74056_Scott Brown_20190819

0 :CAMA / DREDGE & FILL zo ���� INo. 74056 ` 1
GENERAL PERMIT A B c D
Previous permit# N 1 A
._New Modification .Complete Reissue _ Partial Reissue Date previous permit issued n1 14
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 ")H ' ) Z O 3
Rules attached.
Applicant Name , G r7-r-r" 12,-R-pi ar-i Project Location: County 3 C p,-I-Ft, , 's.D,
Address j CJ (.47 IA))j rp,A-.55 1,04'y Street Address/State Road/Lot#(s) p F r r;l C 4-11(., -1 JA./ 33
City e4 14 e A State N L ZIP 2-7`J 'LP C )0 i„_;, -_,, ,\ IA)A`7,
Phone#(24L)2 2-1 -q1 to'a n E-Mail Subdivision h r rl prj 41
Authorized Agent vA v I 0 A-Svclljt,r-1/E-2 v04-r- City A 41`01z-A
ZIP 2.'750(p
❑CW E EW PTA ❑ES ❑PTS
Affected Phone# ( ) River Basin'('A i:-•,i)M^
❑OEA ❑HHF ❑
AEC 5 : H ❑UBA ❑N/A
( ) 0 PWS: Adj.Wtr. Body �(n9/man /unkn)
ORW: yes / no PNA yes /!nog Closest Maj.Wtr. Body ' ?IA^'>1-1 4-° �,LiE-
Type of Project/Activity ?,) x to• c r /i-- -77x/y Z,A-r-re,pri , pg., ?i .e . o.A-rr�l��
'�_a-f;� L'_M II
(Scale:/ r 2..0 )
Pier(dock)length_
k Fixed Platforms) .J.® ■
Floating Platforms) ,_, x S / ._., �_`— aM111111=I
■� ■■■■N■■■■ .
Finger piers) ■ { ■ ■■1 'ai ■ ■ ■■■■■MI ■
Groin length IIUIUHHIHJIHIIIUiUIIIHIIIIIIII l+ i
number IIIIII1aR$ UUUa. UURU.$R.U.N.
■ ■ ■■■ ■ ■ "._Bulkhead/Riprap length -- itFiuuiiiviiiiiiii
■■■■■
avg distance offshore _
max distance offshore '"
Basin,channel
■■■■■ ■1111■1M1111 ■■
cubic yards ■® �MEMIIII ' •iII■MPIC iilllllllllllllllli
I� ■■■■■Boat ramp ■ ■Boathouse/Boatlift f2afr77� -
�, ,� S , ti ■■■■11� ■c+N■■IMISI M■�■S� ■■■■■■■■■
r:.ria.
■Beach Bulldozing
Other iii
+
i■ ■ .
IMPIIIIIMIIIMIIIIIMINIZTAIIIMIIIIHNI� ■ i 11 i:i i ■i ■�■
Shoreline Length �d /
■■:■■■■:■•11E11111E11111
■■■:� ■■■■■■ i
SAV: not sure yes noNI IIIEEIIIIIIIIIIV RE :Ji1■
Moratorium: n/a yes no gIimm Iv
MN
:I
yes na,___
Waiver Attached: yes no I I •
S E P 1 1 2U III
A building permit may be required by: BE4c"ts20-7- lovAly-Lp ]See note on back regarding Rv r B les.
(Note Local Planning Jurisdiction) DCM-_Rini-
A
Notes/Special Conditions ,p-r 7<, 1/5-4 ,4,�--20 ,. 7 $ 7 l L 'e 4-,JO . APP ,CAST
"?'/pz,,E3 / , Fit of Pc A-11,,M,'yJ,. 4-1 Az.t,ow&r, i5 Sex) AZ 5,x/4z 6
5'r72.1-1 t r — G,q-rl f?elS.-Y.3 (ACC) tom•
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1W1 17-/e;
Agent or Applicant P inted Name 0 Permit0 er's Printed Name
Signature **PI a read compliance statement on back of permit** Signature
11 oa
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Application Fee(s) Check# Issuing Date Expiration Date

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: c, d,; N)
Mailing Address: t
Phone Number: 2-5-2- 2 Zd q G o °
Email Address: d c`. � , i ; r . ,t t4u
I certify that I have authorized vN-, VNV.r. - \ .
Agent/Contractor '
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1(3c( ruj
r4 c
at my property located at i OQ ) rc,I CA SS vJ s
in iSecA.,,c r-t- County.
I furthermore certify that / 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:
Signature
J ti t1�Q
Print or Type Name
) 1 1tR
Title
0t / i ` / ?.o ) '`
Date
This certification is valid through / i

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATION/WAIVER FORM
Name of Property Owner: Cj(,,, `Z, . 1,:OCe1reyA
Address of Property: c)L7 \ cvC\`CAS. ' N- v A-o N C
(Lot or Street#, Street or Road, City&County) l
Agent's Name#: Mailing Address:
Agent's phone#:
--', / I hereby certify that I own property adjacent to the above referenced property. The individual
i.< applying for this permit has described to me as shown on the attached drawing_the development
/ they are proposing.A description or drawing, with dimensions. must be provided with this letter.
_ X
t
,� i1�have no objections to this proposal_ I have objections to this proposal.If you have objections to what is bein ° t, ,g proposed,you must notify the Division of Coastal Management 1-1(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at nt p•„'ww r.nccoastaimanagement.net=webfcm/stafflistinq or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail. z
WAIVER SECTION t
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must i r. 1' --'
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.) 1
I i .......
'---4-..--0' \
19 I do wish to waive the 15'setback requirement.
i do not wish to waive the 15'setback requirement.
(Property Owner Info ion) (Riparian Property Owner Information)
Signature Sigir'ature i ! r i
Print or Type Name Print or ype N e i
l Ls, t.A.) duit CO S U U' -'y A,t;i it-C, aa r i . 4 ,L A A / ,,,
Mailing Address Mailing Address
Pc°r t.:,1 cA , c.. ) 1 C>(,; If-,-1 e- C— 2.7C c 'd
City/State/Zip City/State/Zip r
2C Zlci `i(0LY.`' ."-c61 ,s.— Xro\-vn 't aY €1t 4)/`,/ ) /'1e 13 :rra.,b, ,. ` 2(fit—.
Telephone Number/Email Address i` " "ie.', Telephone Number/Email Ad&ess .1
I
_t ; !7 '1_ )
._
bale
Dare
(Revised Aug. 2014)
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
(-'? � ^
Name of Property Owner: T (4, ' , 0 A
Address of Property: \vC, t\i3\Ci.rS Q P\v A0 A i N C
(Lot or Street#, Street or Ro c1 ad, City&County)
Agent's Name#: Mailing Address:
Agent's phone#:
moommis
I hereby certify that I own property adjacent to the above referenced property. The individual
,applying for this permit has described to me as shown on the attached drawing the development ,
- ' _ they are proposing. A description or drawing,with dimensions, must be provided with this letter. `"
_ have no objections to this proposal. I have objections to this proposal.
v If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is C Y P --I
_ 1/4,- available athttp://www.nccoastalrnanagement.net'web/cmlstaff-iistinq or by calling1-888-4RCOAST
-3- J No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater;boathouse, or lift must j -47
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If
a you wish to waive the setback, you must initial the appropriate blank below.)
J
_ ,. i do wish to waive the 15' setback requirement. --
t'' __�__ _ I do not wish to waive the 15'setback requirement. —
(Property Owner Infoir ion) (Riparian Property Owner Information)
s
Signature S�igrratrtre ' r,
r
SCE t"k 1►(—_.k)\ / i2 4 c 775, e Li' > ;r)7 i>
Print or Type Name Print or Type Name
RAC YViv,cikGtss '4v`cw� ,�. 'V /` /94, /(y "i .'>
Mailing Address Mailing Address
City/State/Zip (/s r`--,. f ,,�' _,/..' - ._' ;,'_; 5:1 -_.>/
City/State/Zip
S1 )•)4 • q(0Ct ( CCot , 41e
„\In( ..' 50-- _/k" eZ4uC.�9 l
Telephone Number/Email Address r 1 v't' 't Telephone Number/Email Address L C#i-
Cio
Date Date
(Revised Aug. 2014)

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 5 C5 ' c AI
Mailing Address: I 0 6 t, i d(a,c_c
A uit.el n-Ot Nil C- 2i o io
Phone Number: 2..S-2 Z 241 r h o
Email Address: ,c ,-,1"r C'. "B?2.a� �;� I i - l t j . C Q in
I certify that I have authorized `''c-yvi vy--, ,\,,1 <: ,‘ .‘ \ - _ -7-1,-y
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: --j c{,{-a,v ci,i; y
L.
at my property located at i Oko CO,ncA 1 ci,SS \i , ,
in ec,L.4.-t ::c-t County.
l furthermore certify that / 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:
Signature
Print or Type Name
.j \1t4 -
Title
n 6 / l 4 / Z+ 1 CJt
Date
This certification is valid through / /

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: j tz, `, . 541rJ�y;
Address of Property: , U(c. t N A\0\-5•y \A h1 �}
(Lot or Street#, Street or Rd adk i A-0 -i 1 i V C
, City&County)
Agent's Name#: Mailing Address:
Agent's phone#:
j
i f I hereby certify that I own property adjacent to the above referenced property. The individual k'
applying for this permit has described to me as shown on the attached drawing_the development -
they are proposing.A description or drawing, with dimensions, must be provided with this fetter. `�`X
' �l have no objections to this proposal. ftj
�'� � P A I have objections to this proposal.
t �j
- i ! If you have objections to what is being proposed,you must notify the Division of Coastal Management t. tk5
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices istk available athtip://www.nccoastalmanadement.net/web/cm/staff-listing or by calling 9-888-4RCOAST.
_ :r No response is considered the same as no objection if you have been notified by Certified Mail. d.. ` J
WAIVER SECTION 3'
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
.0 1.\( be set back a minimum distance of 15'from my area of riparian access unless waived by me. (It you wish to waive the setback, you must initial the appropriate blank below.) I •
A `>-' I do wish to waive the 15'setback requirement.
..__ -
\ I do not wish to waive the 15'setback requirement, l
j
(Property Owner Information) (Riparian Property Owner Information)
L --� tom' , . 'r`-.2" d t s,1- . 's 7'
fig,-,f _ l ' r„ n
Signature Si;fature t _i . ,
f
Print or Type Name *, r j
Print or i� ''type N e i
lot„ ,' o .c kcksS tr ;` ,7 t,t:I A< .a.. r• ! .'4' A
Mailing Address
Mailing Address
' =.1—c"�- , C. ) S :4;„ '°
de..,.t�.. ;L.. � `c� ."�F;, �; ''F
City/State/Zip City/Stateip
2c ZZti - 61(oCt74.3(0t+., 190.A..vn6) L o,- di/'4 60.4 is.V6 t
Telephone Number/Email Address _''`I ' "l'e''+ ma lA t s�' ' '; "� " ` ' ``�
�II Telephone Number/Email Adress
1 CI
Mute
(Revised Aug. 2014)
T

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: `j t.Gt\-- C , U\,..1ir:4
Address of Property: v i N A\ '.S W A N C
(Lot or Street#, Street or Rdad, City& County)
Agent's Name#:
Mailing Address:
Agent's phone#:
I hereby certify that i own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
,000
they are proposing. A description or drawing,with dimensions, must be provided with this letter. g
',
_ ji,
have no objections to this proposal. I have objections to this proposal. a
J Cl If you have objections to what is being proposed,you must notify the Division of Coastal Management S
• (DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
—r L available at httpiAmwmnocoastalmanaoement.net/web/cm/staff-listinq or by calling 1-888-4RCOAST. } Ti''
,,j No response is considered the same as no objection if you have been notified by Certified Mail.
—
WAIVER SECTION y -)
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If C'
✓) .- 4 you wish to waive the setback, you must initial the appropriate blank below.)
J
I do wish to waive the 15'setback requirement. ,X.n _
I do not wish to waive the 15'setback requirement. .
(Property Owner info ion) (Riparian Property O
, P ttY weer Information)
Signature Sarratrtre�' �f•v '#rt
Print or Type Name G _ l C r' ! `1
Print or Type Name
Olt) V\{t v1 G1�G \j C. --� --�- r ��`�.� �
Mailing Address
�� 1` lam" fG ' ..,
Mailing Address
11—ui' , M( 2 7&6 , __r` '41' . ( ' ,..�' `2_ =, *~1: 1'7'57
City/State/zip City/State/Zip
•
'S.. ,1)4 • cjtvCC i5(brI-.a,. Y)`v virt M 4 3 :.
Telephone Number/Email Address flat r►�'t` � um r`�' dd s �r ,� ��`'
Telephone Number/Email Address
Date
Date
(Revised Aug. 2014)

NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant:
Date: / q uJ M r4
General Permit#: 7OS 2
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 i includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or:emp restoration or temp impact
/ temp impacts) impact amount) temp impacts) amount)
1 l�� bO� �
Dredge❑ Fill❑ Both ❑ Other 27 /9 /9-7 —
"ea Dredge❑ Fill❑ Both ❑ Other 2' 7 7 O
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
• Dredge❑ Fill❑ Both ❑ Other ❑
! I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill El Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑