88371C - Page, Leo B.

y1*jWASZN FICAMA ❑ DREDGE & FILL 9 8 371. A B cD
y = Previous permit
Date previous permit issued
GENERAL PERMIT
0 New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (—) "$ t %J ...,
Email
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
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 lens
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing —
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attac
A building permit/zor
Permit Conditions
Subdivision
City ZIP
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
U IAK/PAM/NtUSt/BUfFtK (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
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
' J
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
Signature d
Issuing Date Expiration Dade

1*FjOAsr,1 CAMA ❑ DREDGE & FILL N° 88371 A B C D
3 Previous permit
Z y GENERAL PERMIT Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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 NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
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 l
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 r
Permit Conditions
(Scale'
U IAK/rAM/NtUJt/tSUrrtK (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
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"
Application Fee(s) Check #/Money Order
Signature
V 14;1
Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER REUESTED orICNANDADEEL FORM
CERTIFIED MAIL • RETURN RECEIPT
RY
(Top portion to be completed by owner or their agent)
Name of Property Owner. --� y A'
Address of Property:
Mailing Address of owner:
MA�s� ` Phone*
Owner's ner's Phone
Owner's email
Agent Phone#:
Agent's Name:
Agent's Email:
TION
ADJACENT RIPARIAN PROPERTY OWNER'S scent PRot ertAOwner)
(E3ottorn ortian to 4a c•
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this permit has described to me, as shown on the attached drawing, the development they are proposing.
A description or drawin with dimensions, must be rovided with this letter.
1 DO NOT have objections to this proposal,
I DO have objections to this proposal.
tf you have objections to whet is being proposed, You must notify the N.C. Division of Coasts
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mall.

NOt 491
[9CAMA f DREDGE & FILL
GENERAL PERMIT
Previous Permit #
Date previous permit issued
VINew E]Modification F -1 Complete Reissue LJ Partial Reissue
As authorized by the State of North Carolina, Department of Environment and Natural Resources
commission in an area of environmental concerti pursuant to 15A NCAC— JR)Rules ttached,
and the Coastal Resources
Applicant Name._., - ---- . . ......
Project Location: County
---
50-1
Street Address/ State Road/ Lot #(s)
Address
State_
Phone # 9 27� Fax #
--
Subdivision -
zip -70
Authorized Agent
River Basin
I Cw SEW g PTA J51ES n PTS
ON 0 UBA ON/A
AffectedOEA
Phone
-�.-t�o--na a-,
Adj.tr.ocyl..IO—�--- ---
_OHHF
AEC($):
pWS:OFC:
Closest Maj. Wtr, Body,
ORW: &)14P PIMA -yes /Q-V Crit.Hab. yes
........
Apnt '� r A
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