67290D - Huntley

CAMA / ❑ DREDGE & FILL �L1 '. ,64 67299
iENERAL PERMIT I ��Previous :� �
permit #
flew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
Eed by the State of North Carolina, Department of Environment and Natural Resources
>astal Resources Commission in an area of environmental concern pursuant to I SA NCAC i
❑ Rulesy a!� hed.
Name Y A- i Project Location: County d 1 L I •i '_-'
l% 1( Street Address/ State Road/ Lot # s
I ,
C State ZIP
-Mai Subdivision
d Agent City l ZIP �
❑ CWA�� XPTA ElES ElPTS Phone# ( ) River Basin
❑ OEA ElHHF ❑IH ❑ UBA ❑ N/A
Adj. Wtr. Bod C ' a m
❑7!7�es PNA yes no Closest Maj. Wtr. Body
Rroject/ Activity _
iIA�7.
c) length
form(s) X
latform(s) ` X
i
,th
ber
Riprap length
listance offshore
distance offsh7
nnel
c yards '
Idozing
Length r-'
not sure yes no
im: n/a yes
yes
tached: yes . no, -- —
g permit may be required by:
oval Planning Jurisdiction)
i
A 17 (1_D
11 jZ
(Scale: (am _ Q
Y ❑ See note on back regarding River Basin rul

NC Division of Coastal Mgt. Habitat Impact Com
�v\
Applicant 11n,U
Date:
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FI
(Applied for.
(Anticipated final
(Applied for.
(A
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
di;
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex
anticipated
restoration
any anticipated
re:
restoration or
and/or temp
restoration or
ter
ternimpacts)
impact amount
temp im acts)
an
CMDredge
❑ Fill ❑ Both ❑ Other
C77�
5GI`�
rv�)
Dredge ❑ Fill ❑ Both ❑ Other
( I
Lf �,L)
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 0 Both ❑ Other ❑

?nt Proccessing Confirmation
eceived 10/21/2016
=rom (Name) Justin Huntley
A Permit Holder Justin Huntley
MM
Number 2163
amount $200.00
e Permits No
Ainor
Number/Comments GP 67290D
t or Refund/Reallocated TM/2857D

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Justin Huntley is
(Name of Property Owner)
property. located at Lots 11, 12 and 13 Block 93-Y Long Beach on West Pelica
(Address, Lot, Block, Road, etc.)
on Montgomery Slough _,in Oak Islanc N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown glow, the development proposed at the above
location,
I have no objection tafhis proposal.
i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing develom_ trust rill in description below or attach a site drawing)
Drawings were provided -
No part of the proposed structures will encroach into the 15'
Riparian Corridor
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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Dana Lutheran for Justin Huntley
Print or Type Name
C�"i7 C; C 0n2"Frrr-- P(I glIi {"P_
(A ' c#nt Property Owner I tR n)
Signature'
Print or Type Name
<-Rmn?asr ��..

lete items I, :2; and 3. Also complete
■ Comp is desired.
item 4 if Restricted Delivery
� Pr;.,t ,...,,. __-- I�IIIII IIIIIIIIII IIIII'II
_ II��I��I�IIIIII_I�IIII
1. Article Addressed to:
al-a-�a���y
A. Si nature ❑ Agent
x o � �' ❑ Addressee
Printed Name) C. Date of Delivery
B. Received by
address different from item 19 ❑ Yes
D. Is delivery ❑ No
vVtYES, enter delivery address below
4GTON, NC 31b
3, Service Type Express MailV
[I Certified Mail Exp
❑ Registered ❑ Return Receipt for Merchandis
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery?
Extra Fee) ❑ Yes
2. Article Number 7011 1570 0001 5643 7763 102595-02-M1
(Transfer from service label) Domestic Return Receipt
PS Form 3811,
February 2004

Lot 12 West Pelican Dock Plan
Justin Huntley
T Centerline of Montgomery Slough
Width of the Waterbody
- - - - - - - - - - - - - - - - - - - T - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NTOUR
11.6'
PROPOSED
PROPOSED BOAT LIFT
15' X 8' WITH STOPS
FLOATING
PLATFORM
16' CONTOUR
HUNTLEY JUSTIN AND
CUMMINGS MATTHEW SHEA
HUNTLEY JUSTIN AND
CUMMINGS MATTHEW SHEA
Cd
ROPOSED" I :: I -CONTOUR
BO
Property Line Property Line
RCP ED
aIn, X Shoreline = 50'
�� F'IKEDD CK 50'x8'=400SF

Lot 12 West Pelican Dock Plan
Property
TOUR
ine
50'
400 SF