63568_Bulkhead, pier_20181204

No,- 72493. A -BC FILL DREDGE
C
E G NIE 'AL .-PtF%M1T - Previous permit #
�R :r--D
6w te ' . Date previous permit issued
N 'E]Modification E]Cbmplete Reissue TIPartial Reissue
New
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 5A NCAC 7Y)
1. Pd:Rules attached.
Applicant, Name ---e t,-, —I � 1 �Oac_-. A LLw�' Project Location: County
V
Address Street Address/ State Road/ Lot #(s)
City,D �c�> ��,State -e--ZIP, Z < C)
Phone # Subdivision i L5r,::-
Authbriz'ed,Agent City
'21P
Affected �Q 0 CW EW `/StPTA­, ��Es TS Phone River
'OOEA 1-1 HHF El 1H -E] UBA El N/A
AEC Adj. Wtr. Body Aill L� 0 1—, �gman /unkn)
El PWS:
Closest Maj. Wtr. Body -
'9111W: yes FNA yes 4
•
OMEN MEMENNEEMOMMENEMEM
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Agent —or Applicant Printed Name"
Signature Please read compliance -statement on back of permit"
Application Fee(s) Check#,
!)ffi r�iPnntecl Name
Expiration Date-,

. Qom►
WDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date TZ l a(019
Name of Property Owner Applying for Permit:
pi i i fT �.� G
Mailing Address:
5U.5WI EY
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) � l k. c-'I ► e A ,
at (my property located at) -71 `E"y I CG. s-i' , AurD re'Q V�G
_ ' This certification is valid thru (date)
Property Owner Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Ken n e+[-� L , COX 0-41
I hereby certify that I own property adjacent to lBrencL-, S - COX- 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on ?0- M U UD " O f- , in &al ) filr+ Gb, N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 01-135 - hab) Mailing Address:�5y Pro v i den Cc Ch • "-
C:Ol d s bond., WC, an 530
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 rEpou i r bwuc-h cn-k aourvnq8� 6-o vyi -hurr c o�e—
(Information for Property Owner Applying
for Permit)
Mailing Address
Goldsboro NC .7-1550
City/State/Zip
1q--735 -"7c4o na
Telephone Number
�D�e
Signs �at�u�re�
(Riparian Property Owner Information)
X- C-4-r '77
Signature
Print or Type Name
25 z If F3 OS
Telephone Number
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�n n�fih GAd
I hereby certify that I own property adjacent to *tf) ,Ck.A,' s . 's
(Name of PropertyOwner)
property located at 21 serV 41 a_0 N
(Lot, Block, Road, etc.)
on in BeaA)f1r4 rd-) N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:9 �~ �J'7� a Mailing Address: a 54 Prov i d e lnc, Ch
Gold 5190re . MG a�53o
-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 C&XeT?o frz�m
(Information for Property Owner Applying
for Permit)
C25i PYID- ide>1r e. U, .
Mailing Address
C-MI M J- 0530
City/State/Zip
ql9- 35_�c��a
Telephone Number
�. L.
ignature Date
(Riparian Property Owner Information)
• Signature
5� 2.v�n D -• 1�;� � Laca m� n
Print or Type Name
a5a 4011
t
Telephone Number
1 I A0 .1 / Q_o I g
Date

Applicant: 71Z.6AaA cdx
Date: Q* j7_7a4ert gjR_W 2 0 t S
-General Permit*.
. -7 2
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 So. FL
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tempimpacts)
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
L� t
Dredge ❑ Fill [IBoth [IOther J@
DO �-� ,
—� 0 .
411(,714
Dredge ❑ Fill ❑ Both [IOther N
�, D$'D rl.
%� o Sn ;C Z
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 ❑ FI1,❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑