78647A_McCrodden, Case_20200429

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(CAMA 1i DREDGE & FILL
( B C D
GENERAL PERMIT Previous permit #
thew ❑Modification 'Complete Reissue 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 (3otS__L�1e Project Location: County C4MA n,J
Address_W; ,,,i�Ue i4t s. ..... Street Address/ State a
Road/ `Lot #(s)
State N P' ZIP T9 Z 1 .. -- ti u Atxmm'g
Phone # (2,o5Z fo l q - 4111k E-Mail Subdivision WWI
�'
Authorized Agent f.QC*1n S KCCS I Ar, 6 „, 9 L.t_.G. City21 _
CW $EW {PTA DES XPTS Phone # (__) _____ River Basin
Affected j OEA C HHF O IH ❑ UBA C N/A �����
AEC(s}: Adj. Wtr. Body_._
11 PWS: ,-�a nat ! unkn
---
ORW: yes /(no) PNA yes / na n Closest Maj. Wtr. Body Stu
Type of Project/ Activity (,rat.. s-Ety c it a 33Q? ' byjK L3sla V intgti erW Arel aP 1 r f tj
b 0l K h tot O► �> 4 ri M p �y , „� ? 1a Gt Dr Lv a x (Scale: �t
Pier (dock) length �"�—•
Fixed
i
Floating Platform(s)
Finger pier(s)
Groin length r""—"' •,
number
B(drG Riprap lengthil
_
avg distance offshore 2' i^` j`
max distance offshore �' f
Basin, channel
cubic yards._ a , .t;- $dit.a� �`_
Boat ram ry a
Boathouse) Boatfift
fBeach Bulldozing `p _ _
r [
_
p f .ir�gtYr.oc�ca
Ckher w
Shoreline Length
N
SAV: not sure yes
Moratorium: yes no i
no
Photos:
Waiver Attached: Aa;. _ s { L3 rad
R t ,,
A building permit may be required by: Ca MCt e,v a.0 o r. `'c a! ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions ZP
Llxds atf 4-ewi�
Agent o pph Pr"
�w-�-
Signatu — PNa read compliance statement on back of permit N'
Application Fee(s) Check #
Permit �cer s Name
Sign e
Issuing Cate Expsratfon D to

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: ASIC M cC 9-CDU e J
Mailing address:
a(V\T') Et► 1 C arlC,a t
Telephone Number: � — - q S
certify that I have authorized CLA zfH S4AY,ERs M(kpiKeL agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 111� EP LAcG �X tST+►� C-�
�u11x0EIVID 1, 1;0&� Nut
at my property located at 12,o W i r� t>y
This certification is valid through hUC,[A57 Oq�)-'�O (date).
(Property Owner Information)
Signature
_ 01 A.se )_k cCr adcierA
Print or Type Name
Ole (le r
Title, co. owner or trustee for property
Date
��6a_wq- 41rT q
Telephone Number
case iYAec{odd ea �ai�oo, eonr�
Email Address

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to C_ASC M CCP-Q- i)Er� s
;� (Name of Property Owner)
property located at ; �D IN i � DPI I-t C-ICI-) -ES iJ R
(Project Site: Address, Lot, Block, Road, etc.)
on �Of) 0-) --ft?O g10+a K' River in _CAM17)EF,l . Q C-
N.0
(Waterbody)
Agent's Name # �rrt��1(� A-S[41)1i RS �l�l(�ke,
Agent's phone #: A5 a - J 30 - a94 o3 5
(City/Town and/or County)
Mailing Address. �2-iDA,-�D
LA to (b <H K C a t `t 0 �
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
If you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at
[phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
(Property Owner Information)
Signature
_N A.Se NLC Cra c�oi'�ri
Print or Type Name
0 PJ16dLi�h�
M ding Address
f�C 4 r7q
City/State2ip
_15A-C.01q-411g
Telephone Number/Email Address
Date
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
S` ature'
1
-Q-0 Fl POLu 1 P01S S OJA T
Print or Type Name
1' V 1(L k*l0,r-1>�1-Jb(-.
Mailing Address J
CWdef , c, a`Zq,�, l
City/State2ip
i�rre/ephone Number/Email Address
CN
ate

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to CA SE ACC P-o o0W ,s
(Name of Property Owner)
property located at 1 oZ 0 IN ►Noy K E I G ft-T-, -D R .
(Address, Lot,
on Pa�li t�enK (�,vcr , in
(Yllaatt�ekbody)
etc.)
and/or
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
io I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indlvldual propos/ng devebpment must 8ll /n descdlpdon below or attach a sHe drawing)
&PPYO �L 33c)i -� w( k. h-CaA
6 P't Ur� �r, Y -,tire 73owf hou�2
S J:Trr-,rl H C-b
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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 inttlal the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
i - puffy owner imormauon)
Signature
C2
Print or Type Name
420 Or-&)0%11r113N -L)e
Marling Address
014tnbey ,c.K
City/Stat&OP
_ asa 419 -41'7B
Telephone Number/email address
Date
(Atli nt Property Owner Information)
Signature*
Print or Type Name
+gay NoLZT1,.
Mailing Address
City/Stateop
i 2i,11'3,41-+747
Telephone Number / email address
4 i2i/2o k o
Date •
"Valid for one calendar year after signature* (Revised 07/30/14)

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to LASE M cC"DDE.-t4 is
(Name of Property Owner}
property located at 0 l .�r T
(Project Site: Address, Lot, Block, Road, etc.)
on 600,1 uo'iMY, R,yer- , in Acv►nEl.(, j4L
N.C.
(WaterboWig
d�y") C�
Agent's Name#: _ig5fAVIERS MAIQ r -
Agent's phone MA a4a 5
(City/iown and/or County)
MailingAddress: FLOP-iDA"'PD
FLJZA6C N 0,vtV W C D 290 q
it
He/She has described to me as shown below the development he/she is proposing atthat location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT ~�
(Individual proposing development must fill in description below or aftach a site drawing)
/Re'� 10,cc t -6 T) LAAK htod
4pr-ux--
lr you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at
[phone]. No response is considered the same as no objection if you have been notified by
Certified Mail.
(Property Owner Information)
1
�'�vn1 atura '
_t 1t.52. Alc cro d ot2rt
Print or Type Name
-12.0 Ldlad _
M Fling Addre J
= 1•(C a 7� I
CitylState0p
-AM - L(q , 417g
Telephone Number/Email Address
Fate
"Valid for one calendar year after signature'
(Adjacent Property Owner 411orma
i
Signature"
A1(Ce C.--6rad-Le�
Print or Type Name
1 I % W l't1d � V- I -a h 12.
Mailing Address
City/StateMp
�LR— 67e— �Q b
Telephone Number/Email Address
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