Caskie, Dan 80008C

LAMA 1 ❑ DREDGE & FILL No 90008 A B O D
ENERAL PERMIT Previous permit #
New ❑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 15A NCAC (Z .
/ ., � Rules attached.
Applicant Name e�J Project Location: County__- ,S f ID jam_
Address Street Address/ State Road/ Lot
City Y _ State ZIP
Phone # Olt) � E-Mail Subdivision
Authorized Agent s tfie, Ica 1 CityZIP , 7
XCO
Affected -C APTA-- ❑PTS Phone# (—)-----River Basin-
AEC(s): OOEA CHHF ❑IH ❑UBA C7 WA (/ Adj. Wtr. Body s 1 n man unkn
, �❑PWS
ORW: D/ no PNA �/ no Closest Mal. Wtr. Body_ --
Type of Project/ Activity
Pier (dock) leneth _6' X
Fix
Flw
Fing
Gro
Bulk
Bali
Boat
Bo
Bea
Oth
Sho
$AV.
Mora
Photo
Wan
Waive
(Scale: �i ✓� / )
ed Platform(s) % �.. 1 �- _ ...j _ __TT
ong Platforms) ! .
�_Y
er pier(s) �
in length ✓ _ - I - I_ _ __ - �_ _
i ) _
number
head/Nptap length_ .— __ 1 1... _ _ t �•!- -J _
avg distance offshore i - L_1 ., ,'. il,
maxdimnceoffshore ._�_
—
i��',n, channel / I V` �
cubic yards
y
i ramp-
athcusefBoadift
I
I
reline length
not sure yes no . i. I _ _
torlum: Na yes no
i
s. yes no I�
Attached.
permit may be required by: (V 1 [rJDia 1' A/tL" r .7 n See note on back rwoxrdin8 River Bair, ^')lac
A building
( Note Local Planning jurisdiction)
s.necxW
9 ak i� I /
Perrnit011lcers P
Slgnat re-
Issui g at �ra •-- -
A building
( Note Local Planning jurisdiction)
s.necxW
9 ak i� I /
Perrnit011lcers P
Slgnat re-
Issui g at �ra •-- -

CAMA / ❑ DREDGE & FILL N9 80008 A B D
PENERAL 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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC o 7
Applicant
City IVIer C Z:V t (f'Li StateVfi ZIP L /_/_b
Phone # *) a E-Mail
Authorized Agent t;IM ✓ I /Lf� �ClC{�1lI�Gi
Affected✓-
y, C _ TA ❑PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: Ir/ya)/ no PNA '%yes)l no
Type of Project/ Activity
er
Fixed Plaform(th�—
Fixed Platform(s) )t
Floating Platform(s) !'
Finger pier(s) -r
Groin length ✓
number I
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel r
IS
cubic yards / '-
Boat ramp
Boathouse/ Boatlift
Beach Id i g
Othe
Shoreline Length
SAV: not sure yes - -
Moratorium: n/a yes
Photos: yes
Waiver Attached: yesno
L!
A building permit may be required by:
( Note Local Planning Jurisdiction)
ik!o
** Please read compliance statement on backof permit**
M -ft 7
Application Fee(s) Check #
p� Rrules attached.
Project Location: County (l n S I 0
Street Address/ State Road/ Lot #(s) ofij�/�
Subdivision
City /V f V ZIP 9"(0Q
Phone # O River Basin I o10,
Adj. Wtr. Body I pl-e-y CZ n man unkn
Closest Mal. Wtr. R d, LC
(Scale: i
❑ See note on back regarding River Basin rules.
/ r r
Permit Officer's P inted me ^
Signat re C
R12111 — la� l� 11
Issu� at E iratio ateE iratio ate

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit )a vttd C.[Sk tt
Mailing Address: _ ``xa) Bel j (/ e i.
M2_chGtni(St/1tie /A 23atc
Phone Number: Ot--h-16,0
Email Address: Jay) eie5 rrlh
I certify that I have authorized Sa r %jj i /1P
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: I rllk 1 "y l a i•. 1, Or
at my property located at _ 29 (7%S
in L`hS10W 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:
.SVhaturo
Ii r nrr l Cackte
Print or Type Name
1 �o.'L,Cr)tAIAPi
Title
3 r X� 1_ 21
Date
This certification is valid through
Vj�100
C k1t s' 17-
RECEIVED
MAR 16 2021
DCM-MHD CITY

WMN
ADJACENTRIPAIWN OPCOMTALNA WU*ia
MIOPWY0 WN N6TIMCATIOWWAW FORM
Nwme of Prot" a metrn�re
Addrom of Property:ri QCdr„ 7oau�tl �0.+t1ow
cltya
Agent's Name r; � _ Maft Address; 1 5 old Sky0
AgaN's Phone P. " _W' rk5
—.OtL/I hive no objections to this Proposal.
—I do wish to wolve the .15 selback roqu
I do notwish to werve the 15' eemack
I have ogcaiom to this proposal.
ITT
MAR 16 2021
DCM-MHD CITY

i
I huaby oelft Bat l a" properly adpama_ Da_-_Ul PrkYe y
p omV tobamd at _ 2.4 OSotu A,, � 01 Pna"'b�
Tile appkmrd tag dncdbad to aN. 0e ehwm OaIOW, the dw*WnM mpbia0 at the abM woOOn.
I have no o*ftn to this pmpow.
I We ob*UWa to this propmt
,P Pt+P{iDPaYntl ihat:a pler, dock, rrloaMW a . t r bwdwuaeA or kmin M*'Meet badge
ie&a'oic oof 6f m y #• at tlaaipc�op9N unN1, WOW t y+ Ow ilf pm.%4h 4.0 *aw
aap wa ft wl(OWW)
DCM-MHD CITY

g€RT MI MAIL • R=A RFrraPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT FICAT ONIWAIVER FORM
Name of Property Owner: v1 pg1 e
Address of Property:
(Lot or street #; Stn
Agent's Name #:
Agent's phone #:
V,
or Road, City & County) �l 1
Mailing Address:__i'S.') WU )1GVpIgJ''
I hereby certify that 1 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
Psione e u nn
they are proposing. description or drawlnn wah dirge
ni r.
I have no objections to this proposal. _ t have objections to this proposal.
If you have objections to what is boing proposed, you must noftry the Division of Cosstsl Management (DCM) In
writing within 10 days of receipt of this notice. Correspondence should be mailed to 121 Cardinal Orlve ExR,
Wilmington, NC, 2a40S384a. DCM representadves can also be contacted of (9f0) 798 7?13. No response Is
:ons/dorad fho same as ao oblecdon If you hays aaan n 1510 a e contact ed at (
1 understand that a pier, dock, mooringWAIVER
Pilings. s, breakwater, boathouse, lift, or groin must be set
back a minimum distance of I6' from myarea of riparian access unless waived by me. (If you
wish to waive the setback, you 1XVILI-Elft the appropriate blank below.)
�I do wish to waive the 15' setback requirement.
do not wish to waive the 16' setback requirement.
(PropertyAq rner Informdtion
Si�rrtur'tr"
Pnnr or TypeName
)ell (reer* k)c!
Walling Address
AeCkayilrsiMle,yA Il(a
Clly/618tKip
-.3 0 iv - 5,& Q - 70�r�J
Telephone Number
oa�a
Property Owner Information)
Ltav-1, /V/lnyt�n�
Pnnt orTyp Name
2 2 C%sai,eV
Mailing Addre I '
/V Te,0211
Cdy/Slare2lp
Telephone Num r
Dare__�3 /� 1jGly'Ei Er—"
Revised 6/1ar2of 2
MAR 16 2021
DCM-MHD CITY

ADJACENT RIPARIAN Pannc—Ty ----
E 3
I hereby certify that 1 own property adjacent to 101t i't t c l CastP
's
Property located at /{ �j ore (Name of Property Owner)
on /� /� S�,.j �,',L.7` (ddre a, Lott Block, Road, etc.
IV i61
r� l /y'a5r1� t Nc lJ )6 . N.C.
(Watarbody) to (CltyRown and/or County)
The applicant has described to me, as shown below, the development proposed at the above location,
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 s/to drawing)
WAIVER SECTION
i understand that a pier, dock, moonnpilings.
minimum distance of 15' from my area of riarian access run ess Waived by, boathouse, lift,rme. I(It youtw wish tbe o waive
the setback, you must initial the appropriate blank below.)
"rile
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Property Owner Information)
(aev5eds1fanorz) 1�0r:!!V��
MAR 16 2021
I)C"14D CITY

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