77°37'09.57"W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 1/27/20
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received Complete- 1/14/20
Office - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Pender County
Land Classification from LUP - Developed / Conservation
(B) AEC(s) Involved: EW, PT
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Onsite septic
Planned - None
(F) Type of Structures: Existing - Single Family Residence and private docking facility
that includes a single access pier, platform, Boating dock and boatlift.
Planned - Boat lift
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
Wetlands
FVegetated
tated Wetlands
er
144 sq. ft.
—(incorporated)
(C) Other - High ground
(D) Total Area Disturbed: 144 sq. ft.
(E) Primary Nursery Area: YES
(F) Water Classification: SA Open: YES
8. PROJECT SUMMARY: The applicant proposes to expand an existing docking facility by
installing a new 12' x 12' boatlift, creating a total of three (3) slips.

Jonathan Holland
Page 2
9. PROJECT DESCRIPTION:
The project site is located at 480 Roberts Road, adjacent to the AIWW and Topsail Sound, in
Hampstead, Pender County. To find the property from the Wilmington Regional Office, take
Highway 17 North from Wilmington approximately 12 miles and turn right onto Sloop Point Road
(at the C-Store Gas Station/Subway). Travel approximately 2.1 miles to the intersection of Sloop
Point and Roberts Road. Turn right onto Roberts Road and continue to the end of the road (turns to
gravel/dirt). The subject property will be located at the terminal end of the road at house number
480 (new home construction).
Existing man-made features on the property include a single-family residential dwelling (under
construction) and a private docking facility. High ground vegetation consists of lawn grass and
ornamental shrubs. The high ground portion is elevated approximately T-5' above the normal high
water (NHW) level, and the shoreline (+/- 77 linear feet) is stabilized by rip-rap/concrete rubble.
There is a narrow fringe of Coastal Wetlands bordering the property along the eastern shoreline.
Residential properties border the property to the north, south and west and the AIWW and Topsail
Sound border the property to the east.
The existing pier and docking facility were authorized in June 2019 under CAMA General Permit No.
74315-D. The facility is located along the eastern portion of the property and extends
approximately 45' beyond the outer edge of marsh, into a maintained access channel. The facility
consists of a 6' x 20' access pier, 17' x 17' covered platform, 5' x 20' finger pier, 8' x 40' floating dock
and 12' x 16' boatlift (located on north side of the existing finger pier). The existing docking facility
extends approximately 43' beyond the outer edge of marsh, which places the entire structure
within 1/4 of the width of the water body and just outside of the existing channel.
The waters of Topsail Sound (adjacent to the project site) are classified as SA by the North Carolina
Division of Water Resources. They ARE designated as a Primary Nursery Area (PNA) by the
North Carolina Division of Marine Fisheries, and they are OPEN to the harvest of shellfish. Based on
visual observations made by DCM staff during the January 2020 site visit, there appears to be NO
Submerged Aquatic Vegetation (SAV) in the surrounding area. Water depths in the vicinity of the
existing facility range from -2' to -6', relative to normal low water (NLW).
PROPOSED PROJECT:
The applicant proposes to expand the existing docking facility by installing a new 12' x 12' boatlift,
creating a total of three (3) boat slips. According to the application package, a new boatlift would be
installed along the north western side of the existing 5' x 20' finger pier, between the finger pier and
the shoreline. The proposed boatlift would provide dockage for a single vessel. The additional lift
would create up to three (3) potential docking spaces, when combined with the existing structures
(existing boatlift and floating dock). The proposed boat lift would not encroach within the 15-foot
riparian corridor setback of either adjacent riparian property owner. Water depths surrounding the
existing floating dock and proposed boat lift average -2.5 to -3.0' during periods of low tide.

Jonathan Holland
Page 3
10. ANTICIPATED IMPACTS:
The proposed structure would incorporate approximately 144 sq. ft. of Estuarine Waters and Pubic
Trust Area. The boatlift would remain consistent with similar pier length requirements (established
pier -head line) and would be located outside of the federal channel setback. Minor increases in
turbidity should be expected during construction.
Submitted by: Jason Dail Date: January 30, 2020 Office: Wilmington

P.O. Box 11291
Wilmington, NC 28404
ww .piponmwme.corn
January 12, 2020
NCDEQ
127 N. Cardinal Drive
Wilmington, NC 28405
Office/Fax: [phone]
Mobile:[phone]
trlp@pippl nmarinecom
The enclosed CAMA Major Permit Application for Jonathan Holland at 480 Roberts Rd, Hampstead NC, is
to add a 10,000 lb (13' x 13') boat lift to the existing docking facility. This will make a total of 3 slips. The
docking facility will be private and for family use only.
Trip Pippin
Pippin Marine Construction, LLC
RECEIVED
DCM WILMINGTON, NC
JAN 14 2020
Piers - Pilings - Boat Lifts - Bulkheads - Floating DockS - Residemial & Commercial Marine Construction Since 1984

Bon HP-1
APPLICATION for
Major Development Permit
past revised 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Applicant 1: First Name
Q
MI
Last Name
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
MailingAddress
in
PO Box
City
State
ZIP //�
Country
eej No.
Phone
'J
F No.
Street Address (if different from above)
Ag/ 4
City .
State
•n
ZIP
Y ;; ff
Email
2. Agent/ContractorInformation
Business Name
A)I
1J
Agent/ C t ctor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
ZIP �J
��l!
Phone No. 11
Phone No. 2
///,(J
G'i 1 Y !
>
?J d - 7171 120.3 ext.
ext.
FAX No.
Contractor#
Street Address (if different from above)
City
State
21P
Email
<Form continues on back> UUM WILMINGTON, NC
JAN 14 2020

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Aaddress
State Rd. #
Subdivision Name
City ?
State
Zip
�
t°Cf c
,G
�QA141
Phone No.
Lot No.(s) (if many, attach additional page with list)
//
' 1Ea- o'p d ext.
,
a. In wh�icp NCfiver basin is t e project located?
b. Name of body of water nearest to proposed project
t GSA✓ ! ' ('44 o
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
atural ❑Manmade ❑Unknown
� 11 1 Jeea'o
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
,%es []No
work fa Is within.
4. Site Description
a. Total length of shoreline
reline on the tract (ft.)
b. Size of entire tract (sq.ft.)
j vo 0
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
r
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
7'!,V z,JHW or ❑NWL
e. Vegetation on tract
I. Man-made and uses now on tract
)))features
t
g. Identify and describe the existing land uses ad-iacent to the proposed project site.
sl sC1' % ' Ga 14s
h. How does local government zone the tract?
the proposed project consistent with the applicable zoning?
W
T(Attachzoning compliance certificate, if applicable)
,/'�,� S r° $$!�114..
❑Yes ❑No ❑NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes o
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes o ❑NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes o ❑NA
National Register listed or eligible property?
fik-Uf_ IVf D
<Form continues on next page> (��%I� WII..MiNGTON, NC
,JAN 14 2020

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site?
[]Yes ❑No
(ii) Are then: coastal wetlands on the site?
Xes ❑No
(III) If yes to either (i) or (if) above, has a delineation been conducted?
❑Yes 00
(Affach documentation, if available)
n. Describe existing wastewater treatment facilities.
li'q / r �
o. Describe�e'x9istti/i}}ng d ' king water supply source.
4)re.-e/♦
p. Describe existing storm water management or treatment systems.
tA
fa �f
5. Activities and Impacts
a. Will the project be for commercial, ublic, or private use? ❑Commercial ❑Public/Government
p i � '�C? *vate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
r f /P1 56/0¢'(Pt dr)e fort hGf.V"` 'd /+. Fit^t )rid i"l�C'
d. List all development activities you propose.
e. Are the proposed activities maintenance f an existing pr)oject, new work, or both?
fr s�o
yl-
f. What is the approximate total disturbed land area resulting from the proposed project? y,.;� ❑Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area�r OYes o ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
r> o /I
I. Will wastewater or stormwater be discharged into a wetland? ❑Yes o ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? []Yes ❑No ❑NA
I. Is there any mitigation proposed? ❑Yes o ❑NA
If yes, attach a mitigation proposal.
<Form continues on back> LRCM WILMINGTON, NC
JAN 14 2020
<Form continues on back> LRCM WILMINGTON, NC
JAN 14 2020

Form DCM MP-1 (Page 4 of 4) APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name .rat d A vl r . `i .�jPho�n,Ve No.W35 --..3 p p39�T
Address / Qdl/ vun F Qdl1e%��Pd7t Jea �f° o rrlalf ftr
Name �—' Phone No.
Address
Name ,/'eJ4J't f ,. ew`v ,,,!e�rrr �,�'''' yyPhoneNo.A�� 9 ^/I%
Address f�y� ,Qt�OK S-H ,/>?.tlf*PA fl'kld 6f . 144"li S PP
r
g. A list of previous/state or federal
ermits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
��+! Lt%i (� C9 f'd'I f'dr`k C �Y'i^d•'d1 f � r�� ✓ ap� ir�.�� .�,3' 3� tfldit� �C%✓...� ,�''�,f '` i�
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owneO
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
Enter on Land
I understand that any permit issued in response to this application will allow only the development ciescrloeo In the applcation.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify hat the information provided in this application is truthful to he best of my knowledge.
Date 0 Print Name l,✓ �9 `,�r) •l y
Signature �o�.✓%I.e:) �0r�]�.Y.f,�?r�:":t'
,d
Please indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
CM MP-4 Structures Information Dn ViiiVG1 QN, N C
JAN 14 2020

Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facility/marina:
[]Commercial ❑Public/Govemment Private/Community
❑This section not applicable
b. (i) Will the f cilk be open to the general public?
❑YesNo
c. (i) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included? *fes []No
(if) Number A
If yes:
Z (iii) Length `
(if) Number
X*rS
(iv) Width 6
(iii)Length /+t�
(v) Floating []Yes XNo
(iv) Width J
�
(v) Floating ❑Yes /lo
e. (i) Are Platforms included? Oyes []No
f. (!)Are Boalldts included? ,Yes ❑No
If yes: /
(I!) Number .Z /r �(,� ./d U'C'rY'L^�L,��
If yes: ,
(ii) Number i�•'>p rt� ,✓fir?dw;JrJ 4d"dJ'
(iii)Length vX � / "t
(III)Length , X/ /.�-X'✓.1
(iv) Width D r.r51 rn i'
(v) Floating Xyes ❑No
(iv) Width
Note: Roofed areas are calculated from drip/ine dimensions.
g. (i) Number o�f1 slips proposed
h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or rail, repair or
(it) Number of slips existing
maintenance service
❑ Dockage, fuel, and marine supplies
❑ Dockage ("wet slips") only, number of slips: _
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
PKJ Other, please describe:
'r" Pock
i. Check the proposed type of siting: j. Describe the typical boats to be served (e ., open runabout,
❑ Land cut and access channel charter boats, sail boats, mixed types).
❑Open water; dredging for basin and/or channel —
10pen water; no dredging required
! LJOther; please describe:
k. Typical boat length: I. (i) Will the fac ity a open to the general public?
❑Yes o
m. (i) Will the facility have tie pilings? V )�^ U
❑Yeslo
(it) If yes number of tie pilings?
J,.N 1 4 20913

F CWira @:aif: M ItFFV-4, (5tructufes, L age 2 of 4)
2, DOCKING FACILITY/MARINA OPERATIONS This section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ Office Toilets
❑ Toilets for patrons; Number: _; Location;
❑ Showers
❑ Boatholding tank pumpout; Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of "Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake" signs proposed.
L Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
j. What will be the marina policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
; J; t,Q! .,41NICATON, NO
m. Is the marinaldocking facility proposed within a primary or secondary nursery area? J AN 1. 4 2020
❑Yes ❑No
ESL-80r3-i:308::'tZR8-111GOAST:: revised: '1212.7i0B

orrin OOM NIP-4 (S°rue;frtres, Palle 3 of 4)
n. Is the mar �'n� docking facility proposed within or adjacent to any shellfish harvesting area?
❑Yes ®No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlandstmarsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)1 If any boxes are checked, provide the number of square feet affected.
❑m ❑SAv ❑SB _
❑WL None
p. Is the proposed marinaldocking facility located within or within close proximity to any shellfish leases? ❑Yes XNo
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) is section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑PubliGGovernment ❑Private/Community
(it) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) This section not applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) YThis section not applicable
a. Length
c. Maximum distance beyond NHW, NWL or wetlands
b. Average distance from NHW, NWL, or wetlands
6. MOORING PILINGS and BUOYS This section not applicable
a. Is the structure(s):
[]Commercial ❑PubliGGovernment ❑Private/Community,
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
7. GENERAL
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
1GiJ; WILNIINGTON, NC
JAN 14 2020
?52-808-2808 :; 't-i:flB-�S2C.Od1S"I' :: pyavw.nccnasf�alrr atzagernent.net rovised: 9 212TOG

F orpti OCM MP-4 (Structures, Page 4 of 4;
a. Proximity of structure(s) to adjacent riparian property lines
711/15 e
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
e. (i) -Will navigational aids be required as a result of the project?
❑YesXNo ❑NA
(ii) If yes, explain what type and how they will be implemented.
b. Proximity of structure(s) to adjacent docking facilities.
d. Water depth at watenvard end of structure at NLW or NWL
8. OTHER ❑This section not applicable
a. Give complete description:
Date -'
Project Name
—� —�
Applicant Name
y �
Applicant Signature
UUNI i,UO;NGTON, NO
JAN 14, 2020
152 80R-'2808 :: 1-888.411GOA T :: revi;o.d: 12.127/06

Aft
NORTH CAROLINA
Environmental Qualiq,
February 4, 2020
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Major Public Notice for:
• John Murphy / New Hanover County
• Rufus Yates / Brunswick County
• Jonathan Holland / Pender County
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
Director, Division ofCoostal Management
Hello Angie: Please publish the attached Notice in the Friday February 7, 2020 issue.
The State Office of Budget & Management requires an original Affidavit of Publication prior to payment for
newspaper advertising.
Please send the original affidavit and invoice for payment to Tanya Pietila at the NC Division of Coastal Management,
127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-7226. Paying by credit card to the attention of Jarimy
Springer, (Customer No. 70100342).
Please email a copy of the credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our Wilmington
office. /"\
stance
cc: MHC Files
Gregg Bodnar— WiRO/MHC
USACE
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The Department of Environmental Quality hereby gives public notice as required by NCGS 113A-
119(b) that the following applications were submitted for a development permits in Areas of Environmental
Concern as designated under the CAMA: On January 29, 2020, John Murphy proposed to construct a newfour
(4) slip private docking facility at 224 Waynick Blvd., adjacent to Banks Channel, in Wrightsville Beach, New
Hanover County, on February 4, 2020, Rufus Yates proposed to replace an existing 8'x16'Jloating dock w/
an 8'x30' floating dock at 94 Wilmington St., adjacent to a man-made canal, in Ocean Isle Beach, Brunswick
County, and on January 14, 2020, Jonathan Holland proposed to expand an existing private docking facility
from two (2) to three (3) slips at 480 Roberts Rd., adjacent to the AIWW/Topsail Sound, in Hampstead, Pender
County. Copies of these applications can be examined or copied at the office of Tyler McGuire (New Hanover
County), Brendan Brock (Brunswick County) or Jason Dail (Pender County) N.C. Dept. of Environmental
Quality, Division of Coastal Management, 127 Cardinal Drive Ext., Wilmington, NC 28405, [phone]for
New Hanover County, [phone] for Brunswick County or [phone] for Pender County during
normal business hours.
Comments mailed to Braxton C. Davis, Director, Division of Coastal Management, 400 Commerce
Avenue, Morehead City, NC 28557-3421, prior to February 28, 2020 will be considered in making the permit
decision. Later comments will be accepted and considered up to the time of permit decision. Project
modification may occur based on review and comment by the public and state and federal agencies. Notice of
the permit decision in these matters will be provided upon written request.

ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
January 29, 2020
Pippin Marine Construction
C/o Trip Pippin
PO Box 11291
Wilmington, NC 28404
Dear Mr. Pippin:
The Division of Coastal Management hereby acknowledges receipt of your application,
acting as agent for the applicant - Jonathan Holland, requesting authorization under the
Rules of the N.C. Coastal Resources Commission for development activities at 480 Roberts
Road, adjacent to the AIWW and Topsail Sound, in Hampstead, Pender County. It was
received as complete on January 14, 2020 and with exception of the signed certified mail
receipts, it appears to be adequate for processing at this time. The projected deadline for
making a decision on your permit application is March 29, 2020. An additional 75-day
review period is provided by law when such time is necessary to complete the review. If
you have not been notified of a final action by the initial deadline stated above, you should
consider the review period extended. Under those circumstances, this letter will serve as
your notice of an extended review. However, an additional letter will be provided on or
about the 75th day.
If this agency does not render a permit decision within 70 days from January 14, 2020, you
may request a meeting with the Director of the Division of Coastal Management and permit
staff to discuss the status of your project. Such a meeting will be held within five working
days from the receipt of your written request and shall include the property owner,
developer, and project designer/consultant.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the
proposed development. Enclosed you will find a "Notice of Permit Filing" postcard which
must be posted at the property of your proposed development. You should post this notice
at a conspicuous point along your property where it can be observed from a public road.
Some examples would be: Nailing the notice card to a telephone pole or tree along the road
right-of-way fronting your property; or at a point along the road right-of-way where a
private road would lead one into your property. Failure to post this notice could result in
an incomplete application.
North Carolina Department of Environmental Quality I Division of Coastal Management
Wilmington Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.796.7215

Mr. Pippin
Page 2
An onsite inspection will be made, and if additional information is required, you will be
contacted by the appropriate State or Federal agency. Please contact me if you have any
questions and notify me in writing if you wish to receive a copy of my field report and/or
comments from reviewing agencies.
Sincerely,
0-2
son Dail
Field Representative
cc: Property owner: Jonathan Holland,1751 Avant Ferry Road, Holly Springs, NC 27540
WiRO - file
Liz Hair, USACE
Robb Mairs, DWR

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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date t?^ �— 1 f
Name of Properly Owner Applying
�for
JPermit:
Jona�xn 6u'r� Jiv! ('W
]tailing Address:
1 certify that 1 have authorized (agent) 1 r`P ���' to act on mq
behalf. for the purpose of applying for and obtaining all CANIA Permits necessary to
Install or construct (activin')
doe- h r"a h7.,L l: t�
at (my property located at)
This certification is valid thrw (date)
erty Owner Signature
12-1a-I
Date
DGM %WJGTON, NC
JAN 1 4 2020

ADJACENT RIPARIAN PROPE_RI OWN STATEMENT
I hereby cer ify that I owns propert,�y1 adjacent to (
property located at 20 7 d i" '�© st'a 60jN jt S� 'roPe�y fir)
(Address, Lot, !Block,
on 41l/i W in 211yaw FP• 06Ejjl t✓ N.C.
(Waterbody) (CiWTown 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 proposal.
DESCRIPTION AND/OR DRAVRNG Of PROPOSED DEVELOPMENT
(Individual proposing development must BY In description below or attach a site drawing)
(; r.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, 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 -
I do not wish to waive the 16 setback requirement.
(Properly Owner Worn (Adjacent Property Owner infonVU
Mnalure n Ill 7 Signatwe
or
Dore
L1 GnIIh.N1�i�JC:,70N, NC
(RevisedslldA6)1 4 2020

I hereby certify that I own Property r n1to TS ✓u r"r r u
proPorty located at Z6 f 0 �t 0 /?e%r *Ar �� -
(Address, Lot. Bioch- Read W,.1
on r•4(MCuclit+..( wahvwoy in cMJei. cj!:L t1C-
(Wsterbody) (Cityfynwn *rwor County{
TThe�V**M I= desaibod to me. as shown balm. the development proposed e, the sbow touson.
1 have no objection to this proposal.
(/ 1 he" objections to Urs ixopesaL
DESCMPTIONANDOORDRAWWGC'. ---'
(kxp4 trM propp&%q davefopmvx most R9 in doset4 lon ,Mow er attach a rite d mA*
r
LH
WOUVR SECTION
t WXlenda nd the, a pier, deck, moerkg ~. broakwater, busilmse. tR or groin mat be ad back a
minimum d WCe of 1S from my am of roarlan access union waived by me. (U you Wah to waive
the so%ack, you must 1nlidd the appropriate blank below.)
I do with to waive the 16 setback rWWWWA
�✓J ( do not Wish to waive the 79 setback requirement
,.� S'x�tl�v- y �/ 157,-Cdlu .fit
a ta+t�r�d�a�°n'�"rr�d A/C ? FSS'f3
C4 n 1(0 �6 71ff3
T f�/V5 /7/9'
(Reylrea 64WO12)
;)1,i1,GTON, NC
JAN 1 4 2920

CAMA / ❑ DREDGE & FILL
No 7 4 ' 1 � q g C D,,%
ENERAL PERMIT
Previous permit#
ew ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
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
❑Rules attached.
Applicant
Project Location: County }'':'`/ z) l Y'
Address ; � ; -� r1 Street Address/ State Road/ Lot #(s)
yf`" r
City ;'-> State , %' ZIP
7
Phone # ( j / ILL2 ' E-Mail
Subdivision
Authorized Agent
City �'``4./''�.r%'f ZIP
❑ ew SEW Q PTA Li ES ❑ PTS
Phone # O River Basin
Affected
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA [I N/A
Adj. Wtr. Body r `�,A/A/ (nat 'man /unknl
❑ PWS:
Closest Maj. Wtr. Body
ORW: yes /mo, PNA ('yes/ no
Type of Project/ Activity J" y, ! '1 � � ! fir,.. �e2
(Scale: ' )
Pier dock length_
Fixed Platform(s) i
Floating Platform(s)-
Fingerpier(s)-��~-
Groin length - T'-
number - F
Bulkhead/ Mprap length —t '�T I_
avg distance offshore -
max distance offshore r
Basin, channel i ( - � r'- I � -
Boat ramp
Beach Bulldozing
Other
�1
- •-_ --
�—
X
Shoreline Length
�.---{
SAV: not sure yes _no
Moratorium: n/a yes nb
Photos: yes no
Waiver Attached: yes no--------�
-
A building permit may be required by:
❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
-
tA
Agent or Applicant Printed Name
- _
Permit Officer's Printed Name
Signature " Please read compliance statement on back of permit"
Signature
-
Application Fee(s)
Check#
Issuing Date
Expiration Date

1z/
)
�

i r
I ,
f
�Ippi
I
I
J
i_
i
u o d
a
rdYt�W
9� D
k
i lJ
/ahtn�,a , e r
edqe o � Ma r-,5
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/7elol —Taco r
frl� fpxjtrt
5Cr,.je. /t`"2p"
5Aze4- 1 o f- z
RECEIVED
DC
iM WILMINGTON, NC
JAN 14 2020

✓da°y° zit caAl
zizn
r
� t
i- V!LMINu I ON, NC
.BAN 1_ 4. 2020

NORTH CAROLINA
Environmental Quality
February 4, 2020
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
gregg.bodnar(cDNCDENR.gov
SUBJECT: CAMA
Applicant: Jonathan Holland
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
Director, Division of Coastal
Management
Project Location: 480 Roberts Road, adjacent to the AIWW/Topsail Sound, in Hampstead,
Pender County
Proposed Project: Proposal to expand an existing docking facility by installing a new 12 x12' boatlift,
creating a total of three (3) slips.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Grep_p Bodnar at the address above by February 28, 2020. If you
have any questions regarding the proposed project, contact Jason Dail at [phone]
when appropriate, in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
PRINT NAME
AGENCY
SIGNATURE
DATE
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
State ofNorth Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215

BK 4669 PG 668 - 670 (3) DOC# 20039323
This Document eRecorded: 07/23/2018 04:07:42 PM
Fee: $26.00 DocType: DEED Tax: $440.00
Pender County, North Carolina
Sharon Lear Willoughby, Register of Deeds
Excise Tax: $440.00 Parcel ID No: a portion of 4213-68-5751-0000
This instrument Prepared by & Returned to: Ray C. Blackburn, Jr., Attorney at Law, PO Box 895,
Hampstead, NC 28443.The preparer of this instrument has made no examination of the record
title to the property conveyed unless shown by his written and signed certificate herein and
renders no opinion on title nor has preparer of this instrument rendered any advice regarding any
tax matters affecting the lands transferred hereby.
STATE OF NORTH CAROLINA
COUNTY OF PENDER
GENERAL WARRANTY DEED
THIS DEED, made this /Qz�jday of July 2018, by and between, ALFRED SIDBURY
and wife, JULIA SIDBURY (Hereinafter called "Grantor"), and JONATHAN B. HOLLAND
and wife, MARY J. HOLLAND (Hereinafter called "Grantee"). Whose mailing address is:
1751 Avent Ferry Road, Holly Springs, NC 27546
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors and assigns, and shall include singular, plural, masculine, feminine or neuter as
required by context.
WITNESSETH:
NOW THEREFORE, GRANTOR, for valuable consideration paid by the GRANTEE,
receipt of which is hereby acknowledged, has bargained and sold, and by these presents does
hereby bargain, grant, sell and convey unto GRANTEE in fee simple, the below described tract or
parcel of land located in Pender County, North Carolina and being more particularly described as
follows:
See Attached Exhibit "A"
property hereinabove described was acquired by Grantor by instrument recorded In Book
4054 at Page 0061, Pender County Registry.
This Property ,is V is not the Grantors primary residence
i1!_M1 NGTON, NO
JAN 1. 4 2020
submitted electronically by "Ray C. Blackburn, Jr. Attorney at Law"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the vender county Register of Deeds.

BK 4669 PG 669 DOC# 20039323
TO HAVE AND TO HOLD the above described lands and premises, together with all and
singular, the rights, privileges, easements, tenements, duties, obligations and appurtenances
thereunto belonging, or in anywise appertaining unto said GRANTEE, in fee simple, FOREVER.
And the GRANTOR covenants with the GRANTEE, that the GRANTOR is seized of the
premises in fee simple, has the right to convey the same in fee simple, that title is marketable and
free and clear of all encumbrances, and that GRANTOR will WARRANT and DEFEND the title
against the lawful claims and demands of any and all persons whomsoever except for the
exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
1. Ad Valorem Taxes for 2018 and subsequent years.
2. General utility service easements and rights of way of record.
3. Easements and restrictions of record.
4. Pender County Zoning and/or Subdivision Ordinances and Regulations.
5. Subject to the requirement that any house constructed upon this lot shall be stick built and
contain a minimum of 1800 square feet of heated space
IN WITNESS WHEREOF, GRANTOR has hereunder set his hand and seal, the day and year
first above written.
�� " (SEAL)
ulia SidbGry
STATE OFHT CA,ROLINA
COUNTY OFF y� ta/•e�
h sue. in, q61a& Z4u rn , a Notary Public of the County and State aforesaid,
certify that Alfred Sidbury and Julia Sidbury, personally appeared before me this day and
acknowledged the execution of the foregoing instrument.
4 �
Witness my hand and official stamp or seal, this the fday of ,7P—/ , 2018.
1Public
B
�G �r
c� 6� Rh o (SEAL)
My Commission Expires: OTA
z=
0CPs NC
JAN 14 2020

BK 4669 PG 670 DOC# 20039323
EXHIBIT "A"
BEING all of Lot 1, as shown on map entitled "EXEMPT MAP OF SURVEY FOR ALFRED S.
SIDBURY" recorded in Map Book 62 at Page 99 of the Pender County Registry, reference to
which said map is hereby made for a more particular description.
TOGETHER WITH a 20 foot wide access easement running over and across Lot 2 as described
in Map Book 62 at Page 99 of the Pender County Registry.
TOGETHER WITH a 30 foot wide access easement described in Map Book 62 at Page 99 and
Map Book 31 at Page 36 of the Pender County Registry.
TOGETHER WITH a right of access, ingress and egress, over and across Roberts Road and
Rainbow Drive as those roads are shown on Map Book 31 at Page 36, Pender County Registry,
and which lead from the above property to State Road 1563.
VAII ,lij v(GT()1N1 NC
JAN 1 4 MO

Major Permit Fee Schedule
Project Name: 31zlv1#, katk 41("l _ County: Peµt L
Ill
Check No & Amount:
GJ�1/07-5-C) °o
Development Type
Fee
DCM %
DWQ %
(14300160143510009316256253)
(2430016024351000952341)
I. Private, non-commercial developm
that does not involve the fillin
$250
100% ($250)
0% ($0)
excavation of any wetlands
open water areas:
—
II. Public or commercial development that
does not involve the filling or excavation
$400
100% ($400)
0% ($0)
of any wetlands or open water areas:
III. For development that involves the
filling and/or excavation of up to 1 acre
of wetlands and/or open water areas,
determine if A,B, C, or D below applies:
111(A). Private, non-commercial
development, if General Water Quality
$250
100% ($250)
0% ($0)
Certification No. 4175 can be applied:
_
III(B). Public or commercial development,
if General Water Quality Certification
$400
100% ($400)
0% ($0)
No. 4176 can be applied:
III(C). If General Water Quality
Certification No. 4175 could be applied,
but DCM staff determined that additional
$400
60% ($240)
40% ($160)
review and written DWQ concurrence is
needed because of concerns related to
water quality or aquatic life:
MID). If General Water Quality
$400
60% ($240)
40% ($160)
Certification No. 4175 cannot be applied:
IV. Development that involves the filling
and/or excavation of more than one acre
$475
60% ($285)
40% ($190)
of wetlands and/or open water areas: