64535_Austin & Katie Koon_20190723

-,..,z.--;.•:— -•-• —-•••,•••,,,,•-•••4,...,; •-•-•-r.•-v,,,y.,,,,,.,-...,-:•••••1;_---A•-„,.= •, ':.•••.-' ',--.:'.• :;,.•,:i;::::'.,':' ••".- ',2-'::---'• ''''-'-':',,'A.V7.,••;
"•-'"• "'- .-.--•;,„"--''A-•-• H:•'•-•--" ••••• .' " • '•• i ' - "-• -:--, -•`• '' •' • - •" • •• • -••..,•74041,•-...., : .... :._ ..,• ',--1,•::
•'.,;-: ?g(cmy,,,..",-ILLI•DRED‘)E& FILL: : F,--., -•_ - L•Ly list ,--- .
'- ' i Nor• , , • ' • -6y- c,
::'•,, GENERA'L ,PERMIT.--:-.---...'. :-.--,-_ ,-..,- ., --. ..-:• -. - .'. - % .:previpus-p:orrr** ,:,,)/4 _-_.... .:::, •,i,..., :,:y..-,s=';,.,!.-:.
7 .1eW i't6o iiifi'Cathipri El Complete keis,ue .s.'111Pirtial Reissue, „ .' 2' . i ' . Date.1 --er‘,Foi.is Perri-lit ASCied •'41//1
As .uthpriei:i-6y:;ihe State of North Carolina;Department of Environmental Quality--, : .- -.-, ' : •_. , ',,,,,,,...., , ,,,-e,-„,, -, . '-••:, ,.r , ..;•-„,v,; :•:-,,.-,.,_, ., ..,•,
and the Coastal Resources Cprnmission'in,an'area of environmental concern pursuant to I 5A hiCkc, Cl?) 1 20t..5: --::•:-:' ''• . ' ': -.- ,-::. -:::' -. • . -:.i:',.
-',- ' s'.:',:f; .,_ -. • -- :',.- : il• ED Rules-attacb5d.. ,, ,' -'••! ••• ••:-:-.'.
:!,; 1 Aiiiilit'i'llaie Ms.0 At 4;')(A:171',.: - 1(0 0/e) Project COLinty.:12.-tAci r-Ogrr-: ico1,,i,/tY i• ' "::-''':--'::,,,
.
•
-v., • •
Address •4-, 1.. ,. ,. ..,01....)0Nyi.,• IZ D • , •
. 'M '.--( - -. . ,
,"-§ti-pet Address!State Lot 6,..57,3e7:fk:/;'01,41,7A/
, .
City r2;4171,.:1%'.". ..,.:',.• ;: '-- • ';StaieNL z ZIP ifia g '.''. le ' ., ,',7•',.• , - •, - -,:7 L .-,:•.: _,,-,- •_: ,, , --. ••.. ,••...,-,
,'•,,,. •Phone#(119 ) •93 -;--Fri E-Mail - - * • "..-; --.: - • _SUbdiviSipli *- ... ' '-- .: '-- - -. '-‘1- ,----....-- • ' ' ---- ' * -., --:,• . -1-.'
' '• )A 04'
Authorized Agent -.friAR.,,Vid' 1- 0' ,-/ . .. :'..-"z'• ..'',-'.' - : .' ;City• ,IZA-7?/- -, 'r-'-**.- --*' .-... ''ZIP. - • :-'' ..:•.;•,:,.
•,':'--::--''''-'.•' Affected 0- 'd. wr- 5 .. I,•k w• • RTA,, LIES. . CaI prs
,. .. ' 1hohe#1 (':'-;:.',•"•••') •' 2 ''I'':''' • Li;kiier,Basin• -A 4Z9.1, ,, /
AEC(s) 0OBT 0HHF =11H DUBA IN/A
:•'••
Adj.Wtr. Body PAX11'.I(0 • F(0 rie.- g/rnan /unkn)
D PWS: • ". . . . % Closest Maj.Wtr. Body RA i-1L )(.6. 12.)1.1F-R.,
- . . . .
ORW: yes /C7 PNA yes C)
,... .,
1.-,,, t i. ;),.,-,„ ), A.,....,,, ,., .A
Type sof Project/Activity .A 141310te I Orl) ,..7 u I I!:fl- i- Zi r t,9 1 ralc-tvi (Co%/ /71•E 6) .1 • • ;',
• ' /
,"..••• •. . // /
• (Scale: : ya , ) : =s
Pier(dOck)length 5()i X5' • • ' ' _ •
4 ( ij
Fixed Platform(s) )7'4 A 4.i i ___ , . .,.,
7 • ' . ._
Floating Platform(s) --- • ' . ' —I liCri—i2 I I/Cil . . , .
k , Finger pier(s)-- -- V
•.! I • . , •:'- Groin length — I ,
• - , ,• ,..,-*
,
' , . • . . .,, ': ' nuniber .
•
.: . .
••,--_• - Bylkhead/Riprap length
,
avgc:listance offshore —: ''Th • . ,
. ,
•',-., max distance offshore '7.- , ' • -,„ 'el 11 'Ds r(/' • , , ' '' , .'
!--- Basin,channel — I .' •, I-
Poikc' 1
....
.. / . /,\ •
.. „.
— . .. . . i ls „ ,
.; ..cubic yards t.-- . -• I l• , . .
. , , • ,'
,:;,-• .' Boat ramp - , , ' ' •
• ...
' . ' 't• .
. Boathouse/Boatlift
•
Reach Bulldozing• -- ' ' & 110
1 *
- . .
4IL, • - . . .
Other • .--• ' 9\fir .
•
.. . . '
. . ,. ,
. . .
. . • f',`- --- .
A i ' .' . (0 o c6 •e2 . •
. Shoreline Len f Li :,• • ..sar-er'12: . 3' • ,
„,
'•,• SAV: not sur yes ' Tic. ____ ___ , —
1-77 . ' ?(' ' •-•'.
'-'" ' Ef-t5 ni, - •
_
Moratoriuu:c n/a • yes ry. „, .
.„.,,.. . yes Photos: - • 1.),A t ic Y 4w- •.
...., dipo ,
.- Waiver Attached: - ._yes , nO----, ,
• ' I ' -•,1
. ' .
, :•,, _.
.•`'` -. A building permit may be required by: 13 rA,v f 0 gi CoWd5Y . ' See note on back regarding River Basin'rules. --;
:'• ''(Note Local Planning Jurisdiction) • • . i. ., , •
2
Notes/Special Conditions A i4 T-Hoe I A C l? 3.5.7 i- T ' Of Ai - -) Aoorr •o/4 .64•4•/) I ( el . - • ' '
0.0 17,k• 2 St) P 5 4 80P. 1. . AL1c) ,,cn r).;,/ doctilt r pi I V. 'cl----.PAritjt ,r
YV
..
• ......• •. - . , •
, . .
_ ,,i , - . „„. • ••'''.:
,,• ' ,
..,:-. - • 1,-,,.,..,.:__,!..„..0.-. 7..;....-44,,T.r. ,V- deity,Ai 6 ..4' . • r .Il A - '•', 1 j AI t-r • . , . ,
... . . . . •,.,- -r;;;:,,,-.4,----='..T.7.-Lst.,..,- r If '
., • ,
i.:_e • •Agent or p.licant Printed Nam- f „ i PermitOfficer's F'rEnteld me
', . ,,, . , •...
- ,.
...,
:` '.----- .77.'••-,-- Z,„#,A1 , if r ' ,./ ' ' ,, -,, ,
- Signature :**Please read omp iance statement on by"-of perri-dt'*4 ' f Signature :.. ' ,,
.,,
• 4Z60,0 -
. - . - 4
.• 43 :WC-7' 2017. ''.;::',:'•-, . 1 /1.01-2 1/' c",,W9 . :'
-.., .
.,-,-- Application Fed(s)' . • . , . Check# - Issuing Date •- - ' f:.:;.,.. .2,..,-ExpiratioilDatek,.;'„ • ', , ,';';
. ... , . .

•
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: pc v 4—.`=.
Mailing Address: e Glowen -
Phone Number: 9+9 - S a 3 - ti ct c�
Email Address: Kert'i�cole,- c�1<©pr\e Crw?‘
I certify that I have authorized - �( �] V
Agent-/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 5- Me.�UveL,\ l �j - j�L
7 ,
in 13Qcw co County.
I furthermore certify that 1-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:
rye
Signature
oo-.
Print or Type Name _
Title
/ - I ' V
Date _
- This certification is valid through / l

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i•\
I hereby certify that I own property adjacent to
property located at
n ,1.-vAiev.\ RA , (Name of Property Owller)
- (Address, Lot, Block, Road, etc.)
on 64 CD '\ '''ilet , in -..2)641.--.
N.C.
(Waterbody) (City/Town and/or County)
, The applicant has described tome, as shown below, the development proposed at the above _
location. .
____ I have no objection to Ittlis 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)
? r Dr, --Nt ?6%,„‘ c 0 R;vef- Aerox'i,..i-t a f,"eiA s-:z•-% ..N
C e
- f '
a r L 5\<ekcke,-ck \;>‹,k 0 t.-.0,
I' .
a i
i
... _
. ,
. ,
WAIVER SECTION
( understand that a pier, do'ck, mooring pilings, brealmiater, 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.)
I do wish to waive the 15' §etback requirement.
I do not wish to waive the 15' setback requirement.
(Prop Owner I ormation) • (Adjacent Property Own Information)
Signature . , Sign orityre P 7 -
•d-\<a--i e_. \(00,\ 0( (7-1 __N.,,.... 6?-
.- (
Print or Type Name 1 Print or Type Nbrne
Lf 6Ji-Lri-c roc,/
. ,
M4Iing Addres MailindetAd1dress
,va ..1,1•N C. D:1( Clo 5 4. /v t___ ,, S'og/ .
city/state/4 , , .
City/State/Z/1n
yr—J-8_3 0
Telephone Number Telephone Number
. .
7—F-.304 ci
Date Date
(Revised 6/18/2012)
.
•
4 .

ADJACENT RIPARIAN PROPERTY1 OWNER STATEMENT
l hereby certify that I own property adjacent to---int),) �1 - t<); er i '�'- �o� 's
(Namef Property Owner)
property located at cloS. 5 Mc G-Owt,A y•NGl
(Address, Lot, Block, Road, etc.)
on o,.-,1, , in , N.C.
(Waterbody) - (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to in.
t 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)
`` ll
( (
•
WAIVER SECTION
._— I understand-that a pier, dock, mooring piling-, 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.)
I do wish to waive the 15' setback requirement. •
I do not-wish to waive the_15' setback-requirement.-. -.. _.___-. _
(Property Ow r Information) - (Adjacent Property Owner information)
(kfLkA -
at'iz- dee,
Sign ure Signtuur its
/
- Print or Type Name Printor Type Na e
80(o lc t er L:�G�� (�l 4Gvn � ,
Maig AddressQ Addrps
City/State/Z City/State/Zip
Telephone Number - Telephone Number
Date Date - /L J_, I:9
(Revised 6/18/2012)

Applicant:A USjf d- nr Ira
Date: a pf U
•General Permit#: ya y.3_
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.f FINAL Sq.Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total. disturbance. Disturbance disturbance.
Habitat Name includes anyany
Choose One Excludes 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)
p ii iJ Dredge❑ Fill❑ Both 0 Other to 7Fr Z G o 7F
8
q - Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
• Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge 0 Fill 0 Both ❑, Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other ❑
35
l.07