74066_Warren Smith_20190917

CAMA/ .2 DREDGE & FILL No. 74066 7V
Z D *�D4 h a A C D
GENERAL PERMIT Previous permit# N l_ik
�GNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ►--1 ►"-
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 • I 1 V--'
5i Rules attached.
Applicant Name W A L k r p1 '.&NI Tr) Project Location: County t3 cA 44 i`Uoz c iv ,
Address IpD 1 5 ij woo0 'tQ - Street Address/State Road/Lot#(s) J'r i- ►SA.c .tt.k
City 1./A 51%.14l- J State 0 c_ ZIP Z--►53<6 q 2 Coo ( 5(-6 L L vJ o ) ' •
Phone# ( L /!7-;-,,?7 v E-Mail Subdivision 1„)/N--i r..i, ,i y-r-v,,i .t¢
Authorized Agent -K 0+35'45 I C w 91,7,\5 City )R=,1_1, .I 'U l ZIP Z-7 '73'-6 I
❑CW >]EW ,ETA r$•ES �?TS Phone# ( ) River BasinTA'- - PA''t" -' ' o
Affected
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj. Body '' ta
AEC(s): Wtr. "^A --1-^ o e L /-' V (nat /man unkn)
❑ PWS:
Closest Maj.Wtr. Body - 4.‘"^ l--'4" ) f ,t__
ORW: yes /'no ; PNA yes / no)
Type of Project/Activity i1—=t C7i P- c - -2 O' - V?..-.1•••e--1 4- I
a ,
(Scale: ` . `f 6 )
Pier(dock)length I II Iy
Fixed Platform(s) I '
Floating Platform(s) 111 IIII1 MI. •au ME= MOM EMI U
Finger pier(s)
Groin length1111111111
number
Bulkhead/ tiprap length ;2 ■�■■ � ��■ ■■■ .M�111111
U�1�U�1�iM��� ���
III
avg distance offshore '2 I
i• max distance offshore 2 _ j`1 UUU■U ..J
cubic yards \
Boat ramp
Boathouse/Boatlift f
l I H 1_\
.1.._... H Hi HiNEl H
Beach Bulldozing ii
1 111HI„H1111111111Other iiH'ii
fl - NI i _iIiHIiiHiHHiUIi
Shoreline LengthII
� !I i!II HH onotsno Am :'
liiiiiiiiiid
Moratorium: n/a yes fn i'iiII1iU1Ii
Photos: yes no �II ' UUU�� �� I ��UR'N. _ cJ 111=1U U11UI 111111111MIU
Waiver Attached: yes (4...) 1
A building permit may be required by: 2,✓P5.A-`7,-/Gi—^' 7 4 iI X See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 1 0 r t a /"/1/ 7 r-1I Av"'4- yJ L.�`•'-'J• ..tat-- -/•few j✓'<: t /j c
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Agent or Applicant Printed Name 1 Permit Officer's Printed Name
-. 1 /' .0 644/1// / 1 t7N--;)
Signature **Please read compliance statement on back of permit Si atu
;� 14 il /1 ��d 3�.- )-7 � > , / '7 1.4Ai 2dZd
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i Application Fee(s) Check# Issuing Date Expiration Date

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140;07414 t-p/Q,
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' 74-4

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to '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
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
h✓ ),A1 y (,
Signature Signature
Print or Type Name Print or Type Warne
Mailing Address Mailing Address
City/State/Zip City/State/Zip
Telephone Number/email address Tellehone Number/email address
..t7
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

NC Division of Coastal; Mgt Habitat impact Computer Sheet
Applicant: 1/4/-it h crra;-/-(
Date: / 7 4, ,2019
General Permit#: 7 ye) ,‘
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. j TOTAL Feet I 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)
,5116,0 Dredge❑ Fill❑ Both ❑ Other
'Tor~ Dredge❑ Fill(Both ❑ Other ❑ %5O �SiC)
// 0r°`" Dredge❑ Fill❑ Both Other .z,-.231U -CO
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 Cl Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑