77747D - Walsh

• cAMA
/ . DREDGE & FILL N. 77747 A B C
GENERAL PERMIT Previous permit #
) --- '_.'New Modification Complete Reissue Partial Reissue Date previous permit issued /
As authorized by the State of North Carolina, Department of Environmental Quality C^}i] H I L� O
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC v
E Rules attached.
1
Applicant Name ‘ ton W c4., :',AAProject Location: County ! `(. �sW
., t c}L•
Address 19 5 O\✓\SA-Try, . Lone. Street Address/State Road/Lot #(s) ") 0 9
City'w \W e Sv t 11 e...,. State 14 C. ZIP 7 111-1-- L/1 c )/-
Phone# (r1`+9 1 C 0 E-MailIU Subdivision
Authorized Agent ;�A� `'.'l ,n City I.-1
1 ot c� /t ` & 6t�h ZIP 4 'i`f Li?-.1-
Affected ypCW 7EW ;i1;P'TA ❑ES ClPTS Phone # ( ) River Basin L., btAe"
AEC(s): ❑OEA 7 HHF ❑IH IDUBA ❑WA Adj.Wtr. Body C�.r c- (nateff unkn)
❑ PWS
ORW: yes / no PNA yes / no�i Closest Maj.Wtr. Body A I(A)
Type of Project/Activity •-. i , �_ f c&,n>`c . 0 O C.'( '!i S'/l n j
r' i- t [) it*, (Scale: N Z S )
Pier(dock)length
Fixed Platform(s) i ( } 1 j }
Floating Platform(s) 1 I iC a
Finger pier(s)
Groin length 1 %+<15 ( r..�.' 4
number --_ I_ �_,...�e.._--IA" .--.— _ --ti. ; —
Bulkhead/Riprap length i }
-- \ 1i i 7,2<_.. /
avg distance offshore r.. ' ti }
max distance offshore LA i
Basin,channel i + - t
cubic yards — t- ! I
' i I
Boat ramp
Boathouse/Boatlik i
—
Beach Bulldozing _ �i�y �'3', ,. +.. r a S e a. , I ~
j 'f'1 �) f' (`--
Other _ I 1 t�L'
-------_..._ i i { - i �
Shoreline Length �� �" ippse
, .V� ay X
crnkea�0 I ., rU r
SAV: not sure yes P-. { �' -- 1 -
Moratorium: n/a yes 69 v.#►0.. V
Photos: yes o i
n
Waiver Attached: /vest. no i i _
X,
A building permit may be required by: U` _��J�J�L� 7 See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)_ `_
ef- s
Notes/Special Conditions �\ C�C�C-t vac C 4Cs ktk� 1/4,,,t\\ !)V� (�PQ�r P`E( S nl� V,* i ...A.-c `/� ,..:.-X . 04 )'Cc-e__ t_,..G. ‘3 vck (fie. r 0-1-RA7-0 5 CO)
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Agent or Applicant Printed Name Perm... c nted \ +�
Signature "Please read compliance statement on back of permit' Signature 1
goo -___' 4635 ,/Id-112,02A sJ19l2.o21
Application Fee(s) Check# Issuing Date Exphration'Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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CERTIFIED *Ali_ - RETURtilf RECEIPT REQUESTE-..."0
, . .
rON Z)F COASTAI. MAXA' 321M,V7
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
,-,./ i t
Name o-'Prooeny Owner-. r ie/ i •-• lizer7 t%ilif 1.54
/ ,'
Address of?roperty: /117/ 72/-1A.. 1-A 4 C fit? i4 griArlSt4it..-A-
1,..ot dr Street#, Street oi-Road,City&County)
Agent's Name*. H5 Construction Maine Address: 2164 Holden Beach Rd.
Agents phone lt: 910-88O4381 Supply, NC 284E2
" -
' heretny. oaTtfy that : OW!? property acriacerft to the above reee--ek7lced property. The indivklua'.
applying for this permit has descrbed to me as shown on the attached drawing development
they are zr , - ...... A desoripbon or drawinx.1. with f.4.rriensiopz. must be provided with this iette-.
have no objections to this proposal. I have objections to this proposal,.
#you have objections to what is being proposed you must notify the Division of Coastal Management
( CM) in wr-aing -ya-:"..-*in 10 days of rece4ot of this notice COntECT. :77farriethrxr for DCM&Foes is
ay-di/able at 04"by calling 1-888-4RCOAS T.
No response considered the same 3$no objection if yov have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring oiiings boat ramp,breakwater, bOar41 OUSe,or i.must
oe set back a minimum distance of 151 from my area of riparian access unless waived by me. ;.7
•yol...wish to waive the seex*..,you nvzst inrejia t.te approv-irete bf-Ank
E---/(1. ! do viash to waive the 15' setback reauirement
do not wish to waive the 15'setback requirement_
f Property Owner information) 1Ripa • Property Owner information)
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Sig.-,nature Sil'har.U7C
•?VA.°"7 P.J.4 A-1j i:,--Lti4
Print 9 Type Name Print or Ty 4 Nairy
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/47 i i 1 0')4.-- ,Z)re / '7 .7-1;170!) 1)r--
rAFdii-h;Addrs , Mang Ariers
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Telephone Nanberiasaii•Aztress 7e.e.5theg. le Aitryber./..Ernal Address
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MAW AWN*t ,}v,?+. Ir i s V)1.:�`t . ..`` 1¢IV
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t Property Owner Raquel:ling : - .. S
aging Adams: (
. 4 C P>r--)m &
Phone Waxer: 34
EAddress: AXLicrit
way that haw dud'torte?! ` €� . ." .�
Agat cr
63 Zia Oj a tog'the putposa applyng for and obtatitnia at[CAM&watts
any proporly located at 1 DtRi NAM ,,br 8 3 ' ; c--
rn,ustio4Czepty.
! furthermore codify that f am a.uthorfted to grant, and do In fact grant•penrrfssfon to
• - ' DIvisionoof Coastal Management staff, the L.acat Parinit Offeeraact their agents banter
ion the afbrenifentiened btids 1 co➢1neeSen Wit mattering" n reread ea this
Paws*Otiaer.infeciadan
•
P tor Type WM
Date
Ifigaveatiiiostion is valid rsa f - _

CERTMEWM.-RETURN FECIOPTATMESTEU
MEN OE COMM IMISSIEMT
=AMC StrARIANEWYMIT:1EL i ' V
Name eft:petty Omen 19/4 *kin •AVA-Sti
Ad Mpe* 7-1.—~
dnew Re3015-1694.k.
itOt 91' Sifela VASA CRY a OninTO
Aggess Nara 4ft te,Cometudirm tilasaglgtftsze 2464 BoyielaSelcb Rd.
Aware putogle S2.04904682. _ SargAs2,4C2I§Sea
hereby cerffy that't own proparty otqacont Cmcbs above oesconced pew*Ito tottilduat
eppEying 'Ks ttiamit has cleated ti asehaet owtheettlebed drawbig.,the devaloptsfist
they aespopodre.A mar •be tie
I hawooroblectionsytibispropositt. rfatVC,ObjgdatiRSIC.this Forma.
Rifflotsweetipsdano,feereellahelegPrittveefityovalositnatjgboltigisionorCoesenftasorsent
iota in mope wimp daYa Maifit aft Naga& touted mammon*Ir OCE Wilkes is
auglahleat OrVveria1041184=CAST.
ttkp magma consideralbe same woo latatogiun if ou frivbeere reelfied Oeffifleit•s?
1197111MRSECTION
xtedenftsod.Trlizier.dodc.mosdrgadririseu boatiezzx tsaskatter,bletimee.
be setback onfintutradieteme of 15°from Ely area agdpetterk soma ateseigabied by crat.
puma ittowaheethesetbactiyouSPNociriatettanlitamm)
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- t do vutsh to vtOie the 1E?selbook eequirettont
do itotwila viodfie tS'sax&tequiresnent.
Ir*W...%1144t4 tan?lefemestion) Ilsopedr 401
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Signenn Sfo
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-pitl Type Ills= PIM or Type-New
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Telephone Kramberiaxe Mama
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•

ADJACENT RIPARIAN PROPERTY OWNER^ STATEMENT
I hereby certify that I own property adjacent to ¶h (iL. Ncckc t444 °s
n� ,‘ rof operty Owner)property located at 3 9 22 iv ti6 'Li r..
A a (Address, Lot, Block, Road,etc.)
on 4rif somor, r( , in Q A+k XSGw,,,p . , N.C.
fVaterbody) (CityITown 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
(lndividt a( •roposing deve o•ment must fill in description below or attach a site drawing) •
• ,, Eyid 60 CO nosf id
Jf /da�f' j'cafie>
4 pi
kaa.-4) la V W
•f ..rk . . ,,, • , . ,41 ..0L_____no ,_____,.._, f AseCi-
• 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.) •
•
-'Nrfia,Lat_I do wish to waive the 15'setback requirement.
I do not wish to waive the 15' setback requirement. ,'
(Property Owner In orm on (Adjacent Property Owher Information) '
. ,c3tt jeic- '
Si atur Si ur *
• Pitfor Tyr�e '
Na e / Jr P 'nf or Type Name
l .ZK ep, o l fitili D 4L589Y 62.1-b a t.ra.4 J 1f rel.
M Ting Address M /ling Address
Cs fie. MitionD Ala t n Foci, S. 2 2 3.2.
Cit t iZjp C0 /State/Zip
' ` � cS��— q.� 9/0 q — l93/
Telephone Number/pm.i1 address Telepho Num er/email address
Dale Date
ra.//Road
(Revised Aug. 2014)
*Valid for one calendar year after signature*

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
•
I hereby certify that I own property adjacent to ?o.0(.. ) )a h , � 's
!(Name of operty Owner)
property located at R Pql pi,i ' ,- , •
(Address, Lot, Block, Road etc.) •
on Mo' i4i6v # Stu , in Qax ayn , N.C.
(Waterbody) (City/Town andlor County)
• The applicant has described to me, as shown below, the development proposed at the above
o, location
l)N fvf¢-j� � / 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 be(ow or attach a site drawing) •
. C) . 0 pr ,
. fexicivt'
. (
Dbee"t 1ff 40-k-to
t..J 0 it Ppit' if ,
_.
. I _
WAIVER SECTION
I understa
nd 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.) •
ici-1
, ✓,r40q` I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner informa i�` ) . (Adjacent Property Owner Information) '
,.,---e, �,�►"
--- _Auz. aoCcit4,(AL)
Si ature ' l ue* v
Q.�L '�-) •SIAA'i v Jo r ir/!�r
P i or T ame �{' �r�
4 lies►+ 061/0l,q Apr, • P� PPNat580 'l� ocipi/f pi—, .
Mailing Address Ma'b Address
04 le 1.11 C,ov� AI C, wets' n-k aie:J./e J1LX r
City/State/Zip City/I ip
Telephone rtbe er it address Telepho N mb r ernail address
Date i IV?CCJJ f / -1 U
Date
(Revised Aug. 2014)
*Valid for one calendar year after signature*

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit: PQ.L1L 1J^ �'7d a(.)4`1
Mailing address: c39a iJ e64 D/0 t P Y-.
CA4c.rLi4vi,n A C e' —
Phone Number: • 7?U' — Eye' 9?Ref>
I certify that 1 have authorized 9T)a r-k 11t€e+
Agent/Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits •
necessary for the proposed development of - (j F-t climb •
P;@.r Re, ct, ar
at my property located at . 3 [ 22 DoifAi n Dr ,
in 42)1Cune aiC� County.
This certification is valid through 1.21 i.2l a 02 /
to
(Property Owner Information
4/"( ----e-- .'61)( -- • . .
Signature
Q.v C_ ps iciApk L1
Print or Type Name •
Q0ncr
Title
/2// 6 (20
Date
•
Phone Number
Email Address

•
•
•
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949f t'tat 99 OL4LLL#d9 OO OOZ S SCSS _ 1489 Lisle/to uanB p��'uo�pmisuo�SH LZOZ/LZII IZOZIOZII
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