76197D - Tallon

LAMA / ❑ DREDGE & FILL NO. 76197 A B
!ENERAL PERMIT Previous permit#
Jew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environmental Quality
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 Rules attached.
Name M �� W 77r�.+_\.V-N — Project Location: County E/� r S W -, c �c —
�, Se Street Address/ State Road/ Lot #(s)�3
State%`) L ZIP 2 S3` 2 Z
Subdivision
%enjt
e. City ZIP Z
❑ Cw AEW R PTA
❑ OEA ❑ HHF ❑ IH
❑ PWS:
(es / ! PNA yes
Project/ Activity
:k) length `l. q Y ,
►tform(s)
Platform(s)
ngth
mber
d/ Riprap length_
g distance offshore
Ix distance offshon
hannel
bic yards `
Tip
is oatl' 13` 11 ,
3ulldozing
h S
ne Length
not sure yes 0°
❑ES ❑PTS Phone # ( ) `` River Bea- in
11,
❑ UBA ❑ N/A Adj. Wtr. Body���\CA l' tvcO� (nat�n
Closest Maj. Wtr. Body
\\ n
>rium: n/a yes no
yes n
i
Attached: no
ling permit may W required by:
1 —1 Pl—ina hirkr irtion) /1 i 1
u
(Scale: N
❑ See note on back regarding River Basin

AMA / DREDGE A FILL No. 70197
EN E RAL 'PERMIT Previous pe MA # A a c C
I—zed
wwr Modificat•on C „plete Reisutc Partial Reasue Dace pr�emus permit isiuod
As aut by tlw State o' Nor h Carc4rsa, Departri-ent of EnvprDnmental Quality and the ' nastai RHsources Crymi w bn In an area of armconmamal concern ptrsuarK 10 ISA NCAC oo
S I"m o.,had,
Applicant Name q 4 k;V- ; Cwek Tdk\n Pro*t LOCltlon: COUINCI OFV.-s G k,
Address )`1 1 1� ( LwL--,F--L,r! 56 Street AddreWSoft Am* Lot #(s)
PltiOne # ��b ; `� (� �.S4fiE.Ftall i�fr/ e�'�1�•�.X,. td-Subdlvsl0n
Au0,, nnted Agent VkafhLO-4 Dn City r NJAAVVk,-e-, ZIP __
Afiacted . Cw rnfw %PTA B i IPTS Phone #
AEC(sk
t OEA HHi 1 ' IN i tNA I ' WA �0
.:1 tl� Adj. Wtr. 8�ody l (natan I'vtk
OW: yes 1jCZ7 PNA yes Ci A-1 Mii, Wtr. Body P iV'O
Typa of Project! Activity
Pier dock) ienyiit L
(
fmiedPladorru(s) 4 �1
timwhq Pb"')
F.,pr Pint+l\v'
Groin 4%d.
•aa-nar
eukheear %ixap ic,q"
4-4 duance offshore
maK dstance offshore
Basin, cranrur
C'bi yuds
Boa famp
erih HuRCiyrnQ
00*1
r
r
,..01 fz
korcinc Lfrysh 5 r 501
i1 i. not LAI0 yW I
Moracor1;nt rya yVS
Phnoa' Y-
WA.nr Mtached' no
A hu&ling permit nW bd rckured by.
(Norm Logs Pla+nwrg Jurisdl
NoteV Spedal Condltians �i
I
(satlac N IC S
�I? q�Cw
y.
spa '
�[ N944 1W bt-
m! M P
^P�L
'35Uri F+..L�
Ice
—Titlwr� gal
-Mt SKI, k. Q sw
1 See ro o on back r-kwrdiug River Sayn rules.

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AGENT A�i1HORlATlON FFi trAMA PER APpIJGATIL)fJ
Numo of Property Ownei Requesting PermA
AAa.img Andres
�t J. [Vic
Phone Niimaer
Email Wrem: 1 E'=tt�lrrri! s G 1.` ri C_i l'a-v.
I certK)r that l have authorizW [ I l` ],�`f `/W,
A®entt Ccx wia
is act an my behalf, for the fiiirposp of applying for and obtaining al GAMA r*nnits
necessery for the following pronoseo deve opment 1r14�1c• t y Y1 fi r_
at my proptilty lo� ;11 3f7ln_, k►r' t 1 1�=`►,..-1 i?L; ��
in County
t furthermore car* thar ! am authonred ra grant, and do in tact grant pormissian to
Mvis w of Coasta) Marmgwnearit sintf, ,ho focal PerrM Officer and their squMs to orate
on tliir afamnieattaoeied iarads in coruaeckw rviih ovai!uazng info nnabon robted to ttras
permit raprabcaGon
Property Owner Infarese1bw
x,f1r� -
sipraafum
RAW w Typa Narnr
3 1 -77
Dam
This cadMi alm is vold 1hra igh ,�t t,

Af]JACENT�IPARiANPROPERT'r pW?Ii=RSTATEMENT
I rwreby cpraly !not i a *r lsrcpoiZv a3;:na Ict Dy l..3 s+rr' 17!� 1 JG}•`i
(Naaw of Pro er-ty Ownw
pgmrty 1005tea al CIL
IAddresss, Lot, lac k, Road, e1c.1
(Waterbodyp (City.?awn andtor Coumy?
-1'he oxn-"
rl nas dL;*z-086 to sne. gmmr, below 1r?e devolopn:erx proposed ei !his above Irrlr
fir • — i t'wve r a ct4aclron to lhts pt^poteal.
1 have obionons m ium proposal
DESCRIPTION A•NWOR ORAWING OF PROPOSED DEVELOPMENT
#ndhfidUW propo$ing devtlop!nertf must rill in descroVon below of attach a sap dr.ming!
at�U VER SECnGN
I understand tint) a p-er, dou mocrinq 0.1ings, txeakwatel bw1house IM of rtroti mast rA 9ri Pam
minimum distance or I5from my area of ripatan m~vas;s uness r.2+0a try 'rte tit tarts viwi kx, wapet
!aback, +rcu moat initial ti*a afn•aprrt;e lAanc I
r!o wish to wa+;re Ittr 15, setback re :u.ceiren!
I do riot wish to waive ;ne 15' st:Ita CK feegt. amen:
1P►oparlyOW Infarmation
`�
(AdJa tit Property Owner Information)
.�fjrhtfttfl
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r.WS ter2.
iErfilSlrurw NfJmber
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cckm-k-j f,J: Rl.YJl. r

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Name o/ Permit NolCer
Verlde/
CAK'k?*W*W
aNraMf
Penmf NumIw1c mmMlte
p/pMjr/INRNYapbd
iarnJ
ColumM
Cokww
Coheres
C&%~?
ColumM
Oakreara
.Gary Sample/Jonathan Riley
BUT
0583
400.00
GP f76101D
JD rcL iOI96
bon LLC Simon and Adrienne Medley__Wells
Fargo
5491
$ 200.00
GP #74856D
PA rcL 10161
rtly same
South State Bank
2483
i 200.00
GP #76527D
PA ML 10764
Mark and Carol Tallon
dces LLC Debra Eichorn PA Elsie Cumbee
in Jim Jordan _
iices LLC James Minett - _
ruction.Inc Jan Peelle
First Citizens Bank
3155
$ 200.00
GP #76197D
BB fell. 10473
FCB
3158
200.00
GP WM21 D
GPWM17D
Bbrink rcL 10"Il
Bank OfAmerkA
6190
4 200.00
Sbrk* rat 10443
FCB
3158
2ib.00
_
GP#7B408D
BMink rd. 10142