63180_ wide walkway over section of 404 wooded wetlands_20180829

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CAMA tEl DREDGE &TILL, GENERAL , -PERMIT PreVious'piprml
'E]Co"- -keis-'ue' ❑OPartial Reissue ev
New El Modification". rTiplete s Date' - i i� - ' pr ious pernnii issued -
As authorized0 Department of Environmental Quality
by'theSt�te.oi.North Car' lina, ta H
and the Cciastil,Retourcds Commission in an area of environmental concern pursuant to I SA NCAC
El Rules attached.
Apoiicant Name t.t LE. B1?2e, I to T- -Project Location: Cciunty, ."St-A.-i
3 q­ 'M -6—L-w 4 s/ State Road Lot #(s) c)l-/ Address,, - DAO Street Address/
'\'ZIP't
`City
State Vif` "9 9, 3 A-Q Z- I LJ C
Phone # II qI V31=3 E:-Mail, SU-bdivision' B- A Li:
"Authorized Agent K—.y f u5 CityZIP. 49 1!
[1 ES El PTS Phone
OCW, 0 4W' PTA River B
Affected OEA -EIHHF EIIH'- 0 UBA El 114/A
AEC(s):
El PWS:
ORW: I no PNA yes-
Adj. Wtr. BodyJ; L> —3-T ((nat) /man' /unUn
Closest Maj. Win Body —?1/),r-q
-of Project/ Activity JIG w I �o
T y pL
•y
1i
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LA-�00-v r)q
(Scale:
'Pier (dock� leng th
Floating Platform(s)_
Finger pier pier s
Groin length
numb� r
Bulkhe�d/'Rip'rap length
-'-avg distan6e offshore
max'distince offshore
Basin, channel
cubic yards
NONE
Boat ramp
Boathou
g
■eEiiENEMO
Cith e r­-1OD,' (42'.
r O�EM�i
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'Ageni,c`rApp'licant Printed Name
Signature":�':-'**Pld'a'se read compliance statement onbackofpermi
Application Check#

BAY HARBOUR COMMUNITY SERVICE ASSOCIATION
PO Box 29
Chocowinity, NC 27817
To whom it may concern,
The Bay Harbour Community Service Association reviewed the plans for a dock to be
built on lot #10 at the June 12, 2018 meeting. The plans were approved as submitted.
Sincerely
Edward V. Rhine, President, BHCSA

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby cer* that I own property adjacent to �UZ + � 3 Qez 's
(Name of Property Owner)
property locates! at __ !SM 1Sllplg� �2AUG , CJYCC OlzkNry , t_� , Z115 k"'(
(Address, Lot, Block, Road, etc.)
on (,_ITTc� --�� , in cvtoc�+uj n- tz' C N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
A
A, 6 1 have no objection to this proposal.
I have -objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial theappropriate blank below.)
i g,ex I do wish to waive the 15' setback requirement.
_I do not wish to waive the 15' setback requirement. ,
(Property Owner (Information) (Adjacent Property Owner Information)
Signature Si ure *
Print or Type Name Print or Type Name
9"y f3 lJLfSi, /V _� XI.Wd— �) 1d< M LLL-u3 M
Mailing Address Mai/iga4ddress -�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to 'mac't --Dtprt�fl- - p
_ 's
/Name of Pmnarfii n.k..,e.t
property located at
:on
(Address, Lot, Block, Road,
in ck�,3t,J (-r--!
and/or County)
The applicant has described to me, as shown below, the development proposed at the above
IoCa�
I have no objection to this proposal.
I have objections to this proposal.
DESCR(PTION_AND10R-DRAIMNG OF._PROPOSED;DEVELOP_MENT- ---- ----- -- -
(Individual proposing development must fill in description below or attach a site. drawing)
Piy
Ptc c-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived -by
me. (If you wish to waive the setback, you roust initial the appropriate blank below.)
I -do Wish_to waive the 15' setback requitement. -- --
I do not wish to waive the 15' setback requirement.
(Property Owner -Information) (Adjacent Property Owner Information)
Si lure _ Signce rO --�
Print or Type Name Print of Typ, amey__
AAWn- Arlrbnoo H/ln nn ArHm,-s _ i

Applicant:
Date: 2 q A--4 Liu 5T-
General Permit*
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in.your Habitat code sheet.
TOTAL Sq. Ft
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
Habitat Name
DISTURB TYPE
Choose One
Disturbance total
includes any
disturbance.
Excludes any
Disturbance
total includes
disturbance.
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
im act amount)
ternimpacts)
amount
oPE)-4
Lvgy�
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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 ❑