Styron, Brandon

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DREDGE & FILL
NO# 66944
A B D
GENERAL Previous permit # O�A PERMIT 0 if previous permit issued
d ic ion D Complete Reissue El Partial R6 ssue Date
As authorized by the State of North Carolina, Department of Environment anjNatural Resources ILJ
and the Coastal RKesourc s Commission in an area of e vir nmental concern pursuant to I SA NCAC (A 0o Eijftles attached.
.0CJU
Applicant Name 37 /Pr Project Location: County. e-i e^
41,
Address— 1 Street Address/ State Road/ Lo #(S)
City — Atli Stag ZI P
Phone #
E-Mail Subdivisio
1'Vls'0?x"
Authorized Agent fir,'' 11" 0 , _/
Affected Ei cw pitw m-&A .ow o rrs
AEC(s): 0 OEA El HHF 0 1H El UIBA 0 N/A
El PWS:
ORW: yes PNA yes /(go
Type of Project/ Activity (A e?
"
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)__��
Groin length
number 1 77
Riprap length . . ...... . . .. .... .. ... .. ...... —
QB !u 11 k LQ,
ayg distance offshore
maxdistance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
... .... ....... ....
Beach Bulldozing
Other
or
Shoreline Length
SAV. not sure Yes (DO
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes Uo
A building permit may be required by: r,
( Note Local Planning jurisdiction)
Notes/ Special Conditions ( (
Agent or Applicant Ranted Name
Sig ' ture Please read compliance statementon backof permit"
4
Application l Fee(s) Check#
C_
City ZIP ex —7-
Phone# River Basin ( AT
Adj. Wtr. Bod (nat AGn /unkn)
Closest Maj. Win Body— o fl-f J0 C'
(Scale:
El See note on back regarding River
'r b elk
. " - Mp �r' P
Signature J�� r �
ibu! ic"_ I I
rules.
E

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 1) 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 Tar- Pamlico River Basin Buffer Rules 0 Other:
0 Neuse River Basin Buffer Rules
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 (910-796-7215) 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/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
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: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/14

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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
o.h
Name of Property Owner Applying for Permit:
Mailing Address:
1rI \1"1 S
I certify that. I have authorized (agent) r �2 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) ,
at (my property located at)
This certification is valid thru (date)
Property Owner Signature
RECEIVE®
JAN 2 7 Z016
,)CM_ MHO CITY

w
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
7d
(Address, Lot, Block, Road, etc.)
on-�1��Z , in 4�2 a/&Xc ✓ , N.C.
(Waterbddy) (City/Town 4nd/or County) //
Agent's Name* _ ✓�Q: t� "ezl Mailing Address: oZ IF&L4f�,� '
Agent's phone #: _ �ic� - 3 ,71� SrS
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED -DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
RECEIVED'
1 JAN 2 7 2016
f' DCM- MHD CITY
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httpJ/www,nccoastalmanagement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail,
(Prop Owner forma ' )
�g
7
Print or Type Name.
Telephone Number/Email Amass
Date
(Riparian Property ner Information)
Signature
Print or Type Name
Mailing Address
'llisrov, /IBC -_a 91 9'`7
City/State2ip `
elephone P umber/Email Address
Date
(Revised: Aug. 2014)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTYQWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN`RECEIPT REQUESTED
I hereby certify that I own property adjacent to 's
(Name o Property Owner)
property located at dv LS
(Address, Folt, Block, Road, etc.)
on-21u , in ACC , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: 1Xa4,4,j�,�+- ' Mailing Address: �2
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
------------- --------------- ------------------------------------ --•w---------------------------------------------------
...
DESCRIPTION AND/OR DRAWING OF PROPOSE", EVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
DECEIVED
JAN 2 7 2016
�r
-� CM- MHD CITY
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athitp;//www.nccoastalmanapement.net(web/cm/staff-listing orby-c~-888-4RCOAST.
No response is considered the same as no objection if you have been-rro'tified bJ Certified Mail.
(Property Owner Information)
-Signature
Print or Type Name
Number/ Email Address
--. -n --
Date
r Information)
/D %yl L / "J , 1-7 �3
Print or Type Name
M
�ailin Address
w zo�-
City/State ip
Telephone Number/Email Address
/Zzzb
Date
(Revised: Aug. 2014)