Maready, Greg

®El,CAMA / ❑'j REDGE & FILL ( ; i ) (i NO. 74472 A B C j D
GENERAL PERMIT Previous permit#
14New ❑Modification []Complete Reissue ❑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 envir nmentaI concern pursuant to 15A NCAC f , , Uy �
Rules attached. /
Applicant Nam C 1 -'UProject Location: County
Address,-', Street Address/ State Road/ Lot #(s)
Ci_State _ - ZIP��--
Phone # ( r�'k.'7�� (-"� -"; - E-Mail Subdivision
Authorized Agent
._._ --
—'
�
City ! I �' ZIP 'Y
❑CW
dEW
/
F1PTA ❑ES ❑PTS
�
Phone (_ ) -River Basin t
5
Affected
.'7Y _
i
❑OEA
AEC(s):
❑HHF
F'lH ❑UBA El N/A
Adj. Wtr. Body nat � ' unkn an
J PWS:��
n'o
{
Closest Maj. Wtr. Body
ORW: yes / no
PNA
yes /
Type of Project/ Activity
.%ice-
(Scale:-'..,._ . )
Pier
Fi.e
Flo.
Fing
Groi
Bulk
Basil
Boat
Boat
Beat
Othi
Sher
SAV
Mor
Phot
Wain
■■■■■■■■■■■■�■i�■■■■■W■■■■w■■■■■■■■■■r�■r►■dni■■■1■1■■■■i■7■■■■■■■■■■■■■■■■■■
■■■/■■M
N/
■■■
■■■■■■■■
■ I
■■
�I■■
■
�
1
i�■■/,
■or
Y■■■■■
■■■
II
1i
r■■■■I,
MEMO■►�■
r�■■iac.Sri■■■■■■■■►�nr�r�r■■a■■■►�■■■■■■�I
■■■■
i�i■i■wry■■■■■i■■■re�.�a■�!ur�r�■■re®�r�rn�■n■
ENFAE■Mi
i
i=iir
UMMMOSSMiNMI
NMEM
i
rmmmml,
■
l■■■■
■■■■■■iir�■■■�r■
channel
■■■■■�■:ii■■■ram■v■■■■■■■■■r■■■■■■■i■■■■■■■,
■■■■n■■r�■i�■®era■r�■!�■■■■arc■r��i■■■�■■■■■■■■■
cubic yards
ramp
■a■■■��■■■■■■■■■■■■■■■■■r�■■■■■■■■■■u■■■,
■MEMOMMEMIa■■■■■n■nm
F,
m�i�i
ti�
■=.
i�iu■
AMEMEMiiiii'
I®'■M:
'
NNE
D�':C
�'
���5���
ems'..'.'.'.
■a■■■■■■■■■■■■■■■
bra■■■®■■■■■
■■■■■.!�■■
■q■■■■■■ru■I■■■
al��mc:■■�■■■■■■■��■■Q■■■
■■■■■■■■■■■�J�!■
!�►
t��
t,I�/■■(�■■■■
11�1
Till
I■if
■®■■■■■■■■■H■�I■■■
■■■■■■■■■■■ilk'
■►i■■■■
not sure no
■
■■■■■■■■■■■■■
■
■■■■■■
■■.
yes:i
-s: yes no■
■'■■..■■■®■■■■ii0®C■i■■■■■■iC1EMEM1111ME
r
■■■■■■■■■■■■■■■■■■�C1■■MEMEO■■■■�■■■■■
SOMME
■■■■■■■■
■■■■■
- _.. �
�■�■■�■■■��MEM■■■■■■■
A building permit may be required by:
( Note Local Planning jurisdiction) ! -
Notes/ Spe ial Conditions
See note on back reAardinA River
Agent or Applicant Printed Name Permit Officer's Print. art
Signat re - *Pldasereadcompliagce tate ent nback off pfff fit'r* Signature
Application Fee(s) V Check# IssUing ate..

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�/
I hereby certify that I own property adjacent to I' ckpe-a&4 s
property located at Q njc��jsll�2 ()p %V�f Prop rty Owner)
C�e�V (Address, Loty-�lock, Ro d, etc)
on l , in ( q�� �a^� �� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
I t o�,,Ae-N aM Le— Df- o f �� i N �J©c+
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.
O t ddffAC/-e� N(-- z65tSq mt.,
25�ty/state2ip City/s/s
-ZHI-14,f5f5 9J`ec��Mc�ree�c@a/@sMa��• 2
Telephoonne Nuu i bgr/Qe 1 i address —r Co r 1 Te e
Date
de Date*
'Valid for one calendar year after signature'
rop rty Owner Information)
Name >0-45,d-tt OvN
NL zsrs�;y
to GS1S
ember/email address
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t'vGJ`2a U� �� Is
located at 2� (J ISt ¢ (Name of Propert Own-ar)
property a� f� �(`iV2 CaOe �eL(I erc� W(C_
tmuuleaa, LU&, 01UUK, u, c.)
re..
on C in I ua!` e, N.C.
(Wateterbody) C (City/Town and/or County)
Lh appli n as described to me, as shown below, the development proposed at the above
ation.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development` must fill in description below or attach a site drawing)
I'k \,iie.N C N � f� (`e �1g i NS t N �oc,+ S \ {)S
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.
Tug it 3tgnarure
re L%
P " tStr ype �(lrame I Print or Type Name
nu
ling Add s . I Mailing Address
C
Cites"�te/Zip w�ead City/Sfate2lgg /
i2 Al l88$ QCecg� 4 @ ou
Tole hone Number/email address 5 Gp� Telephone Number/email address
��� 'Z 17 I�i ( ? o a z
Date Date* `s Jq
1 'Valid for one calendar year after signature" (Revised Aug. 2014)

a
9 $
c
Itil 8 b ER
V
l gs
Cot
L�bW `6
Jib �W
S1
er�
O
WLO M N 7 .�+ LO
W O wy O N M
W N O LYrg
w vV u� o n y oqp v� s
LO
Aso
W A x F W N A c E
,4 0W p� vj
r� z ty s
>4 °o F PF4 a Ci Pa p+ Z
}y aQ! N
V 000 P[�1i z a 0ffi
pq � 00
C7 N W
E.
{6� O Ln O l� O $
4y qq v pW, F f� V' O � � ppE
p d vMi a F y F ?J 6 0 `,`� s
�LL
Q to. fR \ 00 LO a
W
abCPC oE
a °eW� ° °W ° " amt " j 3 a� q b °� g
F O U 0 c3 °v