Powell, Nancy 78843C

CAMA /DREDGE 8t FILL
NERAL PERMIT Previous 7RR4' A B C� D
Previous permit #
ew C.IModification i ]Complete Reissue I ]Partial Reissue Date previous permit issued
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 NCAC0-�Z /�)�
Applicant N Rules attached.
me a
__-_. l Q (� r l _ Project Location: County___)
Address -L�(Ci� • t,
City�� / /Street Address/ State Road/ Lot #(s)
__�_ _StateOzip,12911
Phone # O-��'Q� E-Mail . Subdivision�±
Authorized Agent City t7((p r e �r J ZIP
- t.�'3e�c
Affected ' iCW -'l_ W XPrA I iES I IPTS Phone# ( ) River Basin .l
AEC(s): i.OEA 1JHHF LJ IH LJ USA 17 WA
71 Adj. Wtr. Body
PWS:_ at _nan_ /unhn)
ORW: yes no PNA yes Jr
no) Closest Maj. Wtr. Body
Type of Project/ Activity 4) \ 0 P a:5C-Z'Y M CA l n-7 fAiYn /11 PA' (?o:;p
Pier (dock) length_ • -
Fixed Platform(s)
Floating Platforms ✓
Finger pier(s) '! _
Groin length
number
Bulkhead/ Riprap length i
avg distance offshore _
tax distant I offjlto�re
j3Bssln hannel � 5/f'/yc"
cubic yards - ! 7,
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
--' __-- .c
Shoreline Length am
SAV: not sup a yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes po
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
0n:'low
PntodAgentor Ilea t Name
Sig cure Piemeread-ompliance statement onback ofpermit
*°
A' ication Fee(s) Check#
(Scale: lVd )
I - C rAfit G\it W%ru
i
DC m
i
F1 See note on back regarding River Basin rules.
AJ.
Permitofficer's P'nted N a
z
Signatur
Issui g Datq�R t Fxrfiratinn hire

LAFI DREDGE & FILL
..
L
N9 78843 A B �C D
RAL PERMIT
Previous permit#
ewModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality , „ � -
00
and the Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC i
ules attached.
Applicant N me li
Project Location: County_ _( ? "5 /03
Address
�l 7
Street Address/ State Roadl/''Lot #(s)
City
State , �/ CZI P
7 �Q{ i�
E-Mail
Phone # )'t
Subdivision
"
Authorized Agent
\/
City onewl; 7 ZIP
❑ Cw �W ETA El ❑ PTS
Affected
Phone # (_) River Basin �U
��
Ll OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body
I G on nan unkn
❑ PWS:
ORW: yes no PNA yes no
"
Closest Maj. Wtr. Body 44?4A f VeZ
__ ��l/n_„_
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) _
Groin length
number _
Bulkhead/ Riprap
avg distance
ax distant
Basin annel
cubic yards__,
Boat ramp
Boathouse/ BoatliR�
Beach Bulldozing
Other '
Shoreline Length ./ (. l
SAV: not sure yes Cn
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdiction) �D
Notes/ Special Conditions
Agent
(Scale: IT / ft )
❑ See note on back regarding River Basin rules.
tea: CAP/� /, ©W /`.F, r /` _ UQl�� c
PermitOffcer's
Sign cure ** Please read compliance statement on backof permit** Signatur
qlr
Ap "cation Feels) Check# Issui gDat Ex ration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
on
(Waterbody)
Q�
(City/Town
The applicant has described to me, as shown below, the development proposed at the above
IocatioA.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
G C Iw.X C\
Q oc\C
iv'c c?,,a.s C-
a� a 6 6 C- G �a. a.\o
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unle me. (If you
wish to waive the setback, you must initial the appropriate b1a ow
9,J , g[) RECEIVED
I do wish to waive the 15' setback requirement. �I /V '
1 do not wish to waive the 15' setback requirement.K# �a� 5 a I�AN 2 5 2021
(Property Ow r Informatio
Si hu
Prip�o�1r T1�/� Name O \� a 1C
Ma g Address
City/stale[ZipNua� (0O
Telephone Number
"t o���►��o���o �8\��53
Date
(Adpja�cent Property Owner InfoYHYAilAY'L
I�.J�Qm ,n bZ.lLC9.Lf�
Signature
(> rR' \-- V C -o.,5
ye
me
\3 T wab..wzlsq�.'yk�C�
Mailing Address
�Ss��ac�.s� c.rrr
aryistt a `d `l on
Telephone Number
g�o�6��4��la�a� 311q
Date �(0 '334�`�'1k
\a .-I- ` (Revised 6/18/2012)
CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J M �y C?\ s
(Name of Property Owner)
property located at \ ©� � Q �-�, S�
1 (Address, Lot, Block, Road, etc.)
onCoo. C& \m'a-N eiv�le ea , in.Sm p—. . rw.S Faa--N) ©IJS , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc ti
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
(� Ar
c� M 'k-- C.- & S � ¢.T S"-1 N G I
a��� `�h�, N� °\\0
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if 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.
(Property Owner Information)
Signature
Address
qk o 3A."1 9kAC> o (AG*
Date `�\\ m
(Adjacent Property Owner Information)
-./p
1WY11 Q� Sip�_ature
Print or Type me y
\ ® D QN S' 4
Mailing Address �@
City/state2ipp
ry e} aS �A (o
Telephone Number
CQ\O 3a� 3o V1
Date \ �I k
1 (Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Property Owner)
property located at U
(Addr s, Lot, Block, Road, etc.)
onCo(31C,oAczS w10.� in ls n' C� N.C.
(Waterbody) (City/Town a d/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�Q)
Q rT-
0 c) WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If 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.
(Property Owner Information)
SS��a
Signature
PAit or Type Name
Mailing Address
CY- ,-e— c 0cT —
City/ ta\te/Zip
)� O�FS`E�oo-
Telephone Number
R, 6 a7q\o(0 C,ko58lB�i
Dale � q
er mrormauont
�`u e I
l�Qy/---
Print or , pe Name
Address
J C O
City/ ate ip as � (.� O
Telephone Number
Date ! 1 p \ D-LCA�'k
(Revised 611812012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to \2 2 c- � e-1 's
(Name of ProppeYty Owner)
property located at —Rc.-S, D4-c>
(Address, Lot, Block, Road, etc.)
on 4c�c���G �.�c� �..� .)in CN)-ecii? t-- �413N \",N.C.
(Waterbody) (City/Town andiot County)
The applicant has described to me, as shown below, the development proposed at the above
locatign.
I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Iv e o
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If 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.
Ma g Address
City/Sta(e[
Telephone Number
Dare k \ kk \ k
(Adjacent Property Owner Information)
J rl� < <, -
(Revised 611812012)

777-109.4
778A-6.3
778A-3
i/f:1Q!
778A-65.1
778A-63
778A-62
8A\1
778A-5
/f 778A-14.1
/ 778A-9
778A-10 778A-14
778A-13
v 778A-37 \
778A-38 778A-36
778A-6
1
778A-16
778A-16
778A-17
778A-18
778A-26
778A-27
778R-26.t
778A-19
778A-25
778A-25.2
77aLA-214r C16 r+ X I
778A 25.1 �^d
22 v
778A-28
778A-60. -'" 778A-33_778A-30
59 —778A-40 778A-39 778A-34 778A-32 778A-311 778A-29-7
_Q13
JQC- (cm 0

(910) 32?-21bo
Dale Powell. 0,1,,
PO Box 307; 104 James Street
Sneads Ferry, NC 28460
nervrivermnrine@epjbm'gmail.com