74189_Joe Goins & Katherine Everette_20191217

0s❑CAMA/ ❑DREDGE & FILL ge-/Sf1G- No. 74189
GENERAL PE MIT - D (Q 5 Previous permit# A �' C °
P �-�— 7,2 50-0
�� LNew Modification Complete Reissue ❑Partial Reissue Date previous permit issued k ; 6-12/f
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 15A NCAC C. ,L/ �0 0 .
f Applicant Name /� e `/ � h'f[, „ •n. / / L�ules attached.
Pp J h/e•n rc: y vein ! Project Location: County /-I ./r
Address /Z 1+ i e r // r
- � 4 �� �� G'e�t/ L-iT Street Address/State Road/Lot#(s),;7 �,,, �/ ,
�r
i City //r';_ /ref-it State/t ( ZIP2f56,2
Phone#( ) E-Mail Subdivision _:),..... ei 6.
Authorized Agent Ge- /it. /J ♦u,s,I\ City (Jr,-, e. 41- ZIP
Affected ❑CW Q EW CA,PTA ey ES OPTS Phone# ( ) River Basin f;,/w.
S ❑OEA ❑HHF ❑IH ElUBA ❑N/A
AEC : ❑ PWS: Adj.Wtr. Body / -41 cy nat /man /unkn)
ORW: yes I no PNA yes / Closest Maj.Wtr. Body i-./,-, G 1
Type of Project/Activity A f/ , ,z L (.12 - , 1 //
t‘
(Scale: / G' )
Pier(dock)length
i
Fixed Platform(s) i I / I 1
Floating Platform(s) o -
Finger pier(s) 9 Q' AGroin length I(/ 1 ,' /w
I
number
Bulkh /Rip length
t
avgead distancerap offshore 4
max distance offshor= f
Basin,channel jI 1
i
cubic yards 1
Boat ramp - .
Boathouse/Boatlift f\ U —I r,
ii.,,,e
Beach Bulldozing / - - 1`G X! < ��
Other S' // '`s!,. 1 J �`
G
Shoreline Length /(J 1 � ^ rr '4 �_
SAV: not sure yes' no _._ �._.. C __ -..... _ --�`/ ---
t
, 4-
Moratorium: n/a yes �j f + o�j i .
f
Photos: yes Cam/ 1 j
Waiver Attached: (yes no I I
A building permit may be required by: /!% /. �t c . [See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) _ J
Notes/Special Conditions r f J�"1 - >2 77C6)
(c) c, I I ((,t . ) (A'1 e ("17 j�c-i
Agent or plic t Printed Name Permit Officer' Printed Name J
•.tea
Signature **Please read compliance statement on back of permit** Si ature -
/,)//7/
Application Fee(s) Check# Issuing Dat Expi tion Date
1

ADJACENT RIPARIAN PROPERTY OWN R STATEM NT
I hereby certify that I own property adjacent to /'r G__ 4-1 's
(Name of Property Owner)
property located at
/,.
Address, Lolock Rood,etylj � fi�J , in �" �v�C (�,�i ? L , N.C.
(Waterbody) (City/Town and/or County)�j
The applicant 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
.R_
rs
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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjac Prope Own r In n)
Signature Si _t
Print or Type Name Print or Type Marne
Mailing Address Mailing Address
City/State/Zip City/State/Zip
Telephone Number/email address Telephone Number/email address
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

rr
;; �u id 14 Ud 1- „!, '25Zl3 r5J r lb NCDEPTEN'dIPONh1ENTPIP,TPES j 002; 002
,,,P
ADJ 4CENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I o vn property adjacent to 6'6"' 7
prope located at, (rvo.,iG vi rroperly Owner)
on 1,l Catv�Q (Address, Lot, lock, Roa CI d et La 1
�
"` , in - I[
(Watert ody) I� f N.C.
(City/To n and/or County)
The applicant has desi ribed to me, as shown below, the development proposed at the above
Ioc to iqn.
I have ni objection to this proposal,
I have of jections to this proposal.
DESCRIPT ON AND/OR DRAWING OFPROPOSED DEVELOPMENT
/
WAIVER SECTION
I understand that a pier, lock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minir turn distance of 15' from my area of riparian access unless waived by
/ me.
(If you wish to waive he setback, you must initial the appropriate blank below,)
,, ,N/ I do wish to 'valve the 15' setback requirement.
r.�
I do not wisl to waive the 15' setback requirement,
(Property Owner In ormi,tion) (Adjacent Property Owner Information)
J.'S' 7\
Si azure Signature* — - — - —
Print or Type Name Print or Type Nerne
Malting Address Malting Address
City/State/Zip
, el�? rigtficc . ' C �State/Zip
Telephone Number/email ac dressy
Telephone Number/email address
t9A c_ if27)/7
Date Dare"
"Valid for onn ralanr1, r,.ems. ,H,,. ___ (Revised Auo 201cl

Applicant: TO� G D 1,,1S j�ATFl 4/ E U k V>�►T
Date: 12 Th"t 2°
General Permit#: 72 9 5��—
Describe below the HABITAT disturbances for the application. All values should match 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.
Name Choose Oneany Excludes anytotal includes Excludes an
includes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
SWAttot (ap Dredge 0 Fill 4.. Both 0 Other 0 325 1 3 2-1-r
E Dredge❑ Fill OLBoth ❑ Other ❑ /fF r / F
Dredge 0 Fill 0 Both ID Other 0
(� u ' /
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both 0 Other ❑
Dredge 0 Fill❑ Both 0 Other ❑
•
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ FiII❑ Both 0 Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill 0 Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both ❑ Other D