63424_Richard Garard_20181203

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®CAMA /❑ DREDGE &FILL
65518 A OB' C D
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GENERAL PERMIT
Previous permit#, J)k
XNew ❑Modification ❑Complete Reissue ❑Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural
Resources ' Z
• and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
1
Applicant Name /`�'rL v%l r// %G• r Ci /�
p'Rules-attached.
Project Location: County
Address Gv )1,14 r � C�.l'�
Street Address/ State Road/ Lot #(s) 12 {�� Z
City State ��� ZIP
Phone # (�. j GJ E�-Mail
Subdivision /*(k-
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Authorized Agent % -T �ij lt
City �f�Li�/r/'1 ZIP
Affected ❑ Cw [�r EW ,D PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. BodA,/'7 / nit man' /unkn ) -
❑ PWS:
ORW: yes /� PNA yes / �no�
vn _
Closest Mal. Wtr. Body
Type of
G -,
Pier (dock) length
Fixed Platform(s) .
Activity
Floating Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other /ti �,2-- ��l•2C /L
fv&k."
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes (G�
Photos: yes no -
Waiver Attached: yes no
1- ;:7
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A building permit may be required by: /�/'%il///r' �1��/� See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)1 f
Notes/ Special Conditions ��� l _�7 �G G�'G� �7�� „��, IY /r� ?/�//Fi�.� ��• // • ��G���
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Please read coMjpliance statement on back -of permit
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�'�'Application
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PermitQff'icer' Printed Na e /
Signature
Is"suin Date, Ex iration Date
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I hereby certify -that I own property adjacent to /A + C`j'�'f-� Gra rd t�i^
i7 (Na a of Property Owner) s
Property located at / Q' G e1O
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(Address,�C.B�Ik,.Road� on in aterbody)� N.C.
(Cty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
e
I have no objection to this proposal.
1 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)
�uA—
WAIVER SECTION
1 do not wish to waive the 15' setback requirement.
(P_ party Owner Information)
•
(Adjacent Property Owner Information)
sY�
St atttt
i Signature* �v 4
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er�e L S31c�t,r��
Print or Type Name
f
aili Ad re�ss �g
Mailing Address
G ��00 /
�a- 11do?-77z
City/State2ip
Telepho um r/ema' ass
5�- 8 �- O a g
Telephone Number/email address
Date
1 \ - \ 3- 18
Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)

Oct0218, 08:-56a
TJ's Marine Construction
2529433949 p.2
A "**rued Agent Consent Agreement
4J-rc-�4;�Ow��
)) herby Suthorke Tobin Jay T'etterton of
T3's Marine Construction, LLt to act on My behalf in obtaining CAMA
- permits for
the location
listed below.
"ROPERTY ADDRESS;
PROPERTY O"ER'S MAM NG ADDRESS:
1C
Phone No.� , a
aSa - S� • �faa� I-�•A.
u 7� a.(Ie
PROPERTY OWNER'S SIGMA
AUTHORIZEb AGENT SIGMA
DATE:10�� 20J
W/AmMoriad AFM COMSM Agree
6 abed xed dH WVO V90 8 M ZO

NC Division of Coastal Mgt. klabitat Impact Computer Sheet
Applicant: Q���C
Date: J ,�IAkJao ��
General Permit #:Jf
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 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
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)
Dredge ❑ Fill ❑ Both ❑ Other �k
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10