74167_Watersedge Pier/ Patricia Dixon_20190927

_' DREDGE & FILL F o ? rFc k: No. 74167 A B C D
•ICAMA /
GEN ERAL PERMIT ` Previous permit# A/ 4
I_New Modification Complete Reissue Partial Reissue Date previous permit slued p//i
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 I5A NCAC O 7)1•ZCO b
Rules attached.
Applicant Name LI AlT,?, 6 DC L P1t./21 YA l�l(if Do(6' Project Location: County PAM 1 I ( ()
Address .34 7 4 RNE-r / W A"( Street Address/State Road/Lot#(s) rm. 0 F ,
City 6eir_J1AL State MC ZIP fOs7/ STAg$GAR1c ry .
Phone# ( ) S ( S r4Q 3 E-Mail
Subdivision 11%lAtr -5 E �.6,c
Authorized Agent E IC icy 5 P1(0 U$ City 612 l to At ZIP i3 S 7/
❑CW ❑EW PTA ❑ES lt'PTS Phone# ( ) River Basin N l.V/(L
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body g RC A 0 ( K) Li( nat an /unkn)
❑ PWS: S
Closest Maj.Wtr. Body
ORW: yes / noJ PNA 6/ no
Type of Project/Activity A IA1)k,(ZIZQA )9O '7(5 / 9I6 /Z j `5) 3 ir/2 ` ((,)G (2 1-2IL12.5 4-
f ) 3 5(Z y' I rN& (1 PIF Il (Scale: f , 'j p )
i
Pier(dock)length 19/O f 1tf
Fixed Platform(s) -- LIIN,c)51$/2///)3
, �� �■+_ ��:�®�1111111111111111 Floating Platform(s) ' �_ ,� 1Finger pier(s cr2 .�■t/r_■■■■■■■ .�O■■■■
Groin length$ —
number ' 111111111111111111111111111111:11ZENELINIMIIIIE
.��� ��r��■■■
Bulkhead/Riprap length " ■■ 1157 I■NIMI P: `�I�II.W .■■■.
avg distance offshore , MN-
max distance offshore
' '�■■,� 11�■■,■■
Basin,channelIPIIIIMAIIIIIIIMIIIIIIIIIIIM 7
liflhli!
liii
■■t711+ ■■.■■..
Beach Bulldozing
I
Other I
, A ridtP! , _
m.
gi : ... __ NI
/ ■■ `11v1.� .r
!PJ I Shoreline Lengthi ) no IlullUllUl
IIIWA1I1!!!iUI•
Moratorium: n/a yes ,� II
, HI . .I mllihI■■■■■I■ies ,�
Waiver Attached: yes 0 1 ■K( �i,* 0( i
A building permit may be required by: PA ( I(b CO ?/ . I See note on back regarding River Basin rules.
(Note Local Planning jurisdiction)
Notes/Special Conditions S V_ 67 1.I• -75-0'5
&y /( -),o' -- < -) — 'F-VIA) f/Az!
Agent or Appli ant Pri ted Name 7, Permit0 cer' Printed Name
ignatur **Please read compliance statement on back of permit** Signature
,1? si►� eon 20 Sip za/g
rtX�(�r Ex iration Date
Application Fee(s) Check# Issuing Date P

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: I A-T 4-C v Lim eCS
Mailing Address: /-1-2 /0 Ti A' LA)
I /_c /L' AJ C 2 g 7
Phone Number: S ' S 7) " � ? 3
Email Address: 5-e d&t - p d. e fn A--; I -
I certify that I have authorized I
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
ateiTrY property located at rf"/' ,,® 4"°_D- e > L''t/r-n--L,
in !)I'Y1 t t County.
I furthermore certify that l 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:
Mk)
Signature,
PA-r iei 4 X A/
Print or Type Name ul G
4-
Title
q a40 I I
Date
This certification is valid through / /

Applicant: Dm/ CA M P c3 r[ C
Date: 7. tc: /g. ,z—, Mot) 20 i
General Permit#: 7L/IS'
- 15
Describe below the HABITAT disturbances for the application. MI values should(hatch the name,and units of measurement
found in your Habitat code sheet.
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.
N '-nz Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
Gy _
Qr 0 Wqrrtt. Dredge❑ Fill ElBoth 0 Other ,t /F( /1k' ( F- ' 2
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill 0 Both ❑ Other 0
Dredge El Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑