Lingberry, Steve

CAMA / ❑ DREDGE & FILL No. 74958
GENERAL PERMIT Previous permit A B C D
R
INew ❑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 I SA NCAC
Rules attached.
Applicant Name 1 / Project Location: County j
Address Street Address/ State Road/ Lot #(s)
City State ZIP l'
Phone # ( )' E-Mail Subdivision
Authorized Agent . !� )� City ZIP
Affected OCw "DEW „NPTA DES ❑PTS Phone# ( ) River Basin / U
AEC(s): 00EA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body '� (nat /man /unkn)
❑ PWS: � 1--
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no
Pier dU
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check #
PermitOfficer s Printed Name -
Signatur
Issuing Date EXpiration Date
5-

NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director
Date /s
Name of Property Owner Applying for Permit:
Mailing Address:
2/ C''r
2-
Resources
Dee Freeman, Secretary
I certify that I have authorized (agent) 7__ ( Pc- to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date) 66 ' 14,4 v(
Property
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to r w� srG�c� Lt �' ,s
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on A17, y4g C ✓e-4< in Br Aralo�� — C9nre2r�� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
Iota ion
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
50
qv
t�
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N( o
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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.
..f&JAC , I do not wish to waive the 15' setback requirement.
Owner Information)
or
or
Owner Information)
m
cling Address Mailing Address
r,AxF Ali Z6Sl lr R-4w n04, , A&� A-W
Cit /Sta(erLip City/State
2 Z q2 P 212111!�bewi�o gra�l�„
Te/e hon Number/email address w Telephone Number/email address
Da e Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
%
I hereby certify that I own property adjacent to 56P,B4A2rt ��✓E /�/ ✓�h s
77 1 A. _� Y 0 (Name of Property Owner)
property located at G V`vffi—)
(Address, LQLy Block, Road, etc.)
on in ` /SLa1J&ar—
(Waterbody) (CitylTown and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
loc t' n.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
SL
v`^�f 1?2
elo
C f7J O o jG
�'
6g aAls�
4� / 1 -3`
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
mto waive the setback, you must initial the appropriate blank below.)
7
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Owner Information)
Print or
19;x1")1Wk N&
City/State/Zip
2S2 f25`2/2't- S�i/lebC/hn�'W/.v*1
TelepP o e Number/email address
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Da&
(Adjacent Property Owner Information)
i 1,wls N,-uJ"4-Ck
Si r ature *
Print or Type Name
SnMeS 1J.
Mailing Address
Z2y oRoA1)
City/State
RNC'MS 14.
Telephone Number/email address
914 F.ifi91771 01e ItA11 C^ yd�1O0; <v,�
Date* �.I'2119
(Revised Aug. 2014)
`Valid for one calendar year after signature`