74006_William Troy & Deborah McCarter_20190620

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eiiCAMA/
❑DREDGE & FILL = D 10
f, 39 No. 74006 A B
GENERAL PERMIT Previous permit# I
>G rdNew ❑Modification ❑Complete Reissue El 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 15A NCAC Rules attached.
ill 4, GAr4-ei- Eil
Applicant Name 1-21(.L/A-✓` /�,2•} i ` .-s3,j .+ /` / '`4C Y cr- ; Project Location: County - i. rz-i
Address //3 A 4-2.-a-r) -t-p Street Address/State Road/Lot#(s) Y 3E_ '3 3 c
City ii./ .)4-iir-=,e1 State,-/z_ ZIP 2._, 4/vs.1 1 , /i-� ,2 ,Az4. /1-c_>7
Phone# 7i2-E'-
.4�^, 0 t L,--<�-� �">`r`=`7 c j l
( ;_ ) >�'2^-:s>>v-.-E-Mail Subdivision
AuthorizedAgenr%- II 4 A-"s4•L,,�..- City ,A,i_ , ..) }--r ..) ZIP 2=--7--,'4s9
❑CW EW *-PTA ❑ES ❑PTS Phone# ( ) River Basin'T. -97A.,,A 4. r Ci.)
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A �--�
AEC(s):: Adj.Wtr. Body /��---r , `, ,ci EsT. (n�/man /unkn)
❑ PWS: Closest Maj.Wtr. Body /1\r"'L ' a "72'i, z.:a
kORW: yes / no j' PNA yes / no
Type of Project/Activity /Jo 'N p; . / 'Y /L [.- <1t- cl p 1.--/-4, . / /3 > / 3 1
,., _:.P ,h or.-1 7;1-f - (Scale: j =3tb )
+ Pier(dock)length / ?!, Y o
Fixed Platform(s) /, I' IL.,
, I �� / ',
Floating Platform(s) NMI_ IIIFJUIII ME iIIIIII11 EN= ► ✓i
Finger pier(s) IIIUiIIIIlUii1 �Groin length
Bulkhead/Riprap length IHhUIHIHIHhIIIavg distance offshore II!UI!U!11lI111111 111
max distance offshore /
Basin,channel ( • / t 'r F{
II iNUlvl UU1 1 1 I
�� 000 � UU
ds ` ...T_ _� ( .:oatFT
\ f If- IIItioat /Boatli /3 Y i 3HHIHIHhItII1IH1Hh1HHIHhI1HI
(.l^f-fDV GY:fr'° )Tz.i. -.-
■�I III ■�1 ■IUE MOM
Beach Other Bulldozing ) IHUHuII1HflIII.I1H HIIIIHHhIIH
uniriluluin 1 nuuiniunnuu
,..
Shoreline Length /00 j � 1111111111
I.
SAV: not sur yes no ■ 11111 ■■) ■■ ■■ ,- ■ ..
Moratorium: n/a yes no or� �� r,�� + r-5UUURU
Photos: yes ,,.%.:Ii INIE Bilk Ilitill1111111115iiiiiiiliillAli& _.__.iZ& mmim
Waiver Attached: yes no L 11 ✓' ' L e /1-- i
A building permit may be required by: /'' .iru a Jo,--) '4, • 1CI See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions =o'r /g /i"(4"-- -t el 1,-- » 2,4 wi.-1• ,4P p-'e,4-r- T P/2`'/0.
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Agenuor Applkcant Printed Name er toff e' Pn n>ed Name
Signature PleaseAread compliance statement on back of permit Signature </
�rir /< +1/Zcic i/1CZ 7v.�,,A,c 2dl 9 Zo A-103ra ZvI,
/Application Fee(s) Check# Issuing Date Expiration Date

7
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Authorized Agent Consent Agreement
'\r C c-s(4-t,r-
1. \\N cr '' c'c' L k'cr)) herby authorize Tobin Jay Tetterton of
(Property(*mew)
T.I's Marine Construction,LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
\\3 cc\c\\\Grck
0,5\-,,ns,-i-a n
PROPERTY OWNER'S MAILING ADDRESS:
\\3 cc\,\\c.r a. Cre_g_k
�,.► c s\,\,(\ T- )�'\ t4 C
J a� Sg 9
Phone No. S - o . — 6 5 `13-
PROPERTY OWNER'S SIGNATURE:4-4.?
AUTHORIZED AGENT SIGNATURE:
BIN TETTERT N
DATE: \ \ 20 \
W,Authotved Agent Consent agree.

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I hereby certify that I own property adjacent to ��4/1'ia
properly I ted at i' //C (i e' " ' �;:/ ~
on
,in r�� / 1sll,.. r-0' ir�
(Waterbody) (F /Town and/or County) N.C.
The applicant has described to me, as shown below,the development proposed at the above
location
Adocen =_ �/ I have no objection to this proposal.
Property
OWN! I have objections to this proposal.
Cheek one
DESCRIPT AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In description below or attach a site drawing)
/30( /),4et
/‘ K/6 )r��1
! 64— ' .1;6)
� ;' ,,/ i)
rl�S I o r sod G`t/
: • ` /
Aifilicant
pmerty t understand that a pier, dock, mooring SECTION
must be set back a minimum distance of 15'from
pilings, boat ramp, breakwater, boathouse,
mug me.(If you wish to waive the setback,you InX�t area
apof riparian access unlessl waived by
�na .... AAropriate blank below.?
p I do wish to waive the 15'setback requirement.
NI %/ I do not wish to waive the 15'setback requirement
OzwOwner Information)
(Adjacent Property Owner Information)
I .
./N/,4,Y! ,r /,i / lied f^ S' e*
Punt ore .: ry: e r /7 r 7LSbl
�1 !el r€'e Prinf or Tye a /�
' /1486 ry !S/' AY:
WA -- i- —, cJ ZCfly
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'�� / T ne Nuber/evr�leddr
Date `'3 -/ 9
Date*
'Valid for one calendar year ever signature (Revised Aug 2014)

I
. I. _ h a : - - :_ ► - :t•,-4;Z///r s Lk 4; 14.;1 .►t
I hereby oerttf that I own property adjacent toll dG q yet v"� ' ileite I (tic !r
property l at 1/3 /11 i /la a d/'rFD7° °')
on A�r(.1�'ev irwc-- (Address. ref 4 di✓ ( ato,-/— , N.C.
(Waterbody) (Cityrrowfi and/or County)
The applicant has described to me, as shown below,the development proposed at the above
location.
r/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lnd/vldual proposing development must fill In description below or attach a site drawing)
/3 '( /-) /29r
/d X I' p/oy,ta' itJ
jj _At._ pli.
A thilf-s-651 j6-E T/1'l% P q P
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 75'from my area of riparian access unless waived by
me.(If you wish to waive the setback,you the appropriate blank below.)
I do wish to waive the 15'setback requirement
(i(5 C I do not wish to waive the 15'setback requirement -
MOwner Infant on) (Adjacent Proper Owner Information)
�- • ,, , 0 .
7 � �A� : ..,afore*
OM a a�al. r ,- ' 1 A AI 1rt*cam 2Q1'l e U
Print or type ----"�� �
6%ire Oretk,P
,..r. AsirTVemet 'eitZ 0.' /0-
7.t..9 ea /",
01507 —?6Q --z 1/45
Telephone Number/emalladdress -. T N i@maiIaddress,
/ — - oil
Date •
Dom* .
(Revised Avg.2014)
'Valid for one calendar year after

NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant: b-2n..L1.44•1 7& 3 024r4 f G lr44k7-�� r •
Date: r pit= Zv r 9
General Permit#: -7 !e- pates
Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement
found in your Habitat code sheet.
I TOTAL Sq. Ft. 1 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)
\
C1 1) Dredge❑ Fill❑ Both ❑ Other
1 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 ❑
� II
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑