74207D - Turlington

❑CAMA / DREDGE & FILL
GENERAL PERMIT
New Modification ❑Complete Reissue
❑ Partial Reissue
No. 74207 A B C
Previous permit #
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 m N
-% ❑ Rules attached.
Applicant Name t`' -rV ti D/J Project Location: County tJ (i � (-4---
Address Ila �'�s' �/� Street Address/ State Road/ Lot #(s)
Cityt Isk State ZIP V 0 5S13 S C,� C
Phone # �D 3� ' Z�� / E-Mail Subdivision
f p //
Authorized Agent C/ � (��6 ifiL� City CJi I �/C �(�T ZIP 7�
❑ CW �W ),(PTA [IES ❑ PTS Phone # ( `�— River BasiZcb Oa
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A /�
AEC(s): Adj. Wtr. Body C,u Nq/� �� �� (natty)
❑ PWS:
ORW: yes /r� PNA yes /-fio'7 Closest Maj. Wtr. Body T��A/� �pcJn/�%
Type of Project/ Activity JAA 9-1 � // ( 104, (44 1 go
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap Ii
avg distance,
max distance
Basin, channel
cubic yards
Boat ramp
Boathouse/ Bolt'
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes
Waiver Attached: <e's7,_oo--
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Applicant Printed Name
Sikiature ** Please read compliance statement on back of permit **
Application Fee(s)
Check #
(Scale: / " _ Z 6 ' )
❑ See note on back regarding River Basin rules.
mitOfficer's Printed Name
S' atu
Issuing Date Expiration Date

ANX
�VAA
HCDEHR
North Carolina Department of Environment and Natural Resources
Division of Coastai Management
k.:P-
APR ''�
0 y ?O19
Eaves Peke, Goverrar James K Cason, WSCWr nee Freeman, Seaetary
Date 2
Name of Property Owner Applying for Pe. nwit:
Mailing Address:
Pj,
I certify that I have authorized (agent) 4�1 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) �'p r.:�3L
at (my property located at) R 12Y1^V A\)1C \A t & 1 � � ` Lk Al
This certification is valid thru (date)
Property Owner Signatu
Date
%9
RECEIVED
400 Conrrrerce Avenue, Morehead City, North Carolina 28557 APR 0 4 2019
Phone: [phone] FAX: 252-247-M l Internet wwwI talmanagementnet
An Equal Oppoft" % Aware'ace°" Empb�w - 50% Redden % 10% PW Urstr e` Paper D C M W I L M I N G TO N , NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ,q .z T / v-� �ivt •tip is
(Name of Property Owner)
property located at / 2 3 &c,,. y lK *t,-t',,uv c-
on 9ANrS C�4,1�Q t
(Waterbody)
Applicant's phone #:
(Lot, Block, Road, etc.)
in / op.� l z h , N.C.
(Town and/or County)
Mailing Address:
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)
Y6 �;' 6--" (ter c//Fr ctj
Mailing Address
City/State/Zip
TeleRhone Number
Signature/Date
RECEIVED
APR 0 4 2019
DCM WILMINGTON, NC
(Riparian Property Owner Information)
Signature
Print or Type Name
�l f S P y-- D/ �,G
Telephone Number
3 ip -i.�
l Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATTHHO�USE)
I hereby certify that I own property adjacent to S =C/ R r ✓ t/ RL�NCr7'"d►�(s
(Name of Property Owner)
property located at
✓c., l ot:.e
C
(Lot, Block, Road, etc.)
-' G T}V,
on C'/� 1 ,in h�`PSA1 r. N.C.
(Waterbody) (Town and/or ounty)
Applicant's phone #:801 "' �%g`�`!S Mailing Address:
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 tha�back rec�uiremen,�.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
RECEIVED
APR 04 2019
-----------------------------------------------------------------------__------©C.M-11N , NC
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Owner Information)
U< Signature
�"4 iRw/ 017
Print or Type Name
71.0 _ pCS4-,�D
Telephone Number
o /'_)A IQ S/j .zo / Y
Signature Date Date

gx��
fclyll-I
pro flw.&(
RECEIVED
APR 04 2019
DCM WILMINGTON, NC

Date Racel-d
Date Deposited Check From Name
Name of Permif Holder
Vendor
Cheek Number
Check mounf
Permit NumberlComments
RBCN f or Refund/Reallocated
Columns
Column) Col-3
Column)
Column5
Co/umn6
Column?
Column8
Column9
4110/2019
Nli d Manne ontwto C
Ain
'Fi t - ank
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