80296D - Hall

. 0 ❑'CAMA / ❑'DREDGE & FILL ei,,ft„
No 80296 A B C D
GENERAL PERMIT Previous permit#
l `
>( ZNew El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality _ J
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 j/ i g
El Rules attached.
Applicant Name Ir NO, Project Location: County ND W1C K,.
Address `1 L Oc.it vNoccl FO I I if KQ A CI Street Address/State Road/Lot#(s)
Cityd7∈C( State (V C, ZIP g.4 a ) C.CLw -2-
Phone#(330 5 IQ blIOS E-mail A ha I I )e£ ati,(OM Subdivision
Authorized Agent f;L M('(a "J City ZIP
❑CW ®EW ❑PTA ❑ES ❑PTS Phone# ( ")---- River Basin (Mkt b-{---
Affected
ElOEA ❑HHF IH ❑UBA ❑N/A
AEC(s):
Ad' /man /unkr
❑ Pws: I Wtr. Body 'DIll/W n
Closest Maj.Wtr. Body LOCk w7Oc✓ /5/ i,icY
ORW: yes //rb PNA yes / 'E
Type of Project/Activity ,i' ,%-)6 ( /
-f d t ? l r cJ dd Ci /; A'//'7 ciG12h7 0 fle c✓ Ay / frZ'G/ZQ /Sgr l;
fri SGtit c - Df -0f (Scale: N15 )
Pier(dock)length j16' 5 r
Fixed Platform(s) !d r k1OJ' 1 I II I iI
Floating Platform(s) I . I , /�' i
Finger pier(s) . l♦ , • ,
t __ _
Groin length s 1 I 'II
II ..■Bulkhead/Ripraplength � ��... Ir/ iliiiiii RI {avg distance offshor , . r�max distance offsho
Basin,channel t/ /�l•1 ''�,1111111111111111 nn. a�..►�.� •
iS
( jiiii
aIill _ —,._
J I
I
Other
II ..ram
' 'Y i
r/` 1
Shoreline Length :
SAV: not sure yes 11 _ II Illi _i I II
Moratorium: n/a yes rer111ni HL "'■■ MiniI 1
Photos: yes r(o _......_ : ' / 'I
Waiver Attached: yes no I —
A building permit may be required by: 3,eurr,pi, , , . (t/ y . I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /� e
Notes/Special Conditions "((��{ #'-c'-'' Q 7H. a WO, (IG i 1 CAI /h �/p�, /4(//iiiA C
/I ,mil
* IR° /r -ClJl1, 11 f�.-r^ +c07 j i AT it"; _
Agent
or A lic rinsed ____ (/( �r/r
PP Permit rcer's Printed Name
Signature **Please read compliance statement on back of permit** Signature l 1���� "

iv
06-114; :1,—
i X CAMA / DREDGE & FILL f , N 9 8(0796 A B C ID
GENERAL PERMIT Previous permit#
XNew Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina.Department of Environmental Quality f'-,,
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 12?N.g q"X 1
Rules attached
Applicant Name 1)12A Hag Project Location: County Affswict,
Address `ti LOc_IA/004 1II II
44 4 Street Address/State Road/Lot#(s)
City 8o I NA State N.G ZIP ago,71 d1 SC -
Phone#(33(9 5 I Nos E-Mail dila."(ej0 ece3fralt(001 Subdivision
Authorized Agent Ens, McCi City ZIP ---
.--
Affected
cW )(EW '(PTA ES PTS Phone# ( --�-� River Basin_CLW►b c
s OEA HHF IH USA N/A
AEC : tr.Ad,W Bodyman .'unkn)
PwS l Qi eW
ORW yes PNA yes ! Closest Maj.Wtr.Body Z,Dari'vood //y /Ci�--
Type of Project/Activity FA pommy I -Id ref/ JDCl ,, �ii A/y rile p.r/ Jy /'i14 /' '&$-
)n Sarver - 1piw / (Scale: N15 )
Pier(dock)length Vibe'5'
Fixed Platform(s) 1D1'k le � (,C`G�/
Floating Platform(s)
Finger piers)____ /f�jMf ,pJ 4
Groin length t/ "y
number
Bulkhead/Riprap length „,// ki f a0'
avg distance oflsho `1 C t � 1. i f�_
max distance offsho rtJ r /!� �i TT/
Basin.channel rd1 '7
. 4l'! i ✓i /
cubic yards I
Boat ramp I �i
Boathouse/Boatlift I
I
Beach Bulldozing I t
Other 1I- --- — I -�
Shoreline Length ir`50
SAV. not sure yes e J Nt
Moratorium IVa yes 49 hl '
Photos- yes 49 4/4 46q fL 465
Waiver Attached. yes kir)
A building permit may be required by. a /,U1(PY•C.L . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) // /� goo. /�� /
Notes/Special Conditions "ZWy - 21.a?2' T 70. O. fin IVi �t GE 'i S { pc
Agent or Applicant Pringd Nar c i 9 Y Permit Officer's PPnnnted Name
/74o
, ---
Signature "Please read compliance statement on back of perms ' Signature
� ,-� ce La.ai 3/3/21 a /Rl
Application Fee(s) Check# Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: an "-ALL_
Mailing Address: /l.iC� / Gku oot( '1 tod>/
NC- 2 ff Z
Phone Number: 3t S/Z.S1d6
fF
Email Address: iL deli - )lho /< con')
I certify that I have authorized J �
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: kep 'r dodi rirom
at my property located at I tO( ;Ct109e( f' iiy / �°� �/��/�C� i (
in � tlii5 i-{:`sd\ 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:
c (eit,Z(
Signature
::.7 -
Li--
Print or Type Name
(21../()Ile r
Title
Date
This certification is valid through I .__ _l