Skinner, Alstine 87316C

e0 COMNJ ❑CAMA ❑ DREDGE & FILL N9 87316 A B ,C D
3 GPrevious permit
GENERAL PERMIT
Date previous permit issued
❑ New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
l
As authorized by h@I to Q{ort f 'Ca lina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA .. '1 . ` V / ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant
City —1
Phone
Affected ❑ CW ❑ E W ❑ PTA
AEC(s): ❑OEA ❑IHA ❑uW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
❑ ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location(County)
Street Address/State Road/Lot #(s)
Subdivision .I
City ZIP
Adj. Wtr. Body (nat/man/unk)
Closest Maj. War. Body
(Scale: )
Access Length
1 ■■■■q■■■
■■■
■
■■■
C�ii'iii
■
■■■■
Pier (dock) lengthi�.■i��Mis
Fixed Platform(s)
iC�
ME
M
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mom
.
Floating Platform(s)
.�■�
■■■■■■�0�1■L��aZ
0
11
Finger pier(s)
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Total Platform area
Groin 1611h/l!
Bulkhead/ Riprap length-'
Avg distance offshore
Breakwater/Sill
EMS
MEMI
MEN
0
Sol
El
En
Max distance/ length
Basin, channel
M.
moll
M
NNE
ME
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No
NJAV
0
Mno
observed: yes no
Zite Photos yes
'lparlan Waiver Attached: yes
1, building permit/zoning permit may be required
.�
M
ME
" IAIpYAMINFUSE/BUFFEK(Circle one)
❑ See note on back regarding River Basin rules
❑ See addiBonal notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicam . P NTEDName Permit Officer's PRINTED Name --
ia to .
Signature --Please read compliance statement on back of permit** 1 -� Signature
(Please Init
Feels)
Check
Issuing
Expiration

#FJNevv
❑CAMA ❑ DREDGE & FILL N° 87316 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
[]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. sf General Permit Rules available at the following link: www.deq.nc.Rov/CAMAruIes
Applicant Name
City
Phone #
Email
Authorized Agent
/Project Location (County):
State ZIP -' Street Address/State Road/Lot#(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wo, Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
fAnrelinn 1 nnn,F
Access Length
Pier (dock) length
Fixed Plstform(s)
n■■■n■■■■n■■■■■■
■■■■■■■■■
n■■■
■■■■■■■■n■■�■■■■■■■■
■■■
■■■IEEE
ACC:
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Floating Platform(s).ME
ON
■
■
Finger pler(s)
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I......101
:
S
E1
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CC�1111111,11111
1:
■■■nE■■■'1HA■■■■■■■■IEi■■EEE■
Avg distance offshore
Max distance/ length
'
IMCCCCCCC:CCC1931MBRINAHMSEEMEMEOMC
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■
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�®IICI:�C.00
■■■■■■.■■■■■■MI■■■■M■■.■
iii■n■iiiiiiii■iiiiiiiii■MMMEiiiiii■0ii
iiEiQ•■iiiiiiiMEN
MINE
10ii11MiM
i
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WAV observed: yes
no
;Ite Photos: yes ! no
Niparian WalverAttached: yes no
�CCC�CCC1011CCCCCC_CCCriE
CCCCCCCyes
CBC
MEN
A building permit/zoning permit may be required by: k ( ?
Permit Conditions
❑ 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
Signature **Please read compliance statement on back of permit" Signal �e
Application Feels) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: � � 7173
Phone Number:
Email Address Ku/���dn '' ,,%�mQ! CO%YI
I certify that I have authorized R© bb%� WL�� 1�5- 3y
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:-AI,-tiPt�-C�
at my property located at
in (lrr�zert 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:
w.,� ' F 1
Signature
Af'�r�1r`�n�r
Print or Type Name
fR / I o , �a—
Date
This certification is valid through I
00
3�oa��s�a
RECEIVED
MAR 15 2022
DCwM_MHU CITY

11-12 1b 09:36 FROM- "
T-063 P0001/0001 F-145
DIVISION OF.COASTAL.MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby cerfify that I own property adjacent to
©d (Name off property Owner)
Property located at {/) ` k!1 i /� �f�117G Ve4c /V e
(Address, Lot, Block, Road, etc.) /I
on M06/1 L( 4L'r — in l' �Gn'TiG GtGrl N.C.
(Waterbody�(Cltyffown and/or County)
Agent's Name #: K �17h1 ie �Q�h Mailing Address: f c>a6 $�S
Agent's phone 'Z�5 `{. )S
He/She has described to me as shown.below the development he/she is proposing at that location,
and I have no objections to the proposal.
----------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT {
(Indlv/dua!Proposing development must fill in description below or attach a site drawing) i
N t: w S,�A,+JaALI
P z
�^It�J+-Y S'�F1�'aFl c,Cr
Y, ou have objections to what Is be/ng proposed, youmustnOtJly the Division of Coastal Management
)CM) in w&M) within 10.days of reoeipt of this notice. Contact information for DCM offices is
l r0SPe at htro://wwwnocoasta/manaaem®nf itet/web/cmistaff listing orbycalliug 1-888.4RCQASr,
D(esponselsconsidwvndno��»...__..__�.__..__ ._
1
(P(operty Owner Information) (Riparian Property Owner lnformation) j
��nature Srgnature�MMe�J
l r ran ra ry r � 1Z) f�)X-rp—
rint orType N me
Pnnt or type Name
a) 5 � i h --�1 i�1 t-1e t-1) �
Marling Add/ess {
Marling Address ,
CRY/StalArzip r Crty/StatelZrp
Telephone Numberl Email Address IMphone Number/ Email Address
Dare Date RECEIVED
j
(Revised: Aug. 2014) MAR 15 2022
()CM-lmi o C►,

ii-12' 15 09:36 FROM- " T-063 P0001/0001 F-145
DIVISION OF.COASTAI JNANAGEMENT
ADJACENT RIPARIAN PROPER? Y OWNER OTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUEST513
I hereby certify that I own property adjacent to
s
Ct� (Name of P operty Owner)
prop erly located at
(Address=, Lot, k,
stock, Road, etc.)
on (cvitit°c G )J(
.N.C.
(Waterbody) (city/Town and/or County)
Agent's Name#: rl1t Mtn/ )r��i Mailing Address:-Yorz> L;.'F lgt.5
Agent's phone #. .� 57
He/She has described to me as.shown.below the development he/she is proposing at that location,
aid I have no objections to the proposal.
-------------------- ------•----------- --------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual propoosing sing velopri►ent must fill in description below or attach a site drawing)
r �ava+vuiecuonstowhattsbeing� ppropo ed,yyoumusttnno�tJ theDrl�sTon` C astalManagement
C
)CM) in Writing within 10.days of receipt of (his notice. Contact Information for DCM offices is
.
(Propeq Owner Information)
ignmq m
Pnnt or type Name
¢z ly66/✓/- f /
Mailing Address f
City,/State(Zrp —
Tele�phhoone,Number/E'mad Address
17.
Date
/(Riparian Property Owner Information)
Signature
:Acsr�� S�I.Jgb.%
Print or Type Name
lit 'N L lW"" �
Marbng Address
4 Alprlc_ `3t ►lr
Crty/State/Zip
lophone Number/Emait Address
Date
(Revised: Aug. 2014)
RECEIVEO
MAR 15 202$
DCM-MHD CITY