Hodges, Joseph 78838C (2)

CAMA / ❑ DREDGE & FILL U�G
LJ-GENERAL PERMIT
lew ❑Modification ❑Complete Reissue ❑Partial Reissue
N9 78838 A B O D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r j /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V +
Rulgco es a ched.
Applicant Name Project Location: County LOX myP. 1
Address — i /e Street Address/ State Road/ Lot #(s)
0
City State G ZIP_
Phone # )�nn E-Mail' Subdivision
Authorized Agent /7 ip� WeLb City ZIP
EiCW
�W
'PTA
AAffected
Affecte
O oEA
❑ li
❑ IH
❑ PWS:
ORW:
yes
PNA
i
yes
Type of Project/ Activity `
Pier (dock) length
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length /
avg distance offshore
max distance offshore
Basin, channel
cubic
Beach Bulldozing
Other
Shoreline Length loo
SAV: not sure yes in
Moratorium: n/a yes
Photos: yes
Waiver Attached: es no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
or
El ES ❑PTS Phone # ( ) Pover Basin —
❑ UBA ❑ N/A Adj. Wtr. Body (she aer, (nat a unkn)
Closest Maj. Wt„ Bodylii/t/i'� r f ✓�
(Scale:
❑ See note on back regarding River Basin rules.
L;;+ o,IiDc..
Si ature "Please read compliance statement on back of permit"
Fee(s)_ ©C)
Aplication Check #
Signature
1 I olal 5_
Issul Date Ex ration ate

Owner RoqueL
to .
Z
C /R
c.nIM . fm s: ; f `hor�QESyY to ✓�/�oo :.,.,
t COflify that t have authonzed A'\J'P!ef lynu
Agerd ! CordraUor
MII
to act on my behalf, for the purpose of applying for and obtaining all CAMA prirmds
necessary for ttte following proposed development
Gij f ��P.FOx . Z %Of✓fRDS i%✓E JOl s N / %1/yNf iF P,44 &
at my property located at E Z8 560 Gar/ yf Nl-LL4f7- Z.X Z*SW
in CARrE`E County.
l furthem7ore certify that I am authorized to grant. and do in fact grant permission
Division of Coastal Management staff, the Local Permit Officer and their agents to er
on the aforementioned lands in connection with evaluating information related to
permit application.
Property Owner Information:
VITA
�) lent►i. !�
SignatuW
YJ $ goo
Ck--11-iooa
Title
i/
Date
i# valid throunh

DIVISION OF COASTAL MANAGEMENT
ADJACENTRIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER F
Narno of Property ter
%ddroaR of Property:/V 1 z X _" .,Yc'
(Lot or Street 0, Street or Rudd, City & CotlM
Agent's Natrnt N- f _._ _v MaifingAddrm. fl1 3�-k.6y-Pa ;2t4- .'K
Agents 6 - 5;1 V&N _p
I hereby certify that 1 awn property adjacent to the above referenced property. The inckvidum
WPOV for this permit has described to me as shown on the attached dravring fire devetopme,"t
M)vy( they am proposing.
'fitp I have no objections to this proposal I have objections to this proposal
d you iMva objection to what is bafng propose4 you amt noW the Dhrfsion of C W m"geenent
(DC'A$ In wrNng within 10 d1sys of receipt of this notice. Contact information for DCM Wicez Is
av kbleat j rr sJ/an v.t�uco sfatrrran z t�rrter=f nn;/avnhicmlrix`f 1(. tirm orbycalfing 1.448-d tWAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless %%-dived by me.
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Riparian Property

LW
ADJACENT RIPARIAN ~ERly OWNIKA f4 TTf'tt�ATtONiWAIA Er
NW* t•t i rQPOFty ( r c!a
ti rr rrr 9TOM o. reed at ROW, OWa taArs Invi
Agent S NOT" # .._...�...e...., .. AA/t9 Atkir f.... flt t+^' r`tfif! it,
! hereby OWIKy that I own p"Wfy adjsrxrftt to the abova retaxrrfwAd rprt"rty fte, in*vW- Aw
applying fnt axis Pennd has described to me as shtwrn on tho aflmwJ d dramng"th a devoltODWA
of bey are proposing
I have no objeCtions try Utis prraposal t hnvo to 0114 ptrrpr i
Nyou hara OWCODM to what isber»yPropose4yo" most notify theWvxskrnofG'aastatiMtWw*Un#axt
IDC#* inwFMV""n 10 dil" of f0cOM Of this notice, Contact Intarmotion for PCOW rrincuk ja
at *nlhs ncrr -:tv? # nrrrgrrlgn+rlat/,v eleitstatt•Itsti1111OrbyCoi t1400*ti000A51
NO f!7 AOn6a t5 GOf►SlrlPrpd the Sams as no ObiecItlon N vWi have, haan nnJMait hu r^a"Amw ,a
WAIVER SECTION
I understarw mat a pw, dock mooring pilings, brut ramp, breakwater, boaftun6. of lift rxuaxt
be set bade a mirarnum cbstance of 15' from my area of npanan ac.aAjii% unless watvarf by nm, (i
you wtsh tD wave the setback YOu Must Initial thn apprrxxiate blank below)
� pit i do wish to waive the 15' setback requirernenl
des I do not "Sh to waive tyre 15° setback requ ramrsrtt
5N
F
(Ftlpttrltin Property Owner Infcrrritatli
19
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