Boyette, Brent 88350C

13
eel t`o CAMA ❑ DREDG & FILL NU 88350 A B &
T Previous permit V✓
GENERAL P I 1 Date previous permit issued
❑New ❑Modification , omplete Reissue ❑Partial Reissue
As authorised by the State of No Carol Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to;
I SA NCAC 1�-- ... ❑ Rules attached. ❑ General Permit Rules available at the following link; wwwdea nc aov CAMArid
n
s>ti_:Mtttt►:��
Bod
.
,,.
Type of Project/ Activity
Shoreline Length`
Access length Pier (dock) length
Fixed Platform(s) 1 /�''lih/ ly/'�j ! ♦_J1p!/`/I
Floating Platform(s).,___--.,,,•�jy�/`'�O)/�
finger Piers
Total Platform area ' Y - ` 't�Jn , } 55
Groin length/p-
Bulkhead/Riprap length ' it-l-•J
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boatramp
Boathouse!
Beach Bull cuing
Other
SAV observed:
Moratorium: n(a yes o Site Photos: yes (rAj� /� '/7�}--
Riparian WaiverAttached: yes no �1Atrh nrt if/ / 1 !/,
A bulAing
Permit Col
compliance statement on
Name
❑ TARrPAM/NEUSEMUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ see
Initial)
on back

'eA'Atm", 14CAMA ❑ DREDGE & FILL N9 88350 A B
GENERAL PE IT
Previous permit
Date previous permit issued
❑ New [—]Modification Complete Reissue ❑ Partial Reissue
As authorized by the State of No h Carroolirta, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC al1 lf�r l{J\ ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Authorized Agent
Address
_.MI
Project Location (County):
City tate
ZIP
Street dress/Stat@R ad/
Phone #
`
Email
Subdivis'
City
Affected ❑ CW EW PTA
❑ ES ❑ PTS
Adj. Wtr. Body
AEC(s): EA A W
❑SPIMA ❑ PWS
Closest Mal. Wtr. Body_
ORW: yes/ Pi yes/ o
Type of Project/ Activity
\,,��LW
Y I MOI
Shoreline Length
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platforni
/ r
Finger piers) ID
Total Platform area
Groin length/# �—
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ a 'ft
Beach Bul ozing
Other
SAV observed: yes Pno
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permi pehrnit rrqay be rec
Permit Conditions
91�v�1155 1 )V��
�g6DL�
CONDITIONS THAT APPLY TO THIS PROJECT AND
Name
SSsigna[ure "EhLo 2lread compliance statement on b o per it** /D/
^r�/ t i _ X
A)6plic7tion Feels) Che <#Money Order
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See
Initial)
on back

Styron, Heather M.
From: Ashley Brooks <[e-mail]>
Sent: Saturday, March 5, 2022 12:13 PM
To: Styron, Heather M.
Subject: [External] 1503 1/2 Shackleford St. (Reissue Request)
Attachments: Scan.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: K10607 " �ay. —
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
j5'03 z 5tfff cKLr=Far�a� S�
P�H-G A)G
Z 52 211
G rF't2o D/GS
Agent I Contractor
i,
to act on my behalf, for the purpose of applying for and obtaining all C JAMA //permits
necessary for the following proposed development: Itt
at my property located at/ 50 3 SY
in a✓lWr-G-EZ--i' County.
t furthermore certify that f 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
gaarjT` t30Y5T7-a
Print or Type Name
Title
t 3, 2 1
Date
This certification is valid through 1 2- 1 31 t �7(92-2-'

'�AMA / DREDGE & FILL A
E ERAL. PERMIT Prev:oIPermit #_ -
e Dalr0YlO s Pa' .„i`' �t Issued
ow Ncd tcat`mx Contplcse Reissue �,• Pa a Reissue (,&,I
As author ed by the St:az of NO'lh CarroFn t 7eptru�s tt of E Hirt-n x krrtai p,r,,y
a,'d the Goal a posa.a ces !,a ivssi¢c r_ a*_ arex of orti >nmrrsal m3 ce n ��rna (:n ! SA'd A y". qT y •cis n ni
--• � i t
Project Lotm on �_� Ccuety f
A{�pFcasSn'Vama,�„E t
Address Street Address, State Road Lot
SUI4ClIVi516ii
Phw,e +r t River fs 15in � yC c ) L: .,
Adj_4Vtr 3odv in. , �1{ text -am hmknj
Closest Maj_ VA; Sody y ,r {'1'§'` _ ,.l.t-.:ems-L
City.. _. State ZIP :.
?none F i._
A,,horlMrr Age,, '
CW \EWP7A ES PTS
Affeccee OEA HIAF H URA N A
AEC,>}
r ni
ORW. yes A, % PNA Yes
fype of Project,,
�rk'ry'
,t
r.pCir..
'5-,.,';
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