73582D - Jones (2)

• „IN (Di'ISA --i,(. ---- —
1, 'CAVIA / _ DREDGE & FILL,..i.
No. 73582
GENERAL PERMIT Previous permit # A B C
' ew . .Modification Complete Reissue Partial Reissue Date previous permit issued
As au orized by the State of North Carolina, Department of Environmental Quality /Zl9Z)
and the Coastal Reso s Commission in an ar a f environ, concern pursuant to I 5A NCAC (1( '
c es a ached.
il
Applicant Name f��� TS �� Project Location: County
Address C 6 ` Street Ad ss/S ate oa Rd/ )
City / State NGZIP �� ( Q ��. _-_
Phone#q(6)NO'-'Or E_ ll Subdivisi _
Authorized Agentl--- City tir ZIP 21IV
CW TA E PTs Phone# ( ""' River Basin f ©_
Affected ( -
AEC(s): ❑OEA ter CIH UBA N/A Adj.Wtr. Body C/VkA-(1 0 s"• G' (na /unkn)
El �`
Pws Ply ) V A. a'i
ORW: yes / no PNA yes / Closest Maj.Wtr. Body
Type of Project/Activity l/t� 1 ( r/ei-f `� o� �r
1 ���' (Scale: )
Pier(doc length f - - -
- i � — l s t - r I I ! 1
Platform(s)moo xIG --+ , ; , _ ; .- - , -
Fixed {{ t
,__�_....
Floating Platform(s • I l i I I 1
Finger pier s)--- t ' r—r `—+ i EE 1
Groin lengt ! i { — 1 t. F 1
Bulkhe iprap gth tf'.J� I I 11 - i
avg distance off ore ' _
� � t
max distance offsh e_� { .-- + + , 4 P j i j I'
Basin,channel �--) r--- --i t 1 t ,t
-
' .; rf I _
cubic yards t •
{
i ..--- f--- 1 s
Boat ramp f r i I i /'
n--— l� _,�:- Rd�I'�k /r�i rat j b
___t_1—
Boathou f z
`! 14ft�'`t, / itir
Beach Bulldozing Ill
i_Other i R._ l 4.,
t .
/7 '/
I—r--r. -..II -.1 • -.. 1 1 - _.7 _ _ _
•
Shoreline Length >fe
SAV: not sure yes i i- ._ .. ' { i---- -1 + _-' ) _ {{.
l —�— • Y `• 1 i I ---3 f t i f
Moratorium: n a yes1,1_ -
Photos: yes 4
Waiver Attached: --
f�,r
A building permit may be required by: fi,, -- `"( L_See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
lit' weitt- At. /C.------
e or Applicant Printed Name Aciliiiis Printed Name
4.211,
!pyre Please r d compliance statement on back of _ n'
LL�// of
A- ' 7,� 2 'fir !a
Application Fee(s) Check# lssui : gate Expiration Date

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ADJACENT RIPARIAN PROPERTY OWNER STATEM NT
hereby certify that I own property adjacent to Si'u(.( rfci-`01 ,J 6l}C ,i _s
-� (Name of Property Owner)
property located at - �)j (1 f1) J f.� i
(Address, Lot, Block Roa , etc.)
en 5 u r ( i --( , N.C.
�j(ry 1 , in
(Waterbody) (CltyfTowrf and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
r.As I have no objection to this proposa..
c-�
(✓ I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must MI'in description below or attach a site drawing)
Set /4.-1.4 . c� • N Sept- cu4(1
.Sty r�4 kart..: ��CCC��� ;Lefi.„1/4_,
lo(2o(Zo
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.)
S I do wish to waive the 15' setback requirement.
C►•le -` I do not wish to waive the 15' setback requirement.
{Property Owner Information)
P r on} (Adjacent Property �Ow r information)
1 c 9Dell `e''' (_-;
'' Si wture s
POci or.
f ,�e!t) . j� - Piro?or Type.Ms p -----� J J p
M3rlr A dress-. y`��--� (G'7 + 1.
• 1 Y S(� ;f Ma''•ig A 'd Cl � �
_1. r3 ,- Gh//State/2ip
"Telephone Numbsr/email addreaddre-- r s_� -Z 3
TeJe hone Nurnbsr/etretl address
Date _9 e �
Date•
'Vail For one calendar year after signature' (Revised Aug. 2014)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: PY (G e c Per . 1 n i')es
Mailing Address: ( t &:g (t+I) .7-tre et•
tvc
Phone Number:
Email Address: hrIlCI).` 'MeS t rhe6. (.em
I certify that I have authorized Ef)n et1 W n e C6l?.5 tirT7 e)n
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /( ' X wi Dr plc wl
ic;'x 1 ' i?ocf CIrzd 'x . O' Pier//orb L;.fit S69- W4-11
at my property located at c/66 F J fh 3 /rep
in £'05! U) County.
I furthermore certify that I 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:
igna
rt
Print or Type Name
OtiMer
Title
Co i Z 7 / 2w
Date
This certification is valid through I !

iri4CACAIVIA / DREDGE & FILL N o, 73 5 82 A B C
GENERAL PERMIT Previous permit#
'Jew Modification ,Complete Reissue .Partial Reissue Date previous permit issued
As autl5orized by the State of North Carolina,Department of Environmental Quality j0
and the Coastal Reso s Commission in an ar a f environ concern pursuant to I 5A NCAC f
Y
Applicant Name �') � / WS44 JO Project Location: County QIX.77,073ached
Address 06 % ( Street Address/S to Road/ t., (s) fy __
City
, i stag /'jGzlP7 -
-
Phone#qtt)2I©-Of E-Maa st, ►
Authorized Agent_____6 /tJ� __� — C bd/ / ZIP WA
0 CW �A 0 �f'TS Phone# ( --)--- '� River Basin
A.) t 0
Affected A
AEC(s): `� HHP C lM USA E WA Adj.WV.Body `DIVA dl f 0 j - C• (na ir'!T!, Iunkn)
�Od " '
ORW ye O PWS: PNA yes / glW
Closest Maj.Wtr.Body--- - _
bffitti--- if1.-- t.
Type of Project/Activity I /0 ` r,,Z,4____
J f-6A1/, (Scale: )
Pier(doc lengtfi _— _.__
-_ j t
Fixed Platform(s) __ _ __ _ . _�
Floating Platfortn(s _ - * _- ! LIT
-_ ' ! l _"--d _ '
Finger pier s) r 1 t } 1 —{
Groin len: ' 64 ''
1
Dumber -= -- -- -- 'I-' � .'- � —
1
Bulkhead/Riprap• gth , c 1__ i
avg distance off -. e i i '
max distance offs • e 4
Basin,channel - -i-- - - --
•
cunt yards -_.--t- - -
i
Boat ramp _ r t s
vJ -
_114.(1 likt144 Iti . 1 t i, I 24
Beach Bulldozing- _ _.i _ t t ._ ._i__—
i 1. •
Other_ ` I -
. ! / ,
i.
---fit-• 11 >� f �.1_.�_ ,-• �--
Shoreline Length_ r _/ • _ g7"1,-;_____'
1 ^ i4f_ ' l T lSAV not sure yes , I . . _ •
i _ _. } .j ;--.._..
Moratorium nia yes {
! (( ,
Photos: yes J_ - _ {t i. t T1__ ..J.__... 7-
Waiver Attached- _ --
A building permit may be required by: p A--- See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
I , , op! tit /6_,........._
itii .{cant Printed None 's Printed Name
";Plesse a statement on back of perm' "
,f/20 a4121 6'si, z0 2 '8' , 21
Application Fee(s) Check if Issui .. a.to Expiration Date

I
Check
Dan Received Date Deposited Check From(Name) Name or Permit Folder t Vendor Check Number amount Permit Number/Comments Receipt or Refund/R♦e0001W •
Column1 Column2 Column3 Columme Column8 __. Column8 Column71 Column8 Column9
10/27/2020 Lighthouse Marine Construction,Inc- Jeremy and Shelly Norris Coastal Bank and Trust 3445 $ 600.00 GP#77673D JD rct.11770 _
10/27/2020 Lighthouse Marine Construction,Inc. Vance Wade Coastal Bank and Trust 3444 $ 200.00 GP#77672D 1JD rot.11789
10/27/2020 Richard Penny Construction,LLC Scott Sutton Navy Federal CU 1171 $ 200.00 GP#77671 D IJD rct.11768
10/27/2020 Land to Sea Construction,LLC Felice&Richard Brenner ;PCB 317 $ 200.00 GP#77686D i KE rot.12408
10/27/2020 'VCC,Inc. Scott Ussery IBB&T 7919 $ 400.00 GP#77662D _ Ben rot.11720
10/27/2020 VCC,Inc. Deborah Fish BB&T 7918 $ 200.00 GP#776610 Ben rct.11722
10/27/2020 VCC,Inc. Douglas Keith BB&T 7917 $ 200.00 GP#776630 Ben rct.11721
10/27/2020 Jerry Ennett Bruce and Patsy Jones Coastal Bank and Trust 3411 $ 400 GP#73582D JD rct.11771