70696_Charles Stackhouse_20191210

'Al CAMA/ ❑DREDGE & FILL ,l� O No 70696 A C D
�G aiD# �ENERAL PERMIT `t Previous permit# /�
ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit i sued ,�!/�'1
As authorized by the State of North Carolina,Department of Environmental Quality ' Z�r)0 /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 Oil Rules attached.
Location: CountyPArcl(n
C ` L 5 .STA t ousE Project
Applicant Name ��A� � C1 �
Address L),• / /1/U(.) POAl Street Address/State Road/Lot#(s) 11(- / M)14-•S
City 6e IC/J' L StateA C. ZIP g D
Phone#( ) l E-Mail
Subdivision M«-U Ck(CI'
Authorized Agent .S/ V<d Qu IOU i G7 s,57$ 7 City Ok?I k A L ZIP �I r
❑CW ❑EW )(PTA ❑ES ❑PTS Phone# ( ) River Basin NF. ()St:
Affected ❑OEA ❑HHF ❑IH ❑USA ❑N/A /�
AEC(s): Adj.Wtr. Body (� AI vAi C R Gi /l roman /unkn)
❑ PWS: � kUAD CREk 14
Closest Mai.Wtr. Body
ORW: yes / no PNA CO/ no
Type of Project/Activity AUivoQi'/O i3/XI3/ 13oAZIF% IA) (;xI s my( SI IP
(Scale: 1i.''/O ' )
Pier(dock)length
Fixed Platform(s) -- - rollpirlipillillarill1111111111111111i■FM ■�■Floating Platforms) ri,Finger pier(s)Groin length ,number - Ill r i■11 1 I
Bulkhead/Riprap length — ra■ �1■■■■■■ ■■`ice■■■LEiiUR■■■■■■■■■■■■
avg distance offshore ■■■■■'■■■■■UiW■m■�I�aUU■ �■■■U$■■
max distance offshore iiIiHIHIHIIHhII
�,,�lum ,,,,,,I
Basin,channel _ ■■ 1411M11101111111111
r
....,
cubic yards
::= . 13 ,(/
j3
■■■ ■■■■■■■■iiiuiii1ii ; iiiiiiiiiiI11lIII1
rig- .E■ jI aiiiiiiiiiiiiiiiiiiiiil
in ■■■ ■■■■ iii:: .I ' InnI"n
ilea I
Shoreline Length ' G° ,,n
SAV: notsur� yes no IPX
Moratorium: n/a yes no 11111111111111411111111! .� .�� � I �� ,Photos. yes y���Lm S. ■■ ■■■
Waiver Attached: yes no ■ qq���� "V.,
A building permit may be required by: I A'I L I( O Co UtJ1Y . I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction
)Notes/Special Conditions Pa SE G 0�1''• ?OP 0. iv v � A I)D1 r/4 L SC 1175//a f//w i TL%)
_ Ki li/A) flabi
Agent or Applicant Printed Narpg Perm is Printed e
E
Signature Please read compliance statement on back of permit** Signature
Zoo.00 r'i., It, P.i:c Zo19 /0 APR►t. 7o7._ o
Application Fee(s) Check# Issuing Date ` Expiration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C <<t' ,e S `4`t ��c -< 's
(Name of Property Owner)
property located at LI j� I �Y t-(- L c�
(Address, Lot, Block, Road, etc.)
on )"- C, , in / E 7t L c1 ,N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location, and, I have no
objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
,re2 12- (2e:7))121f--- -' 4'
Si ture
Edna I L 5- -114
Print OcType Name
Telephone Number
Date: /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to "°`q ° S S"l``
(Name of Property Owner)
property located at 5 1 ` f\; l S 0
(Address, Lot,Block,Road, etc.)
C,i F; C �; k , in 4 w�l�0—(-) ,N.C.
on (Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location, and, I have no
objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
rz C t�1 c LAI. ��v� r-z'r•
"ft--F e 3., •
J
Signa _ . ��
6/ 1/E:/V..y / vPycc
Print or Type Name
2/0s
Telephone Number
Date: //7/3 7 7

" , . . ,, rnrss
[phone] 1 0-.33 AM
t � Charles Stackhouse mMs
1 [phone] 10.37nna
Pamlico Home Builders
Work 745-4111
10:44 AM
Tuesday, December II1. 2019
1104
,, , Kevin . hartncdenr. gov
I authorize Steven
Criaig Quidley to get
permit for boat lift .
Charles Stackhouse . 11 09

�Al2Lrr5 ST�i�-KN6N5i
Applicant:
Date: 10 f)F C- z e i'
General Permit#:
bG9Ge
Describe below the HABITAT disturbances for the application. All values should hatch the name,and units of measurement
found in your Habitat code sheet
I TOTAL Sq. Ft T FINAL Sq.Ft I TOTAL Feet I FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
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)
G p� L1 q ' _Dredge❑ Fill❑ Both ❑ Other it/FT-Z I G ?FT z
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill 0 Both ❑ Other 0
Dredge El Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both El Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑