20220850 Ver 1_CAMA Major App 13Sept2022_20220921

GENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
William and Karen Clark
Name of Property Owner Requesting Permit:
Mailing Address:
4205 Old Brittain Place
Hickory, NC 28602
828-455-1316
Phone Number:
alliedbry=sonC gmail,Cain
Email Address:
I certify that I have authorized CPG, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
CAMA Major Permit docking facility
necessary for the following proposed development:
308 W. Yacht (Oak Island)
at my property located at
In Brunswick County.
Y
1 furthermore certify that 1 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:
h//Gi?mr BCiatk
William B Clark .May 3, 2022 14: 01 EDT;
Signature
William Clark
Print or Type Name
Property Owner
Title
5 3 2022
Date
2023
This certification is valid through 1 1

5/6/22, 8:46 AM Coastal Permit Guy LLC Mail - 308 W. Yacht Oak Island 6 May 2022
Pk/ Gmail
308 W. Yacht Oak Island 6 May 2022
1 message
Ben Brink <[e-mail]>
Ben Brink <[e-mail]> Fri, May 6, 2022 at 8:44 AM
To: 401 [e-mail]
See attachment for CAMA Major Permit (Third Slip)
Ben
Coastal Permit Guy, LLC
[phone]
Helping you get your work done!
CQASTAL
P R M T GUY
308 W. Yacht_401 Pre File.pdf
6465K
https://mail.google.com/mail/u/1 /?ik=80d48a80d2&view=pt&search=all&permthid=thread-a%3Ar-2834955970306161261 &simpl=msg-a%3Ar-2050543... 1/1

Project Narrative: 308 W. Yacht Oak Island (Brunswick)
Clark Docking Facility
May 6, 2022
The applicant (Clark) is proposing to add a floating dock (8'x 16') to the existing docking
facility permitted under CAMA GP No. 70821. The floating dock extends over the USACE
Setback but has no pilings proposed. It will be attached via dual hinges and I -beams extending
from the end of the existing fixed platform (gazebo). The floating dock is proposed in PNA with
less than -2.0' at Normal Low Water in the AIWW. No oysters or coastal wetland vegetation are
in close proximity to the proposed floating dock location. The substrate is sandy and there is a
small patch of coastal wetland marsh fringe adjacent to the existing bulkhead.
The proposed floating dock is creating a proposed third slip.
• The project proponent hereby certifies that all information contained herein is true, accurate, and
complete to the best of my knowledge and belief.
• The project proponent hereby requests that the certifying authority review and take action on this
CWA 401 certification request within the applicable reasonable period of time.

Location Map: 308 W. Yacht Oak Island (Brunswick)
Clark Docking Facility
O
• Southport- Oak
Island'Handyman
47 min (37.5 miles)
via US-17 S/Ocean Hwy E and NC-906
Fastest route, the usual traffic
127 Cardinal Dr Exn
Wilmington, NC 28405
> Follow N Cardinal Dr/Cardinal Dr Exn to Market St
min (0.4 mi}
> Take US-74 W/Martin Luther King Jr Pkwy and US-
17 St:, US-17 BUS S in Brunswick County
29 min (241 mi)
> Take NC-906 to W Yacht Dr in Oak Island
1 B min (13.0 mi)
3O8 W Yacht Dr
Oak Island, NC 28465

DCM MP-1
ar\( \)oci\f-11
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name ) IA
Project N me (if appli ble) t
(�oil-k VOCXlh) FaUli
Applicant 1: First 1Name
W.'11iot"
MI
fjrYcov)
Last Name
a AL
Applicant 2: First Name
MI
Last Name 1
if additional applicants, please attach an additional page(s) with names listed.
Mailing Address
£(zoS O/01 gri4h(�;r� f laC�
PO B.oAxI /Aa
1V
City
J41c ory
State
NC -
ZIP
Ze(9b2
Country
LAcA
Phone No.
S?e8 K5S /311
/
FAX No.
�f/ fi-
Street Address (if different from above)
0 L. �a,C, ,!- £ r ,
City
dakTd
State
KJL
ZIP
28
6S
Email II
0.��,R ryso�c iV'44ll►(-o�
2. Agent/Contractor Information
Business Name G P G L L C
J
Agent/ Contractor 1: First Name
MI ip,
Last Name
Agent/ Contractor 2: First Name ,/A
MI IALast
Name
WA
Mailing Address „ /��
/1V/
PO �'
)
City ` ) , t�
Cord f
State
!1"1
ZIP�/Z5
a S�
Phone�4/0-702'57Z5./
Phone No/ 4
/A
FAX No. N/A
Contractor # /A.
Street Address (if different from fo ACity
fume_State
A
ZIP
Email 12VnP_/ectA-S-Icieire-mrgicy -T 4 C.0 �I
<Form continues on back>
. 52-808-2808 .. 1-888-4RCOAST www.nccoastalmanagement.net

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
Cou (can be multiple)
iildlvi s W I CAC-
Street Address
3 (R) W. &c hd- 'Dr ,
State Rd. #
WA
Subdivision Name
0
City
flak-.1104
State
IV
Zip
zeyc,s
Phone No.
S Z9 ysS' / 3l 7L.,-
Lot No.(s) (if many, attach additional page with list)
9 ,
a. In which NC river basin is the project located?
Cr K
b. Name of body of water nearest to proposed project
c. Is the er body identified in (b) above, natural or manmade?
atural ['Manmade ['Unknown
d. Name the closest major water body to the proposed project site.
W
e. Is pro sed work within city limits or planning jurisdiction?
es ❑No
f. If applicable, list the planning jurisdiction or city limit the proposed
work falls within.
Dale/4hd
4. Site Description
a. Total length of shoreline on the tract (ft.)
(01 '
b. Size of entire tract (sq.ft.)
13 i S 03 . Le s vie/
c. Size of individual lot(s)
1 3 / SQ 7,(0 G,,.
(If many lot sizes, please attach additional page with a list)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water leve
^-, 16 NHW or ❑NWL
e. Vegetation on tract
O Tee- , uP1and Cl'Ir u
f. Man-made features and uses now on tract
irr.9k-e. es Idu-r ce
g ut l Pvtc /Pock; f c t i i'Lj
g. Identify and describe the existing land uses ad'acent to the proposed
project site.
/7�i34c.e, CIr-42 -. ideA Ci✓ediT edi
c;hs) Fa►�t,,, O►�.f - -
y
h. How does local govemment zone the tract?
' (
i. Is the proposed project consistent with the applicable zoning?
(Attach zoning complian certificate, if applicable)
❑Yes ❑No
j. Is the proposed activity part of an urban waterfront redevelopment proposal? [Yes [S]At'o
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No 1:114A
If yes, by whom?
/
—
I. Is the proposed project located in a National Registered Historic District or does it involve a ['Yes❑No L�DIK
National Register listed or eligible property?
<Form continues on next page>
252-808-2808 .. 1-888-4RCOAST ., www.nccoastalmanagement.net

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? Nixes ❑No
(ii) Are there coastal wetlands on the site? es ❑No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? DYes No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
o. Desp(ibe existing drinking water supply source.
rttiv.0 • (.o •
p. Describe existing storm water management or treatment systems.
fJfvltAC ; Co .
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Co ercial ❑Public/Govemment
rivate/Community
b. Giveapbrief description of purpose, use, and daily operations of the project when complete.
,11 Cr efteVi°vtt\ joa v-e, /Fi I1,,;lj S w„,"` ; yL- See
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
In
of equipment and where it is to be stored. 1 �h►� �-C�S
Floc ►,g dock w4l1 t-cli1ize_ du-RAk.� e Sy
' i
n c.vJ floa4-- txii1►19 S�`rk r�(►'to P 1 rkqS ) -
d. List all develo ment activities you propose. h
411 g'x l F/a,�lh� l oc„��'1' -Jeff
e. Are the proposed activities maintenance of an existing project, evwork both? . r
•j
f. What is the approximate total disturbed land area resulting from the proposed project? 0 q.Ft or DAcres
g. Will the proposed project encroach on any public easement, public accessway or other area DYes o ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
0 1 A
i. Will wastewater or stormwater be discharged into a wetland? DYes o ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes❑No NNA/
j. Is there any mitigation proposed? DYes 11� DNA
If yes, attach a mitigation proposal.
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST .. www.nccoastalmanagement.net

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) — (f) 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 retum 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 DoWrr•c 44v%S f3eto" Phone No.
Address 3Ql� W' aat4- Q2)L_T_'ja.Yt31jMC- .Z..0ikoS
Name I bw v of bc)C- 7-- i c (, �7 Alre`I`r6'"1 Phone No.
Address If y%o ! _F . - =cI....d D,-. D4k1s1 ; uC zsy6s
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
CitPIA- Gp 1\10.7cZ1
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 owner)
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.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
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 that the information provided in this application is truthful to the best of my knowledge.
Date May 3, 2022 Print Name William B Clark
IN/a/?ni Cllr *
Signature
Please indicate application attachments pertaining to your proposed project.
❑DCM P-2 Excavation and Fill Information
❑D MP-3 Upland Development
CM MP-4 Structures Information
DDCM MP-5 Bridges and Culverts
252-808-2808 .. 1-888-4RCOAST .. www.nccoastalmanagement.net

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/manna:
❑This section not applicable
b. (i) Will the facility open to the general public?
['Commercial ❑Public/Government rivate/Community ['Yes o
c. (i) Dock(s) and/or pier(s)
(ii) Number I
(iii) Length
(iv) Width
(v) Floating es ❑No
e. (i) Are Platforms included? DYes
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floatin Yes ❑No
Note: oofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
(ii) Number of slips existing
i. Check the proposed type of siting:
❑ Land cut and access channel
DOp water; dredging for basin and/or channel
pen water; no dredging required
['Other; please describe:
k
Typical boat length
Is%
(i) Will the faci' have tie pilings?
DYes o
(ii) If yeg rlurpber of tie pilings?
d. (i) Are Finger Piers included?
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) FloatDYes ❑N0
f. (i) Are Boatlifts included?
If yes:
(ii) Number
(iii) Length
(iv) Width
['Yes
h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or rail, repair or
maintenance service
❑ Doc ge, fuel, and marine supplies
ockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats,lImix d types).
%_unabo�
I. (i) Will the facility a open to the general public?
DYes o
52-8u8-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net
revised: 12/27/06

Form DCM MP-4 (Structures, Page 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.
i. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
What will be the marina policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
If this project is an expansion of an existing marina, what types of services are currently provided?
252-808-2808 :; 1-888-4RCOAST :: www.nccoastatmanagement.net revised: 12127/06

Form DCM MP-4 (Structures, Page 3 of 4)
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
['Yes ❑No
n. Is the marina/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 wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV ❑SB
OWL :None
p. Is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ❑Yes ❑No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts)
This section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑Public/Government ❑Private/Community
(ii) 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.)
a. (i) Number
(ii) Length
(iii) Width
his section not applicable
5. BREAKWATER (e.g., wood, sheetpile, etc.)
his section not applicable
a. Length
b. Average distance from NHW, NW or w tlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS
a. Is the structure(s):
❑Commercial ❑Public/Government ❑Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
b. Number
his section not applicable
d. Description of buoy (color, inscription, size, anchor, etc.)
-ifa-2808 :: 1-88B-4RCOAST :: www.nccoastalmanaqement.net revised: 12/27/06

Form DCM MP-4 (Structures, Page 4 of 4)
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
430
e. (i) Will navig�a,t/ior�2 I aids be required as a result of the project?
❑Yes Lilo DNA
(ii) If yes, explain what type a•nd how they will be implemented.
d. Water depth at waterward end of structure at
NLw
NWL
8. OTHER ❑This section not applicable
a. Give complete description:
306 l.) • \jac,4--
Pfsl-il G4.2Q6o
�ru(�oSeot 8 xli>aFloa1-4' ck ac!vii dual ki eS
(ro 71%Y\9S
3 Fon&&i;zerl S1;7s
Date
dark_ D ocL-4-‘5 Fac.;41tA7
Project Name
I,-)1ll1 lKArei- CIArk_
Applicant Name
W Iliam B Clark ;May 3, 202214,01 EDT)
Applicant Signature
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanaqement.net
revised: 12/27/06

WILLIAM BRYSO!! CLARK
KAREN D. CLARK
4205 OLD BRITTAN PL.
HICKORY. NC 28602-B46G
PaY to the R 0 2
Order of
66-112/531
PRIVATE VANTAGE
Memo 1 ll'❑�❑��
1:053LD112L1:0005LL952V332
L L F • - FHAUP. • 'ERA F{ FTIFS 01CLU XO THE S. X11 V . PE •49 PEA -RI PS P.. O'IEMLS X SPCA
WILLIAM BRYSON CLARK
KAREN D. CLARK
4205 OLD BHP I 1 A I N PL.
HICKORY. NC 28602-B460
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4/25/22, 2:31 PM Coastal Permit Guy LLC Mail - 308 W. Yacht USACE DCM Approval Request
Gmail
308 W. Yacht USACE DCM Approval Request
2 messages
Ben Brink <[e-mail]>
To: "Arnette, Justin R CIV USARMY CESAW (USA)" <[e-mail]>
Cc: "Amico, Patrick J" <[e-mail]>
Hey Justin,
Ben Brink <[e-mail]>
Fri, Apr 22, 2022 at 3:22 PM
This is another piling -less floating dock request in the AIWW off Oak Island (308 W. Yacht). Would you let me know your comments?
Patrick,
In the AIWW are these floats considered a 3rd slip? I still need to collect water depths but would this be a CAMA GP if it has DMF approval?
Thank you both for your hard work!
Ben
Coastal Permit Guy, LLC
[phone]
Helping you get your work done!
CQASTAL
P E R -GUY
GUY
USACE Approval.pdf
241 K
Arnette, Justin R CIV USARMY CESAW (USA) <[e-mail]>
To: Ben Brink <[e-mail]>
Cc: "Amico, Patrick J" <[e-mail]>
Ben,
Since there is no setback encroachment the corps has not concerns with this project. Thanks.
Justin
Justin Arnette
Team Lead Cartographer
Landuse Coordinator
Wilmington District
U.S. Army Corps of Engineers
910-251-4196
[e-mail]
From: Ben Brink <[e-mail]>
Sent: Friday, April 22, 2022 3:23 PM
To: Arnette, Justin R CIV USARMY CESAW (USA) <[e-mail]>
Mon, Apr 25, 2022 at 7:01 AM
https://mail.google.com/mail/u/1 /?ik=80d48a80d2&view=pt&search=all&permthid=thread-a%3Ar3589911016101858355&si m pl=msg-a%3Ar-33443079... 1/2

4/25/22, 2:31 PM Coastal Permit Guy LLC Mail - 308 W. Yacht USACE DCM Approval Request
Cc: Amico, Patrick J <[e-mail]>
Subject: [Non-DoD Source] 308 W. Yacht USACE DCM Approval Request
Hey Justin,
This is another piling -less floating dock request in the AIWW off Oak Island (308 W. Yacht). Would you let me know your comments?
Patrick,
In the AIWW are these floats considered a 3rd slip? I still need to collect water depths but would this be a CAMA GP if it has DMF approval?
Thank you both for your hard work!
Ben
Coastal Permit Guy, LLC
[phone]
Helping you get your work done!
https://mail.google.com/mail/u/1 /?ik=80d48a80d2&view=pt&search=all&permthid=thread-a%3Ar3589911016101858355&simpl=msg-a%a3Ar-33443079... 2/2

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FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX
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FAYETTEVILLE NC DISTRIBUTION CENTER ANNEX
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KURE BEACH, NC 28449
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CAMA / ❑ DREDGE & FILL
GENERAL . PERMIT
❑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 15A NCAC
Applicant Name 1-I CIM
tk -
Address / 44(�~�-1 �llL'ki y _
City 1,4 D(`' State ZIP
Phone # ()
Authorized Agent
❑ CW
❑OEA
❑ PWS:
Affected
AEC(s):
ORW:
• E-Mail
EW I PTA ❑ ES ❑ PTS
❑HHF ❑IH ❑UBA ❑N/A
N2 70821
Previous permit #
Date previous permit issued
-1 . (an)
Project Location: County
❑ Rules attached.
.11
Street Address/ State Road/ Lot #(s) -
Subdivision
City
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
411n.i1vr.
MAW
ZIP eO-7 W
Riven Basin 1_14_Y
(nat,/unkn)
rP ; l 1 tAAS\ k IRO v� �titO < ,0 (.,) rr
T e�of Pr ect,, Activity - ` � R 6 j tt�� n /� � � j ,, + � 1 r � J
`'r1.. Nt% I__ i { �J`` O t ,i lilvt ,1/,�1�1:.�1/� Ulu �C (Scale: it
Pier (dock) length. ' X h -I
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length fj
number
Bulkhead/ Riprap lengthl
avg distance offspore
max distance offshore
Basin, tchannel jI
- cubic yards
Boat ramp
Boathouse apatlif
N•
Beach Bulldozing
Other
610
Shoreline Length _- D
SAV: not sure yes
Moratorium:
Photos:
Waiver Attached:
n/a yes
no
no
A building permit may be rDs
equired by:
i
12
}
L
111
AIN
II. Ai
( Note Local Planning Jurisdiction)
Notes/ Special' Condition
WEN
tt>,@ V 1 4 1)A! 10J1
,Ir (A1A /0 1 �,.i:9)' o ‘
e 'rout trJ rti ems- ! ;
•
4
a
T
n See note on back regarding River Basin rules.
I , o 1 orat r,%
KIA-Y
Agent ��'Applicant Printed Na e
� T
Signature/ ** Please read compliance
Application Fee(s)
k/ 0 Yt�
Permit Off cer's. Prin
t mentonbackof ermit Si nat re/
sate p 8
ryto 1'VOO 10 l
Check# Issuing pate
•
Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I) 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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:
Tar- Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
Other:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (9 I 0-796-7215) for more information on how to comply with these buffer rules.
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, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
40 I S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-390I
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-648 I
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: William Bryson Clark
Mailing Address: 4205 Old Brittain PI
Hickory, NC 28602-8460
Phone Number:
Email Address:
I certify that I have authorized Joel Klass
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
i n
necessary for the following proposed development: Pier + IecLY L,47
at my property located at 308 W. Yacht Dr. Oak Island
in Brunswick County.
l furthermore certify that 1 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:
Signal�fire
A.N1 r onl CI krk
Print or Type Name
° uAt
Title
\ \ / D 201'7
Date
This certification is valid through if 1 3 C IJ
RECEIVED
DCM WILMINGTON, NC
MAR 2 S' 2018

property located at 308 W. Yacht Dr.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Wiliam B. & Karen Clark
(Name. of Property Owner)
(Address, Lot, Block,Road, etc.)
on , in Oak Island
(City/Town and/or County)
(Waterbody).
, N.C.
The -appliC nt has described to me, as shown below, the: development proposed .at the above.
locatl°
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING' OF PROPOSED DEVELOPMENT
(individual propostrt
alescripijon
drawing+
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
dr+� I do wish to waive the 15' setback requirement.
I do not wish :to waive the 15' setback requirement:
O . -
(Property caner Information) (Adjacent Property Owner Infororation)
Signature
William B. Clark
Print or Type Name
4205 Old Brittain PI
Mailing Address
Hickory, NC 28602-8460
City/State/Zip
Telephone °Nurnber/ email address
Date
*Valid for one calendar year after signature*
Signature*
The Town of Oak Island
Print or Type Name
4601 E. Oak Island Dr.
Mailing Address
Oak Island, NC 28465
City/State/Zip
Telephone umber/email address
• G,,. L Si Zo I '
Date*
(Revis5�Au OUTED
ILMINGTON, NC
MAR 292018

Dec. 13. 2017 10 : 36AM
No. 3551 P. 2
CERTIFIED MAIL RETURN RECEIPT REQ,1 ESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: William Bryson Clark
Address of Property: 308 W. Yacht Dr. Oak Island, NC Brunswick
. (Lot:or Street #, Street•or Road, City&County)
Agent's Name #: Joel Klass
Agent's .phone #: [phone]
*Mailing Address: PO Box 279 _
Sypply, NC 28462
•1 hereby certify that.1 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.ctesdupticn or d'rawino, with dlrnepstofspnust Iv rovided *1th•inis'letter,
eve no objections to t1n .propasel. 'have objections to this proposal.
If you have objectioms to what is being proposed, .you must notify the•Divislan of Eoestal Maitapement
(DCM) in writing within 10 days of receipt of this hotico: Contact informafldn .for OCR offices is
available. at www.nccoag fmangiementnetfconiac_t_ &Wag or by ceiling 1.88844RCOAST. No
responaefe considered the same at no Abjection If you'have been notified by Certified Mail _
WAIVER SECTION
I understand theta pier, dock, mooring pilings: breakwater, boathouse, lift, or groin .must beset
back a minimum distance of 15' from my area of riparian ecceSS. unless waived by me,. (If you
wish to .wive 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 15' setback requirement
(Property Owner Information)
• Signature
.William B Clark
Print•orType Name Printor•pe Name
4205 Old 6rittain PI 3541 El Dorado Loop S
Mailing Address Mailing Address
Hickory, NC 28602-8460 Salem, OR 97302
Adjacent•Pr e • Own r information)
. r
Signature
Dennis A Smith
City/State%Zip
Tdlephone Number
•Date
CIly/StareIZp
(\(tio-' tea.
Telephone Number
Dale
Revised 811812012
RECEIVED
DCM WILMINGTON, NC
MAR 2 1 2018

MacPherson, Tara
From: Weychert, Curtis R
Sent: Monday, April 02, 2018 8:27 AM
To: MacPherson, Tara _
Subject: RE:,308IN,Yacht_Dr';LO.ak,lsland-_..-�Water Depths
Hey Tara, I would have no problem.with a boatlift but would strongly suggest the conditioning of stops located 18"
above the bottom. Let me know if you need more.
Curt
From: MacPherson, Tara
Sent: Thursday, March 29, 2018 4:14 PM
To: Weychert, Curtis R <[e-mail]>
Subject: FW: 308 W Yacht Dr., Oak Island - Water Depths
Hi Curt, Based on the email below are you going to authorize a docking facility at this location??
Tara MacPherson
Field Specialist
NC Division of Coastal Management
Department of Environmental Quality
91.0 796-7425 office
910 395-3964 fax
[e-mail]
127 Cardinal Drive Ext
Wilmington, NC 28405
Nothing Compares. -
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Surgan, Brooks R
Sent: Thursday, March 29, 2018 4:13 PM
To: MacPherson, Tara <[e-mail]>
Subject: 308 W Yacht Dr., Oak Island - Water Depths
Tara,
Water depths at this site were found'to:be.16""at MLW measured on Monday, March 26 by myself and Curt
Weychert. Distance was 54'=from the bulkhead to the Army Corps Federal Channel Setback.
1

( •
RECEIVED
DCM WILMINGTON, N
MAR 2 9 2018

Date Received
Date
Deposited
Check From (Name)
Name of Permit Holder
Vendor
Check Number
Check amount
Permit Number/Comments
Receipt or Refund/Reallocated
Column)
_C.!um
- _ Column3
_ -Column) Cofumn5
Column6
Column?
Column6
Column9
4r1it'ei?t
-
oellKlass fltQrde
—10-15:0111MIKIWIM0716910rder_
109243548¢
$}I2OQ
r i:. I o
,M1fi31600
4/11/2018
John T Orcutt
John Orcutt
PNC Bank
2801
$ 200.00
GP 70825D
TM rct. 2532
•

r
Excise Tax: $ 1 d 0. 0°
Prepared by
Mail After, Recording to:
Brenda M. Clemmons
B3910 P1336 10-12
li of Deeds page 1 n-2017of, 4PROP
llllIltIuhlllllnhllllI'NC Regser
BrIunswick County,
Register of Deeds
10-12-2017 14:34:10.000 Brunswick County, NC
NC REVENUE STAMP: $500.00 (#553297)
return to SQY- (Q Type
t Total 71p Rev 500 Int.
Ck $ 3O Ck #02C1c1 Cash $
Refund Cash $ Finance
'Portions of document are illegible due to condition
of original.
:3 Document contains seals verified by original
instrument that cannot be reproduced or copied.
James R. Prevatte, Jr., (kd)
PREVATTE & PREVATTE,PLLC
P. O. Box 10969, Southport, NC 28461
Parcel Identifier No.: 234 EA013 02
Brief Description for the Index: L-4, B-203, S-IS, TRANQUIL HARBOUR PLAT 6/67
NORTH CAROLINA GENERAL WARRANTY DEED
Prepared Without Opinion on Title
THIS INSTRUMENT PREPARED BY: JAMES R. PREVATTE, JR., a licensed North Carolina
Attorney. Delinquent taxes, if any, to be paid by the closing attorney to the Brunswick County
Tax Collector upon disbursement of closing proceeds.
THIS DEED made this 'd day of S b- , 2017, by and between
GRANTOR
DENNIS A. SMITH, single
3541 El Dorado Loop S
Salem, OR 97302
GRANTEE
VVILLIAM BRYSON CLARK and
wife, KAREN D. CLARK
30i etels Dh -
4205 Old Brittain Place
Hickory, NC 28602
The designation Grantor and Grantees 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.
Page 1 of 4

III�IIIIIIIIIIIIillllllllllllllllllll B3s�� R1337 14-34-?0,000
Brunswick County, NC Register of Deeds page 2 of 4 PROP
WITNESSETH
THAT said GRANTOR, for a valuable consideration paid by the GRANTEES, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto
the Grantees in fee simple, all that certain lot or parcel of land situated in BRUNS WICK COUNTY,
NORTH CAROLINA, and more particularly described as follows:
See EXHIBIT "A" attached hereto and by reference made a part hereof.
Reference is hereby made to a deed recorded in Book 3656, page 390, of the Brunswick
County Register of Deeds.
❑ If this box iS checked, subject property is the permanent residence of one 01 more
Grantors.
TO HAVE AND TO HOLD the above described tract or parcel of land, together with all
privileges and appurtenances thereunto belonging, unto the said Grantees, their heirs and assigns, to
the only use and behoof of Grantees and their said heirs and assigns, FOREVER.
AND said Grantor covenants to and with said Grantees that he is seized of the property in fee
simple, and has the right to convey the same in fee simple; that the title is marketable and free and
clear of all encumbrances, and that he does hereby and will forever warrant and defend title to the
same against the lawful claims of all persons whomsoever EXCEPT for the exceptions hereinafter
stated.
1. All restrictive covenants of record;
2. Ad Valorem taxes for the year 2017 and thereafter;
3. All utility easements, permits and rights of way of record;
4. All zoning, land use and planning rules, regulations, ordinances and statutes.

10 17
11111111111 III11111IIIIIIIIIIIIIII Bread PmP r ons12:12@PROP
Brunswick County, NC Register of Deeds page 3 of 4
IN TESTIMONY WHEREOF, said Grantor has hereunto set his hand and seal, the day
and year first above written.
(SEAL)
DENNIS A. SMITH, Grantor
STATE OF
COUNTY OF
W , a Notary Public for said
County and Stat* rtify that DEN IS A. SMITH, either being personally known to me or proven
by satisfactory evidence, personally appeared before me this day and acknowledged the voluntary
due execution of the foregoing instrument for the purposes stated therein.
WITNESS myhand and official stamp or seal, this 01° day of gip,, h'1r , 2017.
'C'`' `x'
(Notary Seal)
OFFICIAL STAMP
DOUGLAS WARREN JOHNSON
NOTARY PURUC-OREGON
COMMISSION NO. 952624
MY COMMISSION EXPIRES JULY 25, 2020
My ( Z-5— I TEx res:
Page 3 of 4
Notary Public
.rw\
(Type/Print Name)

11101IIIIIIIIIIIIIIIIIIIIIIIIII E3970 ?�.�� �i =':A
Brunswick County, NC Register of Deeds page 4 of 4
EDIT "A"
BEING Lot Number 4, Black 203, Section 15 of a subdivision of property according
to a map of same by H. M. Loughlin, surveyor, on the day of March 1961,
being known as Tranquil Harbour, as section of Long Beach (now known as Oak
Island), North Carolina, said lot is duly recorded in Book 6 of Maps, at page 67 in the
Office of the Register of Deeds of Brunswick County.
Page 4 of 4