63058_Authorized 6 x 48 pier & 16 x16 Platform_20180829

CAMA / ❑ DREDGE & FILL �� NO." fi 72432,
GENERAL , PERMIT Previous permit'#- .
New El Modification, El Complete Reissue ❑Partial Reissue Date previous permit issued le%/• _"r,
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 15A NCAC Z ®-O.
pp JU Rules attached.
Applicant Name � )1• � ®y / �)_-T_. �� ' Project Location: County - L, CDytv
Address E) V l r_Qt,, R D Street Address/ State Road/ Lot #(s) o z,7AA4 C
City F'(M G! ! i Statzip � 76�2
Phone # O E-Mail
Authorized Agent ' 111. Amy 1ZOSIL
❑ CW . FEW :PTA ❑ ES ❑ PTS
AEC(s) ❑ OEA ❑ HHF ❑ IH, ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no _ PNA yes /(no
� FAc 0
Subdivision-roto/J C, QFALI
City COLVM91A ,zip 27125
Phone # ( ) River Basin P,45Q aVTJA)1<'
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Closest Maj. Wtr. Body'I/ QC,"Akt SOL�/Vb
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Agent or Applicant r nted Na e
Signature A* Please read compliance statement on back of permit"
'7o6:Oo ;tK7L
ApplicationFee(s) Check#
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PermitOfficer's Printed
/ /
Signature
Aw,. 6o/i3 iaFe- Zvl e
Issuing Date e „Expiration Date

A licant: C i /� Y ALL fd .
Pp Date: p) tq
A U G Z 01$
-General Permit#: 77-1-I 3 Z'
Describe below 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
CSp � L)AftrL
Dredge ❑ Fill ❑ Both ❑ Other
�L' �� rr Z
sqF 2
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 ❑

August 9, 2018
To Whom It May Concern:
I hereby appoint Tim Ambrose to serve as the permit agent regarding the construction of a pier on my
property located at 720 Colonial Beach Road Ext, Columbia, NC.
Sincerely,
C 6ACUAC OL.. r) MUCJ� a
Cynthia Norvell Allen

Tuesday, July 10, 2018 9:41 AM
July 10, 2018
I, Pamela Place, give permission to my neighbor, Cindy Allen, at 720 Colonial
Beach Road Ext to construct a pier beside my property at 738 Colonial Beach Road
Ext.
Pamela S. Place

Joel Lowris
126 Prairie Lane
East Stroudsburg, Pa 18302
07-13-18
To whom it may concern:
I, Joel Lowris, am the property owner of 710 Colonial Beach Rd Ext. I have no objections to my
neighbors, Babe and Cindy Allen, constructing a pier on their property which is adjacent to my
lot:
If you have any questions or concerns, please contact me immediately.
9el
pectfully c
JLowris