Johns, James (2)

J#e MA/ CL DREDGE &FILL NO. 7S93ZA B C D
ERAL PERMIT.. Previous permit#
❑Modification LLComplete 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 /
❑Rule attached.
Applicant Name ? "''`f Project Location: County `+ % �J
Address f / ( ��'"/ ' Street Address/ State Road/ Lot #(s)
City '\; r r I " State /4 ZIP
rA✓a
Phone # O
Authorized Agent
Affected pew
AEC(s): ❑ OEA
PW:
ORW,, vei/, no
E-Mail
,[IEW Ff TA El ES ❑PTS
❑HHF ❑IH ❑UBA ❑N/A
PNA yes / no
Type of Project/ Activity
Pier
Fix
ec
Float
Ping
Groff
Bulk
Bash
Boat
Boat
Beac
Oth
Shot
SAV:
Mo
Phot
Waiv
Subdivision_
City_Li i j ., ; _ ZIP
Phone # O River Basin
Adj. Wtr. Body '%C� !^'"` -� �at /man /unkn)
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent of Applicant Printed Name
Signature a+ Pleaseread compliance statement on backofPermit's"
Application Fee(s) - 'Check#
❑ See note on back regarding River Basin rules.
Permit OfFlcer's-Printed Na e
Signature
Issuing D to f ilExpiratiobDate

AMA / : DREDGE & FILL ?fin. 7j 104 �,
ENE_ I�AL PER�l1`� A B �% D
Previous permit #
54ew -Modification nCompleteReissue _PardalReissue Date previous permit issued
As zuthorized by the State of North Carolina, Department of Environmental Quality /V
and the Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC i�u, t O�
es a=hed.
Applicant Name - vG Wl Ci 3O YLf Project Location: County
Address�-jj` -! ! aZ 7_ J �.�t �r� Q(� Gs j V" Street Address/State of #(s)
City . E"\4 IIIState/VC— ZIP %Gt7� _. - .._ _....... .
Phone# )6w 1 "7E_Mail
Authorized Agent
Affected ' "' �-- TA"ES PTS
AEC(s): 7OEA i:HHF An ;:URA :_WA
ORW: L2
no PNA yes //io
( s;
Type of Project/ Activity b
Pict (dodo lw,&d, )(, ((II A }
FloadngPLxform(s) _.-. _.._._
Grain letVh
number
Suikhmd/ Rijamp length _
avg distance offshore
max'Imarce Offshore _
Basin, channel
cubic yards_
Boat ramp
8cathousel oadift
Beach 8u1ido2lrtn,__..-.
Other.-_._.._
Sharekne Lertgdt. .O
SW natswe yes
Morstonum: Na v�
Photon y///e���s no
Waiver Attached;
A building permit maybe required by:
( Note Local Planning lurisdictionl
r
x
Subdivisionn/ c�/'t��/PO_
�ry_.f l.CfrKe�7_ ZIP.../P,`_ `�j�_ --
Phone # % Ri(vV
'er6asin rt>'t Q/%�
Adj. Wtr. Body_ _ -�yC 1� p�'n r///Iman. [unkn)
Closest Maj. Wtr. Bodyc ovK
X3d
(Scale:
accic rSo
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ck
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v
La- !
See note on back regarding River Basin rules.
n ! r t
Agunt�or Ap`pN rinted Name— ...�---.... .
Si re +sa Please read compliancestztementon backofpermit F4�
Application Feels) _.^... _ - Check#

en gj;KT RIPARIAN PROPERTY OWNER STATEMENT "
I hereby certify that i own property adjacent to gillfR�lt>4,�S p'e
(Name of P o erty Owner)
property located at /Qr�AR,_A49_a. S'e�ttY ¢ S,g t33S'�fRR s .�]r[,M111S'19 Swyo9''
(Address, Lot, Block, Road, etc.)
on , in aE mKi -S
(Waterbody) (CitylTown and/of County)
The applicant has described to me, as shown below, the development proposed at the above
location.
✓ I have no objection to this proposal. .
[.have objections to .this,proposal.
DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT
(indvidual proposing development must till in description below or atfach a site drawing) -
h
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t '(a��{abts. ioi a;� ra��vt 3a-D � end-tiC.�\l rvGwL-Er1� o4 i'P'
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nL you; �aa.nn�' S ,`Te t'v,16 '44 7-A T. �PN�f LC-;rkl3 L
/ z-r6dE
WAIVER SECTION it,-(,r7
�'i ` ro l-L, `V O
+understand that a. pier, dock; mooring pilings; 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.)
RECEIVED
I do wish to waive the 15' setback requirement.
�J:�_ I do not wish to waive the 15' setback requirement, p C C 12 2019
(Property Owner information)
(Adjacent Property Owner Infomiatlo
'PO -I` IAD CITY
A�53/
(Revised d/f 82012)

I hereby certify that I own property adjacent to
property located
s
--' ;VYT�
N.C.DnF//� ( i.�
(Waterbody) (Cityrrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must till fn_description below orattach a site drawing)
REcENED
DEC 12 Z0
,),i-M AD 0TY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
r-�' I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent
Property owner Information)
swgnarnre •~�
Telephone
Date
;RAJ
?gs��-
(Revised 61IM012)