Sullivan, John 78862C

6CAMA / ❑ DREDGE tit FILL C) Pt'8962 A B 'G D
GENERAL PERMIT Previous permit#
ew ❑Modification :]Complete Reissue !]Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality )-7,�.�.��
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 07 HH - J''�'y.Cd
.,,..�`^„ules attached.
Applicant Name �..J-�_(Project Location: County _
Address _/��rvV�r1T}�_�,-:._,(l+,__,-,_ Street Address/ State Road/ Lot #(s)__�
City,5 r° _State-Nzl� ZIPi;M -- --
Phone # ("'_",`.- 71 WJ'rAail _.._....._. Subdivision
Authorized Agent _�a�h- _._. City --.._— ZIP ---
Affected ucw 'VW ,EFTA uES ❑PTS Phone# River Basin u
AEC(s): �'-, OEA 1 HHF '� IH ❑ UBA ❑ N/A Adj. Wtr. Bod ____nat unkn
D PW5:
ORW: yes no PNA 0 no Closest Maj. Wtr.
Body—___......._.._.
Type of Project/ Activity
I j
(Scale: )t) )
tv✓
Pier (dock) length tx t
Fixed Platforms) `f' o�^C
_
— .-.
Floating Platforms)
Finger pier(s)-----'
Groin length
number _ ✓
'...
:... i. _
Bulkhead/Riprap length _......"_
':.
_.... _ ...
avg distance offshore_"^
max distance offshore
Basin, channel
cubic yards_ ,_
- �w ^`•4
Boat ramp /( „ , _.
Boat Boatlift
.. „
_
_.
_._
✓ti _ _._
Beach
Other
Shoreline Length
SAV: notsure yes no
Moratorium: n/a yes
Photos: yes n
Waiver Attached: yes no '-.---.-.
A building permit may be required by:
( Note Local Planning Jurisdiction) t
Notes/ Special Conditions
_Aq
or
Please read compliance statement on
1 See ote on back regarding River Basin rules.
Fee(s)

Oev!
MA / El DREDGE DREDGE & FILL
N - 7$$62 A B � D
NERAL PERMIT Previous permit#
❑Modification ❑Complete Reissue [-]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 I SA NCAC 07 % fj� / NC
�' ules attached.
—
Applicant Name 370AA) � CA ) U�/� Project Location: County
— -/`
Address I .:;o 1/ i Paw/ D f t UP. Street Address/ State Road/ Lot #(s) JLV
Phone # ( '/ 7 E_h
Authorized Agent
Affected El CW �EW PTA
Affecte ElOEA ❑ HHF ❑ IH
❑ PWS:
ORW: yes no PNA yes
Type of Project/ Activity
Pier (dock) length 7'
Fixed Platform(s) 'f X
Floating Platform(s)
Finger pier(s)
Groin length
number ✓
Bulkhead/ Riprap length
avg distance offshore ^
max distance offshore
Basin, channel
cubic;
Boat ramp
Boat
Beach B ozing .�
Other o...
i
Shoreline Length-
SAV: not sure yes no - not Jl Alt
Moratorium: n/a yes
Photos: yes
Waiver Attached: Rv-esl no - -- -
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
ail Subdivision
i
(Jf, City ZIP
❑ES ❑PTS Phone# () River Basin
❑ uBA ❑ N/A Adj. Wtr. Bod nat unkn
no Closest Maj. Wtr. Body
V
Name
(Scale:)
❑ See ote on back regarding River Basin rules.
?S ture ** PlWse read compliance statement on back of permit"
VOW -
Fee(s) Check
I

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: „_ I A I l i W n
Mailing Address: '` D Ciy-nnlPt,1 -DOyP..
Phone Number:
Email Address:
I certify that I have authorized
/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: rw DOCk_ 1-1 T%
at my property located at
innnslQ1/J 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
so t k�
Print or Type Name
Q UJ Idr2 &-
Title
r /
Date
This certification is valid through
(No ckeok)
RECEIVED
FEB 12 2021
DCM-MHD CITY

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: �Y ir�(,�1jII1 vain - - .
Address of Property: 1:1�
(Lot or StreeiW, Street or Road, Cit & County)
Agent's Name #: 3��n Padre r Mailing Address: 13h V I rU 1 n f (j .n
Agent's phone #: " 11Q- , 56 9 {� j y F-,e m 1(p U
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 descriotion or drawing. with dimonslons�must b@.provided with this letter.
A/AEC/1 have no objections to this proposal. __I have objections to this proposal.
If you have objections to what is being proposed, you must notNy the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
eval/abls of htl/www, nccoastalnrarrnorucnLnoUwob/cm/staH•listinq or by calling 1.888-4RCOAST.
No response Is considered the some as no oblection if you have been nofifled by Certified Mali.
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 waived by me. (if
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the IS setback requirement. (�
x Wa: w d�•�.� �{eei• faii..ak-}t.r4 t..tiS gliau4 toar. a... t/+a.ti�aN �+I�^ manly - �
1 do not wish to waive the 15' setback requirement. k e Pe ter/
.I.WIW �ft�"�IIIY.
(Property Owner Information)
in
nlure
d (1
J
Print or Type Name
1 3c) (2inx-Avi
elm Dn
v
Mailing Address
Cily/state/Zip
-7n4
- 5198 - 41-1 L4
Telephone Number/Email Address
RECEIVED
Date
FEB 12 2�^+ LI
(Riparian Property Owner Information)
ie F re,. \41. Dew
Print or Type Name
wo(o AACOLL Q&
Mailing Address
Lillina n, ��1G 2�54(�
Citylstate p
q1Q-i316-`1L•I9H �a�ZSb�aol•car
Telephone Number/ Email Address
Dale
DCM-W4D CITY
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTF`
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Jack Sullivan ° e
Address of Property: 177 Alligator Bay Road, SNeads Fer(y. Onsloyp__
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Josh Barber/PFL Construction
Agent's phone #: [phone]
Mailing Address: 135 Virginia Lane
Sneads Ferry, NC 28460
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 crawing with dimensIgns must be provided with this letter.
✓ I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must nodly the Division ofCoasta/Management
MCM) In wrfdng within 10 days of race/pt of this notice. Contact Information for OCM offices Is
available at htta:/1vww.nccoastalmansoement.net1vehl0m/staff-Ustinaor by calling 1-888.4RCOAST.
WAIVER SECTION
1 J......b...J �M..� .. J....1. •It....., t...n6 .n.v... t.•nnlnuMn. hnnH,m.nn nr NH m, m1
1 walat4r1U Uldt a PIU1, vut.n, MMOUIDIQ Niauya, UUOt 10111p, Divan"CA01. uvntl, UQ. , V. .U.
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.)
(do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop =01riformation) (Riparian Property Owner Information)
.1
ature t re
c7HV, J ��L4IWt/\ Jw\yzS yk%t
Print or Type Name Print or type Name
130 Grandview Drive
Mailing Address
Sneads Ferry, NC 28460
City/Stateaip
704-688-4774
Telephone Number/Email Address
10/25/2020 RECENED
Date
FEB 12 2021
5031 hNRDy IGKr` _Rh
Mailing Address
r14�ulsZt , Nc ?_0Zij
City/Statsaip
Telephone Number/Email Address
2)3 )2 t
Date
(Revised Aug. 2014)
DCM-MHt= -.CITY