Callahan, Troy

P,
CAMA / ❑ DREDGE & FILL No 70903 A B `C n D
6�
GENERAL PERMIT Previous permit#
❑ New ❑Modification El 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(I area of environmental concern pursuant to I SA NCAC
}a% j ules attached.
Applicant Name v ''',r1 11 r~/� '"`f `� Project Location: County
Address �� { < c U' %" t� / " Street Address/ State Road/ Lot #(s)
City ,r t" State ZIP
Phone # ( ) f r� E-Mail Subdivision`
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA y zr5 ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) ?
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
Shoreline Length
('x
SAV: not sure
yes
4�'
Moratorium: n/a
yes
nq
Photos:
yeses
Waiver Attached:
ves
no
ZIP �'
City fr F'v' �,� ..--•
Phone # ( ) River Basin
Adj. Wtr. Body— • { t'� ' `' man unkn
Closest Maj. Wtr. Body_.
-f
(Scale;-/�) )
A building permit may be required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) C , f
Notes/ Special Conditions
i_.
Agent or Applicant Printed Name �f
Signature; d Please read compliance statement on back of permit"
IA
Application ee(s) Check #
PermitOffic is Pri Name
Signature' "
'" 'k V, le
Issuin Date Npiration 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 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1 Tar - Pamlico River Basin Buffer Rules Other:
J' 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
(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)
Revised 7/06117

CAMA / ❑ DREDGE & FILL NL) -1 A B ' C D
G N ERAL 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 7{/ / 1 oc,:
and the Coastal Resources Commission in�a ar}eaGof environmental concern pursuant to 15A NCAC
�M//''' les attached.
Applicant Named �t ^- Project Location: County I ��
Address +� Cs +/��� _ Street Address/ State Road/ Lot #(s)
City ✓ti`e",( .y/ t— State ZIP�� ?
Phone # ( T�� E ail Subdivision Yr1�/r'
( y't`ryj ZIP 1
4
Authorized Agent. 1'r City
Affected ❑ CW ❑ EW ❑ PTA S ❑ PTS Phone # (_) Riverrasin �' t t�'t
AEC S : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ' ' `" t man unkn
,,._, Closest Maj. Wtr. Body
ORW: yes no PNA yes(no
Type of Project/ Activity
Pier
Fixed
Floati
Finge
Groin
�ulkh
Basin
Boat
Boat
Beac
Oth
Shor
SAV
Mo
Ph
o
Wain
(Scale. ``
�ock) length
'Ig
■■■■■■■■■■■■■■■�.7■■■■lid■®■■■■■■■■■■NONEPlatform(s)
■■
MENEM
No
Platform(s)■NONE■■NEEEE■NET/Nf1■E■NEE■■NONE
NN■ENI�►!�'J'
.■■_..■■■■■'■■.■■■�■�■■■�I■■■■■�■■.■.■�N0
■O■
■
NOON
■_■■
■■OEN
■■MEN
■■
length�■■■
■■■N■N■MEN
■■■■■E■���r
ru�E�■_■_■_■■■■0—mmismi
umber
E■■■E!l1�l...�....lr�l/■■EN■■■■EMU�I■IM
/.Ir
WE■■ENE
■■■�.E■N■NEN■■NNE■■■■■MENE■■N■■■■■■■■■■
I_Vg distance offshore■■/I■■■E■■■■O►
■■■E■■■I►N■■■■■■EENNO■■I1WEE
max distance offshoreN%■NEE■E■■N■N
NMEMO
■EWOME■■NNE■E■■NEM
:ilO
E�
Ii■■■O:!!�►ME■■■■■■E■■
SEEN
■t!'/■■■N��.'�%NOON
channel
■■■EEO■�4r�■■=EN■■■N■■N■■■■■E��-■■NEE■N■■�
■ll!�EN■■E■■E■
E■■■■E■E■NEE■Eii'EENE■■ENO■■
cubic yards■i■EN■■NEN■■■ERNE■NE■■■N►%EEO■NO■ENramp
■■
E■ENEE
■■E■■O■■N■■■■■■E■■■E■■■►/N■■EN■
■■■E■■■■■E7�■■■EE■EfHOENEN■■■■■
NEON
■■■
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.
...00EN■E..■...._.._..••■■■■■■■■■■■■■■�
■�■ELRAMM
■■■■■NE■■■■■■■
■■■■■N■
mom
■NONE
■■i■nill�
.N■ni■■■N
M■ON■ENE■■■■■
'mom
■■■■■■■■■
Bulldozing
SEEN
MEN
IAN■■■■■E■■■E■■O■■■
r_
am
arm
HENNIN
IN
E■■■■■■■■■=■Cain■E.■■N■N
ONN■N■NN■N■■N■�
■■N■■■■■O■■■E■■■
l■.■11r,
■■
NINE
■■■■■■■■ENE
■■■■■E■■■■■■■L11ONr,/N■EMN
■EE■■■■■E■
sline Length■EEEN■■NEE■OAS\ME■■.N■ESNEENEE['■■E■ENE■■■
■EE■ENEEE■
N[!�i©■■■ErI�rEEowri■■E■■X■■ENEE■■■E
not sure yes J
■■■■■■■E■.liti■■■■■■EEE■NNE■■■N.■■■E■NN■■■
torium: n/a yes ,'np'
MEME
SENIOR
SUNNI=
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•
■N■■■■■■E■■■■■■■■■■■V■�■
NOON■■■■■EN■■
s: yes
... - . , .
■■NEE■■ENE■NE■EiitIL�7�!O![!�Iriiliit■■ENEN■■NON■■■E
WE
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
UC,'
Agent or Applicant,Printed Namel
L
Signature PI ea�e read compliance statement on back of permit * _r
4F91cation rf ee(s) Check #
❑ See note on back regarding River Basin rules.
Name
Signature
� '�9 1 6 1. 1 If
Issuin Date E iration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �C-,'c' ��c < c !`�/ ✓`f'f� s
(Name of Property Owner)
property located at L -' ,e r _!�
(Address, Lot, Block, Rqad, etc.)
on 4 -, � c�: ,�, in c_ r� t:. �:t ,..t. �- ��' :,_ . N.C.
(Waterbody) (City/Town 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.
�rDESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
c�C'����<��+�r'�t��?�r�������
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner)lnformation),,, (Adjacent Property Owribr Information)
a.. T
Signature Signature *� _
Pr tni or Type Name ,AVfJ / Print or Typ�."Name
�r /'�"7 %!1 L' A �� y-'7 / Li, i t_.f� 1 --- e: ' C'
Mailing Address I— Mailing Addr ss
City/State/Zip City/State/Zi /
p
Telephone Nu
m er/email address Telephone Number/email address
Date Date
(Revised Aug. 2014)
"Valid for one calendar year after signature"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'S
(Name of Property Owner)
property located at yt(+ C'p< l-►a'r.l .�<<&?
(Address, Lot, Block, Road, etc.)
on 4��.� Sw-� in C"W.td P 4 N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
C I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
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.)
F4- I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
f�, k l2w L.
Print or Type Name
330>pt (,c.lcwr Le.?
Mailing Address
,r,..,ra 13,4, W ZfdS`t y
City/State/Zip
Z5i -Z 4(-G415
Telephone Number/email address
IIt11t -
Date
"Valid for one calendar year after signature"
Signature* ,t
Print /or Type N ame r tt t
Mailing. Add s
a -ALA
City_/Sta,e1Z►
Telephone Number/email address
Date*
(Revised Aug. 2014)

1
AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
(J
i
I certify that I have authorized c['b,y: a ���}-6S L{'' 0 4 ' 5
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ,r
at my property located at
!J
in.: �,�... 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:
G J `
Signature
Print or Type Namp
Title
Date
This certification is valid through 3 I ;Y 11,5