Lawrence Wilson 72388D

CAMA ❑DREDGE lit W 1,0 1.1-1V11 InO.
(-1.1;172388
GENERAL PERMIT ativ%1 gill P Previous permit#
)New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
B C
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 ISA NCAC O . Z)OO:(.rlO+I C� .
❑Rules attached.
Applicant Name L G(A)t'\(Aey c-,e (J r. 'Son Project Location: County AJeA.ni ,'(4 Y1 oNq."-
Address 13'-I 3 L q r d 4(f Dr_ Street Address/State Road/Lot#(s)
City 14I`M'r\s-{-or State AK ZIP 2 84/05 ?L05 /v. ` A.O. -bc:
•
Phone#(gLO)25(o- 9 610 E-Mail Subdivision —Authorized Agent I„evnYk,‘y A)orr'4 City Cl1l4 vy lie &4CL ZIP 2. 6At8O
Affected ❑CW 'EW tePTA ❑ES ❑PTS Phone# ( ) — River Basin C r g.
AEC(s): ❑OEA E HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body L oil o P c.( (nat �n�-��/unkn)
❑PWS: 1 1� \\Closest Maj.Wtr. Body �}-T-{iJ W
ORW: yes / no PNA yes / 1(;)
Type of Project)Activity PA
(Scale: ‘" z LO) )
Pier(dock)length
Fixed Platform(s) v— �� 1 '� .
Floating Platform(s) 6'YCa' I
Finger pier(s) ..-.-.. . . ► .I ��
Groin length ' QA_
(2) (If' x1h c I
number
Bulkhead/Riprap length i • 03% A, 61 x CI: . k ( "
avg distance offshore
max distance offshore '
Basin,channel
cubic yards i { v 7
Boat ramp �„f
Boathouse/Boatlift '
• l iAL
Beach Bulldozing +. , 000 : �� i
Other .
y
\L ,
I ` r•, .
Shoreline Length /(�f I +'( I
SAV: not sure yes • \ { I ki✓ I `
Moratorium: n/a yes { ...*S;ANY\SOOIN I � �13,4\
Photos: yes 0 I . . I .
Waiver Attached: yes
_ A building permit may be required by: b.k '45\A tl Q TkAti, . I See note on back regarding River Basin rules.
(Note Lope Planning Jurisdiction) /' 1 u e3 , actvot(
s /Notes/S ecial Conditions G l{ 0T'� i 2-S00 QN! d A � _,y(v.G".,e �� ahcl
i
1oCk (te !Q-iNtNc ,p(y.
emi;04 rt-.7 /1/4.3c,r-Ch• &I" C S
Agent or Applicant Pr ed N1me Permit Officer's Print Nam
rrl
—
Signature ** a ead compliance statement on back of permit i natur�e/'l(18
!� //� +�j
1�1'F. 12 G0 r/6o/I t
Application Fee(s) Check# Issuing/Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: /AN C Mt/9w !.-t/,/S en/
Mailing Address: /3 temici et //
aAt •/
, J /ue ze vcsp
Phone Number:
Email Address:
I certify that I have authorized A
Agent?Contractor
to act on my behalf, for the purpose of applying for and btaining all CAMA
necessary for the following proposed development: (2,- lac e_ ��t S Ac cc
Ir eNe t e
at my property located at c9O O .S l�. •�/,v r L.D7 ,
in Nf„s I4o u. County.
I 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 Owl" r Information:
Signature
Zf /l/rgAJ
Print or Type Name
tv
Title
Ile_
Date
This certification is valid through I I

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
--6
Name of Property Owner Requesting Permit: o.\-)Mailing Address: PC. /Jc/ G 91
Phone Number: q i 0 1 �1
Email Address:
I certify that I have authorized 7, r
4\--
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: t? ,Io ) Lc_ h/ 0.C14--S Ic c /c.
I of ela5
at my property located at 9 G /j /0, C. b
in A,to 110")o0ri County.
I 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
Print or Type Name
Title
J :)- 1 I ') I l )S
Date
This certification is valid through I I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
6 I hereby certify that I own property adjacent to m r 4 o s 3 's
(Name of Property Owner)
property located at ,;)O D 3 Gh, LC,-Lt i ,J C= �>
(Address, Lot, Block, Road, etc.)
on Lo fir' pop , in t3 ;5 /2q5 c //e P c e /U, C'. , N.C.
(Waterbody) (City/Town and/or Co nty)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adja/en yerty Owner Information)
/,
Si u (` , S : atur i/la
Pnnt or Type Name' Print or Type Name
63/`/ GU r;s1,Yr //e /�c,--‹ s 3�'� �sa
MailingAddress MailingAddress
Sy0,�- •/V. C', d'/o 3 GJ , M,� ,� C. C
City/State/Zip City/State/Zip
9/0 3/ S/�� 9/ g�
Telephone Number Telephone Numbe
p 1 9- /5/ y p l f/ //71
Date Date
(Revised 6/18/2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at -;) 0 O JO,
(Address, Lot, Block, Road, etc.)
//
on C-o /ti e ip , in �� - lets //e l �Y < L. , N.C.
46iilaterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 s tbac , you must initial the appropriate blank below.)
• I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Ad. cent Property Owner Information)
Signatur C Signatur
Print or Type Name / Print or ype Name
i�r% LJr, )W/c c //„ /e)4)
Mailing Addre s Mailing Address
L.) ��
I �h
City/State/Zip City/State/Zip
/0 - 3i - ' S/'/
Telephone Number Telephone N mb r
Aln I a_ )53 <‘
Date Date
(Revisea 6/18/2012)

- y /Q cc D-- /oGW7
v
J t
1
0
GxG�'
0 • p
/L'x/(, i 6, /( 16 xI('
q3r - R3
1
�JO � CV 0 14N50..J q-11P/'4 c Gam, ISt:ns
a00 3 /v, L(J..1rA.A V!: 0 P.-) 1—iz )f.
1,j/ 5 'Pk [/C 73f'CC/4/ C (A),"-t5V .5(..,i /h l�cs�'C.le.-4 ". . t4 .
`f ?o c;/*S