DeAngelo, Kevin

�q,CAMA / ❑ DREDGE & FILL SJ
736
.. A B C D
GENERAL PERMIT Previous permit#
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 i, F
❑Rules attached �
Applicant Name r Project Location: County _
Address 7" Street Address/ State Road/ Lot #(s) n
Cityt,a State9. ZIP i�-
��"'Subdivision
Phone #aiP
Authorized Agent i ( v City ti L; , ' ZIP
LIZW ❑iEW p�(sTA
[I ES ElPTS
Phone# { 1 ` j
C,)F4v�r Basin
I � -
Affected
t
AEC s : OEA ❑ HHF ❑
IH ❑ USA ❑ N/A
j. '�
AdWtr. Bod y
(
,. '
(nat /man /unkn
fi )'
ORW: yes / no , PNA �
yes �' no
Closest Maj. Wtr. Body x
rl
i
Type of Project/ Activity
J
(Scale:
Pier (dock) length
I
Fixed Platform(s)
i
Floating Platform(S)
Finger pier(s)
Groin length
r
number
Bulkhead/ Riprap length
)
7,
T
`
i
avg distance offshore
�.
,
max distance offshore
it1
I
Basin, channel
cubic
Boat ramp
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure
yes no
Moratorium: n/a
yes ` no
j
Photos:
yes no
Waiver Attached:
yes no
A building permit may be required
( Note Local Planningjurisdict.on)
Notes/ Special Conditions
i
❑ See note on back regarding River Basin rules
7 r
Agent or Applicant Printed Name PermitOffcer's Printed Name%
p
Signature s's' Pleaseread compliance statement on backofpermit" Signature
Application Fee(s) Check# "--Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Kic vim 13/11vGr'6y
Mailing Address: a05- 6 166s CT
-T2 �w� fyC a
Phone Number: 3''%
Email Address: —Nr"rO&Oe- �T21At� , f2i�. CdVYI
1 certify that I have authorized /i/ywgr b%`6%
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development://L,o�i/�� Exirj,r✓
at my property located at
in L/' k i (-& 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.
GWNF,e
Title
/ f 1 rr 1 19
Dale
This certification is valid through // I // I ZOZO

Styron, Heather M.
From: [e-mail]
Sent: Friday, November 15; 2019 4:16 PM
To: Styron, Heather M.
Subject: [External] 205 Gibbs Court
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to repo [e-mail]<maiIto: [e-mail]>
Hey Heather,
I need a permit to replace the dock in the same footprint at 205 Gibbs Court in Beaufort, NC. Damage is due to hurricane
Dorian.
Thanks
Andre
252-665-4378
Sent from my Whone

U
z
13
O
N00
O
N
M'
p
CO
0
O
F4
7
O
i7
w
Q
O
p
N
p�
Q
W
x
rX
b
O
F
W
00
W
[�
w
z
Ll
�
�
7
c0
O
of
LO
p
p
�
00
�°
a
d
w
d
cd 10