69176D - Lowery

tCAMA / DREDGE & FILL
,ENERAL PERMIT -Previouspermt# A B
4New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued_
rized by the State of North Carolina, Department of Environment and Natural Resources
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC .1 ZDU 07 .'
❑ Rules attached.
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❑ PWS:
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Street Address/ State Road/ Lot #(s)
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Phone # (T'`^ ) River Basin l�J
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_ocal Planning Jurisdiction)

5/1/2017
TK Cable
--
Kelly and Thomas Williamson
-- •
BBBT
2725
--.w I yr w i i ou
$200.00 GP 69142D
6/1/2017
B88T Bank Check/Ingram Walters
same _ _
R88T
500. 9388848
$200.00 GP 89165D
6/1/2017
Roger or Letha Pierce
same
BBBT
57121
$200.00 GP 69221D
6/1/2017
Steven T Farmer/TRA COM Services
Harold and Meredith Muse
BBBT
__
- 4-
_908�
$200.00 GP 892230
6/5/2017
Jerry
JeH Lowry
Coastal Bank 8 Trust
832d
$15W.00 GP 691780
_ 6/5/2017
Palm
Palm
Palmetto Marine Construction _ _
Mark Crissey
First Palmetto Savings B_an_ k
34301
$200.00 GP 69230D
&52017
Overbeck Marine ConsWction
John or Tracy Kane
SunTrust _
_ - _ _
--" -
$40.0.00 GP 69229D
&5/2017
The Landing al Snows Cut/Donna Gu anus
9 _.. _ ro..
same
First Bank
_ _4838.
- - -
30088078i
--
$100.00 renewal fee, MP 88-07 NHCo
&5/20171
Larry Rice Constnulion
Mary LaaLeod
_
BBBT
2756
$100.00 minor. 386 Atkinsnn Pt Rd cr

NC Division of Coastal Mgt. Habitat Impact Comi
Applicant: �� ( Lo R) r
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
FII
(Applied for.
(Anticipated final
(Applied for.
(At
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dis
Habitat Name
Choose One
includes any
Excludes any
total includes
Ex
anticipated
restoration
any anticipated
res
restoration or
and/or temp
restoration or
ter
temp impacts)
impact amount)
temp impacts
arr
Z
Dredge [IFill ❑ Both Other El
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit~ ,
Mailing Address: 1 Z�_ ( it J�
�.
Phone Number:
Email Address:
I certify that I have authorizedt�,_�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ! eA.LJ L� z W %
at my property located at ) 2-- �( [
in _�^ S �c County.
I furthermore certify that 1 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 wish evaluating information related to this
permit application.
Properly Owner Information:
Signature 0
int or Type Name
Title

a s� A
I hereby certify that I own property adjacent to - �, .� 's
Name of Prope Owner)
property located at %2 ' 1, .� r--
(#d ress, Lot, Block, Road, etc.)
on in
rbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at
I have no objection to this proposal."
I have objections to this proposal.02
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
,minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wd
the setback, you must initial the appropriate blank below.)
'}
;'Y `CS.yrE- `'XvYrJw
Y K�
I do wish to waive the 15' setback requirement-
waivef `
I do not wish to the 15 setback requirement �M-0�'
(Property Owner information) (Adjacent Property Owner Inform atio)
Prim or T Akme
-
/. �. � � � s�i'�UT-/•�c! %Z -mod '�.

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