74085_William T Boone, Jr_20191028

CAMA / DREDGE & FILL7-D43git W14,8 33 No. 74085 A (1) C D
0_GENE RAL PERMIT Previous permit# Ni 1 R.
Y� _, New _Modification _ Complete Reissue ❑Partial Reissue Date previous permit issued r1 1 A.
As authorized by the State of North Carolina, Department of Environmental Quality 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached.
Applicant Name l..>f'-U 1AM , oi--jt7� -.) Project Location: County l- z-v ,-- •'L ., "
Address / /=-'2! /37- rl3 n-t , 'i , Street Address/State Road/ Lot#(s) - 1? 1 ,:J '-
City/.„24iZA/t-12 State/QC., ZIP 2 ') > 2 - `5 .Z'"i;.. }// c y
Phone# ( ,<i)_ 1 yi - /7�.asL E-Mail Subdivision ;•-:6 `""'
Authorized Agent Id44-- City t i-i'k=`.)i A- ZIP `_-7 'O b
E CW EW ) fPTA ES �PTS Phone # ( )
River Basin " -r--, . ;4 G�(-.�
Affected ElOEA /S`❑I HHF /❑IH ❑UBA N/A ? `i T_. 't nat /mapunkn
AEC(s): Adj.Wtr. Body '' FA*?/ /" 2L ( )
❑ PWS: I y �+� i, i? /G��r
Closest Maj.Wtr. Bod i L_
ORW: yes / no PNA yes / no
Type of Project/Activity / -' 1 � --''`r
r
(Scale:/ . Z,;) )
Pier(dock)length .- T — — - i
Fixed Platform(s) { 1 1 _I��.� . �M■ ■■■■
Floating Platform(s) ! '+— IIIJiiII11I1iIiIII
� !IBulkhead/Riprap length 11 111 11IIlHhñIIhUI III
avg distance offshore I 1 t 'p'qIIIIIIii'IIiIIIlI
WitriiIIIIC: 11■. ..■=_,,._ 10aZR...
cubic yards .mm...0 ....m ...�mum. ��mwii+ll��s..�m..
Boat ramp IMINI...11a...®.mormat ini mummi immu...raiii... ti
■INI ..11�...�.■.... ■.��- 111M �iilllilli l il0111...
Boathouse/Boatlift .�1.■.MMIVE®�...�1.::,`I..1��1.....�
IIIIPuIE1:!PPhuIPihuu1
Beach Bulldozing
��� 1111111II IN
Shoreline Length - � IHItUIHhIiHh11*..m.1111
SAV: not sure yes no fl! iUumH . m
Photo111
Morats: yes
n/a yes no nri �,..__ , 1 1._ ,111riii ..N...�`1:U....
Waiver Attached: ye no ' I i I 1
A building permit may be required by: l3fI414 r 12-T /c . ,See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions 1 7 ?-.1 .T/a-27--'ti P ) 1 LA Al
X ‘it)_ 1...1-TA A 7. I� eo,Vi K 41-1.-- / `�JI�L 1
Agent r Applicant Printed Name Permit Officers Printed Name
f
Signature **Please read compliance statement on b ck o permit** Signature v / ,
� �t_-
r 'lk_ //"2— —.'' LOB _ 1—,7l y-; i2 era v .
Application Fee(s) Check# Issuing Date Expiration Date

(Alt "` � 1i�"!.'�'sw`6��1Fw�@Y'1.t�" _ •
r►.rptiy tWV that i txeepe dy t to „(Nome of Property l
pi<porty kx:mod at '�4. Niue
(Address,Lot,Block Road,ate.)
C .in u'o re. .N.C.
on �a1 =
(WatertoodY) (City/Town end/or County)
1 he applicant tars 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 IN In description below or attach a site drawing)
New
-hoc lc
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 fo waive the 15'setback requirement
I do not wish to waive the 15'setback requirement
(Property Owner Information) (Adjacent Property Owner )
T
Signature
Willi Ant T. f^3obv /2i1,4 e 0'. fia.,Soh
FT48Te V05014—1Zot Prin t.02-ipe=
M Amass N 4ate,/ ,, �
�lne f C1ck11Tf 1Y e (/
�s9q- ��� �r�_ 914-8c2UT
Telephone Number Telep Number
IZ21 gi I -- 7- 19
Date [fie
(Revised 61 20i2)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (Al ,I I;G m 4 --ketlee voov e 's
(Name of Property Owner)
property located at 5 7 J s l c. Vac
(Address, Lot, Block, Road, etc.)
on So Cree/C , in /41-trorc,t , N.C.
(Waterbody) (City/Town and/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 proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in,description below or attach a site drawing)
Ne
�oLk P-an^P
u
I
J O tAk
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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) \. (Adj-cent Prope at Owneeri f6imation)
titiditzto 8„„_
Signature _ __ Si,n ces r\c, Ts\e
jAUi I I t eion •T. 1?tm vk, ,J r• Mk- 'C POD.61, 00tPc
Print or TypeTypg Vame Pri t o Type Name
44-01 1- tee: , W. ►
Mail! g Address Mailing Address
Gorki NC 275 VI �-� rc
City/State/Zip,r ity tate p
Telephone Number Telephone Num r
to/u I 11 j c) ,S lei
Date Date
(Revised 6/18/2012)

14C Division of Coastal Mgt. habitat impact Computer Sheet
Applicant:6,J/L-/.AM
Date: 2 l' o e-i22 /
General Permit#: 7 44.$ 5-
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. FINAL Sq. Ft. j TOTAL Feet 1 FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Choose One includes any Excludes any total includes Excludes any
anticipated restoraticn any anticipated restoration and/or
restoration or and/or tern p restoration or temp impact
temp impacts) impact am cunt) temp impacts) amount)
o
Dredge❑ Fill❑ Both ❑ Other ❑ 250 Ff- 25'o � j�,
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both Cl Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both El Other ❑ I I
Dredge❑ Fill❑ Both ❑ Other El
Dredge❑ Fill❑ Both El Other El
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other• ❑
Dredge❑ Fill❑ Both ❑ Other ❑