76456D - Park

iCAMA / ❑ DREDGE & FILL :.
'ENERAL PERMIT
lNew ::]Modification ❑Complete Reissue El Partial Reissue
N° 76456 A B
Previous permit #
Date previous permit issued
rized by the State of North Carolina, Department of Environmental Quality
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J'4 N . 1 JJ
Rules attached.
t Name 1)-O bev A PG Y Y-
3�' 4 Scow may-ks ram-
xJV 1Naw\ StateN(, ZIP
`(M) 1610 E-Mail
:ed Ageyy ell - v v►�
❑ CW [!�EW I)(PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
yes / no PNA yes / no
f Project/ Activity CT G L
Project Location: County PC%&k v
Street Address/ State Road/ Lot #(s) Ifi�I A4 V(_( �
Subdivision
city zip 3�"Ly
Phone # ( ) 1 River Basin i 'A e
Adj. Wtr. Body Coo 1 (nat /i
Closest Maj. Wtr. Body(AA SDI)nd
i AAAJ 'tW J" C 0 e_ "Cx� 1+-{ i (Scale:
,ck) length
atform(s) iJ r l0
Platform(s) j
�ngth
amber
id/ Riprap li
g distance
ax distance
hannel
ibic yards_
mp
us Boatli (S I ��
not sure yes
rium: n/a yes
yesa-
Attached: yes no
ling permit may be required by:
I nral Plannino lurisdirtinn)
❑ See note on back regarding River Basln

Boat Lift Information Sheet
• House address: 179 Atkinson Road
• Name: Bobby Park
• Cell phone: [phone]
• 2 piling Elevator Boat Lift: 6,000 pound TideTamer
• Support cables to prevent outward pulling on the dock
• Wet boat weight with engine = 4,700 pounds
• 6' x 6' Fixed lower platform dock with steps to current dock
• Electrician referral for power to the dock
• Plumber referral to get water to the dock

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ode T - - Pav- I
(Name of Property Owner)
property located at _ �t �-�G �r SO ✓N k ou of
ff (Address, Lot, Block, Road, etc.)
on in C.e C;.}-y N.C.
(Waterbody) (City/Town and/ r County)
The applicant has described to me, as shown below, the development proposed at the above
to orb
1 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)
Ise-e< amac.C-.) me
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me.,(f you wish to waive 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
t2ober-4
Print or Type Name 3"' 7� q.4 . �- e
.wf MA-V r "b J
( 0jar,ent Property Ow er Information)
\(���� Si
Print na ure*
� Orr
Print or Type Name
i�11, A i i - 10

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -Rob e.e-t -Pay' L s
Name of Property Owner)
property located at 1-79 Afk1nsorA 4.
(Address, Lot, Block, Road, etc.)
on oQSGl_l SQkVA. in SL.r-.� C;+y N.C.
(Waterbody) (City/To nw and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loci t n.
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)
See- a:+k-aC. --"'eyc 5
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si nature
106e.r-t -Pa"-
Print or Type Name
?d ?/I C"_ - i AA.. ,b ✓3 J
(Adja ent Property Owner InformaYen)
/ �;`
Sfgtrre"* �
z L
Pr'
n i or Tyme A ��

�-- U-, (35� i , -vsci o j, 04

Name or Permit Holder
YYnaw
Chuck kkwnbw
CMck
amount
Pwmif Number/C—ft
RecaiPf w Ralund/Raall—c d
11117
Column) _ Cokwuf6
Fear Marine FCB
Sean Winders Truliant
Robert Park Coastal Bank and Trust
Robert and John Martin Coastal Bank and Tnist
COkwM!
Cduwn7
Column8 _
COL4-
xvleea LLC
3313
$ 200.00
GP #71872D
GP *74819D
GP i76456D
IGP #76453D
Tmac rot. 10996
JD rcL 10846
JD rct. 10782 _
I JD rot. 10781
5548
$ 400.00
mstruction
3324
S 200.DD
insbuction
1 33231
$ 200.00