39686_BRADLEY, MICHAEL_20040826 (3)

AMA /- DREDGE & FIL y 39686
GENERAL F15R IT lvk
JNew Modification CoPrevious permit #mplete Reissue Partial Reissue Date previous permit issued 3 3D C
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC - ���
pp �^ c � � �� � f"� I C Rules attached.
A licant Name M l ° Y Project Location: County 6,4,0 E2LT
Address ' "/ ��N/✓ Street Address/ State Road/ Lot #(s)
City 13eay -r-r State Al & ZIP,!�185//,
Phone # Fax # (_) Subdivision
Authorized Agent
Affected ❑ Cw rFw LEW rA ❑ es PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ USA N/A
❑ Pws: ❑ FC:
ORW: yes / o PNA yes / d0 Crit. Hab. yes / no
City
ZIP
Phone # ()�� A .e/River Basin �y' ��
Adj. Wtr. Bodyaw /�A� ,4,uQ l nat /maA /unknj
e4
Closest Mal. Wtr. Body zo9Ur Splwal
Type of Project/ Activity
12-7- A f"7 � '; ,y f', /c S (Scale: NTj- )
Pier dock length
Platform(s) Ohl_
(r_ aAliS
Finger pier(s)
Groin length
number i
Bulkhead/ Riprap length
avg distance offshore
�•'
max distance offshore M01j �oU6
Basin, channel �41ty
cubic yards f 'i
Boat ramp
y /
Boathouse/ Boatlift
Beach Bulldozing
Other 1"v rr =-3 , . ,1._j 7
7 1
Shoreline Length
SAM not sure
yes 6)
Sandbags: not sure
yes 2io%
T
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
t6s" no
A building permit may
be required by:
L� < < ' —�"'
See note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name / ,
r
Signature ** Please read complian statement on back of permit*
/cc oe .9V
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date 1 Expiration Date
Local Planning Jurisdiction Rover File Name

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)em
Lf / �/
hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at-- ) C) � P/� J �- z & 4 UA y'-� /V (- Z av
(Street Address, Lot, Block, Road, etc.)
on GR 114-�,4') in & 'I'4id - , N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (I T) from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(initials)
QD9
gree to waive the 15' setback requirement.
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Si ature
Print or Type Name
---� R5a- 7a k- �k
Telephone Number
Date:

� CAMA / ❑DREDGE & � Alk
`� 39686
GENERAL PEMIT Previous permit #
New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued 3 3D C
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name MIC a"d -graAl!eY Project Location: County C, Z71E297—
Address /Ova- ! ITN/✓ �. Street Address/ State Road/ Lot #(s)
Ci � a zl Arr State A"t ZIP g5 /� C
ty s
Phone # (Z'jo2y�"%gel Subdivision
Authorized Agent
City
ZIP
Affected ❑ CW
EFr& CWU ❑ ES
C PTS
Phone # �" Da-�
(_ ) River Basin
AEC s : ❑ OEA
O
❑ HHF ❑ IH ❑ USA ❑ N/A
Ad'. Wtr. Bod �R %�A�T ��rQ u d2l
/map /unkn)
❑ PWS:
❑FC:
I y- nat
zogve
ORW: yes / io%
PNA yes /
Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: }
tiT )
Pier (dock) length -
7 -(
Platform(s)/ �( Gi
Finger pier(s)
Groin length -
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift__/
Beach Bulldozing
Other- t_ 1-7
- _
g�
Shoreline Length
SAV: not sure
yes
io
Sandbags: not sure
yes
6
Moratorium: n/a
yes
d1�
Photos:
yes
tie
Waiver Attached: no
A building permit may be required by:
�J
Notes/ Special Conditions /h NC/
�n,1�wc,S Ive, i
Agent or Applicant Printed Name
Signature * Please read complian statement on back of permit
Application Fee(s) Check #
6` 'r+
CX....
/t
5
See note on back regarding River Basin rules.
Permit Officer's Si ature
Issuing Date Expiration Date
I,- L 6 36 3 .;7,o
Local Planning jurisdiction Rover File Name

AMA /❑ DREDGE & FILL D N? 3 9 6 8 f
GENERAL PERMIT Previous permit#
New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued -5 3v C
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
� Rules attached.
Applicant Name j l d F'-( �b//ra d l �-�/ Project Location: County 6,94-TE29T`
Address / !!NN �J ' Street Address/ State Road/ Lot #(s)
City beayA , __ State AAA- ZIP,'�g5/4, �J¢l►'IC
Phone # ()f;21-,-11/ Fax # ( ) Subdivision
Authorized Agent _ City _ ZIP
Cw TAW �A ❑ ES = PTS Phone # (_) River Basin
Affected - oEA ❑ HHF ❑ IH ❑ USA ❑ N/A //�� A /
AEC(s): Pws: ❑FC: Adj. Wtr. BodyC�B/�A�- (,�a�`�e/( nat /mars /unknj
� Closest Maj. Wtr. Body 9 Ur 7 0-wd
ORW: yes l (' 1 PNA yes / 6D Crit. Hab. yes / no
Type of Project/ Activity
� r7—
,i�
Pier (dock) length
(Scale: IVT51
Platforms) �.,_ _ •� / r4 P� ` (� (:{Lth' ��'�
Finger pier(s)
Groin length
2910
number
Bulkhead/ Riprap length J "Te r p-�
avg distance offshore
max distance offshore
I�� qqt l P1ee ,
Basin. channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
_ 7
Shoreline Length —
SAM not sure yes .
Sandbags: not sure yes m00%
Moratorium: n/a yes d52
i
Photos: yes 6,
Waiver Attached: lip no [[ 1
A building permit may be required by: J-
Notes/ Special Conditions /l, °" T --h-
1/fyCS tiG / C1 K
/ � See note on back regarding River Basin rules.
Cx�c/JC/ {c� ��•,_ ��c�7L/t ece;.� ��cc Gx/571��y
C�'f'Cl �if!'t f f'f'757: /ti'� �� r al /A-'L I C4L%f
Agent or Applicant Printed Name
)t,t /';
Signature "Please read complianc6 statement on back of permit"
Application Fee(s) Check #
r
Permit Officer's Signature
&. t
Issuing Date Expiration Date
''-L63D3•--2-D/�
Local Planning jurisdiction Rover File Name

M CHAEL PAUJ. BRADLEY 8909
=y CRLfSS M`B4ADLEY'
162 ANN ST PH.,'2k-728-1832 QL 66-112/531 of
.BEAUFORT, NC 28516
6RANCI+BANKiNG AND TRUST COMPANY IC o L
BEAUFORT, ORTH CAROLINA
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