Adkins, Charlie 78828C (2)

,CAMA DFtEDGE & FILL
bi> iti A 3 ✓C, D
GENERAL PERMIT
Previospermit#
New _:Modificatio,; Compiece Reissue __Partial Reissue
Date previous permit issued_
As authorized by the State of North Carolina, Department of Environmental Quality
Coaztal Resourms Cemmusron ia. I SA NCAC
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and the an area o(ewironmencnl concern
Applicane Nartie �
pursuant m
Project Location: County'n r'
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Address 11_�[y� '
ry t
Street Address/
State Road' Lot #(s)vy7 ......
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Phone # i h�"�,2,��LfLyall Mail __ _—____.__..____
Subdivision
Authorized Agent ..l...J4DR/Is?.C. .� Ew��(`'_ _......
City _
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Phone # (
_)_ River Basin
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AEC(s)
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Closest Maj. Wtr. Body
Type of Project/ Activity
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( Note Local Planning Jurisdiction}
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Notes' Special Canditiorts
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ACAMA / ❑ DREDGE & FILL '\ NO 78828 A B "0 D
GENERAL PERMIT Previous permit#
XNew [-]Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ^�/ j ��+�
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC IJ / . e /�f /
zn Rules atta ed.
Applicant Name � I a l ) P A y k� s Project Location: County r6l=
Address 617 flspR Mo OtA Street Address/ State Road/ Lot #(s)_ �
State —ZIP �&
Phone #
Authorized Agent
OCW
A
/� PTA ❑ES ❑PTS
Affected
A
El OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
Affecte
❑ PWS:
ORW:
yes no
PNA yes no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) /��!
r
Finger pier(s)x14
Groin length �—
number
Bulkhead/ Riprap length
avg distance offshore=
max distance offshore i
Basin, channel
cubic
Boathouse/
Beach Bulldozing
Other
Shoreline Length UA-:t
SAV: not sure yes nc
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Subdivision
City ZIP
Phone# (_) River Basin e"t 010
Adj. Wtr. Body 1. S-C>�i na /man /unkn
Closest Maj. Wtr. Body (�Gt9�
Body —
(Scale:' // S
XSee note on back regarding River Basin rules.
S( nature "Please read compliance statement on back of permit"
4 /) TP'1 Jv' -7 7 �) 7
Feels) Check#

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Pzrm 14
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RECEIVED
DEC 0 9 2020
DCM-MI" ° "'�

AGENT AUTHORIZATION FOR CAMA PERMIT. APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
/-dbk S'83 Srl/(/5�
R
Agent
to act on my behalf, for t purpose of applying for and of
714, «- C
all CAMA permits
necessary for the following proposed development:
at my property located at
in County.
l furthermore certify that.l 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:
-Q��IUL'S
�Signa ure
j I � P Pr
Print or Type Name
Title
11 I '5 1,,ox>
Date
This certification is valid through Y/ I S' 1 7-° 21
p-C(rt2C
RECEIVED
NOV 19 2020
DCM-MHD CITY

CAiMA / D DREDGE & FILL No. 73208 B � C
GENERAL PERMIT Previous permit #___
x ❑Modification ❑Complete Reissue ❑Partial Reissue Date precious permit is"ed
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 ? 5A NCAC_4�--- Rules xtte- ed
Applicant Nacre 'l � 1 _(_�_�_ Project Location: County_ o -- —
Address_ pT(�LLtry��L Street Address/ State Road/ got #(s)��
City --lei—F— State?P --- -- --
Phone# � _ _ -Mail.__ _.�--___-- Subdivisio p,�
Authorized Agent — — ___ — — City-- �'� _ ZI
,lfW
_- JW kFfA _ - � Phone # _R—Lr'e'r
Affected OEA HHF -1H _UBA ❑N/A Adj. Wtr.Body_�Basin _
an lun
AEC(s):
_ Closest Maj, Wtr. Body___
ORW: yes PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)-
FloatingPlatform(s)r—
Finger pier(s)_!
Groin length
i
number
Bulkhead/ Riprap length_!
avg distance offshore_
max distance offshoreoe
_
cubic yards__T
Boat ramp
Boathou oatlif.-
teach r"Jiioa
g
Jther
.horelne Length _
-Av. not sure yes
Moratorium: n/a yes no
Photos. yes no
Waiver Attached. yes no
A. building permit may be required by: —C
( Note Local Planning Conditions
jurisdiction) /� -
Notgsi Sppceal Conditions--J���-6�,/��
:r ! L _ _ . i1 /°
/ 3j e:
f= rYP
gKfv 3x�4AaD fzxrb
3x 4%
r 2 Nat -
YD CM l O/l. +V i vSee note on back regarding R.r.er Basin rules.
Agent o ant Prin t a e
PerrnitOffcer's Printed
ure '# °Please read compliance statement on back of permit ** Signaturg/ %
`�.„ - AA I ice, rn1 f01 ll/ A/1�/fQ�