63569_Pier, Bulkhead_20181204

CAMA / O
DREDGE FILL
N.,` 72492c g
G'ENERAL': ; PERMIT -� Previous permit # A
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'',As authorized by,the State of: North Carolina,' Department of Environmental Quality v
`•,.`, 'and the Coastal Resources Commission in_ an area -of environmental concern pursuant to 15A NCAC Oi
X Rules attached.
Applicant Name 2 ti-6 �� ly i i. v /-A NN a AZ) Project Location: County 4t-,�:7z) f2-` t=-
Address "4� Cox ;21 Street,Address/ State Road/ Lot #(s) C3" {�i-}--
`State 1J . CZIP `2-7)-<,? D
Phone'#'(ice �). ''2 "' =5 ��` E_Mail Subdiviision'
Authorized Agent . f$- City ,Awrt I i"`? ZIP ' '717 . C > tp
CW > . [, PTA p FPS TS Phone # ( ) River Basing-- .Pia r✓l
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❑ PWS: Closest Maj. Wtor—a
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'S Agen$or Applicant Printed Name
_Signature-. **Please read compliance statement on back of permit
174N_
Application Fee(s) Check #
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Issuing Date -Expiration Date

RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 11 /�7'--' A ®1 g
Name of Property Owner Applying for Permit:
5ta\je-,n P. 4 5u5a,n 1,�Wj'aw5—on.
Mailing Address:
Po., Ba ao
I certify that I have authorized (agent) ��►�./ y-05CQj- - to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) b
at (my property located at) I Ce Ui0 n �G
This certification is valid thru (date)
Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to CY i am w n is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.'
on QJ M I (10 IL 1 \) e( , in 13 EaU T) Y- 4- l0 , , N.C.
(Waterbody) (Town and/or County)
Applicant's phone Mailing Address: P© i✓Dx C� 1 i
a I ) ('O IiG 'K)G CZ18t�(y
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP.L:�1:'I
(To be filled in by property owner proposing development)
l o mpI� bL-k-head) from ,horr)' o�cQrr��5e,
------------------------------------------------- ------.
(Information for Property Owner Applying
for Permit)
Mailing Address
Ron) r-n
City/State/Zip
a5a-Xag-451
Telephone Number
O.� l l lwa
ignature Date
�5wa*� OOUL,aoA,�m�
(Riparian Property Owner Information)
/ 1'n�% L.
hepne f v' A L t CO), Signature
'C-3ye.rvq'�,5. Pn 5(
Print or Type Name
Telephone Number
u o ►9,
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t I L C imo n is
(Name of Property Owner)
property located at 5-
(Lot, Block, Road, etc.
on Fa nA � I GO in ccw, c ( i cz , N.C.
(Waterbody) (Town"and/or County)
Applicant's phone #: A5o - Z4i -q511 Mailing Address:
ailfor-6(. IvL a18b�-
He has described to me, as shown below, the development he is proposing at that location_, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
To rc) a.c-p- bu-kv-he,,,-1 �myy) hoyr i cite- J6-wa5 e- ;
(Information for Property Owner Applying
for Permit)
a — P 10 r 5 - I
Mailing Address
Roru(-U -, QC a190�0
City/State/Zip
D5a -aAg - 4-51 I
Telephone Number
Ikp'-, D-O., U _A,__ I /wig
Signature 7— I Date
0 L,LU^a01?&W
(Riparian Prop O er Information)
n ryv-Q�.t)(10t\ Signature
XIAhd,& -.T>-i I_i oA
5> �� 0 ,¢ �l�rnin � reype Name
Telephone Number
x i//-///F
Date

Applicant 6u 9*t4 W I i.c.1,4M S o
Date: 4- ae e 0 ,IS 6,rZ� 2v l g
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
Habitat fame
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
im act amount)
TOTAL Feet
r (Applied for
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet '
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
604
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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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑