68543D - Craver

"11CAMA / i DREDGE & FILL°QSf � A B C
GENERAL PERMIT Previous permit#
,2New -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 Larea of envir nmental concern pursuant to I SA NCAC lJ� N I ao
� ❑Rules attached.
Applicant Name � 1 i/1 , _ i Cl VU Project Location: County 9Y"'VT15 w (K
Address `L� V (h �r u Street Address/ State Road/ Lot #(s) —
City �LGl1 �h 1� State, ZiP 0 I'a i�V' L,GtVY)Y) bVrq S
Phone # `�) ' �� E-Mail Subdivision
Authorized Agent UAW AN �-P 1M S , i�a YVtAYtr � 147i q f} u � o OL
e� ZIPAl
❑ Cw �EW )(PTA Li ES ❑ PTS a Phone ("l�0 ) lN3" LA o 15 River Basin
Affected ❑ OEA ' ❑ HHF ❑ IH ❑ UBA ❑ WA /�'
AEC(s): Adj. Wtr. Body L C VA VS (nat lya ,/unkn)
❑ PWS: .,
ORW: yes / i PNA yes / Closest Maj. Wtr. Body
No
OEMF
NEON
row). =I iiW■i■■i son
■I t1�t�'t1l�allili�■TILL'■1■■�■■■■■■1
■■■loom
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- I,itl■■■�1A■■I■■!■■■■`i,■■■1111■■�11:�■■■■■!�ViiJl�v�!
-/�i�lli4'1�GTGJL'�S�l�'r17■■■■■■■■■E14■■L'11��1�■■■■f�/1.�;■■1
■■■■■■�IL�Wi�ei/.�,!*I!!�L_�1_�■■ � ■ii�■I���lr■■■■[��.'�1v�ii
cub
t yards
Boat ramp
Boathouse/ oatli �.1_ (_�
Beach Bulldozing
Other
Ow
132 5A --
Shoreline Length 50
SAV: not sure yes
Moratorium: n/a yesl��YS/
Photos: yes
Waiver Attached: CIS no
l.�
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Coindith?ns
a�i p
Agent orAppfigpdt Printed Name
Tbw 1n n-� l�Lca+n ��( Qr�t
H ( Q
Signature Please read compliance statement on back of permit
'?Aa,0D o G '
Application Fee(s) V Check #
N
❑ See note on back regarding River Basin rules.
N F6%YY? I I
Permit0 icer's Printed e
Signature
18
Issuing Dat Ex iration to

Da; WCrory
::cver-1or
& Y -3 A
II
Norte Carolina Department of Environment and Natural Resources
N.C. Divlslor: of Coastal Management
John E Skvak
seaelary
AGENT AUTHORIZATION FORM
Date
Name 5
f Property Owner Applying for Permit Narne of Authorized Agent for this project-
Cra U C r
Owner's Mailing Address
Emad
Phorve
Agent's AWMg Address:
5JDDLV /V t 4(QZ
Emao Awe iys �ri 1'r,c 1 C(lr
Phone Lip ---I AU-�---
i �errfy that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for. and obtaining all CAMA Permits necessary to install or construct the following (activity)
00
�r
For • •• • • at• i
This certification is valid 1 year from (date. �—/ / - / 7
�Lo A& Q -12- 11
Property Owner Signature Date
c Ca a -I Dwm EIt WyrnngW, NC ZIAI .
�"h.r. 9 t a. 7s T I i.`� --AA , 1%, 3%4 lNwrwt vrw« n�-raataiman a......_..• -.or

A) � J
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
)
Name of Property Owner: 4 r ✓ -e-,t2.
Address of Property.
(Lot or Street S. Street CVmoao, Lxy 6 County)
Agent's Name b:� `� �,,-S Mailing Address. �G %L
Agent's phone it: 4N 3— �499AO �5.��� /., +� , 2�•r/G
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing.the development
they are proposing. A description or draw ge with dimensions must be provided wah this letter.
I have no objections to this proposal. _ _ I have objections to this proposal.
0 you haw ob%Ctions to what iS b0tng proposed, you MU$t tW#y &* Division or Coaetsaf A911tWOMOM IZ)M
witting wfOhin 10 days of receipt of this notice. ComespOr>denca should be rnaged to 127 Card rW D►lve E%t,
WBmftton, NC, 2840"W. DCGN raPreswtathnrs can also be contacted at (910) 79&7215. No rosponse is
conskWW the same as no objection it you haw bow notf w by Cer~ Nam.
WAIVER SECTION
I understand that a Pier. dock, mooring pilings, breakwater, boalhouse, 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 )
N,I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Own �o�13ti )
Signature
,4 awe L 1 :5:
Pnnl or Type Name
. Z S�
Ua ft Address
Telephone Number
(Adjacent Property Owner Information)
XSigna'lLu�re
:Dic ua �s
Print or Type Name
City�
Telephone Number
Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION(WAIVER FORM
Name of Property Owner: 1Yw: 1� t �,8 b► r t�Jt.�
Address of Propertya'Z
(tot or Street X. Street or Koac, Ury 6 County)
Agent's Name #-. l.�ri� 1�$ /as
Agent's phone #: 3- t ,?Vy
Mailing Address Z l/ -7 , e, .,, L,
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawin_the development
they a 'ng. A descri n or drayAm with dimensions must be Provided with letter.
�(y„i 4 t I have no objections to this proposal. _ _ I have objections to this proposal.
j� N you haw objections to what is b in9 proposed, you must nod y tin DMision of CoesW Humgw»ern Mau in
wddng within 10 days of receipt of this notice. Conwpondenc* should be awfied to 127 Cardinal DMv Ext,
Mbnington, NC, 284054M. DCAd nWresenarthw can also be contacted at [phone]. No response is
conskWW the some as no objecdon it you haw been notified by CorWfied lifer.
WAIVER SECTION
I understand that a Pier, dock, mooring pilings, brewer, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (tf you
wish to wa* a setback. you must initial the appropriate blank below)
it
fNr�k I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Own Jo�r+tati ) Z ( ja It ner In rmatio
�Ll .
Srgnalure tgnulra-e
Print or Type Name Print or Type Name
9t�l) -2 Z
MB ft Address �7 Mailing AAddres�s/ / �J
- z;7V/V.. A)
Coy'`.^ ftzo
o' A/C?98' 'dd 6 �43 'Vzz7
Telephone Number
Telephone Number
nnb Dart

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43
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WIRO
Date Received
Date Deposited
Check FM am
NameorPermkHokler
Vendor
Check Number
Check amount
PetmltNumbedCOtmnents
Receipt or Re/unNReallocated
10/6/2017
10/6/2017,
Grice Construction
Nathan Brown
BB&T
11558
$200.00
GP 68544D SF rct. 5044D
GP 68545D SF rct. 5045D
GP 68522D SF rct. 50471)
GP 68543D SF rct. 5043D
1 GP 68521D SF rct. 5046D
Maritime Coastal Construction LLC
George Brady
CresCom Bank
2552
$200.00
10/6/2017
I.P. Norton
James Faircloth & Ira Norton
BofA
8648
$200.00
10/6/2017
Backwater Marine Construction
Robin Craver
BUT
3064
$200.00
10/6/2017
Cape Charters LLC
IS. Gay Adair
I BofA
1 1078
$200.00