79353A_Davis, Donald & Beverlee_20210805

V I CAMA / v'DREDGE & FILL 14, B C
QENERAL PERMIT Previous permit # d
I -tial Reissue Date previous permit issue
New Modification ComPiete Reissue _. Pal
As authorized by the State of North Carolina, Department Of Environmental Quality
and the Coastal Resources commission in an area of environmental concern pursuant to 15A NCA_C_ — 7 1-1- I t00
1/ Rules attached.
Project Location: County Lf ft.' �4,(,LC
Applicant Name Street Address! Smote Road/ Lot #(S) 11"I1I /J
Address
City, State V)k ZIP Y,3 . . ........... .. . . . . ..
Subdivision b,,t_'1A4A
Phone # (00) E-Mail _See
Authorized Agent City &T ZIP
Cw VEW /PTA -"ES 'PTS Phone # River Basin --r
Affected OEA HHF AH j USA ; N/A Adj. Wtr, Body6�.� 4q _Q)
AEC{s):
Closest Mai. Wtr. Body CtIA.
ORW. yes j& PNA yes .'(n6
Type of Project/ Activity klf,1,2 r3L1KkeQ­1,4-- (Scale:
Pier (dock) length
Fixed Platforrn(s) -C + 0i
Floating Platform(s)
Finger pier( s),
Groin length
number
Bulkhea ( _'�Riprap.ength, 1
avg distance offshore
max distance offshore
Basin, channel4 t
cubic yards It
goat ramp
t
Boathousef Boatlift
Beach Bulldozing
Other.
Shoreline Length
SAV: not sure Yes
Moratorlurni no Dc, L) 't
Photos� ticip
Waiyer Attiched: yes
4 A building permit may be required by 4 See note on back regarding River Basin rules.
Note Local Planning jurisdiction
Notes; Special Conditions
Agent or Applicant Printed Narre
Signature *4 Please read compliance statement or,, back of permit
V4catMoo-
ion Fee(s) Check #
Zobgr4- cx> )
Printed Narne 'i
Signature
Issuing bate
Expiration Date

109
NCDENK
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Doe Freeman, secretary
Date
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) 4*1�lw to act on my
behalf, for the purpose of applying for and obtaining all
all CAAMA Permits necessary to
Ainstall or construct (activity) ��� Of
at (my property located at) f d DG(
This certification is valid thru (date)
Property Owner Signature
I- (Z-LI
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] t FAX: [phone] Intemet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recyded 110% Post Consumer Paper

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HWSI* has deembe+d to me as shown below the development heafshe is pr+oposkV at that ktcstion,
and 1 he" no ob**om tothe pmpoeai.
DESCRtPT" AND/OR DRAWING OF PROPOSED DEVELOPMENT
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(Adjacent Propoey owner Information)
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'i �Aerial Photography (2011
�RaE: Band_1
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EBWa: Ban4_3
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