McAuliffe, Maura

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gCAMA/.DREDGE & FILL No 71699 A B ` C D
GENERAL PERMIT Previous permit#
ONew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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
q n i J Rules attached.
Applicant Name / f`ti t� / / (� La �r1t L Project Location: County
Address
City
I State '`�r
ZIP„
Phone # (
)'1��E-Mail
Authorized Agent
f i".��_:'
tf
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PJ PTA
IDES
ElPTS
Affected
❑OEA
_MEW
❑HHF ❑IH
❑UBA
El N/A
AEC(s):
❑ PWS:
ORW: yes / no
PNA yes / no
Type of Project/ Activity
Pier (
Fixed
Floati
Finge
Groir
Bulk[
Basin
Boat
Boatl
Beac
Othe
Sher
SAV
Mo
Phot
Wai
A building permit may be required by: i
( Note Local Planning jurisdiction)
Notes/ Special Conditions i y �" '( .l'i r:`./ ' i'0,/1
Street Address/ State Road/ Lot #(s)
City ZIP
Phone # O� River Basin
Adj. Wtr. Body C(natT'/man /unkn)
Closest Maj. Wtr. Body VC
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avg distance offshore.SEEN
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[)?See note on back regarding River Basin rules.
/ 1
en or Applicant Printed,Name Permit Officer's Printed l•
Signature ** Please read compliance statement on back of permit** Signat�Fe
Application Fee(s) Check # Issuinglssulng Date

A39Q INT 4GSii�-8�JR9PaATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: je...a Wtap�44G,y�nstid,� id
Mailing address: it .1t.,, 4R+•
Telephone Number: aX > -1 t1 gsg q
I certify that i have authorized _ (3„b1.� �cl,va �oNsh �� . G (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development ofQ�sk
at my property located at-c,yt.
This certification is valid through �ier�es� 0212«,
(date).
(Property s"iimne r
_Vbt..tydt..
Print or Type Name
v to r�aY
Tifie, co. owner or trustee for property
Date
ZSA -It18S5'q
Telephone Number
Email Addressl

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWA1VER FORM
Name of Property Owner:
Address of Property: 91 d
(Lot or Street, Stye
Agent's Name #: C a w sin tc ; pv, �, e.
Agent's phone #: - a5 a - a 4 9 - I ( 1 '!
(? r ,'
or Road,
Ma111ngAddreas: QD03 /11-eia . .
Gr A A± bor-g Iu (_ as a 01
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.dgscrtotlon or drawino with dimensions must be arovided d 'th t is IeiYBP.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis beingproposed, YoumustnOtWthe Division of Coastal Management
MCA) In writing within 10 days of receipt of this nodce. Contact Information for DCM offices is
available ae P1!LLFM.11, wi z a-rao asfr♦1Pt40Fd31W@Rd :: 3" OCMro�fn/rrso/csn "ll 'Y orbycalling f-H8 4RCOAST.
AIo reSlSonse )s Consldered tha soma as nn
I understand that a pier, dock, moorinWAIVER g pilings, boairamp, breakwater, boathouse, or lift must
be set back a minimum distance of Is' 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 16' setback requirement.
i do not wish to waive the 16 setback requirement.
M (Prb". nLKform�atign),
to Lb
SYgnca e
M rrnu re. McA:ti 114F:.-r V�lejy�; r,_
6L.4'ainto
Print or Tjpe Name
y l 3 G Lori Q #Le(�_Qok,
Mailing Address
crryisrete2lp
Telephone lvumber/EmaAdAddress
Ce 2
Dare
(Riparian Property Owner Information)
SYgttatnra
Print or type mama
Marlin Address
Cily/State2lp
Te/ephoneNumber/Enta11Address '/o?hcc,-) �T
(Revised Aug. 2014)

CERTIFIED MAIL ' RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
Agent's Name #:
Agent's phone #: _a5 a-,a4 q• I Q 1 I
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 orovided with this letter.
I have no objections to this proposal.77 — I have objections to this proposal.
If you have objections to whatis being proposed, you must notify the Division of Coastal Management
(DW) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at GtBtea:!/wv✓w.nc oasFatrr��aevc�sraant not/o-✓eCrrrmi rr• arsfin M orbycalling 1-888-4RCOAST.
u..
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.
1 do not wish to waive the 15' setback requirement.
M (� P%peMrly n S nfor mationl. a
sIgnatuh
Moeure, NlcAul;Ffe a--MPly�lrti P e
iocaCa�uoh Cov�sl�ucfi.'n- Z3 e,
Print or Me Name
y 13 G Lo rtn ee ow
Mailing Address
CAN-�o�urllp ,,u�. a•��s�
OwlStatelLip
Telephone Numberl Emall Address
6 ° RD.-cw
Date
(RIP-arian Property Owner Information)
SX,6hature 1 ' J
- ,N rT,
PdntorType Name —'—T
11-S-0 TIe.�-
Marling Address I/
C1tylState/Zip
ZZZi�7 01cG'►��Iitibl.��
Telephone Numberl Emaif Address
i
Date
(Revised Aug. 2014)

MAURA McAULIFFE
MELYDIA EDGE
97 TILLER EXTENSION
MERRITT, NC
DESCRIPTION
We propose to install an oyster bag shoreline revetment to be 200 linear feet x
approximately 3' wide +/- x 1.5' — 2' tall +/-. Revetment can be no more than 6'
away from existing marsh and 6" above normal water level. Oyster shells will be
bagged into plastic mesh sacks and will be stacked in a staggered pattern along
shoreline.

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