70642_Pier and platform_20180103

ICAMA / ❑ DREDGE & FILL No 70642 A (S) " C D
IEI�ERAL PERMIT Previous permit # /� i
New - ❑Modification ❑Complete Reissue El Partial -Reissue Date previous permit issued IVIA
As authorized by the State of North Carolina, Department of Environmental Quality +
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC I ZQO
n j 1 lrRules atta hed.
Applicant Name U I!- L I A II I' I `� R R IN S UA I A Project Location: County _ A S P
Address Onr, D 4 Street Address/, State Road/ Lot #(s) 2i g f_A uALP .
City FI-Y'Mowl i4 State zip 27962 1 A% Fr %VK- ? I
Phone # ( ) E--Mail Subdivision e4E_"tJ) / AAlr
Authorized Agent I V A sk YE jL q c.I5,- %D City 1) eF>2 ZIP-2 717 0
Affected ❑ CW )9JEW El ES ❑ PTS Phone # ( ) River Basin ,IAA $ 6 u D `Adle
AEC(s): ElOEA ❑ HHFAPHTA ❑ UBA ❑ N/A Adj. Wtr. Body A !_ Or
/ /12L Sp ua�7 yr` /man /unkn)'
El PWS:
ORW: yes / no PNA yes / no Closest Maj. Wtr. Body AULPIAll( r SoAIV "
Type of Project/ Activity A IA I� o k l a
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
"','Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift "
Beach Bulldozing
Other
E
Shoreline Length ,5 ,
SAV: not sur yes no
Moratorium: n/a yes
Photos: ,yeesr
Waiver Attached: bes
A building permit may be required by: JASH IN�,1.) A) CO
( Note Local Planning Jurisdiction
Notes/ Special Conditions ALA 1 f���4��17 LIOI F I Z n Y P%A,
•(Scale: P 30 )
❑ See note on back regarding River Basin rules.
rIN
/.17 �l! Alb s/NccIC srncmr1,f if V) (,At �iovi 7
Agent or Applicant Prifited Name
Signature ** Please read cox6p lance statement on back of permit"
Application Fee(s) Check# _
Permit Officel's Printed
me-
SignaG�turre% '
Issuing Date Expiration Date "

Applicant: W)LL(AMt SWAIN
Date: 3 J Aq 101
General Permit #: 76 to Y 2
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet
Habitat blame
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
'Excludes any
restoration and/or
temp impact
amount)
Pr
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑, Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Division /of coastal management a2ency form for permit applications
t /. 2I&W, owner of the property located at:
(Name of Property Own r)
Ill C
(Property Address)
Hereby authorize Sawyers Residential & Marine Construction, Inc./ Ivan Sawyer
(Name of person or company acting as agent)
To act as my agent for the purpose of obtaining any needed Coastal Area
Management Act and/or Dredge and Fill Act permit ,that may be needed for the
proposed development at the above indicated property, which entails:
(Describe proposed development for which permits are being sought)
This agency is limited to the speciiic,activities described above, and will expire
on: "
(Date on which authorization expires)
40 �1_YIJ , � " ,1.2'11? F es/
(Signature) (Date)
4/
(Printed name of owner)
(Title, if officer of core. owner or trustee for property)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to U \(\ `->d \J b --\ 's
c (Name of Property Owner)
property located at ;�Oa E-m'q' G'k d L ,-A in. 5-
(Lot, Block, Road, ect.)
on K&!Z mmHg in 'Ro,pg r 1�
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below, the development
proposed at the above location. I understand that any construction, excluding
bulkheads, must be set back a minimum distance of fifteen feet (15') from my
area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
the (15') setback requirement.
L'Kt)— I have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual roposing development/.))
�D ew
v�0v;n-
Print or Type name
asa, 9Ic-O-gqs�
Telephone Number
Signature
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to a-., "YAW" is
/ (I� ame/9f Property Owner)
property located at ���
/� / �Uetie (Lot, Block, Road, ct.)
on �d.�7l�i' �
(Waterbody) Town and/or County)
The applicant has described to me, as shown below, the development
proposed at the above location. I understand that any construction, excluding
bulkheads, must be set back a minimum distance of fifteen feet (15') from my
area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
the (15') setback requirement.
I have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development.)
Ihze
1-4�lae JAk
Print or Type name
Telephone Number
45�4'�Z't 4w�el'
Signature
41F - 11�l - "did
Date