Jordan 71756 FLORENCE

IDI/K -I
0: :DAMA/ DREDGE & FILL No 71756
A B C sO
GENERAL PERMIT Previous permit#
> C New __Modification ❑Complete Reissue __Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ��rj� r
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC t -- .
❑Rules attached.
Applicant Name . -3 --10--v-8,6 y Project Location: County /U(.4./U(.4.,1 ,�. 0,41,,C( y0,41,,CAddress ? Sox 4g2Z Street Address/State Road/Lot#(s)
City l...6.v"-/ State 1J C ZIP 24 Sly '/S p,,,_, IIJGC.k )
Phone# (Gjj) 4(p 77" - ff E-Mail Subdivision Q. e g :T.
42 n c-
AuthorizedAgent C�,W E(g1vt City (,�,.1\ty�.��,yJw-1-es• ZIP 2 811
Affected ❑CW NEW gPTA ❑ES ❑PTS Phone # (9(9 ) 8(q -'-/2 ?•f River Basin Cr�
AEC(s): ❑OEA ❑HHF
El 17UBA ❑N/A Adj.Wtr. Body gsi'yl ►S A11'tL( Op man /unkn)
❑ PWS:
ORW:(A/ no PNA yes / Closest Maj.Wtr. Body f le
Type of Project/Activity to GE �M,aril ..0e 4-0/ ,1Q i- or,,rn,.
(Scale: I� = HO )
Pier(dock)length / R)PrOtc) C ,� (LIE L-i i!/ COOLIE��'J/V r
Fixed Platform(s) ` V I `
Floating Platform(sk2($ 20 (INV, �\ _ I A V I
Finger pier(s) C�` ,
Groin length
number �. 1
Bulkhead/Riprap length ltk ' i
�ti�� I
avg distance offshore
max distance offshore I A (_. � I
Basin,channel
._. ,. PO - ! :
cubic yards
Boat ramp k-KI
Boathouse/Boatlift 14 . , • , f i
Beach Bulldozing I
e j \ '
Other _ q�
j
I . . Nt. . •
f
Shoreline Length
SAV: not sure yes 4L7' I
I
II Qv a
' $ 1Moratorium: n/a yes pp /
Photos: yes "id ''
6 c It• \ Ip�r Lt4-
Waiver Attached: yes 0 AA ,, l S �+(1►�
A building permit may be required by: !leo 4t604, 1,,te ( c...) . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �I - ��/ `' //� ( � JJ__ lJ_
Notes Special Conditions Kcis IQ Opr• 2500 tQ,„,1 QUI (� �- ..E1, A-g, ( t S?�`te 1 4tn C t
(o cA( (Qi- `SAtOp(Af
Clew c c c.((„„_ (6,-c ok- Svt
Agent or Ap/pli�icca�nt'Prin�ted Name Per ' Officer's Pri d Name
rz__. .___--
Signat re **F4ease`read compliance statement on back of permit** ignat e
tnj& cl -- /00-2 f /8 //20111
Application Fee(s) Check# Issuing Date Expiration Date

McEAMA/ 0 DREDGE &FILL N� 70535
GENERAL PERMIT Previous permit#
Liew OModification Complete Reissue ❑Partial Reissue Date previous permit issued B C @
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 ISA NCAC O v. 14- ao t Q •
_
y t Rules attached.
Applicant Name �e lOf j4, ___ Project Location: County New iliznam -
Addresss� W8_ 44 as Street Address/State Road/Lot#(s)
City--C( State NC ZIP a 775/tl 45 F per MMrh
Phone#(T9)46 ' gj.$D E-Mail — Subdivision �-
Authorized Agent Ghasc E/alt') CityAhhitirjOM ZIP a/41%
Affected ID GW iiftw MITA ❑ES ❑PTS Phone# (919) $1,7 49 T7 River Basin
AEC s : D OEA O HHF ❑IH ❑URA Li N/A
( ) ❑PWS: Adj.Wtr.Body eadttit.S C�-i�f� nti/ (:)/man /unkn)
ORW: no PNA yes 1 no Closest Maj.Wtr.Body k ,clezz d
Type of Project/Activity propaS4/ 10 rep lea d//p►/07793 g dCr exi:Sfr�j k l ple - in Sam e
t D�ri / at An ey, 3 ) doathg Aahir (Scale: )
Pier(dock)length _
Fixed Platforms)_ i i i g X 7 J r _ ' ._ _
Floating Platform(s) �■ . - 1 v' .c l S ` __.
p.` li.a...,„
Finger pier(s) i! 4. if' ,�:,_'1Gi... r 1 , _ .
Groin length �. `��� i ._..... _.1_. _-- -- l_
number , - Or _- t '"" i/ „ ___
Bulkhead/Riprap length I 1 "'" t 7 r i 1
avg distance offshore t
max distance offshore 'F l nr,,,..,„,,,,-,,,, j —'�'
Basin,channel i /%e//1./' 1
1,/„
cubic yards I • ' ,, — 4 1
Boat ramp i ' • . i 'Et N— i �-
®�� �'
Boathouse/BoatGft ,
Beach Bulldozing_ IIMIj _
_ __
Other % t. /WVmai _ C~ I J {
- _
-signiori
,.. ..• ,.�•.
1111 —
Shorehne Length 0'!b9 l
SAV: not sure yes iEmu
Moratorium:
nla yes Q tern _ _ P ._ oini _
_" ;, A • _- 4_, /
Photos: yes ® V'"r 7 ..:. �.�`7' t .,,.
Waiver Attached: yes A4� �! - 1 �. i�
A building permit may be required by: Nes, hi oevrr (efLn* . ❑See note on back regarding River Basin rules.
(Note Local Planning jurisdiction) /
Notes/Special Conditions N/conch 4 --coniA5N a a/,QAr.r 19,4 svzti Q,74/724.7t/
ir
P
Agent or Applicant Printed ��
Permit Officer's Printed Name
"--`
np
../„. ",' ,1r�r,, 41 l .„11
Signature ae PI:.i.e read.I pliance statement on back of permit** Signature
20022 — _/30 — 7A3fi k Il/673/15-
Application Fee(s) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
-Name of Property Owner Requesting Permit: 6z‘,•/-5 rd ,
Mailing Address: 90 , 80X
C( �-
( y57 1
Phone Number: ( -
Email Address: Gee °-(5 c o r-p(c1 ( U vi-N
I certify that I have authorized (r_k l c� live
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: o Ate,14.5 d o
r ,
at my property located at j pi c, �� ke— It/ Imo Alc
in ✓�e c✓ h h&Ve v-County.
I furthermore certify that I 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:
/4 /aka Alai
1 Sign. ,ll"e
)e --� c14-�� �.
Print or Type Name
W eve- (
Title
7&
Date
This certification is valid through l I