75415_Malcom Simpson_20191203

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3541CAMA/ ❑DREDGE & FILL LC b '#. u t4ci 4-7 No. 75415 A C D
GENERAL PERMIT Previous permit# Qts.i f IN,-
>�C iNew Modification El Complete Reissue ❑Partial Reissue Date previous permit issued N 1A
As authorized by the State of North Carolina, Department of Environmental Quality i 3 O c7
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC I i - •
Rules attached.
Applicant Name A A t..C•p G" S 1 AA P S o ti1 Project Location: County BE n..,F- J?L j-
Address i5`4 ct --712.E' S Li Ta€ -Pa I*1 r i:z Street Address/State Road/Lot#(s) 0:-C- 5_g.... ►"33 5
L ZIP '2-`) c� ( 4S-?-4i r¢. - ,,,,t,,, S 4 • T�•c9
City �'�-�-� State � � -
Phone#(-,a,-L) -7/ V- - ' _' 3 i.) E-Mail ,'1"4t >,"' P a pv+c'--i y h c.. Subdivision `"�"Z-c rh-�,. ,2-r. ` ''4T
CJ,.y
Authorized Agent " 'c"' City 'E3'4- -1 ZIP 1-i•i" cp V
Affected ❑CW ❑EW [ PTA ❑ES NITS Phone# ( ) River Basin 1 A+�-- ?A'�.�' e- )
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body G7zx�1C°" na /man /unkn)
AEC(s): Y
❑ PWS: JC>an:...e"a ' t v L
ORW: yes / no PNA yes / Closest Maj.Wtr. Body
Type of Project/Activity ::.o+ '- , si ' r- ' a c * 13 D --r RA^^ P
Y(Scale:/ = 3 a ' )
Pier(dock)length i
I
Fixed Platform(s) ` �•I �FloatingPlatforms) 1111� �i, HiiIkI
Bulkhead/Riprap length ■■ ■■ME ■ ■MEM■U'■ ■WEN
avg distance offshore I
max distance offshore I *t r r i 0
Basin,channel II a• 1111
cubic ardsY /Boat ramp )0 1` j 1 ,1111/11114511111111
J4 !II11LJ1IIHNIIIIOtherLE1MEM —.uuuuu• �riuEMI II
I i
I II _ PM, ', III PIE
_ _
Shoreline Length t 1 Sa '
03 F 114
1
III
I SAV: not sure yes r no r a .
Moratorium: n/a es I '
ili
Photos: yes
I I
Waiver Attached: yes.ono i '
A building permit may be required by: "3 fc4.H T."-"` ' - I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions La--r 13 ^"' 7 �l"7-4-) ,---x-c i) i-/-4--"'' ''--) .
/
{ A /VIOL(tG.ltv, -5-►'Ktasty, 4C.L ''Piile `7
Agent or Applicant Printed Narr{he Permit Offi 's Printed Name
Signature **Please re d compliance statement on back of permit** ignatt(e
Application Fee(s) Check# Issuing Date Expiration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /Via (cD/m( aak) Susan Sl„ srwi s
(Name of roe O ner)
property located at S 1>9 Trcasa re_ P€iAT i 4.j lit pro
40-
I (Address, Lot, 13 ock, Rota, etc.)
on HArve-y Creek , in beaurorT Col.(n-ty ; N.C.
( aterbody) (City/Town and/or Courfty)
The applic has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
CaitstrtX(A-a Wooden boas' launch 01 4 fcef 1 of/ aoci g feet- uV/4e
fiw4
J
of ex i.sl-i A9 14Ao<i r19 a.n ot 00 i e r, ate/Nose- i.S -6 sh-Drz ean d
( a lAncj a sma11 jog .hoa-
}- /Also /e creek. There. IA) be wi►1� ��ane
end a"nc1 -1.1e- af'her end- wi l( extettd 61,0101C irnafel b -fee+ irl*P tl►� wader.
y
(See Q.1fet.c4 -cl-)1Ia44
WAIVER SECTION
I understand that a pier, dobk, mooring pilings, boat ramp, 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) (Adjacent Property Owner Informati
____ _ __ ____ _. /44:I _ ____ CleifS---
__Ivii" (-,—Se '
SI
� Signature*
�1s;,/c r StAs4A N.S
i» c5 r Es v.ry-4)
Print or Type Name Prin or Type Na e
579-Treasure-Pt L ri v� (�� r��-D ,AfiLvry�,�'' r rr? r t7� �,c•o
Mailin ddress Mail' Addre s
,�a- �, Nca��De ff A� 27u5
City/State/Zip City ate/Zip
( )'11'#-i7.3o rucks.r+ so IAAPP �n ca, S----1--LA b - 6-a Ufa
Tele hon Numb/emai address Telephore Nurnr/imml address
Date
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent toAled4,9101641ev,k}.-S.SaA 5;M�4n 's
N fP
property located at g 71 T(ea.su re Pa IA+ O(i Ilea�L oo�' j0. rty Owner)
(Address, Loj, Block,,Road, etc.),
on H r iey Creek , in Lieautot'i CDw Ty , N.C.
//(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
r cJ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Cpf r____fa. top.. e . _ea. unh t. D11_ d -fee"- w i c�e_ �1,�-1- Wes
IlS � a� f e�� �aal.
of tX(/1-7 "i /an41(11 and pier. parAose is 4vsfo re-e i Cl /aanc4 a SPLA )1
JOA UDGf:' itlfa e w
creck. TAeri11 be. a IVinc.J .A± e eAci and- Ike__
off end 'Vr I ( e c en.cl c.,fp ro Ximate--(v b 'feet 'Info ` Ae- wee. r:
/
( ee ctttaAeL plate)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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) (Adjacent Prop rty Owner Information)
75. L /L,a-�-
Srg�zat�r� Signature
Go n rnt ,j04SuSeGt NS'Irsylsrn 0. E. /\/oRn-tRxJ
Print or Type Name Print or Type Narne
4e7R Treasure-F9111ntie e6,3 T 4s u 2 E -2),.c,'j DQ,
Mali Address Mailing Address
Ate ,AZ- 4V 6,41-1-1 N G- 2-7bo0
3) City/State/Zip City/State/Zip
C 114-l?.3D rnaGks;►�yEtson a1i�e.am (Zsz)4.2 3-(liloa .Ti-r RE pit ccoLr` ; .ii L,cuM
Telephone Number/email address Telephone Number/email address
Il-a-5-11 II-Z -I9
Date
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

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NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant: A4/4 Lw t' ' Sim"/2 Se h)
Date: '3 per,. , Zv 3
General Permit#:
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. TOTAL Feet FINAL Feet
(Applied for. (Anticipatedfiinal (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 tea p restoration or temp impact
temp impacts) impact am cunt) temp impacts) amount)
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Dredge❑ Fill❑ Both ❑ Other`s150
Dredge❑ Fill❑ Both ❑ Other ❑
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✓,43 Dredge❑ Fill❑ Both ❑ Other i 2.ece 2 2vv F7-2
Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ 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 ❑
•
Dredge❑ Fill❑ Both ❑ Other ❑