69019D - Dowdy

NC Division of Coastal Mgt. Habitat Impact Com
Applicant: f to
Date: 3/ Q /( 7
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
E)
anticipated
restoration
any anticipated
re,
restoration or
and/or temp
restoration or
tei
temp impacts)
impact amount
temp impacts
an
Dredge ❑ Fill ❑ Both ❑ Other
'
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

Comments
Carolina
Bluewater
3/14/2017 Construction Inc
Matthew & Krisin
Dowdy BB&T 17263 $200.00 GP 69019D BS

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: I Y1 �
Mailing Address: lit moo Ye- sv -•
Q Q rt i S
Phone Number: q. I b 51 L7-j -72-7-3
Email Address:
i certify that I have authorized Pjay))Voa--b-� A?A
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: UA)3 �TSl C nM-4'1 cJ
kbmYe' 5 -4o a7'4 t.\" ACaL_
at my property located at
in-E)k�ISM&County.
I 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 Informabon:
Signature
fi cu)d ji
nPri`ntt or Type !Name
Title
A t 1 I d

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 0 WJ(i 's
(Name of Property Owner)
property located at � � � 1;�(Q
(Lot, Block, Road, etc.)
on �� , in U k (;� l , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
M6T I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information)
6q 3q -q 6ath & ' til
(Riparian Property Owner Information)
-YlWV1 * . "Ob(W

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILIIVGSBOATLIFTBOATHO USE)
I hereby certify that I own property adjacent to fflp,4 Dd f (� is
� y� (Name of Property Owner)
property located at l.� Mow (o ICY Q!�4'
on
(Lot, Block, Road, etc.) g
���� � , L
in U h
i:� �I �� � , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boathfUboathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
((C 4-CO)
(Applicant Information)
(Rip�operty er Info ation)

CA RO L 1 NA B LU E WATE R CO N STRVC77ON
Custom Beach, Mainland, and Golf Course Homes
Complete Design / Engineering / Building
6934-9 Beach Dr. 5W, Ocean Isle Beach, North Carolina 28469 [phone] J
RE
Parcel #: 244ON035
Owner Larry & Mary Gay
8 Moore St
Ocean Isle Beach, NC 28469
LOT 35
18x 8'
Alum. Floating
Dock w/ 10' Piles
€ o
CANAL 3 0
m N
a
ul
n
50.00' E
m
� I
'v I
HEADWALL
FM Clan I
SbEon
LOT 34
5,750 SO. FT.
0
0
r
Parcel #: 244ON033
Owner. Lee & Diane Barham
1113 Golgo Rd
Oriental, NC 28571
LOT 33