Howard, Joant Gay

❑LAMA / ❑ DREDGE & FILL (�
GENERAL PERMIT
I. !New ❑Modification ❑Complete Reiwwe
DPartial Reissue
(No. 74988
Previous permit #_
Date previous permit
A B C D
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental con err) pursuant to 15A NCAC
❑l Rules attached.
Applicant Name / ; ;Ali Project Location: County
Address Street Address/ State Road/ Lot #(s)
City --- State ZIP Y Zi / U
Phone # ( ` t^'ll E-Mail Subdivision
Authorized Agent ) ? i t 1 //_-1 .f 1� -� City I :: ! l �� t' / C i ZIP
Affected NCW qEW PTA El ❑PT Phone# �,ef ' River Basin
AEC(s): 7OEA ❑HHF H ❑UBA El N/A Adj. Wtr. Body ) gnat/man/unkri
❑ PWs:
ORW: 6s)/ no PNA yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit" /
Applic'atian Feels) Check#
PermitOffice s Prue^ I a'me
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Sign re
Issudg Date, Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: %� �r i 4&Z ih
at my property located at
in r" County.
I furthermore certify that I 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
Title
S / 11 l�_
Date
This certification is valid through

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ADJACENT RIPARIAN PROPERTY OWNE^R�STA^T�E-M/ENT
I hereby certify that I own property adjacent to
A (Name of Property Owner)
property located at _�tI! `t H^ —0,1
` (Address,
on ._�o �u a �/Q1lrt�_-- in _
(Waterbody)
N.C.
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 proposing development must fill In description below or attach 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.)
e.a_y I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/state/Zip
Telephone Number/email address
Date
VA @SwtadoCoNn
'Valid for one calendar year after signature" (Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNE-R.STA^T�-EMENT
I .hereby certify that I own property adjacent to
r A , (Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on�ovu e-_1t>gd -- in
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
__X-_ 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)
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) Ad'
( a t Pro
e r Information)
Signature
Print or Type Name
Mailing Address
Cdy/Slale/Zip
Telephone MumL;r/ email address
Dare ---"'
Or Type Name
email
RVA LD3m4d,0ko
`Valid for one calendar year after signature*
(Revised Aug. 2014)

Styron, Heather M. '
From: Johnathan Hughes <[e-mail]>
Sent: Tuesday, June 18, 2019 1:04 PM
To: Styron, Heather M.; East Coast Restruction Inc.
Subject: [External] Fwd: Fwd: CAMA permit
Attachments: 20190514_141902.jpg; 20190514_141544jpg
---------- Forwarded message ---------
From: thejohnsonsrva <theiohnsonsrva@¢mail.com>
Date: Tue, May 14, 2019, 2:29 PM
Subject: Re: Fwd: CAMA permit
To: Johnathan Hughes <[e-mail]>
Jonathan,
I have filled out the form and taken a screen shot which I hope will be sufficient. Carolyn is coming down Wednesday or
Thursday. I will send the completed form with her.
John
Sent from my Verizon, Samsung Galaxy smartphone
-------- Original message --------
From: Johnathan Hughes <iohnathanrhuehes@¢mail.com>
Date: 5/14/19 12:14 PM (GMT-05:00)
To: [e-mail]
Subject: Fwd: CAMA permit
---------- Forwarded message ---------
From: Krystyne Harris <krvstynehOva hoo.com>
Date: Tue, May 14, 2019, 11:14 AM
Subject: CAMA permit
To: Johnathan Hughes <[e-mail]>