64396_Randy S. Mills_20190523

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GANERAL--,-.PERMIT,:-, ,:,' , -=. -4-,-(4,143ci(4 ,
Previous permit#..,'. .- .'.,:--'..-, •.-- • ,,,:
,... .,,. ,.
>"------ --!.:P.'f\lee -- E O Modification- Cornpl_ete,Reissue OPartial Reissue - Date previous permit issued ,.::- ------)q., /4()-,
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' '• •As authorized,bj,the State of North Carolina Department.Of Environmental Quality , . r . t ' . ' .r • '
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i'.• and the Coastal Resources Commission in an,area of environmental concern pursuant to ISA NCAC . 1- •— . . . -• ,2,• .- , . . ., „
''r- .2.. : . ,-',,,-. • 0 Rules attached ,'. .., :, ••• ,, ..
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A builliling pgrmit mayl6e required by: /-•---,..7-,;..., ... 0 on regarding River Basin rules
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. Signature **1?)9Ase read aim pliance statement on back of permit** Signature ,.--- - . - ' - ' ' -•.'.---:''•,------ 45 N. /)‘.. '
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t 1, ' Check#.- : • Issuing Date- ' - •:•,‘:-;„ 1 Expiration Date• ';,'-- •-•
...,• . -Application Fee(s) , .10; • ,,.„.
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IIII°C CAMA/ ❑DREDGE & FILL �1c,-.r n Z0/v No. 73083 A C D
GENERAL PERIVIIT zD- 43q(0 Previous permit# t`i ti
)11- Vew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 1') i1
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 0-7 r'/ 24---0° .
34 Ruts attached.
Applicant Name?Zap'di, , ,•1ii Project Location: County a„„--,4. C
Address to, y. Street Address/State Road/Lot#(s) t 1
City State/ ___ZIP 2^7 9 a $31L e. .�4+al.
Phone# (2 2) cj J -33247E-Mail Subdivision 'S 74; All.* 4 o.�S
Authorized Agent b Coy 4._/-e City CA..e v w% 1.`-J ZIP —2...'7i')--2
Affected ❑CW ❑EW / PTA ❑ES ❑PTS Phone# ( ) River Brit - ) en
ElOEA CIHHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body na /man /unkn)
❑PWS: /
ORW: yes( i PNA yes Closest Maj.Wtr. Body AN+ /t re ��y
Type of Project/Activity Leg- +)c (o f:,r,.- 1 'Zit +x /b �/-P a.4
(Scale: J ^ / )
Pier(dock)lerf 6j.-jl [e,
Fixed Platform(s).-� ''}r/e6
� I 1 I 1 II
Floating Platforms,
Finger pier(s) ,fl■ III liii ■ HI IM!!UIIIHIUUHH
Groin length
UiiiUUIUHhIIHIhIII !!!!!!!!IIII U ■ W■■■
Bulkhead/Ri length MI - ■■■!,■■■■ ■■■■ ■■ ■_1■Ir1
av distance offshore •
max distance offshorehuuIhIuuIIUIiI:iUHhUUUHUrn !IIIIU
�'n ■■■��f omums■
Basin,channel--
- - " A
IIII1IIIIIIIIiIHPUiItt!!! !Z!!IIil
cubic yards � Y2 ,„1.iiiiiilliliii
mile!
Beach Bulldozing
OtherI. LIONAIII III P i
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Shoreline Len h -4d S- + - ■N■■�■igi�.., MINE
SAV: L not sure yes no �M M11� aniY 110� r01■
■■ ■�■■■■■■�■■■■■� ■■■■::■■■�■ ■�-, .
Moratorium: n/a yes ■■■■■■I�■ Y ■
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Photos: yes no ■■ ■■■■■■■EN__/ '' ._ as ■■ ■■■■■■■■.■
Waiver Attached: 4, / I I
A building permit ma)lie regwred by: Q..a4.4 C u. . - H See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) ]
Notes/Special Conditions 4 4- ./e, —a: , ff+,A•-•PA 4'10"
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anCti; 0 Villif tk e------?- 'e,//joe "3,0...,;1 e‘ex
Agent or A an Printed) ame Per ' icer's Ai Name
11
Signature *S lease read c., pliance state ent on back of permit'* Signature
r ��:.04 ' Pti/,01. 23•4pL/. 9 ��1 .-2�19
Application Fee(s) heck# I Issuing Date Expiration Date

Spivey, Kelly
From: randtmills <[e-mail]>
Sent: Wednesday, May 8, 2019 9:09 AM
To: Spivey, Kelly
Subject: [External] Storm Damage Permit
t#03 t e ait • Teo lint Of:-op+ a achments V f � ftaeh
•
-r�rtm. � -�q`�� �° � .'� �`�'_r :� f Pe a aR#�f" -�"bS'L �� —,gam. �d 70"'� ? ��, ,��.®� as pe Pb �s 'V�4 s
C xor` 4-, 1,11% tl�a � �� � s ° � ..�...�_. .ram;.. .�.,aa�
Kelly,
I request a Storm damage permit to replace a pier as was due to Hurricane Florance. I designate Bob Carlisle
with A-Wall Construction to act as my agent to perform work and sign Permit. Mr Carlisle will pick up Permit
from you at NCDENR. The job site address is 434 E. Bayside Drive Chocowinity.
Thank you,
Randy S Mills
212 Bluegill Dr.
Washington,NC
Cell 944-3320
Sent fijm my U.S.Cellulary Srnartahone
1

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 744 y MlLV- 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (City/Town and/or 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 DEVELOPMENT
•
•
•
l i
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.)
`,//4Ido wish to waive the 15' setback requirement. 4'n1e ,N
I do not wish to waive the 15' setback requirement.
WUJMt k-1
(Pr erty Owner Information) (Adjacent Property Owner Information)
' 1 ff!
Signature Signature*
Print or Type Name Print or Type Name
Mailigqg Address Mailing Address
• C�6(aw),,,� fl/C ,�`7(/7
City/State/Zip City/State/Zip
a5--9.t((-33.w /vArcl-E-r,1,11 sUd c17 r.l),,k ZS�- s"Yy ''
��f
Telephone Number/email address Telephone Number/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
. i

NC Division of Coastal Mgt Habitat impact Computer Sheet
Applicant: ana4 S. h ;113
Date:23 /144 y 2b/9
General Permit#: 734i33.
•
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)
A,4-4 e,, Dredge❑ Fill❑ Both ❑ Other vit 7/6 . 7j0 r -
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 D. Fill❑ Both El Other ❑ •
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ •
•
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑ •
•
252-848-2398 ,. 1-8e :icOA$T wry:u EF:vi$RL= 02:03,1D