51059_TALTON, JOSH_20070913 (2)

!�A A / 11 DREDGE & FILL
ERAL PERMIT
ew DModification ❑Complete Reissue
As authorized by the State of North Carolina, Department of Environment and Nad,
and the Coastal Resources Commission in an area of environmental concern pursua�
Applicant Name
Adcfre —
tG
City State �ZIP7�1
Authorized Agent
Affected ❑ CW ax fcJ'PTA J ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ lH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: es )/ no PNA yes /(io Crit.Hab. yes / no
Street AddV�/ tta}teA8i* Lot #(s)
City lGX�f.1/ 1 RUC
Phone # ( f��-
Adj. Wtr. Body
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: Orb
Pier (dock) length _ 01�
I I
Platform(s) II II I I I I I
L 1 _ - -'
Finger pier(s) I I ! 1 1( I I I ! I i
Groin ength LL l l l l l!! 1 I ! i l l I_
I number
.
1 Bulkheadf,Riprap length I I I I! I ! I I I I I
avgdistanceoffshore1_I i I_�_' I I I I I ��---1-1-1-1-•--
max distance offshore
Basin, channel I
cubic yards
Boat ramp ! I I ! J
Boathouse/ Boadift
Beach zing —L—I-�
Other i I
D II_�L bmwt�Z� PAL
�z. I I I I I JL
Shoreline Length .�_�;
SAV: not sure yes no
I
Sandbags: not sure yes I
Moratorium: n/a yes
Photos: yes fio ; i I
Waiver Attached: 11" N no--�-
A building permit may be required by: l 17��� to
Notes/ Special Conditions
I- -•- —Fv
1
} ° j
-
1
,
1
I
❑ See note
on back regarding
River Basin rules.
i�
5 �
Agent or Applicant Printed N e
Signature Pl�se compliance statement on back of permit'
Application Fee(s) Check #
N9 510 5 9L
Previous permit #
❑Partial Reissue Date previous permit issued
4.

jADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 19y MZ17"0N is
(Name of Property Owner)
property located at / %q A 9 T EF7-
(Lot, Block, Road, etc.)
on Y/-H l KW6M in IE %� V(!� N.C.
(R`aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
i� -X410 Fl- 'A
-n31UrR
t.
SEP l 1200T
Morehead City DCM
rnnt or Type Name
Telephone Number
Date: y% - C

ACENT RIPARIAN PROPERTY OWNER STATEMENT
certify that I own property adjacent to
sal rAGToN ,S
property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on �
(Waterbody) in
(Town and/or County) N.C.
He has described to me as shown below, the development he is
and, I have no objections to his proposal.
ro 0
P p sing at that location,
--------------------------------------
DESCRIPTION AND/OR
DRAWING
OopoOPOPROPOSED DEVELOPMENT -----------
(To beflled in bydIlu!prg development)
/7fi �D r-x4lo r- "A
...QU
SEP 1 1 2001
Morehead City DC�ro
Signature
Print or Type Name
'• C..i'dL i�cl'C��L/
Telephone Number
Date: 7