64364_Frank A. Measamer_20190605

'il �CAMA I ❑DREDGE;& FILL FLO e GY No 72448 , D• .
�j A: C D
GENERAL`:PERMIT #LO�3lo -, ' Previous-,permit# , All-Q
New; • ❑Modification'` ❑Complete Reissue" LIPartial Reissue Date,previous permit issued•,-)/A -t '
,. As authorized by the State of North Carolina,Department of Environmental Quality
�-� " o ®.T 1.1.?,CO o .
and the Coastal Resources Commission in an area of environmental" concern pursuant to 15A NCAC d'��1,•��i��. •
n• : • '? ❑Rules attached. '
Applicant Name ,tJ`/1A1K , A , , M.(A.� Al Ca Project Location:.County • r3rA1,4ro, r •COL,,)l1t'. :, •
'- Address ' P.,o• Bo/ /og77• Street Address/State Road/.Lot#(s) 16/ ' P/ifE it "5
City )0,8 -LSCAillia( State �L ZIP a7'g7 I • 1 D - •
•" Phone# ( ) 77/7" `/SSg E-Mail - Subdivision h/ACC - 1 . - .
Authorized Agent 1/"1 A�(/JC City pA 'ZIP 7$0 e•
- _1
❑CW I EW ePTA ❑ES ❑PTS Phone# ( ) River-Basin /D4H . - - ,:,
Affected• ElOEA ❑HHFH ❑UBA " ❑N/A
AEC(s): Adj.Wtr. Body PPnC/co f IA R na^t^t man /unkn)
❑ PWS:
k' ORW: ` yes /9 PNA yes / no Closest Maj.Wtr. Body )�iffi�I D1�F12
K:tM
Type of Project/Activity A IA ill ok)tit) 1 Z 7V Al . f 0/�il 5 1/ ‘t.7 S�1(5 ?Hai_ie. •
t ( r
aoebk;lc� (Scale: I N3D '. ,,)
Pier(dock)length 7.� r'('
Fixed Platform(s) 1Z'Ai C. / 1 ,
Floating Platform(s).
.Finger pie•('s) o I ' .i a ixtY ' ,
Groin Inggth + 17'yt it' 6 • )Z%/.3 • i tvy' ,
n� r - .i,ty fcl�1 c
number 3��
Bulkhead/Riprap length — _ , 1/'/1 4. ,
II is ft 9 avg distance offshore — I f 1 i "NY
'/
max distance offshore I ._ __ (�/ ` e f ,
Basin,channel — i
• cubic yards ' • i •
Boat ramp
II /Boatlift I f C 72 2
I'-' Beach Bulldozing l
Other •
'
. r,. �Ir'P T % .
Shoreline Length $,J '(�Qf,1b ''
I.- SAV: ot sure yes no' V 1 ,
al . - .ice r` +,,,adRKl41^�• i► `.
.Moratorium: n/a yes '. �J "[�k _ I M A .`
Photos: ` m :/ �L �'A S r E `.:+/
� ✓` i i�
Waiver Attached: LiirO no r �ft
A building permit may be required by: 3!A IA i c. .T CalA1J� ❑See note on back regarding River Basin rules. •
` (Note Local Planning Jurisdiction)
" Notes/Special Conditions 51 F 0.7-I). I$0© PE.f2Mi% foNDi /)ot.) 5-Aof716(IzfD 519F1_
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Ai.wwii.12" CvDrrt- No 57gvc-- ti lb I;Kcr.CL gf66F1
I V l rn •
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v iS C �� jr- hi Vjr� 'r�rl(�f
Agent V-4
li• n Pr' to Name /j(-�; Permitihted
F. ,
Signature lease read compliance statement on back of permit Signature ,
7
°= o---. bx e�" Pat"' 5 WC- 241 Or. vc 1 Z Uf,
1;." •.Application Fee(s) • Check# Issuing Date Expiration Date
Ef -

Mar 1919 09:14a p.3
•
Authorized Agent ConsentAgree nePtt •
(Property Owner(s).) herby alttlloCize Tobin Jay Tetterton of
•
TJ's Marine.Construction,LLC to act on my behalf in obtaining"
•
the location listed below. C�MA permits for
PROPERTY ADDRESS: •
.
ig - gar[
PROPERTY OWNER'S MAILING ADDRESS:
•
pt lc t4- Wuz we a p�
•
•
Phone No.
•
•
PROPERTY OWNER'S SIGNATURC-4-- Ca-
.
AUTHORIZED AGENT SIGNATURE:
TOWN TETTERTON
DATE:(ltcwe..{. 204
W itodloriud Agent Consent Agree.

Mar 1919 09:14a p.1
•
•
ADJ SCE T RI N PROPERTY OWN STATEMENT
I.hereby certify that l own property adjacent to - qv,/q (< 0 . Metz.?e.is .-:._,. ,� .
04._ s
property Located at G i r�t'. (Name of Property Owner)
V 4 e t�w A.DC4.41
(Address,Lot, Block Road,etc.on Kal II-i , Fr/ -�t'A. Gil% co �y
� Y�- "EIl. �y
(Waterbody) (City/Town anblor County) , N.C.
The.applicant has described to me, as shown below, the development proposed at the above •
location/
•
-,~a�: i have,no objection to this-.proposal.
"•"''` I have objections to this
Z:4--«.:Cr:3 proposal.
•
DESCRIPTIONAND/OR DRAWING OF PROPOSED DEVELOPMENT -•
(Individual proposing development must fill in descrlptfon below or attach a site drawing) -
e- id..L.) .-.L.A__„ •
,,G."c-t1.4•14dr
•
•
•
•
•
WAIVER SECTION
;,.,_.w_. I understand:that a pier, dock, mooringpilings, boat ramp, breakwater, boathouse, lift, or groin
:,,.� must be set back a minimum distance of 157 from my area.of riparian access unless waivd by
me_(If you wish to waive the setback,you�rn p the appropriate blank below.)
- e__-'"''� I do wish to waive the 15'setback requirement.
.. I do not wish to waive the 15'setback requirement . . •
[Property Omer Or orrnatiost) (Adjacent Pco •
,.� lc 0ern®rti�li•��rrtatiore)
-,,--„, ,,,Le„,4_ C_ liye,,,,
Si ,Ialure- S. a
z
P hf or�'ype Name '
CI c.: t� 7t Prin or: e-tl►ame•
•
ailing Address �5 �iGPCvasf/i •
���� MailTngAddn3ss •
s �•� 1 I • Cil C 2 IrFel 1 371,E NC ,;?7 '�i' ' .
Tale neNurnber/email address •
~ . +?c •kc� d-s� ��f4v -'S S.�C3 --
Telephone Numbed email address. •
Dam7�G.'rk�rCe1sCecrsc.t.e;'ra .r:fa
Valid for one calendar year after signature22 y (Revised Aug_�14)

Mar 1919 09:14a p.2
• ADJACENT RIPARIAN PROPERTY-OWNgR STATEMENT* •
•
I hereby certify that 1 own property adjacent to i- i�.. / ►r?/� Sc,. n-.. 'S
c (Name of Property Owner)
property located at 4?L, f (r•�e >✓R5
� (Address, Lot, Stock, Road,etc.)
CN on (1. P..r , in S c{.4 , N.C.
(Vitaterbody) (CityiTown andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location..
✓ I have no objection to this proposal.
•
Y= 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, 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 towaive the setback, you`im st initial the appropriate blank below.)
•
••' I do wish to waive the 15'setback requirement. .
•
•
•
1 do not wish'to waive the 15'setback requirement •
-
(Property Owner Information) (Adj n€Prop ner Information)
nn
41C) . .
Sa Si 6r1 l pS
Pita-ore Name- P4t litTerni718
*Ong in Address M Adler
a� 9
�. sue.�s:IL: • C Z 2 k 7/
.City/SYatelZip Crfy/Stat-j Q
1 -1I q c37 yol ,4� d�'(IG ce a�.�.. it C -kvl' 9. ( �i P
Telephone Nymbertemail address 7e1 ne urpbyrie►n 7 address
Date Date _ C
(Revised Aug.2014)
`Valid for one calendar year after signature=

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Beaufort County, NC GPIN:669 05-0047 LAND_VAL:186262 PIN_1:07029106
GPINLONG: •691-05-0047 BLDG_VAL:114264 DATE:11/16/2001
NAME!:ME:- .: , :- - -.• A TOT_VAL:300526 DB_PG:1227/00905
Disclamer: NAME2:MEAS• ' R AN _ TAXABLE_VA:300526 STAMPS:320.00
Beaufort County online map access is provided as a public service,as is,as ADDR1 :PO BOX 10: DEFR_VAL:0 SALE_PRICE:160000.00
available and without warranties,expressed or implied.Content published on CITY:ROBERSONVILLE PREV_ASSES:297057 REID1:32110
this website is for informational purposes only and is not intended to constitute a
legal record nor should it be substituted for the advice or services of industry STATE:NC ACRES:0.36
professionals.The County of Beaufort and the Website Provider disclaim all
responsibility and legal liability for the content published on this website.The ADDR2:PO BOX 1087 PROP_r, --.
ADDR:961 PINE CREST RD
user agrees that Beaufort County and its Assigns shall be held harmless from all ZIP:27871
actions,claims,damages or judgments arising out of the use of County data.
.r t, beaufortnc.agdmaps.com PROP_DESC:1 L 11 PINE CREST TOWNSHIP:07
'1 b l0 m Mar/19/2019 MBL:66910074
1712
' A
i, - u 60ft I Scale 1:714

p.3 ;
Authorized Agent ConsengA
greement
(Property Herb
TJ's urine puowaer(s).� y authoriie Tobin Jay Tetterton of ,
the locations Iisted� my behalf obtaining C �
below. �' permits for
•
PROPERTY ADDRESS:
•
• � I
PROPERTY OWNER'S { ,
+ - 4
MAII,iNG ADDRESS:
cC�• •
C2
•
Phone No. L_'Z—
•
•
PROPERTY OWNER'S SIGNA •
Q .
AUTIIO ZED AGENT SIGNATURE: • c
.
•
TO$LN TETTERTON
DATE:j/I2
•
W/Aedhoriud hSem
.consentAgrce
• •

!Aarw l y u :14a ' +
p.1 I , .
�IDJ SCE 'F
!V Pk�PIi:R'Py Dqq S�� ERA•
: .
thereby certify that 1 own property adjacent to • :'
properly located at G (Name of Property Owner) S
on • .c -u{ ct
(Address,Lot,Block, Road,etc.) •
Nilaterbodyj rrt Cc.:�'
(Cityl3bwn an r e , N.C.
~.. +fie.appiica t has described to me, as shown below, the development proposed at
[acetic
..-5<�-.. f have-n• the above . .
_;;_ o objection tc this proFosal. {
ce r�cn3 I have objections is this proposal. ?
.
DESCRIPTION AND/OR DRAWING OF PROPOSED draw
DEVELOPMENT
(Indivdfualprposing development must fill in description below ttach e ! . t
drawing) �
'
es_ 1A-Tio ..-t_e-L--,
, : +
. . a
.
-. -k I understand:that a pier, dock, WAItTER SEg:,N
=--• must beset back mooring pilings, boat
a minimum distance of 157 from my area.of riparian access unless waivouse, lift, ores m
me-(If you wish to waive the setback.
._ you the appropriate blank below.) by
��:.:._ldo wish '
to waive the 15'setback requirement.
•
. i do not wish to wave the le setback requirement.
(Property
Owner
r-- Ow n erI f orrnatio•.-n.ir) (Ad•„.49 nt Property-Owner Information)ner, f' ,,
,' ve,,,, , _
jdi attire•
S •, t GN r..— . .;e,P'Nor 7YFe a me iAnoS �yelarl PC{e.Sf t fC r K /b �7 Ming Ackiress MaingAddrLss.4. .. . - .C ; ri •
arepa°rr�ne Number/ernar7 address `Y+?c S
—S S
1r�1: Telephone plumber/email adress•
Date
Date's G t/sCtcrscJa ,'•AL 1
• "'�
Valid for one calendar year after signature (Revised Aug.20i4) . - ,

rwariu 1uu :14a
p.2
,, . . \
- ) t
• t1 i
1 '
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT •
I hereby certify that 1 min property adjacent to ram,cc f. b P c c, i. .iv w... 's .
(Name of Property Owner)
property located at. 4 . f t Ke�.ce.,$Y T1.4R..)
(Address, Lot,Block, Road,etc.)
on PL..(,Ca 1r..fve.-FC,.. . ,in (.u.Ca. .-4 -
(Waterbody) (City/Town andlor County) 1
The a .
pplicant has described to me, as shown below, the development proposed at the above •
location{.••
.�, I have no obiec'iion to this.proposal. •
�::� : I have objections to this proposal.
o
_.� :2 • - p
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing) ' ;
•
. . j
{ I
.
•
=�:_ WAIVER SECTION
._ _ I understand that a pier, dock, mooring pilings, boat lamp, 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, yorilmist initial the appropriate blank below.) - ;
L• t do wish to waive the 15'setback requirement.
i do not wish-to waive the 1.5'setback requirement. -
(Property Owner Information) (Adj. -ad Proprypner Information)
. (------47) a wift •
Gam"
�a SigatuP�e i S a ` -
Print or type Marne -
. "A •i a.,,: l D.rl p P',.1 e, e : :
M 'fr Address , ` 7 ' i ' n e Cf `-- F- • f 't
g / M_. C.0. ss :1�► C
q �j.C�� p Crly/Stat f -
/f�elephbne Minter/email addres ` Tel rreVVfuyb1rf1address1
Date {j
`Valid for one calendar (Revised Aug.'2014}
year after signature=

Applicant: f At i` / l EAM ere,
•
Date: S jl�t/�k_. za/
"General Permit#:
�g-13
Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq.Ft. FINAL Sq.Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
O POI °ham Dredge❑ Fill❑ Both 0 Othe .d 1�- F Pcfri
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fin❑ Both 0 Other ❑
Dredge❑ Fin❑ Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other ❑
Dredge 0 Fill 0 Both ❑ Other,0
- i
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill 0 Both 0 Other 0
Dredge 0 Fill❑ Both 0 Other 0
Dredge 0 Fill 0 'Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other 0
— --
` 1
1
"