70698_uncovered Boatlift_20180323

CAWA/-�-`&AEDGE Alk FILL
N2 70698,
.,D
L'. PERMIT PreViousp&mii
K(:��_
•
J GEN ER^
-A
Nevv El Modification ❑Complete -ReissuEl Partial Reissue- "it issued 1.4 4
El Date I ued p�ey ous, perm
-A Carolina', Department of Environmental s authorized by the Statb�qf-.1�18rth.C' ital Quality,
;Sand tFie 66asial'Res&urces Commissionsuarit A 5A NCAC
in,amarea of environmental concern pur -to
[Rules attached.
Location':.' County- a _(,
4-Y�Applicant N,
r
Street Adde&is/ Stat6Aoad/ L6t'#(s)
Address i
Siaid.1-1-r_ zip
C
Phone #., (2�­? )--i IT) — 42 E-Mail Subdivision
• Authorized Agent­---T' 7,5 - wl�-L r-+ Cit y ZIP- '1--)
'EIES 0 PTS- River Basi El Cw �RPTA Phone
Affected-,, - q�T .
El OEA 0 HHF ON 0 UBA El N/A
AEC(s)-, Adj. Wtr. Bod -rP, 'A L I'l, 6 (in /nian'/drikn)'
El PWS-
Closest Maj. Wtr. Body- i.,:?
ORW,-'-
,,yes
V
Pie'r (dock) length
Fixed Platfor�mi)
Floating Platform(s)
Finger pier(s
Gr6in1engih
gnumber'
avg cljiiiari66'.'off'shore7
maz'distance offshore I Oa vll:
yards 'cubic
B04 ramp IF
Boaiho'us`e/_ atlift
Beach Bulldozing
Other
ShorelineLength"
5AV.- not sure yes no
Moratorium: n/a yes, no
Photos: dtfoS
Waiver Attached: V.S no
f
■■■■■„11®M■■■:■■:■■■■:■■■■■■■■���
bLf�J'1dJn'g`pe'r'Tit may00 rpquired by: <e-i �r_o a /-0
Note Local :Planninj`J,,6 aiction)­
Spo-cial'Conditions.,
I. XY
.[2:S6e,fi6ie'onback're g4
% V­1 rerma ymcgr s rrinteq-iName
Signatur eread c�pfiancesialement on back of permit" Signature
rll# r1eYe
1
7 JL'� 4,
61, Liz -2 -1 A,�,_ J_'
-Application Fope(s) CheckW Issuing Date Miration bate

Author ked Agent Consent Agreement
1, 'DcJ,I "(KQv' , herby authorize Tobin Jay Tetterton of
(Proper(y 4trner(s) )
TJ's Marine Construction, LLG to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS;
PROPERTY OWNER'S MAILING ADDRESS:
Phone No.0 2 S x) `71 '1-- LY W13
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE•
TOI1IN TE'I'T 1'RTO
DATE:.3-ZZ 20/
NVIAu111orized Agent Coment Agree.
RECEIVED
MAR 2 0 2018
DCM-WARO

Adjrawn4
Properly
a►mer
cha&. one
Adjacent
Prupariv
t1aim
MIMI
M111121
01m
g&cMUr BlpApjAM PELQPgEr MF-R ffATgMEf�1
1 hereby certify that I own property adjacent to t.v►� Wa Re.� ,s
(Name of Property ty Owner)
property located at ! 0 e rv. % % 5 (� c r�s ti7r
i -G Rttxr (Address, Lot, f loc Road etc.)
on Pea% i, N.C.
(Waterbody) (Cityl%wn andlor 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.
MiSCRIPTI®N ANDI®R DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
RECEIVED
0 2018
DCM-WAR®
1NAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must beset back a minimum distance of 161 from my area of riparian access unless waived by
me. (If you wish to waive the setback, you Mu t !p1tIa1 the appropriate blank below.)
1 do wish to waive the 16 setback requirement.
I do not wish to waive the 161 setback requirement.
(Props C3wnlvr Information) (Adjacent Property Owner Infamation)
w
31 t5 �a
Date
'Valid for one calendar year after signature
(Revised Aug'. 2014)

AQMCENl RBPARIAN PROPERTY OWNER HMMENT
I hereby certify that I own property adjacent to f�� 's
(game of Property Owner)
property located at SA Ma's .5 "eS.
(ddreas, Lot, ®lack, Read, etc.)
on _ te*',r1rc.a (�&yer , in , N.C.
(Waterbody) (daily County)
and/or
The applicant has described to me, as shown below, the development proposed at the above
location.
MEMO �CG I have no objection to this proposal.
nrap�r2y
Owner I have objections to this proposal.
checkona
DESCRIPTION AND!®R DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description Below or attach a site drawing)
pc,ncve, 46, �-,�� RECEIVE®
MAR 2 0 2018
-WARO
�n
WAIVER SECTION
Adjem-nt i understand that: a plot, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
Yiu =yftu must beset back a minimum distance of IV from my area of riparian access unless waived by
itse me. (if vau wish to wave the setback, you mat inia1 the appropriate blankbelow.)
-
G"`I do wish to waive the 15' setback requirement.
1 do not wish to waive the I & setback requirement.
(Property Owner 1"fol ation) (A cent Pr Pe Own Informagon)
si t L `d ��, I� tures !& C- a 1 t`�� b► �n n �,
Print or type !Varna Print or 7 yp -Name n j
o G s Owe.. f,
Malling�A dress � 2 7 %" !ling A rass Q
tu�JJ 11
-Tel 3 net Lump rlemall address Telephone Number/ emall address
t/o —t S(
Date Date
(Revised Aug. 2014)
*Valid for one calendar year after signature'

Applicant
.
Gate: pennttt
Oe-scrfl)8 below the HABrrAT disturbances fari the -appricadcIfL. AII'V-Alue-s should the narrle, -qnd 6TURS, of measurement
match
foutldinyour Habitat code ahe'et
TOTAL
Fltq.A.L Sq- Ft-
TOTAI-Feet
FMLFeet------'-
(Applied
kftdpatgd Has[
• (Applied fof4
(Addozd irW
H-ahifat Name
CIISTURS-TYPE
Ofsturbance total
df;sUbanm
DiSWbanca
dmturbvce-
Cho(3s-- One
includes any
Exclildes arV
total includ6s
Excludes any
anticipated
reitaf?ffoir
anyantidpated
restwaganan&or
reslarallon or
antuar lamp
r6storatlon or
temp impact
tamp hacts)
lmo:ad amount)
temp impacts)
amauflf)
C>Pe 4
IA-,'P,Ttry,t—
"redge
0redga0'Rlln'8ath-Cj Other
&ccl
bCI
DvM4e U Fig 0 Saift Ef other (I
dredge-Ef - F111 0 Pi3th 0 Other C]
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Oredge C[ MIT 0 e,JtiT CI' Othai. Q' I `
Qredge 171. Fill Q EldtEl"Mar-El