57455D - McAteer

ICAMA / = DREDGE & FILL /\
3'E N E RAL PERMIT Previous permit #
]New -]Modification LIComplete Reissue ElPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources l�
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ►`f r/ es �,
Rules attached.
y�, r (i y,Eki
Mile Project Location: County � `
La t Street Address/ State Road/ Lot #(s))
71L (`IyL State ZIP `{ Z ' S / r-�'� / ✓�,2
t (35Z) 7 -SZCr Fax # ( )Subdivisiion
�Jted Agent 1�---'` - _.._ City V- TO IP 1:7Vli
❑ CW [; ,EW PM'TA ❑ ES ❑ PTS
❑ oEA ❑ HHF /❑ 1_H ❑ UBA ❑ N/A
❑ PWS: ❑FC:
no PNA es no Crit.Hab. yes
f Project/ Activity
Phone # River Basin
Adj. Wtr. Body -15T u PsVC/Aj
Closest Maj. Wtr. Body 15-1-,/ M l'
xk) length-n(s) - - ----
a
i
pier(s)
ength
ember
ad/ Riprap length_
ig distance offshore_
iax distance offshore
:hannel
Bulldozing
ine Length i UC-
igs:
:)rium
—71
(Scale:
r Attached:
ding permit may be required by:
❑ See note on back regarding River Basin/

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4A aL" V*A-
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIER/MOORING PXLIIVGSBOATLIFTBOATHOIISE)
I hereby certify that I own property adjacent to ;-- "' a e/�AAntZA LA-f �0
(Name of Property Owner)
property located at � �" 3 �� ^ ✓�/���i
(Lot, Block, Road, etc.)
on A4 A Jin / o �s�, �, /J G� . , N.C.
aterbbody) (Town and/or County)
Applicant's phone #: 7 / 0 -' 41 -y 48S- Mailing Address: �30 5,e-d. / Sr A✓
(C e l i) 3 0 - `fax177-A L 41921 ✓c-rT - S�
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 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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
--------------------------------------------------------
(Riparian Property Owner Information)
Signature
_ /7/� . - r-/
i _ T1 / ice_

JA aLwV*A-
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
eFOR A PIERIMOORING.PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to v%c Ma" s
(NaMe of Property Owner} 7oPS
property located at 7 S ���
(Lot, Block, Road, etc.)
J , %i:. .
aterbody) (Town and/or County)
Applicant's. phone,. 9 /b - S-¢/ -U`#SMailing Address:/'y S' `'Jl s~ Al'
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 thata Pier/mooring pilings / boatlift I boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
----------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be idled in by individual proposing development)
(Information for Property Owner Applying (RiDariln,Propel7er Information)
for Permit)
i tore
Mailing Address Per M �? {yam, ,�

Me- �7��e
pplicant. ' ) v l i
ate: — Z6
Permit #: ''-�- 7
!scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
TOTAL Sq. Ft.
(Applied for.
bitat Name DISTURB TYPE Disturbance total
Choose One includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet FINAL Feet
(Applied for. (Anticipated final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts) amount)
% Dredge ❑ Fill ❑ Both ❑ Other A
120
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 ❑

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