71183A_Marie Reavis_20180926

�(CAMA / 2 DREDGE & FILL N2 71183 (A , B C D
GENERAL PERMIT Previous permit#
4New .❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
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 —7 +4, 1�
Rules attached.
Applicant Name MG r t c e c v,), Project Location: County C, (r .A c k
Address S i Li 13G iGt (� I v �
City Nt,., p A FJcw S State V F ZIP
Phone # ( ) E-Mail
Authorized Agent Ke l 1)
Affected ❑ Cw 5� EW )( PTA X1 ES ❑ PTS
AEC(S): ❑ OEA ElHHF ElIH ❑ USA El N/A
❑ PWS:
ORW: yes / t* PNA yes / ,��
Street Address/ State Road/ Lot #(s) a 10 5aa t IZ rl
Z,
Subdivision
City (',-, , ,c. ZIP o1 3
Phone # ( ) River Basin
Adj. Wtr. Body V i r, t + _ tf�,.� y (nat /unkn)
Closest Maj. Wtr. Body (11 �� k SJ✓�I e,i
Type of Project/ Activity 6n „ , �.. c. r. Il r -, A a A Cc
(Scale: = S O )
Pier
Fixes
Float
Fingi
Groi
Bulk
Baso
Boat
Boat
Beac
Oth4
Shor
SAV
Mon
Phot
wan
_F_
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■w■�■
r pier(s)_M(s
i length
i
■Y���■■■■��■■■�■■■■
number
■■■■■■■�■■■■■■■■■■■■■■■■■■■!■��Ii
length■■■■■■■■■■■■■l3tiiilQi�ill�iii!!�©■■■■■I�■■
■■■■■■■■■■■■■■II■n!■■■■�■■■r�■r;■u■■■■■■■■■
!liS�li�!!�■■■■■■III.!
./■lif�/I!M■//■[�■■■■■!11lY3l7
cubic yards So$? r_
ram
■■■■■__■■■_■_■w_■■ilrr_ii_i_r__iM`!!■i�ii■■■■11■■■■
■■■■■■■■■■■■■!■■■■■■■■■■ten■��■N■■■■■i�■■■
■■■r�■■■■■■■■■■■■■■■■■■■■��ni�r■■H■■■■■i■■■■
not sure yes
■!■■■■�I�R�■■■■■■■■■■®■■■■■■■■■■Y!■■■
torium: e5r;' yes no
:;r Attached:
A building permit may be required by: A— C k ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions (1) 30 1 ewe vG N L (�i h'�c ,i nni •u c! a ,c , ✓
? awn C w V%.k d' ti�'1 3. j d 1, k kj w L C�* 5.) + 'A �� ht I (ij .J s�
Printed
N
Signature Please read compliance statement on back of permit
46(w
Application Fee(s) Check #
Permit Off e
Signature
9/a6/, 1
Issuing Date Expiration Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Ze u Q
Date:
Permit #: 3 0 j /1-
Describe belo'�r the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
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)
S
Dredge XFill ❑ Both ❑ Other ❑
� V 6 LI
L / V Co y
Dredge ❑ Fill ❑ Both ❑ Other ❑
s J �c>
5 SCE
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 ❑
252-808-2808 :: 1-888-4RCOAST n www.nccoastaimanagement.net revised:02/03/10

-AC-4--h-
HCD"
North Carofna Department of Environment and Natural Resources
Division of Coastal Management
Sev* Eaves Perdue, Governor James H. Gregson, Director Dee freeman, Secreimy
Date � 9 - /
Name of Property Owner Applying for Permit:
Cty I•t✓-P (IV i 5
Mailing Address_
s� 1� r-t3 I -V d
t
�310U'�-
t certify that i have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) G ` -e Ct
at (my Property located at) 3,a t o SRo4--Rd
This certification is valid thru (date)
Property Owner Signature _a
Date
400 Commerce Avenue, Morehead City, North Carolina 2&W
Phone: 252-80&2M- *FAY, 252 247-3330 l Internet_ www.nccoastaknanagement.net
An Equal Opportunity 1 Affim aM Acfion Employer-50% Recycled l 10% Post Consumer Pater

A�
-A
HCDEHR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Govemor James H. Gre son Director
Gregson, Dee Freeman iPrmtanr
Name of Property Owner Applying for Permit:
Cyr I �-e (Iv I �
Mailing; Address:
si -Ba kR-r -R�IVd
t
a310 US-
1 certify that i have authorized (agent) l� d 11 s
b ) / ` to act on my
behalf for the purpose of applying for and obtaining all CAMA Permits necessary to
install'or construct (activity) Ctr-e (4
at (my property located at) 3-a 10 : ��--RU
This certification is valid thru (date)
Property Owner Signature
Date
400 Commerce Avenue, Morehead Citv, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article.Addressed to:
SA- XV
-1z t�
� 03�
IIII IIII III IIIII I I III IIIIIII III II II III
9590 9402 3394 7227 5399 05
2. Article Number (Transfer from servira B,tLQII
7015 1730 0001 6197 9506
❑ Agent
❑ Addressee
ate of Delivery
!)apiLyl -()IV-"1 71/3/
D. Is delivery address different from Item 1? 0 Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Certified Mail®
❑ Certified Mail Restricted Delivery
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❑ Collect on Delivery Restricted Delivery
Insured Mall
Insured Mail Restricted Delivery
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Merchandise
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❑ Signature Confirmation
Restricted Delivery
k PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt

&-,Fomestic
,tal Service M
RTIFIED MAIL° RECEIPT
Mail Only
delivery information, visit our wPt oww.usps.com®.
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Agent's Name
Agents phone # - �—) - -) 14
AL MANAGEMENT
OWNER NOTIFICATION FORM
I RECEIPT REQUESTED
ant to
as 61K S 1 0-r,
Irtv
v l S 's
(Name PropOwner)
.) etc
, Road
(CGI�Ytb�Ik, .N.C.
(City/Town and/or county) v
Mailing Address:
L t,,-( C,
Ne/She has described tome 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 fill in description below or attach a site drawing)
cl -� C Ct^ 01 - f U r`--e r r,11,E � 5 h a
n-� ��- 1 1� `, t" f
�� hr�
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. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have been notified!?notiffed!?y Certified Mail.
(Property Owner Information)
Signature
Print or Type Name
Mailinq Address
City/State2ip
Telephone Number
(Riparian Property Owner information)
Signature
J65 k ILa � 1 GJJ)
Print or Type Name
4 03 -t-- o 4
ailing Address
City/SfatelZip
Telephone Number
Date
Date

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