71247A_Ju Yang & Da An_20181113

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XCAMA / DREDGE & FILL NO % 1247 S B C °
EN ERAL PERMIT Previous permit # '} 1'�- + 4
lew Modification omplete 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 an area of environmental concern pursuant to I SA NCAC -4 N . 11 Ov . '1 14 I ao v
J Rules attached.
Applicant Name
Address I (033re f7o Y f tIK 170 r cst Dr l vt
City M w1K I t V State
Phone # ( cQ 4) S 3c1-319 b E-Mail —
ZIP
Project Location: County
Street Address/ State Road/ Lot #(s) j pq ► I % U&SI Ro,d
�L.i's M!9-0
Subdivision W es f lam •
Authorized Agent Lg4M t O'r,,-,L Cwlt. , I'vec City Ov ZIP 7+4 cl el
Affected ❑cull C9EW [(PTA [JES ❑PTS Phone # ( ) River Basin
AEC(s): EloEA [IHHF ❑ IH ❑ ueA El WA 5� Adj. Wtr. Body C „ r . u I�
❑ PWS. &yman /unkn)
[ ? a14 -CA \ A
(Agent or Applicant Printed Name
' ZA---
Signature ** Please read compliance statement on back of permit*
4 G ��I-IDo,00 ► C,
Application Fee(s) Check #
PermitOfficarsPrinted N
Si
�I/13Jdo13 3/t�)ao19
Iss iu ng Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: I �12
�
V c- -2-)1 Zv
Phone Number: C, L
Email Address:
I certify that I have authorized I MAV, in ,
gent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits I
necessary for the following proposed development: I
at my property located at &
in County.
1 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:
tl Signature
e• _
Print or Type 1jame
Title
p
/ 2— / d
Date
�j This certification is valid through
Revised Mar. 2016

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
7IFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
,eby certify that I own property adjacent to �Lx_ Is
(Name of Property Owner)
property located at 1(M
(Project Site: Address, Lot, Block, Road, etc.)
on �v—� �c-t— � , in ��CAL 1�L✓� N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:U J�1� hg ► ►� CUB -Mailing Address�b � `o 45
Agent's phone #: 2SZ — 2= j�l i 3 �l �}-�r �j�r 1\3C-) 27�1`l L49
He/She has described to me 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)
I eF- See �`�� I _ c �l '` Vcti F y� �� F� l c� i Gla 1`t ;
Ci. S ice. 1._ 1 . C I �L- , S C
pl y i �j o c- eL v) ,'-I
1 b wQ 1L V'_d� `C ) t,� i vL ✓ ram. a i'u�
la c P4-
LU & J- Iyti. tJy � �1.� S i cf c � � e k iX e_v
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 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail,
(Property hOwner Information) (Adjaont 1roperty Owner Inf mation)
Signature
Prin or Type Name
Mailing Address
NkuV-" 2-0
City/State/Zip
Telephone Number/Email Address
+- a_.�
Signature*
M r ®t cyx ►rs W\ w ,*0
Print or Type Name
Mailing Addres
W k r--C �xL)"t V S�� o,\ ►JSL-)�%0
City/State/Zip
Telephone N mber / Email Address
Date
*Valid for one calendar year after signature*
Date*
Revised Jan. 2017

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to ,A L.", i a� s
(Name of Property Owner)
property located at l zfi l (O 4
(Project Site: Address, Lot, Block, Road, etc.)
on C> , ems`, in -ixLcv� N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: U G'^'-SJ-Mailing Address: �Ok 110�1
Agent's phone #: V Z.' -I f 3
He/She has described to me 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)
e
�� � c� �- � GL� � o u. S C �4-"Inn. ✓-k -Y,.: �+'
CJ Cam-
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et
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 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature
Print or Type Namd
Mailing Address
M o5-e ( t %-I � I(- 2 3 120
City/State/Zip
'QA' (.:)L1
Telephone Number/Email Address
(Adjacent Property Owner Information)
Signature*
yam,
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email Address
Date
*Valid for one calendar year after signature*
6 5 ` Z5- 12
Date*
Revised Jan. 2017

CQ. DREDGE & FILL 1�� 71574
GENERAL PERMIT Previous permit # 12V V4144 D
XNew - Modification 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 an area of environmental concern pursuant to I SA NCAC "44. l I00
Rules attached.
Applicant Name Z 1J fi A r.
Address I L3 (%f
City-- 1-\O'A [r-�— a State .
VAZIP a__ �D
Phone # (a+){" E-Mail
Authorized Agent
Affected a CW Si EW CA A ES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / PNA yes /�'
Project Location: County Or, , t
Street Address/ State Road/ Lot #(s)
tL.0i ;%S°6}_
Subdivision \Ne )J, t,v,.�ci S
City___ � Il c k ZIP a _!k of t4cl
Phone # ( ) River Basin
Adj. Wtr. Body_ r f A , c >ti at man unkn
Closest Maj. Wtr. Body W V r
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Agent or Appll''cant rinted Name
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Signatur "Please read compliance statement on back of permit"
Application Fee(s) Check #
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PermitOfficer' ed NacAe
Signature I P ul aOIY 4�14 Qi
Issuing Da a Expiration Date

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