71254A_Paul Bowen_20181129

EXCAMA / n DREDGE & FILL
GENERAL PERMIT
`x New Modification ❑Complete Reissue ❑Partial Reissue
B C D
Previous permit #
Date previous permit issued
No71254
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 3♦y0
Rules attached.
Applicant Name Pau, 6 0 %Aj c rN
Address 1 0 (oy Mar Po � t 0,1
City Y ' t �.", H. " IC. State NC. ZIP a 719 4 9
Phone # (�" (,a-+ 646 i E-Mail
Authorized Agent MAV\ +u,-,& Ma t wv%�
Affected ❑ CW �4 EW I PTA X ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes // 5,ox. PNA yes /<5)
Project Location: County Dc 1 1(
Street Address/ State Road/ Lot #(s) j0(,C) FUrft 014
Subdivision
c4t5r ZIP a.4549
Phone # ( ) River Basin
Adj. Wtr. Body v e, So „✓1 C, nat an /unkn)
Closest Maj. Wtr. Body _`e —
Type of Project/ Activity �, v \Y V,,, c! 12-c LA rt,-- D u, k r � � `en l k V
(Scale: I = 40 )
Pier
Fixed
Float
Finge
Groir
Basin
Boat
Boatl
Beacl
Othe
Shon
SAV:
Mora
Phot,
Waiv
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i length
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number
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mmmmoNmii■■m
0-1
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pmo.!m■■■el4mom■mmmmmmm
avg distance offshore ;1l
max distance offshore- -
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cubic yards
ramp
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dine Length
not sure
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yes
torium: (5p yes no
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A building permit may be required by: CCl.I ,n y
( Note Local Planning jurisdiction)
Notes/ Special Conditions
_PA T_� I DOLJL_ �
Agent or Ap licant Printed Name
Signature 1 "Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
� nU d
PermitOffr N
LSVature
I I I aC, l u ►g 91��'') 01
Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
Date / I —, 6- -- / �)
Name of Property Owner Applying for Permit:
�L P,& c�5 A)
Mailing Address:
/ C', 60
I certify that I have authorized (agent) toact onmv
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
�712 .7 - ....4
f> J 2. k Wj
at (my property located at)
0
)41 /Z Z 7T-A,( /i7A:)— 14A0
­ t-
4L.
This certification is valid thru (date)
U
FRI
Property Owner Signature Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own propadjacent to I��`t.+�% ' erty s
(Name of Property Owner)
property located at f C;
(Address, Lot, Block, Road, etc.)
on,J{?uL/4i�r"Yj In 'l 1 f -c j N.C.
(Waterbody) (City/Town and/or County)
Agent's Dame #: !`�2 , {.. SLZ�& 14r2.,141 k Mailing Address: 1' 142',€ T ry ; `, " -�
Agent's phone #: z — . — C � cjL .�f '11u 1)C 2-%! i~ '
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)
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. Contact information for DCM offices is
available at www.nccoastaimangementneticontact—dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified flail.
(Property Owner Information)
Signhture
Print or Type Name
Mailing Address
city(lJ(st}r�} I zipf (j {^y j}
61
Telephone Number
f` /112 ` l i. ": j C r y
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
r It l%4. 777 `
CitylStafelZip
Telephone Number
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
f hereby certify that I own property adjacent to PAOL s
(Name of Property Owner)
property located at ic) &D �6p's —j —I
(Address, Lot, Block Road, etc.)
on in h��f 1141 N.C.
I
(Waterbody) (city/Town and/or County)
Agents Name It e 'L7-kk Mailing Address: -41j2477ri.,
Agents phone TY 10414L Aa Am, 8 c, 271
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 developmew must fill in description below or attach a site drawing}
It YOU have objections to what is being proposed, you must notify the Division of Coastal Management
=M) in writing wfflun 10 days Of receipt Of this notice. Contact information for DCM offices is
available at www.nccoastaimangenienLneflcon&3ct dcm.htm or by calling 14MO-4RCOAST- No
res�orrse is considered the same as no abjection if you have been notified by CAwtifired Mail
(Property Owner Information) A(Rindan property Owner Infomation)
Signature
Print or Type Name Print or Type Name
Ma&g Address
1,6u"x n' L , 2-73v
cl'yM*Wzip
z J C—
Z
Telephone Number
Date2-
i
Marling Address It
cdYlstalelzip
� 7 - �� -
Telephone Number
/I- I?- ff,
Dale

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