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AMA/ REDGE a Flu \‘‘L),,C n077617 A a c o
0.,a PERMIT �S fENEL
ew Modification Complete Reissue Partial Reissue Date previous permit issued
a authorized by the State of North Carolina.Department of Environmental Quality �j y-
nd the Coastal Resources Corn nrss+on in an area of environmental concern pursuant to i SA NCAC /(f ' („J
?Lies attached
,ppltcant Name C A t'1 //0/Arte s Protect Location. County b1"V.P f,{,(,�
iddress 5a, � Street Address/State Road/Lot#(s)
:ity /" state � / I Y Z sZtra _ _.
`hone#t }"'"-' E-Mail _ �'� Subdivision
.uthortzedAgent G(P. opider„ City !rD4441 SQL ..__ _ ZIP 2 g"fe' Z
Cw SIEW XPTA ES PTS Phone # t — River f`LA"bec
kfiected ,�,
CEA HI* USA
4ECfs) Ad! Wtr.Body �4'./1a 1 .._._,. !tat!tat ,,,g
PW$�
DRw yes �/io J PNA yes : Closest Mat.vita Booty � W_.`'.. .
Type of Prom Activitygti ace. Ex..,
(Scale: r�9-0\
pier.dock,length
Fixed i htdor 's
Floating PlatforrH __
0
Forger pveris; N\sl
Gran kn 6;
P\L
1011.Riprap length Sa
avg d,sunce offshore C
max distance offshore p
Bass channel
cubic,:pe.
Boat-amp ._ -------
Boathouse,' dt 1
�Sl`' .*r� ._ _._. ,d1
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Beach Bultdnr f*Q� -+. 1(}
Other ' t -
o X Zo ,0', �AS TIsi. w ET1. NUS ; �1,A4-v �5 7
tam �`��
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Shoreore Lend n t p_
$AN not sure yes SC"Q�t� �If. �p1twZS,,,, ,,,4„, ,/ avP/ -_._-- �^'�uC�
Morator urn ,va s
Photos fes
Warier Attached yes C�•3„f4-r ieN _ .. ._ ()r` - ._._.. -t�(�-y, V r,
A building permit may be regwred'by"�s tic/i i( t�QG� \/ See note on back regarding River Basin rules,
Note Local Ptannung Jun `
Notes!Special Conditions 1 r ui ( 7 DCQ' 4 T U i f On
!v r; C,11;,,r a cc rAacica I 44 avvi S . QrD LIE e_ p x i c4,'N a ,in.1/1,1 kit.
!CAMA/ DREDGE & FILL U -I fin, No. 77617
3ENERAL PERMIT �Sa\ 0. A B
Previous permit#
!New -Modification Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environmental Quality �� ZOO:oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC
❑Rules attached.
t Name C a( I I/01 Mt.s Project Location: County Br tx.r.f tAv(,k_
mat tv-e., Street Address/State Ro/ad_/Loto#(s)
/� State ZIP,------ / Z >�R rt-� ct, Dr
.
( )/ E-Mail ..----'i Subdivision ////�
ed Agent V X P_Q� C4 a/Y ` City !TD hh>4I 6€400 ZIP g g i
❑CW VEIN XPTA 4ES ❑PTS Phone# ( _ — River Basin Lt./K'
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body (4/1 a I (nat
❑PWS:
yes /rn� PNA yes / Closest Maj.Wtr. Body) 111________
e)
Project/Activity gl 1ace. DU ikkead
,..
(Scale: I =
ck)length
i I
atform(s) }
Platform(s
n ;
L , ,
Riprap length co —; —_� j _..' —..__... I --
r 1
distance offshore O% I
I
ix distance offshore r7 j
cannel I 1
bic y%d %,..
OLT'npB isft T �1
ulldozin (11;kH7-
g (�
F-�R�
V0 Al i -i i1 ' A
Des �"' �P�`e �f
;e Length �� 1
t '1 oS° I
not sure yes4i0 ! — NfJ(,, 1uc
-cum: n/a yes L \C
yes --c
Attached: yes r 4 bq 10' I ' ciA` -1 Y1
Ing permit may be required by:Pr ' titi/coi L a C ❑See note on back regarding River Basin r
I nral Planninc Iuricdictinnl I ,-• 1 1
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ca( e s
P Y q 9 ��
Mailing Address: I ,'}' 5ar r.,s ,-\ ,c-"
- - 101 icA-
Phone Number:
Email Address:
I certify that I have authorized s('e o l c-t e ,
t gent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at /�!�`�7fr 45r j1 c. L 1— Ze.Ac-1 ,
in ; /i//z5 , County.
I 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: "
-L,-1,6/.°4:
ignature
cGf' --\ 13 1 /%-ic 5
Print or Type Name
Title
7
cotA )4n\‘44 eS
Az/IS-4irk
lo �eV, Se-xiP
D fa ;IA 5
i
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL -RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to ( (A.-00 I
f (Name of Property Owner)
property located at A��� < kt( T h
(Address, Lot, Block, Road, etc.
on(\QW-t. , in 1 G � i�C1i�..� , N.C.
(Waterbo ) (CitylTown and/or County)
Agent's Name#: �-�}{%n�1� Mailing Address:
Agent's phone#:`�l)D_�I D ( 5 J D 1t/ j1 E 1QX ` -
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill i description below or attach a site drawing)
tiCtCCI !rS �d
of
V--ck
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at nttp://www.nccoastalmanagement.netfwebicmistaff-listing or by calling 1-888-4RCOAS T.
No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information) (Riparian Property Owner Information)
CatAgt\imef:
Signature Signature
r0 'HO It7
Print or Type Name Print or Type Name
Mailing Address Mailing Address
tity/State/Zip City/State/Zip
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
briI hereby certify that I own property adjacent to /� s
Tame Properly Owner)
property located at /go?
(Address, Lot, Block, orf, etc.).�^^
co l r1alG , in � ``� �LScCtt%' , N.C.
(Waterboi? (City/Town and/or County)
Agent's Name#: / Mailing Address: 1�A� S�r� C�i►,t
Agent's phone#: p ,641)
4 a 425 TO C4001/ 1AC. c�
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
5ivd'c�
105 1 : Fps
-413r, 5 e • -"").
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanaciernentnet/wetycmistaff-listinq or by calling 1-888-4RCOAS T.
No response is considered the same as no objection if you have been notified by Certified Mail.
( ape Information) (Ri rian Prope ner Information)
ignatu Signature
0 \ yn [
Print or Type Name Print or Type ame
I S disk /0.3 1I)oi/ r t�� rr i7r
Mailing Address Mailing Address
City/State/Zip City/State/Zip