74173_Ray Tooley_20191029

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0 `'CAMA/ ❑DREDGE & FILL --S-p 4t GADS No. 74173 A B C D
GENERAL PERMIT Previous permit# u//mil •
)C C1lew -lModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,v//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 SA NCAC 07/7 /0-2-6)0 .
II-Rules attached.
Applicant Name Re-7, /T u �.�y Project Location: County // 4
Address 7:2 5 L_/ri,i i 1 Uri iel Street Address/State Road/Lot#(s) ,
City Jc re.. {.., State ei/L ZIP w.2 7 75 --(,G c-e ff -)ec/. I
Phone#(.25.2) °y J S 73'6 E-Mail
Subdivision Y Pr _. !�
/ ,"'eV.-
Authorized Agent illy-re i / 4 4 rreL City •>c r<. Lu,, ZIP .,-2 7S7S
Affected aCW DEW CITA DES L}PTS Phone# ( ) River Basin /ti- / •(r
AEC(s): ❑oEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body P L"�^�4, At ,v cr at /man /unkn)
❑ PWS:
ORW: yes /(no PNA yes /
Closest Maj.Wtr. Body �, , rgr 0
Type of Project/Activity L-partra, peg.- P.. ., ;11J , /7 r-- _2y ' /6 \
(Scale: / j-7 ` )
Pier(dock)length /00 'x 5'
Fixed Platform(s)11 V/ •"*`V j I
T._._.Floating Platform(s) 1 l .}- r-4 1 1
Finger pier(s) i lir m 1 �t v,; o /fj Vt r —
Groin length f j —
number
Bulkhead/Riprap length
avg distance offshore
4
. _ .
max distance offshore
Basin,channel - Ifi
cubic yards �._ '
Ts
Boat ramp I ,
Boathouse/Boatlift
.., :,
Beach Bulldozing f
Other
i
r �� i
Shoreline Length . -00 I
SAV: not sure yes rem ,
61
-� i 1
Moratorium: n/a yes 61 A / i
;
Photos: yes no ' 'L � �j �_
Waiver Attached: yes , no, 1 . /
A building permit may be required by: /Y fie/ ee note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 1 /
Notes/Special Conditions '1,. �.t r r e Y7 o r-+uie -!�r.., i/(i'�i fe�,:, �<
{
7 o f f G 57 1 L. _, ?/ /`a/1 e t,e A',C0 e J
Agent or Applicant Printed N e Permit Of cer'. .f rinted Name
7
'f l
Signature **Please read compliance statement on back of permit** Signature i
":„.2UO c.c., _7 ` .„..z /U/?S/S v?/ /.,10
Application Fee(s) Check# Issuing Dat E piration Date
i
1

B. F. Warren & Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office [phone] Fax[phone]
Forrest cell [phone] Freddy cell [phone]
NC General Contractor License#72600
y y .ncaiers.com
Authorized Agent Consent Agreement
To: State of North Carolina Department or Local Government Department
from whom this permit is being applied for.
I,the undersigned property owner,do hereby authorize B.F.Warren&Sons INC.to act on my behalf in
obtaining the necessary permit/s for the below listed projects.I have contracted there services to perform
the work permitted.This agreement is limited only to the specific activity of obtaining permits for the
below specified projects.
Projects:
Concrete pier
Project location/address:
1680 River Shore Rd.
Scranton,NC
Body of Water:
Pungo River
Property Owner Mailing Address:
Ray Tooley
725 Lynnsburg Rd.
Scranton,NC 27875
[phone]
Property Owner's Signature: JO— Date: 4 D/ c
Authorized Agent Signature: l�' � _. Date:___/0 - ,2Ct-l''1

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Acoacent j ariari Owner me�rt
1° Dp�erjr'
B. F. Wany.n d Son•s,In, ,j
• k 4
,180 Taylor Farm Road,Belhaven NC 27810 `w #4 t
Office(252)964-462 .. Fax[phone]. 1 i" s 4
Freddy Mobile[phone] Forrest Mobile,[phone] • a4- Y
NC General Contractor License#72600 om:'
www.ncpiers.com °'
tober'24, 201S1
5s> i, _QV,
I,the undersigned property owner,do hereby certify that I own property adjuxntto stay Tooley's ��r{ t Y
property located at 1680 River Shore 1Zd.oa Pungo River(body of'water),in,NCt � ,k, ,„4 " v�
The applicant has described tome,as shown.below,the development$proposed at the above £
location.I understand that any constriction,excluding bulkheads,must be set back a m tin i s k r.
distance of fifteen feet(15')from my area of riparian access unless waived by me � �i t., .'
Please initial the appropriate blank.sine and date below i'
y s a
I have no objection to the project as proposed but do lot wish to waive� i ftee ,O V '4 ,} ; ;4',
(15')sat back. ,4r a
. !L I have no objection to the project as proposed but'11g w�i tb waive thee �r ".5') z ,,
setback. 5e: • 4 o- 'G P v 5y' ,-A" 5- '.c$
r r, add k � g } $ 4� 4` �.,. 4 �. a
I object to the project proposed. v zsry4Yx � �,�M` °
Property owner signature"'"'! ` f N,y�g , `� � �, '
• °sox # ,p.:�i 4 r K �'�k
� a a ?age' � VrT ' �i."� T '% A 5 .,`
Printed name 1: N t S ' i ' ' 1 � ` 0.;�, 14 ,, ,4-FA;
RIV
W''�r r ow...',J x'`. " ,,art t -,,.',, ,,. v A
�►,j,� /✓/� /')y j/ pry/��_ +4/�^ ='n'v 4 as s `,'�,'Xr t
Address / ! 7 7V V[ S f�M I�II/p:... k �� t ' � " 5.3��4 s„h>-:
Telephone number( ) `� � . ► `� n z , ,� r
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Description and],or a s ��;� 4 k,,40.44 � ,��; <, �� .,,�
-Concrete pier,5x100 with a 16x25 T*florin' y .Aft, , ' ��� `�` �'0 w �� ''
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AdjacentRiparlan Property Owner Statement
Prepared by
B. F. Warren &Sons, Inc.
180 Taylor Farm Road, Belhaven NC 27810
Office [phone] Fax [phone]
Freddy Mobile [phone] Forrest Mobile [phone]
NC General Contractor License# 72600
www.ncpiers.com
October 7, 2019
I,the undersigned property owner,do hereby certify that I own property adjacent to Ray Tooley's
property located at 1680 River Shore Rd.on Pungo River(body of water),in ,NC.
The applicant has described to me,as shown below,the development proposed at the above
location. 1 understand that any construction,excluding bulkheads,must be set back a minimum
distance of fifteen feet(15')from my area of riparian access unless waived by me.
Please initial the appropriate blank.sign and date below.
I have no objection to the project as proposed but do not wish to waive the fifteen foot
(15') set back.
(4,6 th..IS) I have no objection to the project as proposed but do wish to waive the fifteen foot(15')
setback.
I object to the project proposed.
Property o ner signature >�—V"
PrintedUti
ame Vo— '(2Sb C} LO
op FLA-A-0u" - rice-' ���+ o "fv lAddresst
Telephone number( --TV\ ) k I tb - 3 `5
Date / / (A / ,Ad f C(
Description and/or Drawing of Proposed Development
Concrete pier, 5x100 with a 2,4:Q0 Ttt platform
.ca —1-2.34-14 16.,.0

NC Division of Coastal Mgt Habitat Impact Computer- Sheet
Applicant: r\4.y
Date: /U/.2r-r h 4
General Permit#: 71i/y 7
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft. I FINAL Sq. Ft. TOTAL Feet I FINAL Feet
(Applied for. (Anticipatedncal (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 tem p restoration or temp impact
�� temp impacts) impact am cunt) temp impacts) amount)
0,4" "4 '"r Dredge❑ Fill❑ Both ❑ Other ` Oa 7 peo --
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill Cl Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑