72579A_Kilmorlic Residential Community_20190226

:�CAMA / DREDGE & FILL
?ENERAL PERMIT
New ❑Modification El Complete Reissue El Partial Reissue
No. 72579
Previous permit #
Date previous permit issued
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 ji
[Rules attached.
Applicant Name k,,rey✓�,`
Address po Qox (oil
City K3�,, 'Ao—t` State N(- ZIP ),-i949
Phone # (4!�A) aol - -4 q30 E-Mail
Authorized Agent Zp1y-t 1 M,4'r4,1A+
Affected ❑ Cw E)�W )(PTA rs ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / 60) PNA yes no
Project Location: County
B C D
Street Address/ State Road/ Lot #(s) h,,,,.,1 It is 4 FP345c�oP�►y d�
Subdivision k,'lrvv 1,t. 0116
City f tc'Ck ZIP Z'qcfwc
Phone # ( j---- River Basin f�,,
Adj. Wtr. Body A I�-x ✓Ymo tte So na /man /unkn)
Closest Maj. Wtr. Body A � - j t rcJ
Type of Project/ Activitya
• ..
Floating Platform(s)
Finger pier(s)
Groin length
nuriber7A-�
. omm mmmm...m■...®.li� mmm mosom
Bulkhead/ Ripraplength
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing i
Shoreline Length = 1.iJ0'
SAV: not sure yes
Moratorium: n/ yes no
Photos: es no
Waiver Attached: yes r o" )
A building permit may be required by:
( Note Local Planning jurisdiction) or
Notes/ Special Conditions a( p„
e-'o �' M / :2 c.7��
Agent orjk plicant Printe ame /
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
1
❑ See note on back regarding River Basin rules.
20 V-N a L.GI
Permit Officer' am
ure
Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: KILM f-L ,i, H 0,4 �>lCY(-
Mailing Address:
Phone Number:
2c-7--7g36
Email Address: /-I- A)�) Y , U R013 I , L C>IVL
I certify that I have authorized 2?b6L-Z-/7- ;A�/� A-i �= C ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /� �-� ,�1� 47
at my property located at oY-MA (1 Lt C_ C) N
in DA(LA TU( K County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
M"I1,2c
Print or Type Name
Title
a 1 c?a 1 ,2-61
Date
This certification is valid through I