74334D - Steele

-.CAMA / DREDGE & FILL NO. 74334 A B c (D
GENERAL PERMIT Previous permit #
New Modification El 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_���
❑ Rules attached.
Applicant Name ��o.n��e�\cam Project Location: Countyll .c%t.
Address tuoi l,.. Nnt ,Jey% P ``.�., D� Street Address/ State Road/ Lot #(s) 3 S
City W����,,,.� State 4C_ ZIP Al IAlSU,I A -
Phone # ( Q) E ' - 2.112 E-Mail aXM Wn -lo SteAce oAubdivision ki /A -
Authorized Agent _ L City Oca&A ZIP gb(, J
Affected
❑ CW �KJ EW PTA ❑ ES ❑ PTS C ` Phone # (114 ) I%3 a(o(O River Basin `j,.. A e—
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ WA Adj. Wtr. Body C A &i Art. (nat khan /unkn)
❑ PWS: l �
ORW: yes / n� PNA yes /. Closest Maj. Wtr. Body ��ww
Type of Project/ Activity I )�jD NNtjL%tt(,S n>JI'), f7l_UAZ"Nb t�uck_\�,L� r-ACt(.1TV
(Scale: (= 2 0 ' )
Pier (dock I n h
Fixed
Float.
Finge
Groir
BulkF
Basin
Boat
Boad
Bead
Othe
Shore
SAV:
Mora
Photo
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r pier(s)
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i length
number
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han
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ONE
cubic yards
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i Bulldozing
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Jine Len gth
notsure yes
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ts: Yes �,r•
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Waive _
A building permit may be required by:-T(1-++N uf- OcEA►J tSLe (�AcFt ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)nn ` L /
Notes/ Special Conditions N1� c y�A,k1a, S J CAN t2.00OL sc,ti\4,Stti.� C, �•�d ��-` (c4v ll(A� S hi��1•
Sig na ure ** Please read compliance statement on back of permit*
20r3.5' S23
Application Fee(s)
Check #
Permit0f icer's Printed ame .
L
Signature
2'7 19 Id '27 /9
Issuin Date Expiration bate

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J?ra' cW4
Mailing Address:
li✓a `ice, /�G ell
Phone Number:
Email Address: Ls eel dE
I certify that I have authorized R,Gk /(/Cs /- X10A1- %9ae_ s
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in County.
l furthermore certify that / 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:
Signature
l��ahall- c 4-
Print or Type Name
Title
i /—
This certification is valid through _ /0 /mil _20/

h-vby car* ma 1 own property adptsnt 10�`!/ s
pull 1oo.'rd at j ,,, n (harts+ of Prop.rtlr O�»r�
on Kemn-trr ... / 1 4sZ1/ - s1� � et h
MtWroodyj - KC.
(Ctt-r/Tcwn arndhor Carr?
hn dearbed tD ma. as EAom brow, the devOoprtw l propocod at tiw above
i ha" no objection to v is prapmm.
t htvr abjoc9 w* to the prq=*
DESCRArT ON ANDPOR DRAWING OF PROPOSM DEYELOPMOCr
P'� Proposing do v mk*mw asyst fM h dasw**m be bw vamrA a sft dhnv& Qj
WAMER atLcrmel
understand lint s p.ar, dodgy moo i pErgs. boat rwM. bcsahwnw. bo aMmx , M or WVn
Mt= tk sat tadk a --wm ffsst = of IS' from my usa d rtpa lm access wAM prod by
me. (tf/ypu WWI to water tt* s you vast initial the mmoprm bunk bdtow.)
C.� r do wssn m waive Inc l s seemck roqunrnont
1 do rKA simh to warvr tiw Is ftdz rk reguimnu*
(Property owner bdogma kx
Pfint d' T a hire
xx
l-sr-C. t.�/%
L e, t//7
TMOPh rrr ARenbat /and A*hW
-/"i- /<f
!M
-vmto for orke C&*.4 r yaw altar pv;a:L s'
P4V ub
cr T &wx �I
2_4y7',�('-'/c /,AA
> 1 c V L o�?cold
/a3e

ADJACENT RIPARIAN PROPERTY QWNER STATEMENT
1 hereby certify that I own property odiaoent to
(Name of Property Ownor)
property located at � / I'r° � G'r.', r� S [
dress, Lot, Block, Road, etc. .
on ��%rri►'r.' .ter l �, �.-� in _ l�r r-ar? 1 S�c+. �1� .? 1 4 , N.C.
(Watorbody) (CityfToven andfor County)
Tho applicant has desabod to me, m shown below, tho development praposod at the above
t have no Objoktion to this proposal.
I have ob)edons to this proposal,
DESMPMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
( `UW PMPO-slnO derofoprne rt must 1W kP dascripd on below or a ttech a site drawing}
r.7rr I
WAIVER $EgnON
I understand that a pier, dock. mooring pilings, boat ramp. breakwater. boathouse. Wt, or groin
must be set back a ml din= distance of 15' from my area of riparian access unless waived by
me. (If yov'0zh to waive the setback, you must Wdai the appropriate blank below.)
do ~ to waive U* 15 setback requirrmenL
I do not wish to waive the 15 setback req,.mm neM
(Propenr Owrw lrTfomution) (Ad) n Property r to 6rmatlon)
Si�amrr - r Si •
Hint 9f Type N&17& !Jame
to
ToOphone fVtxZwl omoJ aditu Tero -' t ernal eddriss
(Rarr'sed uq- sots)
'Vatd tlpr one ca*tm yow after sigrtsturs'

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Dah RecNved
Date shad
Check From(Name)
Name of Permlt Nolder
Vendor
Check Number
Check
amount
rmi(
PoNumbe/lCommen(s
Receipt or Refund/Rea/located
CNumn1
Column2
Column
Columrw
CNumnS
Column.
Column?
Column.
Column9
7/3/20191
7/3/2019
AMW Docks & Marine Const./Rick West Brandt Steele BB&T
55231 200.00 GP #74334D
TMc rct. 8756