74065_William "Tommy" Edwards_20190904

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1 0 i!: CAMA/ ❑DREDGE & FILL
No. 74065 A ..� c��
GENERAL PERMIT Z0 '( S Previous permit# IA
>G New _Modification Complete Reissue Partial Reissue Date previous permit issued rr )X
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 15A NCAC v 7+I , , =--'"-)
®Rules attached.
I Applicant Name/... r4-1-'A/" ?J.r^n"> E 9 t.,/ n Project Location: County
Address/V 5 i -1 .L5 - E.... Street Address/State Road/ Lot#(s)
City 1y./".A/i 44-r '-J State J . ZIP 2--) 7 / `-e, j;ter "z
Phone # (.1"2.)I yc - 93 61 E-Mail _ Subdivision N 1r+ 11
Authorized Agent /..f/
S ,4 • City wA.5`1/,-1f 7-04 ZIP 2-7i5i5`?
Affected ❑Cw ❑EW )'PTA ❑ES ❑PTS Phone# ( )- River Basin r -P.3M L)/O
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body--17'R/2/v EX_ nat /man /unkn)
❑ PWS:
ORW: yes h no PNA yes no Closest Maj.Wtr. Body ��"'71- ' ' W'v -? .
Type of Project/Activity 17 67 P' it . 2 J ' /2. L--gym 7 h a�M
(Scale: / =Lv )
Pier(dock)length L/ 'u (s '
1
Fixed Platform(s) Zc? x/2.
i
y740, Ili v,s-
__
Floating Platform(s) _
IFinger pier(s) ! �_
Groin length �o^r5h2('f""
number ZA i' /Z. a h
I
Bulkhead/Riprap length
avg distance offshore I
max distance offshore
I
Basin,channel
cubic yards V0 />r l4 p { .._..-.. _ -
tom
Boat ramp 1
Boathouse/Boatlift Fyr•,. i
Beach Bulldozing 1
/S' 1 h
Other �
_ 1- __ . .
...,. , N....,....
Shoreline Length D ' T I
j
SAV: not sure yes no tip —_L_ I- -..-..___. f _,_-_ -__-
0P I r•,lLI Len)',►
1
Moratorium: n/a yes no,, I i PA-a1,
Photos: yes no) __-._-. 1 _ I -. _._-Z. w of --
Waiver Attached: yes ) no . ''
A building permit may be required by: C 17,-1 OP 1 j/1jA-><r/+v r.,) . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 'aT /5 /i., ,,- al0--z--Y) 1., w7`1 . / R--,4-4 1 r 1 . --3 a L/O
T =-r1=OL A , Ail xr.r ve." AII-vw1 /6 fSso fr 2-
//j i///art /21z)/71 n `Z,).. 4.,--1-- 44-t/ 3P,i, e `I 1
Agent or Applicant ri Na �L�-/t Perm�O(ficer's Printed Name I
,------) /'- j X/: ;j ' S.
Signature **Please read compliance statement on back of permit** Signatures
J c.. is y L J o i ; r, ,s3 ./ ;,g - '�la, 2r./.9' =f'" „ ", Ar 1 Z-D2-e)
Application Fee(s) Check# Issuing Date Expiration Date

ADJACENT RIPARIAN PROPE o-r, SPe-ct.
RTY OWNER STATEMENT
I hereby certify that I own property adjacent to W 41,4441
Name oii rl���
property located at / �i9r. roperty Owner)
55 ee.L O�, mac.,
ddress, I_at, glvck, d, etc.
on �/lrfv in
(Wate ody) 'P'n - N.C.
(City n and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
//i I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
i
26
lc
17' )42 I
0
WAIVER SECTION
I understand that a pier, dobk, 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.)
/14�,.3 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro erty Owner I formation) (Adjacent Property Owner Information)
i ai-..= Mal/1datf' i( I i
Si hire �— Si attire*
Print or Type ill/^ S;1
Print or /AniTie Narne
/i.5 i,,--4. GG �. ,,. se/ yDr..
Mail' Ad es J,G 2? M/.3 tling Address/'
City/State/Zip df/ �,�h i' G.
,.7 s Z 9 C - 93`) City/State/Zip
Telephone Number/emmail address 9y� ��Q�
Telephone Number/email address
Q� Z_ / 9
Date '�,'� rP
Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to zi,/,
property located at �55 TsteCL -
(Name of Property Owner)
�i- (Address, Lot lock),Road, etc.)
on /l -i.4/ �yy 4� �tti� , in /95fii N.C.
(Wfiterbody) (City own 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
2o (1
&I;
4o'
WAIVER SECTION
I understand that a pier, dobk, 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 ; o . wish to waive the setback, you must initial the appropriate blank below.)
A,rJ, I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop Owner Inf matio (A 'acent Prop Owner Information)
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• ca t e_ cCA/yle 7:4;
Print or Type arse not or Tyne N ��//��
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2yAr..essitiesi77,y Matlrng dress
lq"S. /%rat.
City/State/Z City/S
ca
Telephone Number/email address Telephone Number/email address
Date
Date*
(Revised Aug. 2014)
`Valid for one calendar year after signature*

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NC Division of Coastal Mgt, Habitat impact Computer- Sheet
Applicant: L.-2 n� Tv,�,c.,+• •
Date: 4— Z49/
General Permit#: ¢ 475— 6
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
Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
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)
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2
Dredge❑ Fill❑ Both ❑ Other ❑ 4 E) VL r2
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
j 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 ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑