74081_Camilla May_20191002

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Ei D Ca REDE & FILL --r-D4- IDy"7-7 7/
A r� C D
GENERAL PERMIT Previous permit# t.; •
) -- 9New —'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued - --
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 0-1 f/ ' / /U V •
IX]Rules attached.
Applicant Name GA/t-J /LL 4 /✓1A f Project Location: County 4t4" j-r /--)•
Address 705- s,4-l�,t'?vov (2r7 , Street Address/State Road/Lot#(s)
City ;,1 %l l i - '1%))-1 State.c/& �- ZIP 2--� s I 7D .5NvpE ia J2 oO -
Phone# 94.- S$5S E-Mail Subdivision 4./65,474 Arr-v s-4 i--)A-"L.
Authorized Agent LA.,"? 7?S '2 - A-Z-P"-LE City 1 /41 14 7's'v ZIP -2 746 S 1
Affected Ei CW `W )6PTA (ES ArPTS Phone# ( ) River Basin'?47- An 1.-1 O..)
❑OEA ❑HHF III IH ❑UBA III N/,}A
AEC(s): Adj.Wtr. Body-PA.")1- ze, �)LiE- , ( . /man /unkn)
❑ PWS:
ORW: yes / no PNA yes no , Closest Maj.Wtr. Body TAM t-i e'J 2 r v Z
r Type of Project/Activity ,/ -145-, /O d n? III ti v k*._!E 44"9
,
(Scale: 5 )
Pier(dock)length
I I i
Fixed Platform(s) ( 1 I
Floating Platform(s) 1 —4 :p4 mu CO .7 l V t:7\ •
Finger pier(s)
Groin length I ,
number
Bulkhead/Riprap length/Oa 'v
I
avg distance offshore © r f
max distance offshore O I
Basin,channel - j
I
cubic yards I '
Boat ramp ,{J j't A LL. 7- t a v c>h i{ytn LiC }� I4/a I
1
Boathouse/Boatlift j
I
Beach Bulldozing I C _ 't-l'/ y j
Other I ayt
r DIXb^f — 1 tillSitl -
IP
Shoreline Length --f /Op Pi - y'J 10‘(0C1
SAV: not sure yes no ._.__, i _..__ (-I -_.--
Moratorium: n/a yes no
Photos: yes (0 f/'�AL-1 Pdc I
Waiver Attached: ye� no I
A building permit may be required by: Jr 4.7.ir cyz T /0 • . ]See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions , ? ' Y'A-/r)7/1-7r-1- "y7 L.,n ,... '�
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Agent or Applicant Printed Name Per itOffT'er's Printed Name
'- ,I-1/2-"c•,- --,2/ --4.16: ,........----•"------ ...---"I (.......--"',.)
Signature **Please read compliances ment on back of permit Sig ature C
()I Llr1� �Od
Q j (c: 1 -.2 OG j o tt-ZvI 9 `2° 1"t-rc3e't�/t-4,-1 -2 c' 2 3
Application Fee(s) Check# Issuing Date Expiration Date ,,... 1

Division of coastal management agenc' form for permit applications
Camilla May ,owner of the property located at:
(Name of Property Owner)
705 Shorewood Drive Washinizton,NC 27889
(Property Address)
Hereby authorize Saw vers Residential&Marine Construction. Inc./Ivan Sawyer
(Name of person or company acting as agent)
To act as my agent for the purpose of obtaining any needed Coastal Area
Management Act and/or Dredge and Fill Act permit,that may be needed for the
proposed development at the above indicated property, which entails:
To Install New Vim 1 Bulkhead
(Describe proposed development for which permits are being sought)
This agency is limited to the specific activities described above,and will expire
on:
(Date on which authorization expires)
eet,yvueet
7s . 6/02 ///9,
(Signature) (Date)
(Printed name of owner) (Title,if officer of corp.owner or trustee for property)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Camilla Mav
(Name of Property Owner)
property located at 705 Shorewood Drive Washington.NC 27889
(Lot, Block, Road,ect.)
on Pamlico River . in Beaufort County
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below, the development
proposed at the above location. 1 understand that any construction,excluding
bulkheads,must be set back a minimum distance of fifteen feet(15') from my
area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
the(15')setback requirement.
I have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development.)
To InStall New Vinyl Bulkhead
Sr Dr xo/1
Print or Type name Signature
5 , 9 -5--07 - 1 /�
Telephone Number Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Camilla May
(Name of Property Owner)
property located at 705 Shorewood Drive Washinuton. NC 27889
(Lot, Block, Road, ect.)
on Pamlico River , in Beaufort County
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below, the development
proposed at the above location. I understand that any construction,excluding
bulkheads,must be set back a minimum distance of fifteen feet(15')from my
area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive
(15 ) setback requirement.
I have no objection to the project as proposed and do wish to waive the
(15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development.)
To InStall New Vinyl Bulkhead
Pico c
Print or Type name Signature
("N <-2N) )_> fV)-3 /1/
Telephone Number 14ate�

NC Division of Coastal Mgt, Habitat impact Computer Sheet
Applicant: (-•4,1/LL A /'1,4
Date: z c�GTr>r3 c�-z z��/
General Permit#:
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet
TOTAL Sq. Ft ANAL Sq. Ft. j TOTAL Feet FINAL Feet
(Applied for. (Anticipatedf nal (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name includes any Excludes Inv total includes Excludes any
Choose One
anticipated restoraticn any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
i temp impacts) impact amount) temp impacts) amount)
a
a Dredge❑ Fill❑ Both ❑ Others' QL�'/—� /C.C.)
/ZUv r.-hi Dredge❑ Fill❑ Both ❑ Other.l /,6 X� FZ % 9 f
Dredge❑ Fill❑ Both ❑ Other ❑
i l
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
i , I
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❑ Fill❑ Both ❑ Other ❑
I ! I
Dredge❑ Fill❑ Both ❑ Other ❑