Harold Sill 72830D

CAMA / ❑DREDGE & FILL ��1� NO. 72830 6,,v, .. Tho
Fleze-piet-- A B C D�
ENERAL PERMIT Previous permit#
)G New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality n,lI��G� �y�, /Z�
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ?h (// •
❑nRules attar ed.
Applicant Name l/ZOG 2) ✓Z Project Location: County �CA/ 12._
Address 794 d 1.pt pb✓N,L 44,,, Rd, Street Address/State Road/Lot#(s) 5f/116
- City /4¢/ T(6 I Staten C ZIP 2 S yyj
Phone#( /)) 23,3-oat) E-Mail Subdivision
Authorized Agent7;?l PP / ipP1„fy City ZIP
Affected ❑CW Ay ❑PTA S ❑PTS Phone# ( ) River Basin WA/tit O,✓(-
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Body �Q Amman /unkn)
Ad'1 Wtr. O� /�"�
❑ PWS:
ORW: yes / PNA yes no Closest Maj.Wtr. Body /,/1'`✓�
Type of Project/Activity 4/ PL Cr PIcje P20f7't'6 DOCk
(Scale: / - 2 o )
Pier(dock)length b 'X 7 c .
Fixed Platform(s) ' i
Q,
Floating Platform(s) D d)/36.0 NAI■NE aim tif.aii Bill i NMI MI
Finger pier(s) Ii
Groin length11111111011111111111 i I
number I
Bulkhead/Riprap length
j
avg distance offshore 4: 1IIIIIIIIIL ..
� r ' �''�
Basin,channel 111111111111111 j I1lI1IIIIIIIIiIIIIllh1Ii
cubic yards
! mil
Boat rampirmaiiiii gl f j i
I
Boathouse/Boatlift
i j
Beach
iiii
jH
ern H
IllIlIUPIPIl1E1 11 1 I
•r • MIMES_.,�I�R....�....11111 aU..111I U©.■ICI' •
Shoreline Length /vv ������ —.SAV: not sure yes I011in. IMoratorium: n/a yes II!Ii1IUhiI1IiiU! II1IIIiii!
. Al111111 f
Photos: yesoit Ella Uomum_._.. =Ems iss come
Waiver Attached: yes i
A building permit may be required by: Pt A/PCR Coatity . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) / // /f
Notes/Special Conditions � LQ s X Pi9t.S/O"- al,' oz 1. /✓✓,9 L .S,1a f/Sax ax e- /��l OH✓e-�
/. !� ..� fin` pp ref, ,b. 11,1..r
Ag t or A nt P if nte¢�1 e Permit Officer's Printed Name
/p3 ✓,)2 P-
SignAture * Please read co m lance statement on back of permit** Signature
W81 lie z �z � if 9/o it -
Application Fee(s) Check# Is[uing Da a Ex iration Date
PP
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N.C. DIVISION OF COASTAL MANAGEMENT .
AGENT AUTHORIZATION FORM
7
Date c 2/S-///f ,, ri, ,:-,4 40,4a7 3 , .7.
Name of Property Owner Applying for Permit:
� `,k . /
IMailing Address:
3/71- ,6/44' %At Zile)i) iCei
s ; ( 4C. 91
1
,..---, ...
f certify that I have authorized(agent) /A 14074 to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) /(d(/1 r°r
at(my property located at) S 4 'lie Al,1 (/00"`" a,
1
1
This certification is valid thru(date) �/�/
I
I (2/P.?///I
Property Owner Signature Hate
1
i
RECEIVED
DCM WILMINGTON, NC
I FEB 2 5 2019

jx,., , 49171IPPPRIIIM,"*.A.
• ' - '' - 4 'ZSer:•:1 11:14-W442,1tA.;;;'' ' ' ,7140', ,•.1...t'''/i".4,, 4 r 1, T1""'" 'k ',A'.,,„„,_ — 4,-
_ ,,,,;.• --.7,-!-. .. ---:!.,4. ,----,7„v,..,,,,,,,„ , , , ,-,-- .
ADJACENT RIPARIAN PROPERTY OWNER arA_TmeNT
I hereby certify that I own property adjacent to ,,,/--x.i r
iAeild ..5 // 's
property located at 3 il‘ C2/141P Ai/ PI e of Property Owner)
(Address,1.4ZBlock,Rd, et)
un iiti40 ,in d -'42011-irePa- ,N.C.
(Waterbody) 1"(Cityfrown aridfor County)
I ;
The applicant has described to me, as shown below, the development proposed at the above
10CatiOn17,7
I have no objection to this proposal.
I have objections to this proposal_
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
./seiel 4,446e! r/;90.-1,1',,i-i, 4.6-4 .
....
,
WAIVER SECTION
Iunderstand that a pier, dock, mooring pilings, boat ramp, 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 Wank below.)
I do wish to waive the 15'setback requirement
1.--"-----..."I do not wish to waive the 15'setback requirement
(Prop Owner Information) " ent Property Own f ation)
Signatyre SriLe*c,7(i 7q,
61
Pron.or 7-)w- Name ./7
Pnnt arjypyr st5,(de f9( eelf ,
Z
A441 ing Mailing cl ms.s
/V.4 Address
Y1`71-3 Pv-,7.2
CirviStateMin City/ i ni -b)
2
Telephone i Number/email addre,ss TelephoneSif :f../ emar7 add re
(Revised Aug. 2014)
*Valid for one calendar year after signature*
RECEIVED
•
DCM WILMINGTON, NC
FEB 2 5 2019

APO
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that►own property adjacent to /iffe / , f f I
property located at 3' tv (/1 4,1pre of Property owner) s
(Address, Lo, lock R sd a
on ,,N,..) (Waterbody) , in C�irea N.C.
{ ty/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
lacation.�"
G� 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)
l "'fit / ' , 42 i/V;d 4 r 17 r 4.
/41))64;t1
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
1 do wish to waive the 15'setback requirement.
t/f 1 do not wish to waive the 15'setback requirement,
(Prroo/perty Owner Information) (Adjacen�perty ner Information)
0,e,e, .41(4: e_ _
Sigrrvtul e _Ire f--
/�i9 /lok� i S . L � .Al �el4L/v'AA,/
Print or Typo Name Prin r Typo Name
l 'ailing Address Mailin Address
Ai 41N psi" DIi"r. .2 I VLI A/4rip_"'f,*P, i✓C. z sY413
City/St tz p City/ fate/Zip
y/V ,233'_ t.>i3tr /n- ,(-0-- 3 l 44 3
Telephone N tuber//email address Telephone Number/email address
Date Date*
(Revised Aug_ 2014)
*Valid far one calendar year after signature*
I RECEIVED
I DCM WILMINGTON, NC
FEB 2 5 2019
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