74095_Charles English_20191104

•7CAMA
/ ;.DREDGE & FILL —1-0 At 1 l_V l.�.g'3g' No. 74095 A --� C D
GENERAL PERMIT Previous permit# h) I/'`
�� 31>lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued r.l i A.
As authorized by the State of North Carolina,Department of Environmental Quality L.)
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
X Rules attached.
/ ) -) Pro Location:
Project ocaton: Countyz- J1 t i f'':)
Applicant Name� !'-���' � �5 -E'�- � / > > � I ��A- y f-
Address / c a T(D4e F / 2r? - Street Address/State Road/Lot#(s) :`)P'r j )2 1 s-)
City ''� /1 t/ a I4,-ra,.I State/ ) [".. ZIP --',/ °> �.; i ; _ -5. , , /_7,n ,
Phone#('t'�) T ):' -/W9--)E-Mail Subdivision - A. ,y�
Authorized Agent ;� ,rn,_,C i c74 j;T . / _t-y_. i, 7!'* ir ) City -4•---i 02 /_2 2 A ZIP - `l` G) C,o
❑CW IiEW PTA ❑ES ❑PTS Phone# ( ) River Basin"-- ,-)A , , ? 1
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body /�,• ( ' 7<_-? is:, U L.,..., (nat3man /unkn)
h ❑ PWS: ' u
i
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body J I r ' _) L 1 ✓ C'YL
Type of Project/Activity .� f --/-_-: 1 j _,,- 4'�' l 0 L..„A i ) �...f �� ; ) ;_ )
I. '
-�. .). (Scale: / =)I� ' )
Pier(dock)length I
7 I .... 1 1. 1
I Fixed Platform(s)
Floating Platform(s) . 7 ' 7 •.-i3-\ .
4
Finger pier(s) I I I J,;
Groin length -u 1
number 1 1 1 I - /\1 1
-I- I
Bulkhead/RiprapTeTth / V3 IMINII_■INIMINI '
} avg distance offshore / , 1 1 11011111111111111111
l max distance offshore / ,- i I
! MINN i
'
i Basin,channel i
« '
` cubic yards •
! I
« I I ,
Boat ramp
Boathouse/Boatlift _- 1.111
__
-- Mt-
, MEM= - _
Beach Bulldozing r
Other I I pMAIM 'NS
mom AllIMEMP
ow EPiiii...6... hik Ism _ .-- —
Shoreline Length" / 1/ ' 1 .. 1 «
SAV: not sure - yes no -"1—/Y,Z, III t i..
z r1.
` J
Moratorium: n/a yes no rc d r ,, 1 ) G.
Photos: yes c ( - ::-_-- I 111111
Waiver Attached: yes t
A building permit may be required by: 1 7-( _ r 1'10 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions "A-,.•1 T' 7 r-±--t r) •' /1
T l,,11 v/�,--yr( 1, 91 v t
Agent or •• cant Printe ame a it fficer's Printed Name
Signatur **Pleese read mpliance statement on back of permit** Signature
// / ) " i 'I P--Aa., '� )
Application Fee(s) Check# Issuing Date Expiration Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner: Cis A S C%J AS/�
Address of Property: / 5 Z (. ,J r r/ u/o) a Z (, r ISPp2i cY--t-
(Lot or Street#, Street or Road, City&County)
Agent's Name* �i�s-1,n� 1�:1 A ra�� Mailing 1ti
Address: Z_s 5 //�� ' J S1
•
Agent's phone #: 17 1 ; Z7J) L i i• /5,=)/,/-7>10 4 IC 7��
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at tittp://www.ticcoastalmanagetnent.net/web/cm/staff-listingt or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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) (Riparian Property Owner Information)op
Signature Signature
O2 TI(( E i/ rig (h r/P c 1.�/>r/l� 1,�',�., j
Print or Type Name, Print or Type Name
/SS I', L( L (� ,, 77,1
Mailing Address I Mailing Address
.,)/l,-? r� � ,V( z f Yt� w I'M- v,l;;' ,u L S—)1)
ity/State/46 City/State/Zip
CV/6) 1(1%0 - /90 Telephone Number/Email Address Telephone Number/Email Address
/ , -/ 19
Date Date
(Revised Aug. 2014)

w
TURNAGEIf..E.A PA
' O•o' Construction & Trucking Co., Inc. �'
2373 NC Hwy 304 [phone]
Bayboro, NC 28515 `- --N-,,, 'A Fax: [phone]
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Levi j 7Zr/
Rock, Sand &Topsoil • Custom Bulldozer&Backhoe Services • Clearing • Grading • Rock Bulkheads • Demolition

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
//' •
Name of Property Owner. ;
Address of Property: / ( 7:6
(Lot or Street#, Street or Road, City &County)
Agent's Name #: " , ; A Mailing Address: -,
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description qr drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at ht-to://www.nccoastalmanagerriePa.f:Vt'Weti/CfrdStef-lisung or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
(Propes,rtz Owrzl r Infor ay,n) (Riparian Property Owner information)
e .z./4
/
Signature Signature
Print or Type Name-" Print or Type Name
,
P7) k';')/
Mailing Address I Mailing Address
)( ;
City/State/Zip City/StateiZip
i"J =
‘-1 II: 7
Telephone Number/Email Address Telephone Number/Email Address
Date Date
(Revised Aug. 2014)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of of Property Owner Requesting Permit: (, ) ii/ S h ci
Mailing Address:
I A) 1 • 4 2; 7 c!'
Phone Number: '9/,) fq
Email Address:
1
I certify that I have authorized „; 7 ;
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
f !Air- ) , c,, . /3/ ) c , „.„
at my property located at / '17;
in 1,,1 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:
Sigrn4tbre
CI)(3ri _S CA,511S
Print or Type Name
Title
1 1
Date
This certification is valid through

•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: r', 1,; •
Address of Property: / 5
(Lot or Street#, Street or Road, City& County)
Agent's Name#: • 7 A, Mailing Address:
Agent's phone #: ') , )• s ;
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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) (Riparian Property Owner Information)
Signature SigmEture
Pk'
1, OF
' , 2
Print or Type Name-) Print or Type Name
/lc 5 „E'ry . Li
Mailing Address I Mailing Address '
Ai ' 4, /15 1 f•
oity/StatelZib City/State/Zip
Teleph-one Number/Email Address Telephone Number Email Address
/1" "
Date Date
(Revised Aug. 2014)

NC Division of Coastal Mgt Habitat Impact Computer Sheet
Applicant: iA ' 5/
Date: We,v• 20/
General Permit#: 7 4,0 9, 3
Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement
found in your Habitat code sheet
it TOTAL Sq. Ft FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Name includes any Excludes anv total includes Excludes any
Choose One
anticipated restoration any anticipated ! restoration and/or
restoration or and/or tern p restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
bit: w _ z_
Dredge❑ Fill IN Both ❑ Other ❑ 44'.o i l 44,06
i
jr10 -z,r-t C Dredge❑ Fill❑ Both ❑ Other © /4'd F4- !-f-?
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 ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑