Healing Water Company 71739D

tgI- I f�
(/ l t a
'__ .AMA / DREDGE & FILL � � 1� ��
to r N No71739 A B C ��
GENERAL PERMIT Previous permit#
-_New Modification _ Complete Reissue —Partial Reissue 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 )7 N , 2 c O 0 .
I ❑Rules attached.
Applicant Name tf"'LALIn/G WATT IR COMPANY e/ iPLcier-r Project Location: County ' Ru1'.Sw% c rc
Address 394 j I (ALIrAit PD Street Address/State Road/Lot#(s) I G 14 V►LLAc,F
City OIL-MINC-iTON State A/C ZIP 21f4cc3 I-o(ni-r KJAO 3W
Phone# (_' 0)470- 71 2 0 E-Mail AJ/A Subdivision /4/A
Authorized Agent NA>,c NA>:-L. 1.-AY City `:7,HALL o-r 7r_ ZIP 28470
Affected ❑CW *W XPTA ❑ES ❑PTS i><nIT Phone# (110 )II- ro 3 o River Basin / (A.N B r- R.
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body N A L I.p,-rr RIVE 1L na /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no
Closest Maj.Wtr. Body SAME
Type of Project/Activity j tpLFct. FLoA; iAi6 r%0cl-'3 ANtAC,rD 1)%LtAic, s
I N t_,c 1 5 T I A/6 F i P Si I N T (Scale: I l l 3t ')
Pier(dock)length i7 Fixed Platform(s) ✓ZZ� �N AL-I p TTe- R1V EQ �/�,T„
Floating atform(s) i N
1
Finger pier )
Groin length . . ,
number f
Bulkhead/RipraA length
avg distance'pffshore
11011.
' 1100 t9I INh
max distance'offshore otK��
.J� 'rA.Ac►r1
Basin,channel f
0
cubic yards \� /` \
Boat ramp
l j
Boathouse/Boatlift i
Beach Bulldozing t
_j EOM
Other 2 a1L,A/CS es�P1, �v`► .NaAQ �, N. ..� /"',,.b
��i"'^�/ Gx` ., 'COA3.TT1. tidt6.T1-ANDS
Shoreline Length
± I(90 •
SAV: not sure yes no
1, I
Moratorium: n/a yes no 7.--.41
I/EgLING NAT-R Cot.PANY _
pair r , 1 I &o0DMAN
Photos: yes 160(v 1(1/Y I4 \i LL4r,t. Po.,..,-, f�F°A ' St^4 1 ((y 2 Z
Waiver Attached: yes
PI. PL
A building permit may be required by: lRv.INSL+ICK COLA NT), • I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 0"/ N. 2 500 AnlD ALL O NER LO cAL- , STA-1 t AND
PE IZAL RFGvILA-f Ic.Nc. APPLY_
‘ ‘-- Z 4 4y IYLER Mc6(noI<L
Agent or Applicant Printed Name / Permit Officer's Printed Name
,-.. ---"Ar---- .......... -..,%-.........---.N <cyjm Acg, ,,,.
Signature **Please read compliance statement on back of permit** Signature
q/A Ai A t o/2.5/2 01 9/2.0/2014
Application Fee(s) Check# Issuing Date Expiration Date

AGENT •UTHORIZATION FOR CAMA PERMIT APPLICATIO
47414-66
Iftt
Name of Property Owner Requesting Permit:
Mating Address: ' r A r .. _ e
wt,.ni 4b Nc €Zg o
Phone Number: ' 1 0 D— I.Z D
Email Address:
I certify that 1 have authorized °
AgpttI Contractor
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at V t I i - P,i �+ -i A
in,gwu'SUt(cif_ County.
Short > N C. .1.817 p..
I furthermore certify that I am authorized to grant, and do in fact ,,
Division of Coastal Management staff, the Local Permit Officer an..:'
on the aforementioned lands in connection with evaluating info
permit application.
Property Owner Information:
"Signature
�
A ., •Q r o . r.rmy T
'rant or ype Name
ve-IAy 4

illek AMA/ ❑DREDGE & FILL R N` . `� r:"7 f, . . '
.� `'`' '., . i . w. _. A B C
ENERAL PERMIT
yam. Previous permit#
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources r 1
and the Coastal Resources Commission in an area of environmental co�n(c�,e.�r pursuant toy 15A NCAC �• - i 01(��?
t ( G ►1�a + ! ❑Rules attached.
Applicant Name ,1 fh (,(f0�;t"(r" Co, /b f loject Location: County { '
Address i •
y p,d .N. Street Address/State Road/Lot#(s) f(/III
City (A,,t+thin I-c+� state N ZIP aSs�1b3 t,,A 1 -� {��- -
Phone#( TO) "1 b-7j 0 E-Mail PAN kr(1,5D i'i�-( iubdivisior t
Authorized Agent 11 Z'! Lci V` 1 p t
'�(.� City Jam-- ZIP 7i t 7t ,
Affected ` cw XTA ❑ES ❑iPTs Phone# ()1 i 3 5 p3 S River Basin 1titilA i
AEC(s): OEA El HHF ❑IH ElUBA ❑N/A ( f ( l
❑PWS: Adj.Wtr. Body -}c((brit elvti
e/man Lnkn)
ORW: yes /9 PNA yes Closest Maj.Wtr. Body / �t
Type of Proj t(Activity i{:con&NI(-1-- 1 f J a IT d rr,r c yici Jiii 5 W 1 r
5�c K. (Scale: 1 )
Pier(dock)length 1.1�
Fixed Platform(s) , C/ ./ �\�,.�pG7 f �/5 I t- _;.:...„,
Floating Platforms) �10j _ f�� /}Y � j fjgi
Finger pier(s /
)
1
1 .
Groin length I
number i t,,f, G.
Bulkhead/Riprap length / (IrtLi, riCN J Sr
avg distance offshor / ' ,uu 1
� ("ti I� I I -
max distance offish !� `
1►
Basin,channel � I I{g I P
/
J 35 w! I
cubic yards i N d� o i
Boat ramp
`n
Boathouse/B flfft 4 I " " —i
Beach Bulldozing l I
Other (' ! I �-•
/4... I,A ,
Shoreline Length i 0 tgi
I
SAV: not sure yes .r-�" I
/ yes 4: t -6c
Moratorium: n a i i
Photos: yes tr �` i rt--kr tip_Waiver Attached: no
yesI j j
A building permit may be required by: 6 5017 t (0(Al"i(/r- I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) g
Notes/ pec' I Conditio s "V S 014 >i, ti
f� (f,'
, ., vi zt.iN f (pp I iii--
�5 P Z--- ,jam S t°�i n 1"� � ��
Agent or Applicant Printed Name
r Permit Officer's Print j�ame
,S **P read compliance statement on back of permit** Signature lignature
Application Fee(s) Check# Issuing Da Expiration Date