84399C - Pittel, Steve

'O1pi(OAS14, ❑CAMA ❑ DREDGE & FILL N9 84399 A B C D
GENERAL PERMIT Previous permit
y Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State ofNorth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑General Permit Rules available at the following link: v✓ww.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone #
Email
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no
State ZIP
❑EW FIPTA
❑ IHA ❑ UW
PNA: yes/no
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
Type of Project/ Activity % it
(Scale9 -A-
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
I
Total Platform area
Groin length/#
w
Bulkhead/ Riprap length
Avg distance offshore
1=1,
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no Jr
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
1 AM AWARE OF STATUTES. CRC RULES AND CONDITIONS THAT APPLY TO THIS
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
II rb to
Application Fee(s) Check /Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date

1*°F(OAS r"l ❑LAMA ❑ DREDGE & FILL N9 84399 A B C D
GPrevious permit
GENERAL PERMIT
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of400rth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 it: t
15A NC AC )' fF '� ❑ Rules attached. ❑General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
i
Applicant Name
Address
Citv
Phone # (_
Email
State
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision s
City ZIP
Affected ❑ CW ❑ EW PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length.
Access Length
Pier(dock)length
Fixed Platform(s).
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be requirea Dy:
Permit Conditions
(Scale; =
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
11 tflqla
Application Fee(s) Check4/Money Order
Signature
Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: - V--, P 1 4 ,:-, i
Mailing Address: 7 d 262,
Phone Number: --7.1_1... '� <� (. 6
Email Address:
I certify that I have authorized _
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
-
11
necessary for the following proposed development: 1 c) I
at my property located at7 t.�� w'® �'' �-
in C 4 eAe°tJ— 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:
Signature
Print or Type Name
rift
.7- l l I �2
Date
This certification is valid through 1 I
jj 6 d� 0- 4�
cm-mii-I ;, ;ITY

I hereby certify that I own property adjacent to _
property located at 7 L;)
(Address,
on `) A. 11 in
(Waterbody)
The applicant has described to me, as shown be
location.,--,,,
F. I have no objection to this proposal
DESCRIPTION AND/OR DRAWING
(Individual proposing development must fill in
I
(Name of Property Owner)
Road, etc.)
t ) .,,.-. { , ( >> <, < ) . N.C.
(City/rown and/or County)
, the development proposed at the above
PROPOSED DEVELOPMENT
scription below or affach a site drawing)
I)JpA-W,n,�
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area ol riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1 do not wish to waive the 16 setba requirement.
(Property Owner Information)
Signature
Print or Type Name
io.q%::K ve> 1V—1 ,Z`T
Ma,�ing Address
C49'Stataop
Telephone Number
2E Z 2
Date
(Adjacent Property Owner Information)
Signature
i�"Vey l
Print or Type Name
J; Per--p
Mailing Address
i 'A r-2 ;
Telephone Number
Date V c:!k - �2 �;L REFCPIVFD
(Revised 6118(2012)

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RECEIVED
FEB 04'� 1

I hereby certify that I own property adjacent to _
property located at
(Address,
on ; hrul , in
(Waterbody)
The applicant has described to me, as shown
location
I have no objection to this propo
DESCRIPTION AND/OR DRAWING ►
(individual proposing development must fill in
G+1C,C h
T t--' i
D(Name of Property Owner)
1 L14 '
I
N.C.
(City/Town and/or County)
, the development proposed at the above
PROPOSED DEVELOPMENT
mription below or attach a site drawing)
a
Vr��, r,PS
I understand that a pier, dock, mooring pilings, b eakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area ol riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setba requirement.
(Property Owner Information)
sig!w e
Print or Type Name
fin Address q
City/State/Zip
"Ttq
Telephone Number
Date
Print or Tyke Name
E
(Revised
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RECEIVED
FEB 0 4 ZOZZ

AGgIAT AUTHO TION FOR C PE MIT APPLI ATION
Name of Property Owner Requesting Permit:
Mailing Address: �� Lf c
Phone Number: 6
Email Address:
certify that I have authorized L
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: I c r r• =,_ 1�) N
C7 y)- "1 15i �` / U �_.. �! Y� C7 1`:�_ /'n O V I W r. (J W, 0
at my property located at 'iD_0 LA.P0�-
in L 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:
Signature
Print or Type Name
C-c,- (--
77t/e W.IF C h D
Date
(jC,M-lvlHD CITY
This certification is valid through _ 1 I

I hereby certify that I own property adjacent to _
property located at P c-3)
on in
(Waterbody)
The applicant has described to me, as shown be
location.��..
� N,-­ I have no objection to this proposal
DESCRIPTION AND/OR DRAWING
(Individual proposing development must fill in
I understand that a pier, dock, mooring` pilings,
back a minimum distance of 15' from my area
wish to waive the setback, you must initial the
I
(Name of Property Owner)
T, Road, etc.)
k"I I.- /) 4A_ I I < _ � >�� N.C.
�;� �-7 ,
(City/Town and/or County)
the development proposed at the above
PROPOSED DEVELOPMENT
icrlption below or attach a site drawing)
-)--) `, o L., f IV I
wkwater, boathouse, lift, or groin must be set
riparian access unless waived by me. (If you
)ropriate blank below.)
I do wish to waive the 15' setback r uirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address T
City/State l ip
I (q liy-, 2vSv
Telephone Number
1?, 2
Date
(Adjacent Property Owner Information)
f �
4-
Signature
Print or Type Name
Mailing Address
City/ t�e�'p
Telephone Number _ f
Date
(Revised 611812012)
OCIVi'

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RECEIVE
FE:B 0 4, z0zr

I hereby certify that I own property adjacent to _
property located at 2 0 1 �U
(Address,
on A h/-ut I , in
(Waterbody)
The applicant has described to me, as shown
location
`�� 1 have no objection to this propo
DESCRIPTION AND/OR DRAWING 1
(Individual proposing development must fill in
��� C1 't� � c �►
1$
(Name of Property Owner)
/' ! !�14.';
N.C.
(City/Town and/or County)
, the development proposed at the above
PROPOSED DEVELOPMENT
scdotion below or attach a site drawing)
I understand that a pier, .dock, mooring pilings, b eakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area ol riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Sign Ire
v to 19, R
Print or Type Name
►jQVin Address
� C.- _1 tC
City/S ate/Zio
Telephone Number
Date
Print or Type Name
-70
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(Revised 6/,$/20-
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