74735D - Dowd

CAMA / ❑ DREDGE & FILL NO. 74735 A B C
( _;D)-
GENERAL PERMIT Previous permit#
4I14ew ❑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 I SA NCAC 200
f-1 Rul>c Ott—K-1
Applicant Name7)�A-t f-% off- �C'1
Address ��j3 rJ
City �t�ptr�TuState Q T_ ZIP 53 U2-
Phone # ( XA 211 ?455 E-Mail
Authorized Agent
Affected ❑ CW AEW PTA ElES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /4P PNA yes /4p
Project Location: County \-)(Z jP4 z'.J , c lr,
Street Address/ State Road/ Lot #(s) 4f 5
C)CEA..,-! kSf_E weSi aLVt-.�
Subdivision
City 0 CEhN % S Lf n EAC-4 ZIP 1:B%ocA
Phone # ( )S,7A-*- -C River Basin (.,.r►..(3E2
Adj. Wtr. BodyGA7- STC(ZK) ft IUNEL (Om�)
Closest Maj. Wtr. Body A T4-A &j -k, Ly _elA &I
Type of Project/ Activity J{ E pA t (L C�t % S T c_i_j N L.- rA L_ I, t_ 1 z
- (Scale:
Pier (dock) length
Fixed Platform(s) x
Floating Platform(s) �'� 1 UO
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boathouse/ Boatlift
Beach Bulldozing
Other oW : 3 $y 4
Shoreline Length -air 3
SAV: not sure yes
Moratorium: „f{Ja7 yes no
Photos: ✓ yes (19
Waiver Attached: yes V
A building permit may be required by: � � O f- C.)E A �.1 1 S tie R iL 4 ❑ See note on back regarding River r Basin rules.
( Note Local Planning jurisdiction) _
Notes/ Special Condition % kii \ 11 I or• S C)F ©� �-� • �"2.00i �.oC^ � I S l � T � A Np {"E�fc(2/�C.
CErvLAZtotis bkP"-
Agent or Applicaii'EPrinted Name
Signature "Please read compliance statement on back of permii�t"
DO 0'4
Applicatio ee(s) Check
G C�C i
PermitOWkVes Printed Nam
Signature
)0—?,—I y Z-I-2d
Issuing ate Expiration Date

10/7/2019
Mail - Brock, Brendan O - Outlook
I
aCAMA / DREDGE & FILL No. 74735 A B C �,lj%
ENERAL PERMIT Previous permit #
New Modification Complete Reissue Partial Reissue Date previous permit issued OK
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 $A NCAC t 2LC-)0
_ Rules attached.
Applicant Name Project Location: County {i-0,j a .J •LV,
Address 1535 �)Street Address/ State Road/ Lot #(s) ( t
Cit) �A%1 ?,r WA) StateLJ L ZIP C)0.AAJ t jLC I' QWQ1.
Phone # (Wfi 211 Yi13 E. Mail Subdivision
Authorized Agent City 0 C tz4u c g L.0 A tAe--{ ZIP TVillietl
Affected Cw ?% w /$PTA ES PTS Phone # ( ) `AMC. River Basin Li v.(34-
AEC(s): EA HHF IH USA NIA Adj. Wtr, Body G 4j t•E2tii i`VA4JI-1i:L. JWman Junkn)
PVVS ORW. yes !� fPNA yes I Closest Maj. Wtr. Body RTC�J 1. L Uc MN
Type of Project/ Activity
(Scale: 1
Pier (dock) length '72 A of,
FixedPbtform(s) IV, A Ut`
,
,
Ci ST"N _ s�
CNK CCA 4 i V,,Nj 1`4e Ir
�y
Floating Platform(%) q �Ss
N C NRN AJL
Finger pier(s)
Groin length
number
Bulkhead ity,ap length
avg distance offshore
max distance offshore
Basin, channel
cubK yards
f
Bo.�r � T,`lslVt
zzz
Boathouse,' Bnatlift
--
Beath Bullowtng
�% rJ 1
Other Uw ' i 7f4
Sl"Lline Length {kl
fit.
SAV not sure yes T L L. ff-tJr Tt tT1i(
I�
�--IW 1A j-Is Cxf.^,A
1LLa W, QLVD j`'i� CJtt� a�bC ra
Moratorium. �a yes no 64
Photos yes
Waive+ Attached. yes n
A building permit may be required by-
�fy'+fy F C„rl, A >� �t Q�
H See note on back regar ding River Basin rules-
( Note Local Planning jurisdiction)
Notes/ Special Condition(Tj1� &
�bx71 `r t a/-1 k F Cl" %'Lcid.
Lw.'t<< It A I 4t . A A-b
p*trrt,lt T-)o of
Aqoor Appkeaw Printed Nagxc
Signature N Please rend compliance statement on ba k of permit "
• 15 -L 3
APPIMs) Check N
Pelmq p� s e Prxxcd
$ignahu
1t7_-� -j `I Z-� -2c'U
Iswntg bate E x pirauon Date
https://outlook.offiice365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQAOhkE7o2HFZLosf1 Pllwxrl%... 1!1

2/2019
Mail - Brock, Brendan O - Outlook
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to T"1, TIC 11, LL-C
's
Property located at tNr Occ..' Tsk v✓ (Name of Property Owner)
on -j iAi&3 (,r, (Address, Lot, Block, Road, etc.)
{Waterbod ' In N.C.
y) (City/Town 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.
t have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing develo n f wee—i-4— I._I_...
- ' attach a site drawing)
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.)
f I do wish to waive the 15' setback requirement_
I do not wish to waive the 15' setback requirement.
(Pr9plerty Owner Information) (Adjacent Property Owner Information)
Signature
Print or Type Name -�
12
Print or T Namel
M�a�rli�ng� A�`dd'ress 1
{ W2 S'3S6Z ailing Address
City/State/Zip
bOd 2 l p 4 3 3 Cit Stat /I
Telephone Number ,� I
Tel hone Number
Dare -- - --T� -- -
(Revised 611&2012)
)s://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQABgZ136MTUIMvaNkGjyrTM8... 1/1

>019
Mail - Brock, Brendan O - Outlook
AINACENJAPARIAN-PROPER ER STATEM
1 hereby certify that I own property adjacent to w t T-00 vy I
I�� t� F,_� G(�ame of Property Owner)
Property located at -Ai i OL Qwl Z� i 2 � A u-AJ r
(Address, Lo& Block,.8 d, tc.).
on J )��s C�cc{� , in G�^c..�r, AM ��� _ , N.C.
(W��y) (Ckyfrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above k>cation.
I have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Mdfvidual pronosi ...._- -.,-- -•-•-- -r attwh a site &swing)
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bads a
minimum distance of 16 from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
"'T
I do not wish to waive the 16 setback requirement.
(Property Owner Information) (Adlacent Property Owner tnfomwtion)
Sig/nalwe ( Signal `
Print or Type Name p T
s uM�.). �,��� ✓�
M r dMaAV ress M
W !. 5-35 6 Z � A F
Crfy/State/Zip �t
so$ z)� 8Y33 Crryisrafeizipt�_���- ��
Telephone Number Telephone Number
oliz--iI _ ila�It�
Dale Date
(Revised W&2012)
(/outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yy1 hNzQ4LThiOWM2NWZhNjc5YwAQABgZ136MTUIMvaNkGjyrTM8... 1/1

10/2/2019
Mail - Brock, Brendan O - Outlook
10,
Av
_ a�►
e
YIJ x114
3
-77
_xz
https://outlook.office365.com/mail/search/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yyl hNzQ4LThiOWM2NWZhNjc5YwAQABYNnLq%2BNvBOoZu%2... 112

Dafe Received
Date Deoosifed Check From Name)
Name of Permit Holder
Vendor
Check Number
Check
unf
A —if NumberXomnrenfs
R—i t or Refund/Reallocated
Column?
Column?
Column3
Column)
Col-5
Column6
I Column?
I Column8
Col um.
10/7/2019.
IToovatch LLC Patrick Dowd
US Bank
1523 $ 200.00 !GP #74735D BB rct. 9118