Harrell, Branden 88357C

& FILL
GENE PERMIT
N9 883s7 AB e)
[Comptete Reissue nhrtid Reissue
tlepartment of ErMronmental Qrnllty and
Prwions permit V
en ffi of erMmnmental onsn PtrrrLBIt toi
at thefollnvdry link
.\3f, Resourtes Corrmissim ln
E ** Fermlt tulas avalhble
As authorized
ISANCAC
fuplicam
Phone
Email
of
I uomcnea.
City AP
Ies
f]snnn
Authorked
hoiect Location
City
Adj-Wtr. Body
CloscstM4 Wtr.
Ro6d/Lot #(s)
Atr€cted
AEC(s):
Icw Ims
InmIHA
PI{A:ORW:
Type of Project/ Actlvlty
)<>
Shoreline Length
Access Length
Pier (dock) length
G
fixed Platform{s}
Floating Pla$orm{sl
Finger
Total Platform area
Groin length/#
Bulldread/ Riprap lenE--
Avgdlstanceofthoruj.-
Ereaiuater/Sill #
yards
Boat ramp
Boithousel Boatlift-----=-_-
-,
Beach Bullduzinc
Other
SAVobserved: yes
Mordtoriumr nla yes
Slte Photos: yes
Riparian Utfaiver Atached: yes
A building
Permit
,\,1 )t-nI f
tl
b
.t:il :-
*/7
t
2 /,lt
I I
I t1 {_
t II t1i\-
I I l.
A x
I \t\tJ
I 1-
il
ir 7
I
\,--1-..
t
I
x
$
I 4I
td.I
I t {/)t t
,
I
/
{1
no
by:
{5cale:
I rAR/PA]afl {EUSBBUFFER {circle one}
| | See note on back retarding River Basin rules
n See additional notes/oonditions on back
Name
compllance statement on back
PROIECT
Name
APPTTTO
Order Date
Date prevlous pgrtit isstt&-
"te"'41 CAMA DREDGE & FILL N9 88357 _ A B
Previous permit
GENERAL PERMIT Date previous permitissue6:
NXNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized b th State of N94 Carolina, Department of Environmental Quality and th Co stal Resources Commission in an area of environmental concern pursuant to:
15A NCAC I ❑ Rules attached. General Permit Rules available at the following link: www.d .nc. ov MArules
r _
Applicant
Pier (dock) length
Fixed Platform(s),
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap Iengtf�
Avg distance offshore
Breakwater/Sill
Tsi
stance/ lengtlr—�
hannel tards
Boat ramp L
Boathouse/ Boatlift
Beach Bulldozing
Other �—
SAV observed:
yes
Moratorium: n/a
yes no
Co
Site Photos:
yes no
Riparian Waiver Attached:
yes no
A building permit/zonnii9i eerrmititm/�/y e
Permit Conditions / JY
VC.I V
by:
APPLY TO
Authorized Agen
Project Location
❑ TARfPAM/NEUSE/BUFFER (circle one)
ElSee note on back regarding River Basin rules
❑ See additional notes/conditions on back
compliance statement on back
Order -ts5MAdDa1J v 6piratiofi Date

Name of Property Owner Requesting Permit: w �� �✓ LJ N e
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
n-i L,-d B � c �,j'►i
Agent
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Y r L U W C
A- TA-O-,klivj Lti-C-h
at my property located at
in e�'�Aer -�T County.
1 furthermore certify that 1 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
me
RECEIVED
�i 25 1_1L
Date
MAC ©2 ZOZ
DCM-MHD CITY
This certification is valid through 1 I

;sue
I fxKrtby rridify trait I (wn pmp" nt#awt hT� .n %fern a * f d a
iir ItyiDat2txtet +fia(__d�'iE +r {t#NN"ofProputyFOwnod
{ s C q Bkx* R04 at.)
f �
In } {ah d,r e e _ N.C.
(CHYrrown srAv6r courtly) r
Thta mat lift dircilbod to rrio, as fibrwn br rvv, tho dnw npnt pbDw
fua nt19n. F" prr peL cW at dw
i4.ft no rd*rt.-I{on to Ne p bpo .
I :havu O ledio u: to Oft pMpoSig
USCRIPT10N ANDIOR DRAVANG OF PROPOSED DEWLOPM Etff
[�+rcNulaival PmPoff l"P davW0fummf rf)r/3t' lW k? descdp9k l ,b@ow or att° ob a g to &*WFY00
��10L.`,
0'rijfd"
Z-1yoj-'2)
L d s
1 —2
I aardtvrAaruj that $
,doc%, rwAkgl pNt'ifA boat flwM, t ti.Mtdl&, boadwm. Rk or grrl*j
must tM But hack 7' minvis rn drsinon Csa 15` fre." my ama cl riparian 8wb& urilf" VAA#" by
mn, (if ypv wish k" wa; Ilia aLdbaick, you mum ImMal'.. ttwj ri is)t„ Wink toaw.1
r) {
R i+1rr a t h to rnt ro lani f5' ck rrgsla Nj$&nt.
,._—. I do raxtit W-,h to w.aW tho IF at lbadi r0g41jcxi,,ML
(Propwwowfw
m
"'4wt( dill! c*mr4wy** scour oamwm-
jj �ry nanq�nF9
R
$Ar 0 2 LJ21
®CM-MHD

i hereby r*dify that 1 own property adjacent to
a (Name of Property Owner)
property located at
on _ In
(Waterbody)
N.C.
"' The applicant has described to me, as shown hokaw, the devek1 Went Pretx)snd at the above
location.
IlL 1 have no objection to this prolxmsal.
q1U
I have objections to this proIeosal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
Orx#Musl proposing development must till in description below or effarh a sift drawing)
�, ' • �,�>>I"' MKS � S 1 � � . � d1 s
WAIVER SE010N
that a pier, dock, rrnwdng pilings, boat ramp, breakwator, boathouse. tilt, or gain
must be set back a minimum distance of 15' You must frommy
the a f rp riparian o access sboiow ess waived by
me. (If you wish to waive the setback, y
I do wish to waive the IV setback requirement.
F'
✓'-Y � i do not wish to waive the 16 setback requirement.
(AdOment Property Owrw Infomoetlon)
s�nattu�r;'
� PWn-1 or I ww Name
Madktg Addrom
reNplaaw Nwnbw /GMM ed*M
CAi!0_a.ti..--S�Jsaai MAR
ihalr• is .�. j • a �
(RoWsodAggC M4MHD CITY
(Property Owner
y..
f J
•Vakd for one calendar yew alter signature'