74843D - Sauls

;C4AAA / DREDGE & FILL
GENERAL PERMIT
;New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental
and the Coastal Resources Commissior�in an area of environmental concern
Applicant Name
Address
City 01.1 A17 O/(-/ State /VC ZIP_
Phone # ( j------ E-Mail ,, _ t
Authorized Agent L ^,at6�11AA-
Affected ElOEA ElHHF El1H T ❑ ugA t El N/A
AEC(s):
❑ PWS:
ORW: yes t�n;) PNA yes /(
No. 74617 A B C
Previous permit #
Date previous permit issued
Quality /�OO
pursuant to I SA NCAC
les atta ed.
Project Location: County
Street Address/ e Road/,Lot #(s)
Stat
n 4 1'4h
Subdivision
City 7�u ZIP Z
Phone # ( --�--,g — T River Basin
Adj. Wtr. Body 4
Closest Maj. Wtr. Body
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Agent or Applicant
�Pririnnt game
Signature "Please read compliance statement on back of permit
Appli tion ee(s) Check#
Pe rc fficer's Printed Name
Sign M
�j
Issuing Date Expiration Date

WCDENK
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Govemor James H. Gregson, Director Dee Freeman, Secretary
Date 7/z& // ?
Name of perty Owner Applying for Permit:
0 r., e. � //
Mailing Address:
/lh �yh Ale 2 9 3 2?
I certify that I have authorized (agent) Q l 6le. Ma to act on my
behalf, for the purpose of applying fore and obtaining all CAMA Permits necessary to
install or construct (activity) A e.-- ,
at (my property located at) //d
This certification is valid thru (date)
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12-3 ► --o?,q
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Property Owner Signature Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PI OORING PILINGSIBOATLIFIyBOATHOIISE)
I hereby certify that I own property adjacent to g0664�J l I
(Na e ot Property Owner)
property located at I
(Lot, Block, Road, etc.)
on 50L.) 4 , in 1 0 PS&d Pic k ,N.C.
(Waterbody) (town and/or County)
Applicant's phone #: 910 30 Zl 5`1 Mailing Address: RZ i4.rolk G+
ttitntp5k a N6 28N&13
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
(Riparian Property Owner Information)
Signature
Print or ype Name
q)9-gl3-3Q9I
/W q Telephone Number
Signature Date Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATMOUSE)
I hereby certify that I own property adjacent to go bent Opel( 's
(Name of Property Owner)
property located at j O (o 014Z A g e-( isl 1rx
n (Lot, Block, Road, etc.)
on Sf�y�'1hC , m ' ( �c_'1 c 4- N.C.
(Waterbody) own and/or County)
Applicant's phone #: TO 367 cZ 12 Mailing Address: q Ct
a8Ng3
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
q 02
Mailing Address
4
nV(f- �zg �q3
City/State/Zi
Telephone Number
Signature Date
(Riparian Property Owner Information)
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ture
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Print or Type Name
9 1 q �t 14- 1 �v-,-�
Telephone Number
Date

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Date Received
Date Deposited
Check From Name
Nameot PsrmRHokHr
Vendor
Check Number
Check
amount
Parmlt NumbeNCamments
Receipt or Refund/Reallocated
Col mn7
Column2
Co1umn3
Column/
Columns
Columna
Column?
Columns
ColumnD
9/16/2019
9/1 /2010
9/1 2019
9/16/2019
H5 Construction, LLC
Allied Marine Contractors LLC
Wa ne's Backhoe Service Inc.
Mark and Judy Kramer
BUT
2361
$ 200.00
GP #74504D
GP #74617D
IGP #74558D
BB rct. 9111
JD rct. 8536
iTMc rct. 9149
9/16/2019
Robert Spell
Wayne Smith
First Citizens Bank
7698
$ 200.00
9/16/2019
I First Bank
1 33411
$ 600.00