74156_Michael & Helena Darin Mayo_20191015

& FILL 4, 04-7cNo. 74156G• CAMA/XDREDGE
aGENEL PERMIT Previous permit#
)�% t' ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit is ued ,j/ A
As authorized by the State of North Carolina,Department of Environmental Quality Mt
and the Coastal Resources Commission in aar,rea of environmental concern pursuant to I SA NCAC 6 3 1-J110• Ei Rules attached.
Applicant Name IC 1' df��-L f AC C. i>t 'N MAYO Project Location: County PA/i1L1( 0
Address 9e2 1 A 1 iS-11Z I P gZ Street Address/State Road/Lot#(s) 9'2 i A 11;5 71?/P
City 8Aya4g0 State NL ZIP)g..5 k P
Phone# ( )G 7 s- r 7?? E-Mail Subdivision A L ks !'I J7
Authorized Agent
City L��yl o1<I� ZIP 283e/S'
❑CW tgEW *TA 1:6ES I%PTS Phone# ( ) River Basin A.),[ U S E
Affected D OEA ❑HHF ElIH ❑UBA ❑N/A C I?[ H K— 5
AEC(s): Adj.Wtr. Body BL A K an /unkn)
❑ PWS:
Closest Maj.Wtr. Body NL U;!- k 1 V�
ORW: yes no PNA yes / no
Type of Project/Activity !I14T)iORZI r17 I30/ QUCK►►CAI0
(Scale: // /• Zap )
Pier(dock)length —••
Fixed Platform(s) _ ( —_..._
` Floating Platform(s) J L ±
Finger pier(s)
Groin length 1 '' ,"7
• ber / A J
Bulkhead/'iprap length C 30 / {
•g distance offshore u/ ! •
max distance offshore d i
I
Basin,channel I J
cubic yards ' / I j • '
Boat ramp r j i ,— Y
Boathouse/Boatlift — �/ I f i
Beach Bulldozing ,.1 i,.
{ W lif
Other — ' 1
Shoreline L-•_••.— Vv a-
SAV: et
yes no ____ --- --Moratorium: — --,.._..---
oratorium: n/a Yes / 1 i l - _ IL
yes 0 y , C,
Waiver Attached: yes — ' I 1
A building permit may be required by: PAM t 1( 0 ( 01W 1V . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions .E [ (5'7 11 )100 Pr k M rr (0 N D1)611 S • yA iZ I) 1$ G SPA V 4
.4 C R v.5 i'i li S I/Cl L
d�Id
l(EU 1d _ !-) 2 I
Agent or A li ant Printed Name Permit Officer's Printed Name
1
Signatu Please read compliance�Serfient on back of permit Signature
11C0.00 r C i96 !`: oc r 2o1q IS AI; to 2-0
Application Fee(s) Check# Issuing Date Expiration Date

4 .4
North Carona Department o_f Environment and Natural Resources
Division of Coastal Management
Beverly Eames Pew,Governor James H.Gregson,Director Dee Freeman,Secretary
Date \ ^
Name of Property Owner Applying for Permit:
1�1t c CJ,€\ S Ac")-io Mcup
Mailing Address:
bo ro 4 P's t'S
I certify that I have authorized(agent) \CPi y Pf e.S Co`7 to act on my
behalf,for the purpose of applying for and obtaining// all CAMA Permits necessary to
install or construct(activity) 6 Pa L3
at(my property located at) o b‘‘c S r c0/ tf'C
This certification is valid thru(date)
Sig
nature
Property Date
400 Commerce Avenue, Morehead City, North Catalina 28557
Phone: [phone] FAX: [phone] Z feet wiwtnccoastalmanagenientnet
An Equal Opportunity 1 motive Acton Employer—50%Recycled 1 10%Post Consumer Paper

dtif i'df Ybj. 12:db b314518700 THE UPS STORE PAGE 03/03
A#JACS:NT RIPARIANPROPERTY O STATEMENT
hereby certify est i awn*tarty artacent to ' i(' 4 6:1-
(Name affreparty Omer)
Ply Ward at c4kt` t kera, . hint o �r5
cut,Meek, ete.)
on 2 -C—t201- ,m—Atfat.--1a41 :Cry ,N.C.
(W y) (ram aiedier Camay)
ANOPPes Plowe '41 Ing Mire= 1::)ir ,'kip
Be has*sorbed Vine,as shown below,the development he is peopoag at that location,and,I
haves)ehjecfmastoks proposal.
SON AMOR I*AWUGo FROM= TIN ,o T:
(To De eilieby /after prop e deestetereveN)
$4.
.5:(D 7175 ‘JE-woty
Ses-
, 49:\1113 ---
Clatarsarasa farP y Omar Applyire atiparhat
P y Omer halbeamobas)
for Parade
41:11\;:r1 iaE"1e3►ie®e
-�2 crag5- enTh-) 1 5a)ocias
Telephone Telephone Number
Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f\J I C,hCLAcr M y rr
1
(Name of Property Owner)
property located at \4c b\6\ c\ ' hQQO N C S
(Lot,Block, ete.)
on ` E`fit C �� ,rn Me9C pr\\C i T ,N.C.
(Watery) (Town and/or County)
(07S��Mta�g Address: CI; it $ ; p
At,s phone�;��- �
Ri
Z cky ! fv• L cPRsi-s.
He has described to me,as shown below,the development he is proposing at that location, and,I
have no objections to his proposal.
DESCRlPTION AND/OR DRAWING OF PROPOSED DEVELAPA NT:
(To be filled in by property owner proposing development)
g(-Aa
•JC R4 c
d.Ja// 4 l
Is
(Informatiolt for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address signature
6-0 c_, .S�� �/ ys col
city/� 1 N / Print or Type Name
��-- Cof 5- c- -lT-) 2`(o _ 5-35'Telephone Telephone aTNumber
Number
ig ` Date Date

Applicant: //) !C y4L. L tD A121 k) 4 WA M A? b
Date: 1 $� OCT- ZG 19
General Permit#: Li
1 f 5
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.
'!siz t " '� 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)
S tfo iZtain/Q Dredge❑ Fill Both El Other ❑ )30 1-T 13o F r
• (' 14 G f1 oU d i\ Dredge ElFill❑ Both ElOther CO" (3 a / 3 6 c F T y
Dredge El Fill❑ Both El Other El
Dredge❑ Fill❑ Both El Other ❑
Dredge El Fill❑ Both El Other ❑
Dredge El Fill El Both ❑ Other El
Dredge El Fill❑ Both ❑ Other El
Dredge El Fill El Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other ❑
Dredge El Fill❑ Both El Other ❑
Dredge❑ Fill El Both El Other El
Dredge El Fill❑ Both El Other ❑
Dredge El Fill❑ Both El Other El
Dredge❑ Fill❑ Both ❑ Other ❑