68545D - Brady

'1�9CAMA / i.1 DREDGE & FILL ��1� � S� �5"�� A B C
GENERAL PERMIT Previous permit #
L1New Modification -Complete Reissue []Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
(� ❑ Rules attached
Applicant Name n r e. IJ r R Vv Project Location: County
Address Street Address/ State Road/ Lot #(s)
City t qk State N � ZIPX % �-- 1 1 �
Phone # (I I 7-7 c1- (11' ! E-Mail Subdivision �}
Authorized Agent D 1, D IM D� d Citydl ZIP 9"1—17 V
Affected El EW 1�PTA ❑ ES ❑ PTS I' Phone (� �) Q 0_ II R Z River Basin �V�iN)
AEC(s): ❑ OEA ❑ HHF (❑ IH ElUBA ElN/A Adj. Wtr. Body / T { wW (l�at1/man /unkn)
❑ PWS: ' /
ORW: yes / ,no) PNA yes / Closest Maj. Wtr. Body — I
Type of Project/ Activity NA
1 • �'
'2
Fixed Platform(s) Z VIV
neer�a�■i■ w■®■■■■■■G■■■1■■■■■rw
Floating Platform(s) / r MENM_Fi1PAP1FM[VArWJE="ZWW1PP.W ■t1CUNISI.?�'EiTURI■number
t •
■■®i l■■■■■■■■®■��■■■■�:::ii��i■cii'n ice■
BulkheaO/ Riprap length 'Pin
max distance offsNore_
Basin, channel,
■■■■■■■■■■■■■II■■■■■■■■■■■■
cubic
Boat ramp
Boathouse/
Beach B zing
�iiY��IMs■�Ilh��1���i�N F! �ii����l����i/
Other
SL"exal
Shore ,�a;T:T'r7^/+,T_r +i�� �i"Y_. �li�+lY,=•�, _ A 1^�■■■■■■
- i r1A,,i1�!;.��IIL�':�r:�r::r,r�1��111��l..A��•�;.;%�>�■■■■
.'.a_ 1r.4ililNar t cilil11 liiii.%Bali I+„�:���:w�
SAV: not sure yes
N Ism
Ismasom
L�
1�6
Agent or Applicant Printed
❑ See note on back regarding River Basin rules.
o F6 ' (I
Printed Navnef
�ighature Please read compliance statement on back of permit Signatures
31'a 00 7557, 0 D /261-1 01a L1Oi r
Application Fee(s) Check # Issuing D e Ex ration D to

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:4 — � �� � '4'
Mailing Address: 7 2cl, �liy1S0��`C/lJ
6--,sr� ,-/ /)(— ZV Yol9
Phone Number: %�0 Z 7 0// J l//g ?
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: fA or G,
s''/C 1�
at my property located at 7�,2 9 AI�7�Z` 2 S/ir�lr(ili�
in ,, 5,, , r,_ % _ County.
1 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.
Property Owner Information:
Signature
Print or Type Naine
Title
/0 / '? l / ,-)
Date
This certification is valid through I I

■ Complete items,1, 2, and 3. A. Sig ure
■ Print your name and address on the reverse X //�ent
so that we can return the card to you.
`E ❑ Addressee
■ Attach this card to the back of the mailpiece, B. Received by (iinte Name i C. Date f Deli ery
or on the front if space permits. (JtC(Ne i(J �i�U lA d
1. Article Addressed to: D. Is delivery address different from "aLl? 11 Yes
If YES, enter delivery addTsm'1*644 No
3. Service
I III' III II I II I I I I IIII I I I III II I I Type
Rgy Mail Express®
❑ Adult Signature Registered MaiIM
❑ Adult Signature Restricted Delivery ❑ Reglstered Mail Restricted
❑ Certified Mail® Delivery
9590 9402 2597 6336 4829 02 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for
❑ Collect on Delivery Merchandise
2. Article Number (Transfer from sP.rvirrA fnhon ElCollect on Delivery Restricted Delivery 13 Signature Confirmation-
0 Insured Mail [I Signature Confirmation
016 p 910 0002 1226 2249
El Insured Mail Restricted Delivery Restricted Delivery
(over $500)
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to CO P67 e UJ 1 GZCf' 's
J Name of Property O ner)
orooerty located at �/ T of 9 �/ hT' l j (,(mot .- t/l ? -tf/7'0
(Address, Lot, Block, Road, etc.)
on / /Zyy w in ,�>� i�tnSrNtc �' ��, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signat,�ul1'e
�j� ffl7:0'
Print or Type Name
/77�
Mailing Address
City/State/Zip 4J,-
Telephone Number/email address
Date
(Adja
N
Print Type Nam
0.y t t� Mailing Ad Iress AID"/
y 7 i" n-2 hf/zc, City/State/Zip d
220
Tel hone Number/email address
-z0 17
Date*
(Revised Aug. 2014)
'Valid for one calendar year after signature*

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Veto
Daft RwolvW
Daft DgMNW
Check From (Namal
Name orParmk Holder
Vendor
Cheek Number
Cheek amount
Pamnk NumMACommontr
Raealpt orRdund7RwYoalW
10/6/2017
Grice Construction
Nathan Brown BB&T
George Brady CresCom Bank
11558
$200.00
GP 68544D
SF rct. 5044D
10/6/2017
Maritime Coastal Construction LLC
2552
$200.00
GP 68545D
SF rct. 5045D
10/6/2017
I.P. Norton
James Faircloth & Ira Norton_ BofA
8648
$200.00
GP 68522D
SF rct. 5047D
10/6/2017
Backwater Marine Construction
Robin Craver BUT
3064
$200.00
GP 68543D
SF rct. 5043D
10/6/201
1 Cape Charters LLC
IS. Gay Adair BofA
1078
$200.00
1 GP 68521D
SF rct. 5046D