63265D - Davenport

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''CAMA / --'DREDGE & FILL
2r 0
'ENERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial Reissue
•ized 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
:Name r� V !_ .DA A�R-
Ai4 1 e�.lhr a/' State QC ZIP
..r.r C�N\A i I L.d-1
ed Agent J
❑ CW EAW 0 PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Previous permit #
Date previous permit issued
B' ules attached.
Project Location: County 6k vk N.1`.W1 C(4-
Street Address/ State Road/ Lot #(s)
�c,C;14 W. art -)R ,
Subdivision —
City D/hz I-+ 'fin ZIP
Phone # ( ) River Basin Lom i
Adi. Wtr. Body EA ! ��-(ZN (1-V% /r
❑ PWS: ❑ FC:
yes / n \ PNA yes /S Crit.Hab. yes / no Closest Maj. Wtr. Body !�� ��/`-�
Project/ Activity jj?_ i. /'<Te 1�i`�� 5 �.):. 1 ��`� 1 (� 'C.t.C_ .`y tl�L fK E �-? Ate F
to
:k) length Ux) 51-% h(Scale:
3 i., L
(s) L-; 1A
--
igth
fiber
/ Riprap length
distance offshore
c distance offshore
innel -'
is yards
P -
e/ Boatlift
Ildozing
Length
not sure yes t_.9"
not sure yes!;
im: n/a yes
yes
xached: h'Q no
g permit may be required by: OA e �S L AN-,() ❑ See note on back regarding River Basin ru
g permit may be required by: OA e �S L AN-,() ❑ See note on back regarding River Basin ru

Date Received Check From (Name)
5/5/2014 McKim and Creed
5/6/2014 John D. & Pamela A. DeBell, Jr
5/6/2014 j Catherine Kelly
5/7/2014 Grice Construction
5/8/2014 F and S Marine Contractors Inc
5/8/2014 Auaustus Paul Davenport
Name of Permit Holder
lair Booth
Williams
Check Number
175924
7771
10649
6909
3732
-- 171
Check amount I Permit Number/C
$100.00 Transfer 76-97
$100.00 Minor mod. 114-13
$497.00 NOV # 14-04D
$200.00 GP fee for 1211 canal Di
$250.00 MP appl. 7401 Masonbo
$200.00

C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: PA-,)L �� ���� Permit #: Co 32c,^�
te: !;/A/ 1'+
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp m acts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated finz
disturbance.
Excludes any
restoration and/
temp impact
amount
f\
V
Dredge ❑ Fill ❑ Both ❑ Other
L v
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 ❑
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 ❑

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at () D
Name,.,of Property Owner)
I
(Address, Lot, Block, Road etc.)
on in DB,i[_ �C�cly� , N.C.
(Wat Mod) (City/Town and/or County)
The :7��
has described to me, as shown below, the development proposed at the above locatior
I have no objection to this proposal.
V),
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
T(OVI �x�s- ,n ��� '�.� —���Y� ��d rt-S tlK P>>itlj
5
`--'~' WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bad
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
the
� setback, you must initial the appropriate blank below.)
J , S" I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property l
r Information) (Adjacent Property Owner Information)
Sign ure Signat re

I

J
T
I hereby certify that I own property adjacent to I J6LU I
6JD1q 1 1 L/vJ 'Name� o 4perty Owner)
property located at (
(Address, Lot, Block, R A etc )
on in JSUIJ� , N.C.
ater ody) (City/Town and/or County)
The applic as described to me, as shown below, the development proposed at the above locatior
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
-Tu-m dxK '1y +w\ k4 rC-�i Y\k5-
G X l9 �nR WAIVER SECTION Jr� /jj
un a�apier, dock, mooring pilings, breakwater, boathouse, lift, or groin
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wa
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 w r ormation)
Signa rq'D
(Adjacent Property Owner Information)
Si