Stone, Charles (3)

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CAMA / ElDREDGE & FILL /4*7 �;A B VD
NERAL PERMIT Previous permit#
ew ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality I �,( /� a
and the Coastal Resources Co mission n an area environmental concern pursuant to 15A NCAC (,
❑Rule attached.
Applicant Name �� Ate__ Project Location: County (�C.i71
Address �1 ldf//1�1ci/1 G
Ciry d\ d� It StateA/tzP
Phone # ( Mail
Authorized Agent U_A KkJ _ Gll�V►""
Affected ❑ GW CIW 50ftA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes no PNA yes / no
e
Type of Project/ Activity �-6
Pier (dock) length C
Fixed Platform(s)'Ux"
Floating Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Nprap length
avg distance offshc
max distance offsh
Basin, channel
Boat ramp
Boathouse/ Boadift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes o
Moratorium: n/a yes o� ,
Photos: yes
Waiver Attached: yes no,
V
A building permit may be required by:
( Note Local Planning jurisdict
e----C
n Street Address/ State Road Lot #(s)
1 IV c7i 4- &zee w
_ Subdivision
City ZIP J
Phone # ( ) �Rive�r-Basin
Adj. Wtr. Body GL% •JHiv7 a7tilman /unkn)
Closest Maj. Wtr. Body— — — czrnL b tw —UA
(Scale: V
See note on back regarding River Basin rules.
V d 14 R I U V1 q Q j•1�., e-/I4
Agent or Applicant Printed Name Permit Office s p,ited Name
SiSi ure (f'"'Please read compliance statem t on back of permit" Signatur
Zy A)
ation Fee(s) Check# Issuing ate
rZ ////;

❑CAMA / ❑ DREDGE & FILL No. 74427
GENERAL PERMIT Previous permit# A B C D
❑New ❑Modification ❑Complete Reissue El 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
❑ Rules attached.
Applicant Name'
City State . ZIP
Phone # ( vi'E-Mail
Authorized Agent
Affected OCW ❑EW El PTA ❑ES ❑PTS
AEC(s): 00EA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
City ZIP
Phone# O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Groin length
it
number -
Bulkhead/ Riprap length 1
avg distance offshore
max distance offshore
Basin, channel
I
cubic yards
Boat ramp
Boathouse/ Boatlift
I
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no _
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit**
PermitOffcer's Printed Name
Signature
Application Fee(s)
Check#
Issuing Date
Expiration Date

®❑CAMA / ❑ DREDGE & FILL No. 74427 A B C D
GENERAL PERMIT Previous permit#
❑N6w ❑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
El Rules attached.
Applicant Name PJ Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O E-Mail Subdivision
Authorized Agent City ZIP
❑CW
DEW 0PTA DES ❑PTS
Phone# O River Basin
Affected
,
AEC(s):
00EA
❑HHF ❑IH ❑UBA ❑N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWS:
Closest Maj. Wtr. Body
ORW:
yes / no
PNA yes / no
id
9
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Agent or Applicant Printed Name
Signature ar Please read compliance statement on back of permit"
PermitOfficer s Printed Name
Signature
Application Fee(s) Check# Issuing Date Expiration Date

NC Division of Coastal Management
Cashier's Official Receipt 0135
Received From: 40 �L
� / Permit No.: /
Applicant's Name: C-10 ��
Project Address:
Date: !{a v 20
$ �R
Check No.: `�
County: e,-v
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or
Signature of Field Rer
iv-l�-JS
Date:
Date:

4CAMA / ❑ DREDGE & FILL A B V D
GENERAL PERMIT Previous permit#
(ew ❑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 Con1mission n an area environmental concern pursuant to 15A NCAC ` VV
r _ . / ❑Rule attached.
Applicant Name C It, „ Project Location: County
Address f UU4, i ^ n Street Address/ State Road Lot #(s)
City d\ of i State ZIP Ui //ICaI� 'IY1.1te
Phone # ( -Mail Subdivision -7
Authorized Agent 4�U_APlG � City a �� r% /h ZIP t )�/J�� /
Affected CW � rvrA ❑ ES ❑ PTS Phone # ( ) River Basin �p"(,�N"h
AEC(s): OFA ❑ HHF ❑ IH ❑ UBA El N/A Adj. Wtr. Body GiJ" a man unkn)
El PWS: co�j fo
ORW: yes no PNA yes / no
Closest Maj. Wtr. Body 6 u'tit
Type of Project/ Activity
Pier (dock) length a
Fixed Platform(s)LIDxu
Floating Pladorm(s)
Finger pier(s) _f _
Groin length
number
Bulkhead/Riprap length �—I-
avg distance offshore_
max distance offshore
Basin, channel _
cubic yards
Boat ramp -
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: notsure yes o - n' S -
,
Moratorium: n/a yes o/
Photos: yes (f1o�
Waiver Attached: yes V f.
A building permit may be required by: ✓� t'r'�
( Note Local Planningjurisdicti
� s t
tes/ SRt^al'Co/ditions
,f) 4n YluiJ ujV,
Agent or Applicant Printed Name
S, Please re� stateton back efprmit *'
4plitid..Feels) Check #
Issuing
(Scale:
❑ See note on back regarding River Basin rules.
r
ad Name
orb^
;Z/d/;

NC Division of Coastal Management
Cashier's Official Receipt / 0135
Date: • a 20 T
Received From: UU ��J _
Permit No.: / /
Applicant's Name: C41, W`
Project Address:
$
Check No.:
County:
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or
Signature of Field Rep
0
3
,v -i�
Date:
Date:

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1 ha r j e 5 S'kn e-
Mailing Address: H33 JT(G11 C }�C�UnEu Vl �u� E
Phone Number:
Email Address: kl-o nc-X � ci Add- Q: I � [)W—
I
i ,�/�
certify that 1 have authorized JU /'I'11 v\
Agent PContrdctor
to act on my behalf, for the purpose of applying for -and obtaining all CAMA permits
F:
necessary for the following proposed development:. r - rx- J�tfP r!
at my
yyf-eproperty located at e `1 oxy l�� Ou)
in Oc r� t1� County.
I furthermore certify that i am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
iilGr�es S�Un�
Print or Type Name
Date
This certification is valid through _Jyl / '�- I O3u
rJc_

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l-AGrley S f n e- 's
n (Name of Property Owner)
property located at '7'a9 '� 4
(Address, Lot, I
on �asf ,in a r
(Waterbody)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
to� a�t,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)
O
'20
1
0/ (% den 5fie
�aliw r/Vl Odes
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.
.y a -- I do not wish to waive the 15' setback requirement.
(Property
Owner Information) (Adjacent Property Owner Information)
S' t a Signature g
(. adeS �I /ICi iQ6nii)6%l�)n
or Type
M ymg ROOMSS � /t�G r
)Ll'e%/(YS AI e if YJ k /
Date
'Valid for one calendar year after signature'
Telephone Number/email address
1Off/0//r
Dat�__7
(Revised Aug. 2014)

KIN.
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9 L-140
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'Closure Regifte d S
l!l6 Ova L-1496
EASEMENT SURVEY FOR
sf/s7�.G/�.�y /�G.®.vD Pdu/•r/�.4�/�
:�j: VERNON WAYNE JOHNSON
Mm Ridr Ddk
ENGINEERING enove... ....

DocuZ�In Envelope ID: FOEB5608-070E-41 DF-9534-46F649F92EF0
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Nailer h 2 s
I//�� (Name of Property Owner)
property located at `�aq 'PJA y �,'e� �r /7� P�cP�s .� s) a A.
(Address, Lot, Block, Road etc.)
on �asi , in #a rke 1 Tcl4 h,l r% , N.C.
(Waterbody) (City/Town and/or County)
T ,applicant has described to me, as shown below, the development proposed at the above
o�
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)
�2 e /`j C' (J PJ pra v) "" �
aO to ,,)t 010PIt 4e lfTY, wl wQ�
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.)
�
, ��_/ II do wish to waive the 15' setback requirement.
� '"`'Wdo not wish to waive the 15' setback requirement.
(Property Owner Information)
ceir-t4 --
Sign %aerl eCS G i e,
PdnforTYPe ameame
�33�r��;. Dli�i. G
1vOMaong Address
�i
Y3 /1ll�� City/st telZ)
Telephone Number/email address
Date
'Valid for one calendar year after signature'
(Ad'aSen1Jamerty Owner Information)
S�iggn�a Ql��'24Faoo_. Sec
X114 #er; 0qe Mau n Cv L ✓calk, hl�-
Print or Type Name t
Telephone Number/email address
10/17/2019
Date*
(Revised Aug. 2014)