74008_William Snell_20190620

or _CAMA / DREDGE & FILL _nD. 6) 3-7 No. 74008 A B.
C�
GENERAL PERMIT /
Previous permit #
> , New Modification Complete Reissue - Partial Reissue p Date previous permit issued ..; /A
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
Rules attached.
Applicant Name j,j ...L../AAA SrJ,CL Project Location: County
Address Sf 5 /.LA Street Address/State Road/Lot#(s)
City :ci f r4 y y Ale-- State Al 5 ZIPS) S`/o !" /23`7 .J v u %i--1 � _�
k,o/ tic - a/407
Phone# (( /) - yy —cj'?s/0E-Mail Subdivision --
Authorized Agent ^' ; t}.. Cityi � 01
ZIP 2 7�C>(„
Affected CW -MEW 'PTA ❑ES ❑PTS Phone# ( ) River Basin T't� -1A^^;.1 V
AEC(s): —OEA 7 HHF ❑IH ❑UBA ❑N/A
PWS: Adj. Wtr. Body ` /man /unkn)
�` Closest Maj.Wtr. Body ;ry /�-"�c n-
ORW: yes / no PNA yes / no
Type of Project/Activity r0O x 6 ;r.✓ , 2 t.) ,, '_2.3
(Scale: )
Pier(dock)length ;Q p .Y.At, `
Fixed Platform(s)'1D X"GA I . ■
Floating Platform(s) l`
m o * "� I 111 r""
Ai 1
Finger pier(s) 1 1
Groin length
•
number 1 ( J t .
Bulkhead/Riprap length I
avg distance offshore _■ ■■
max distance offshore /O p y i1 �;
"( I
Basin,channel
. NM
cubic yards ■®■■
Boat ramp ■1•11•11■■
Boathouse/Boatlift ■�■■ I.
r
Beach Bulldozing — —.-._... ..
Other �
Shoreline Length — •
- DO ,
_24 fry
SAV: not sure yes no d III teMi III6LA,' �" ,!r •; / '
Moratorium: n/a y� �� � iIII®■■
Photos: yes t,.-nd I , gIgiE■ ■■
Waiver Attached: yes nQ
A building permit may be required by: ,a,„ems,../ ( . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1 /�
Notes/Special Conditions ;,a-/• )5 vs-1 A -ry-,`�,/,->G'r /4 `- - ' 4,p /;C 4 w 4.- "A"vl (/l QQ
�` •Y�Y � �Z ,7l /1 ' ! V�..Y ,N O)r r Al�A/� AZ.!U c.c..,rr.✓, /S Q ,::>c) t----t w
77 / ,‘, . j, .54/t/ --., X f<1-j i,,c y
Agent or plicant Printed Name P icey's!paned Name
Signature **Please read compliance statement on back of permit* Signature
ri a C itk 1/2.ov '!l- 3--/ Nii.. 24.:>I 1 '2c) C)c.7Q'3 Cr- 2c)
Application Fee(s) Check# Issuing Date Expiration Date

\ 47
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to_ 's
Name of Prope Owner)
property located at /�3 7 5 )U Y C'''L E1( KD p D
(Address, L.ot, Block, Road, etc.)
on 8bN D c Ai AN , in L114D,Q MA F-21 Q ( coetvf/�1.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
(individual prajvosing devitiotitnatitinnat fill iry desM.06n belovirarattath a site'thawing)
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.)
�1.F !7, 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)
PLA
4.0-rv, fNet.e
Sigature Signature*
Print or Type Name Print or Type Name
Mailing Address Mailing Address
i,'b P74 pi OW DLJ t 4VF 1)/2
City/S ate/Zi r City/State/Zip
4/ X MC . ;-7 3`[ - 3
Telephone Number/email address Telephone Number/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at Pi\ I ) t
(Address, LottBlock, Road, etc.) m ,
on n � � in 1r6 C ' N.C.
(Waterbody) (City/Townand/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal.
I have objections to this proposai.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proliosingdal4kgnnaiitinati till in descriptioir below orattach a site drawing)
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)
reA'A o9—e' )j-
Signature Signature*
Prin o r Type Name
e p Print or Type Name
i
Mailing Address Mailing Address
city/State/Zip City/State/Zip
2 3,2 ,1 - qq1
Telephone Number/email address Telephone Number/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

NC Division of Coastal Mgt Habitat Impaict Computer Sheet
Applicant: /tL/Ar1 7,/EI.2— •
Date: Z p ,-„r/
General Permit#:-7 t/o Cs'e�
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 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)
Dredge Fill Both
T,✓/a? �Z. 9 ❑ ❑ ❑ Other � /� Ooo Fr l�000 _
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 LI Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑