76425D - Stitt

XAMA / ❑ DREDGE & FILL N9 76425 A B
ENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina, Department of Environmental Quality 'TH v r�O
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / �j
n G� ❑Rules attached.
t Name J�[� rG71 li Project Location: County N l.'l B aY yet JJ
3lA 1L%r,ot S (n{, nAr D f % VQ, Street Address/ State Road/ Lot #(s) a-1 j F I oc I O(
f� 1'\ Stated ZIP
(► a J q-7) -�31SBE-Mail ``rSAI� rr--ff C.0'm Subdivision n
edAgent J irNNs( NocW) City C0-,c IV\ Cj('.�,1•• ZIP O'1$ �
❑ CW )EW '>tTA ❑ ES ❑ PTS Phone # ( River Basin h
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Q ASr
ElPWS: Adj. Wtr. Body _ C r6\,h0. IJC "Ya�� (nat n
yes /0 PNA yes /10 Closest Maj. Wtr. Body_ Z)_
Project/ Activity
=k) length S ' '% (Db,
rtform(s)
Platform(s)
Or's),::/_
igth
nber
I/ Riprap length
distance offshore
x distance offshor
cannel
)ic yards
rp
W Boatlift
Length t 1s I
not sure yes 7"O
wn: nra /a yes no .- r
i...... _.. ....
Y.
no .
F r __ _
attached: yes no Q (
c i,
rg permit may be required by: �ac n OW r �b (�
_ocal Planning jurisdiction) r, 2 1
(Scale: j a

(AA13038
<It

ADJACENT RIPARIAN PROPERTY OWNER STATE
I hereby certify that I own property adjacent to 'I ` +Jla✓o) s
(Na7 of Property Owner)
property located at.; 1 �� c� a� _ - • _
' Ad Jre9% Lot, goad, etc.) . /
on �a��y , N�=T I.J4e,C, �._ ps, A; in.. �L'� �i�a I�c10c_L. , N.C.
(Waberbody) (City/Tam ancUor County)
The applicant has described to �me, as shown below, the development proposed at the above locatii
I have no "objection to this proposal.
a_;v I have objections to this proposal.
DESCRIPTION ANDiOR DRAWING OF PROPOSED DEVELOPMENT
Ondividuai Proposing development must Hil in description below or attach a site darting
RECEIVED
JUN 12 2020
DCM` ILMINGTON,
WAIVER SECTION
I understand that a pier, dodo, mooring pilings, breakwater, boathouse, lift, or groin must be set b
minimum distance of 15 from my area of riparian access unless waived by me. (If you wish to i
e s5back, 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 Owner information) fAAQaqent Information) . .
`1--A . - - 1--�TZ27
-
Si e sig► �✓
Print or T Name _ _ I // ►/'yylJ{,/t or T % t %�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to --2) C-4'- ,t 12"r t ic"loi S y' s
Aq /, (Name of Property Owner)
d' property located at ���✓ i DL f4 c
(Address, Lot, Bloch, Road, etc.)
on C&,(r It C 0,C-- �c� s;.� _,in_���„l,',.� l Srac�_: N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
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)
(S C 4 co
RErEIVED
ONf NC
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse. lift, or groin must be set back
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to wai,
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 Owner Information)
Signature
Print or Ty e lya ne
/LQty; llc � e
(Adjacent Property Owner Information)
._.44��(6�
Signpture
LAC, t{ A M A"��—
Print or Type Name
��I� C'imy

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: V
Mailing Address:
Phone Number:
Email Address: V
I certify that I have authorized
Agent f Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development I,,- �lJ /'^ " � c-,x L Q f N.J. =)
at my property located at
in kLr_,_>-_oe - County.
/ furthermore certify that / 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 Information:
Signature
Print or Type Name
RECEIVED
J,'N 12 2020
Title

m tMemo
Name of PwmR Hbldar
Vandor
Cheek Number
Cheek
anptmt
Pvmit Numbv/Com~cs
RecolpforRefundOReallocated
"M
Column4
COlumnb
Cokm O
Cok/mn7
Column➢
Column➢
Ronnie and d Sharon Matthews
t Moore same
BBBT
Starts Emplo ees CU
91
$ 400.00
GP $76430D _ _
GP *76212D
Ben rct. 10283.
PA rct. 10766
94
S 000.00
Will Thornton _
same
Bulkheads LLC Guy_Cam_ pbell
Bulkheads LLC Richard tiff
Branch Bankingand Trust41
SunTrust
$ 200.00
_
GP #75844D
PA rct. 10772
PA rct. 10768
PA rot. 10771
PArct.10770
68
01
L234
$ 200.00
S 200.00
GP t76163D
GP #75843D
_
Wells Fargo
Wells Fa o
00
200.00
GPf76425D