66564D - Seagraves

I CAMA / ❑ DREDGE & FILL V / I I �� A B
.. l
.GENERAL PERMIT ` Previous permit#
Alew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
wized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
,1 -, Q El Rules attached.
it Name 5� ��e� i�C�� al k(C, rp,, LPL Project Location: County �, VwN-
Y1.SiL
E � 6\( S S S �p i" V Street Address/ State Road/ Lot #(s)
A SO, Yl � State Q_ ZIP
"'(20 E-Mail Subdivision
zed Agent w 1 ` (Z; (1� o�� S Q,n CiZIP "OLI
^-r 1
l ❑ CW L�EW f' PTA El ElPTS /Phone1 (� \ U ) ' lG ~��3 River Basin L
❑ OEA /❑ HHF ❑ IH ❑ USA ❑ WA
Adj. Wtr. Body C Q V^O' (nat �
❑ PWS:
yes PNA yes / Closest Maj. Wtr. Body /I w W
f Project/ Activity _
xcO lenvth -
(Scale: 1
ing permit may be required by: -Tpt, o (4'ra l k
Local Planning Jurisdiction) 'I I _ I
I
❑ See note on back regarding River Basin i

NC Division of Coastal Mgt. Habitat Impact Com
Applicant: 5COL vvc' S
Date: c) 5 A)5 �_ o I G
Describe below the ABITAT 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
FII
(Applied for.
(Anticipated final
(Applied for.
(Ai
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex
anticipated
restoration
any anticipated
re:
restoration or
and/or temp
restoration or
ter
temp impacts)
impact amount)
ternimpacts
arr
OWA
Dredge ❑ Fill ❑ Both ❑ Other
U I
S
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue .lames H. Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 11--19 —15
Name of Property Ovmer Applying for Permit Name
ll of tAuthorized Agent for this project:
Owner's Mailing Address: Agents Mailing Address:
My. I)easamtl 6G dg �
Phone Number �f Yl,�G�'% Zpi Phone Number M IO) Z&J - O 335
I certify 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 (act►vity):
(my property located) at 11)'i MOxwnOY. 41%kalnC�
This certification is valid thru (date)
Property Owl;er Signature Date

i �1i il�I �� �t • t. 3L
:het / ' sz���• i -we
• $ mod, etj.)
•�Fp�cax��s �rho�i� � �/ /` � � - 335� � .A.c��ir�-�_ � S i -�-
© r �-
i' bw
�ed to me,, as sboovm belDw, the dev�opmtnt be is pz°pD at izavt no obj onions tp bS P� I uude'sta d that a pi&MOo ' o
Z=stbe sdbatk a mum, ice o£fi�te n #eet phags I boatIM f boathou�
waived,�y me. '(rfym � fo waive tb,e spa �� .t � `� ` �m� m,
Wow,) �o mzzstinafia t to ap iate blouk
DESCRIPTIoN
Waive
AND/OR MAVUT?,TC4'rb'4 E }
Pla be gin byLo
indlvirtreaI Prapasbz�� o � rl�i';
S
M-uOr tatiou for proptrty pvvh
for Petit or Applymg (Ripxdux proparip
Ownar S aforxoaton)
C
St�-g
r--
T�
0w--f- - r - - - I

property located at-. U �.
(Lot, Block, Road, etc.)
(Waterbody)
Mailing Address:__.() Si,��•AA_((/Lt�^�LL�'jL}� j5'�0
He has described to rne, as shows, below, the developtnmt he is proposing at that locatson, and, I
have no objections to his proposal. I understand that a picemooring pilings / boato / boathouse
must be set back a minimum distance off&een feet (15) from my area of riparian waived by me. (If you wish to waive the setback, you must initial the appropriate riate blank
ess
below.) PP
in
N.C.
(Town and/or County)
Applicant's phone # Qi 6,3 33.5
— I d_ o not wish to wttive
—_t - T do wish to waive that setback requirement:
DESCR'PT'ON .AND/OR DRANV WG OF PROPOSED DEVELOPIYIENT..
(T* be f lled in by individual proposing devedopment)
Co 11's p�
S1, S
J
' fy
(Information for Property Owner Applying (Riparian Property Owner Intarttiatiot<}
for Permit)
Mailing Address
CrtylSta/Zi
►__,3.___
Telephone Numbest
Signature ��c�^• �5�.�.�' Date
Sign-7oq- ature
Print or TName
y e
Telephone Nwut}cr
t?lCve• _.)KuS Q�

property located at
(Lot, :Block; .Road, etc.)
t.J� ._..
(Waterbody) (Town and/or GQttnty)_.___ .
APPl awVsphoneMaftgAddrrss: p!' ( Sa,5 t► -
He has described to inc, as shown below, ttic cievolopst ent he u, propasLng fit that loesition, and, t
have no objections to his proposal. I urdersland that a pierlworing pilings i boatiili 1 b0&th�xaie
amt he ,set back a minimum distance offiftecn feet (151 fir)tn my arts 5friparian access urdess
Wai`ve(i by r rM. (Ifyou wish to w;ai-ve the Setback, You ruast rnitiai the apprRpriate bl:mk
below,) ,
I do p9t wish to waive
! do wish to waive that setback requirement
)DESGRMIt?N AND/OR DRAY-WG OF PROPOSED D EI,OPMENT: _
(To befitled in by indhidual Proposing development)
I ,
If � t✓, �; �y
�FR
--
Mailing Address
-
Tdep one i`4 umber
Signature Date
Print or Ty e Name
Tciephone Nualkier
2,9 J l .. .. ....�
ft�

I
(46AMA DREDGE & FILL N? 66564
GENERAL PERMIT A B
1�4 ew 7Modificati
"I"' -71 on Previous permit # —Complete Reissue Partial Reissue Date previous permit issued
th rrzed by the State of North Carolina, Department of Env,ronment and Natural Resources
Coastal Resources Commission in an;
n areaof environmental concern pursuant to 15A NCAC
:ant Name _%_M.%*S A%;"w Rules Atiactod,
4A\ Lk— Project Location: County
6%m a�. N Street Addressi State Road! Lot #(s)
State VL Zlp� . .. . . ......
�
# -711 - "-0_0 E-Mail Subdivision
rized Agent 0 C1
OCW )(FW P�TA DIES cm zlp_�)"
ed Phone 9
DOM OHW ZlH 0 USA 0 MIA ) River Basin—L&W6
0 FWS: Adi, VVtr. Body __(nat
Yes I PNA ye., Closest Mai. Wtr. Body . .....
Of Project! Activity b OSY;7v �C� �N
dock)
's V ;Ot�nlL
'pier(s)
lengd�
n d stanc offshore_
rax e Offsh6"
Bulldozing
'Calv"'Al
­1 1 1 L7\, k
Y. r
)MUfn ni'a Y'*5
Yes
Ached
ling Per-n may be required by.
Local Planning Jurisdiction)
Special Cciridi
(Scale: I r -=- '� (
See rime on back regarding River Basin rules,
t

I I
�P DECK Existing
,2'-c•x6V Deck
V'AREA --�Rapalrlan Line
sq it
DE( K
I 1 b'-0" x 10'-0"
Proposed
?,pprox 4ft 5eperation
EEqual Distance
I
IProposed Boat Lift
I II I
II DECK
i' x 10'-0" II
101 Marlin
I II
UP DECK II
lExisting
'" Proposed Boat Lift L1121,
structures
rty Line Extension
10q Marlin