Craig Richardson, Vicki Lanier 72810D

i (PeE CAMA/ ❑DREDGE & FILL No. 72810 A B C
EN ERAL 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 C-] +-( 2 ci.`0
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC
;�® ❑Rules attached.
Applicant Name Cra,(c �V1(/'((('G1 S ' V i C�( L v(ii�r Project Location: County ('"� a. (✓
Address /b!V L i iti VY C(i•v i' AV L 2 J�Z°J (it(Gk(V(NM) Street Address/State Road/Lot#(s) 6 <r 4
1 ,� r
I City TO -raLX t-t '--1 C'(t14tl}dty"v`LIAJG 2b331 Om in) gGti, tr, Ch C( Vii Lit ( (OAi
qto t`I - 1c,,tpI (let,cptrtinId Lo 0-1 Or,ct''' iSubdivision
' Phone#(tic ) s.N -���� Ztlt E-Mail dot laikcr2uo06W,Iut„:c,(( )
' Authorized Agent CVla(� f ((A do city City - I U();G(.I I (<)(C( C A ZIP Z E7yyc
( CW YEW %PTA )Xl ES '1PTS Air l`+ Phone# ( h 11) t�}I C/- L12-7 C River Basin 1'vh4 !( ct k
Affected ❑DEA r❑HHF ❑IH CI UBA ❑N/A
AEC(s): Adj.Wtr. Body Gt Gl i.. ravt ti 1 al (nat / . /unkn)
❑ PWS: lC S I C �/(61a
ORW: yes /(Fos PNA yes / no Closest Maj.Wtr. Body �( i
Type of Project/Activity )2A P VI (,c c\t G( tl f CI /k UCIV I V C) * J O C l 14 -9 (161,�( C( of Gt
Id IJV"6 1 (G0 b �"(UV1Vl £L (Scale: I fi .- (c 0/ )
Pier(dock)length 5"11
Fixed Platform(s) 6-C ((.(;1 I '" Ilj 1-0 4II,0 I
Floating Platform(s) v'' X 11,('2"l ln,li v`c, ' I i lK N 1l f N
Finger pier(s) �, JrV� ( i i ' • '• 1
Groin length C A j� i 1' , L;l I
) i , !
number
Bulkhead/Riprap length +rfras Ill ' {
avg distance offshore \Ci utt L pp,,'>4 l a' I 1
max distance offshore ��\\1(1',r (g1yt 1 ' i I
Basin,channel CN Y f ` i ( �(
cubic yards //( },
L641 ,
Boat ramp I - } �• `re ,
Boathouse Bo (3'X(�' (a) h . 1 , 6 f
i � i
I Beach Bulldozing y W ( }yt
Other NIA Yf Aug wok U( ���
I�
, \il 4( i v -s" _,NHilli \V't
Shoreline Length ,,,�j".11
SAV: r'not sam yes no ) At(ittiC1 Moratorium: fn/a yes no 1.0 t lV �/Photos: yes U��� 1ti111 Y f.1) 4 iWaiver Attached: yes no tit'► try` h PI. rP
1 A building permit may be required by: "10 fT eij 1 �G(C I1 . I I See note on back regarding River Basin rules.
I (Note Local Planning Jurisdiction) 1
Notes/Special Conditions l�t - 06 fit`G( a.(I ( C'[ ' -- '(p ( (Jo , (( -7 U lH l " / `4
All ll Ot'. A ( o VI of 0 C l,Q ;S QL9 t Akt,14 top 3 -f-e-t+- LtiJQye tafLA ft d fr2 , <l t-,(
5 U 6(14,11,4/ r;l + (Jo+fv vIn o{ rt.r C ( I7• JJ b _t ig f iS( vG Li,u Inf Gu,(-f'h io✓. t of .
r
>< Cis r'.0.. A1Ai -). s afs
Agent or Applicant Printed Name Permit° leer's Print Name
Signature **Please read compliance statement on back of permit** Si ature
'NA 0/4 ()-er Oil. ? ()L? 1J I Pc- 1/-4//e1 /12 0(fl
t, Application Fee(s) Check# Issuing Date E piration Date

AGEiNT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: i kçri t`
Mailing Address: Y 0 Oi( 4(L 7
e ii-LadifAL4.0a4 A C. rP7Pa3 7
Phone Number: 9io " 9 c" f 1 -(Q`
Email Address: d0 G 104 l‘fdr c,lo a /CO.
I certify that I have authorized d
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: PCIA/far,:„.i p;
at my property located at ( r.c 6a/6J
in 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:
friL
,I NJL-
Signature
\I CdCi
Print or Type Name
OLJ �
Title
L I c01'
Date
This certification is valid through / /

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (frail &. 'R• la.d
son
Mailing Address: 160 LMkE Sriv.
l l 46 1 jil a8`32S?
Phone Number: gip ,-0S9- j /
Email Address; C...1"uiJ-R LLfJion o(r/e'/.0 a4
I certify that I have authorized �(Yxe's.�
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
/�r
at my property located at 6 6,743 eh„,„4 ) 1x-i.
in r` 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:
!� f
Si nature
Print or Type Name
Title
Date
This certification is valid through

•
ADJACENT RtPAR PROPERTY OWNER STATP.EJ1T
E hereby certify that E own Gr«~``` . V IT-IL"
)/ property adjacent to ri..a:rt.rv;;,. ;- L.zn:tel" s
Property located at 6 I c-,c, ) ;..,c.r C {tHIaR1e of Property Owner}
a �.
(Address, Lot,Block,
on ,4,4,k..7 c ,,-,,;,4 +fd , t, ock,Road,etc.}
in tWcor
(Cfty/T 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 i3EVEt,C?PMEHT
(Individual proposing development must till in description below or attach a site drawing)
\ 1 understand that a pier, dock, mooringWAIVER SECTION
minimum s 15' from pilings, breakwater, boathouse, lift,or groin must be set back a
the setback,distance ofmy area of riparian access unless waived by me. o
youmust initial the appropriate blank below. Y (Ifyou wish to waive
i do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Propert tnfvnn
Owner attanj
{Ad}ac$nt Property Owner lnforat#oral '',.fir
Sigrut2rr•e
• ,,, „,
Cyr,; } , � r Sight re
Polio Zl r _ ti i- ° � +t
ype Name t.' .
6 d- ___� S r -w„_.; 1 2 Type Name
Meiling Address -�t.� 4 r t-
Meiling Address
Crty�lstatelZl ... c*
t7Eo '
Telephone Number e ne N I t
�' cf_ �` Telephone Numb
tJdre ---"- i 5 . {�
Date
(Revised 6118/2012)

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