Armstrong, Jeff 80027C

G
��(CAMA / ❑ DREDGE & FILL NO 80027 A B D
G,ENERAL PERMIT Previous permit#
KNew ❑Modification ❑Complete Reissue El 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 / • I �p©
� Rules a hed.
Applicant Name t rA'StC On Ci Project Location: County �Gtl Eel
Adcress0 5 C i S Street Address/ State Road/ Lot #(s)-1(�?
City �o State NiiZIPl��-
Phone # (�?32nf"5��2 E-Mail Subdivisions
Authorized Agent U e-�P n &a-n e-S City i S ZIP
Affected El CW W I AftA ❑ Es ❑ PTS Phone # ( ) River Basin
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body at ma unkn
PWS:
ORW: yes e PNA yes no Closest Maj. Wtr. Body -
Type of Project/ Activity O&X�-7104
ii I l
(Scale:'
Pier (dock) length X
Fined Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
i' t '-
number -- _
Bulkhead/ Riprap length iF
T
avg distance onshore
max distance offshore - - -- -
Bain, channel
cubic yards
Boat ramp i
Boathouse6 -t� V�'�
I
Beach Bulldozing
Other
r��f 0�i� -
SAV: not sure yes
Shoreline Length r lTa IV!
no _ s
Moratorium: n/a yes o
Photos: yes no iWW _
]i
Waiver Attached: In p - --
A building permit may be required by: I (I h n /I 5 A Fto S ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) j,r-
Nootes/ Special Conditions (k S� (' _ J� b o� C a� I eAIII �✓ :Lci N(
RovKit] ,PaCimnyoppfil v li19F
nc' S
or Applicant Pri ted Name
l
Signature **Pie se read compliance statement on back of permit"
��o. w /r) �85
pA p�ication Fee(s)Fee(s) Check#
C
Permit Officer's riot Name
Signature
V;L3/z/ 31111111
Issui gD a /Expiriltion Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: it FeFFEI39 147)n20N6
Mailing Address: gg E Sr
OmFo R-,) , A9 i✓ zi S lr S
Phone Number: ; r`S2 • .75 2 - f 19 Z
Email Address: 1ZjrFFERY.+jjnS 0 Gn*u, . Corl
I certify that I have authorized �O rAN �Jlcj mu
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 804r utr t' AbeAl,
SVIdSr4LkAO 96A3
at my property located at 103 C006MV01' dT- Zvs Aomc <xpg 5S
in 64 T Wr county.
I furthermore certify that 1 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:
� Signature I
/� � I�FFItI' �4gSrILou6
Print or Type Name
Title
3 / 3 1 202c
Date
This certification is valid through I I
and
Cof7-/058-6
�jECENED
APR 19 2021
DCM.MHD CITY

I hereby certify that I own property adjacent to
property located at 10 3 C
(Address,
on t". AA)Ai- . in.
(Waterbody)
The applicant has described to me, as shown
locati n.
_ I have no objection to this propo
DESCRIPTION AND/OR DRAWING
(Indlvidua/ proposing development must Nll If
CA
I
er'Is lwi; b6C
i¢aD�rlouttl I
i understand that a pier, dock, mooring pilings,
back a minimum distance of 15' from my area
wish to waive the setback, you must inMal the
I do wish to waive the 15' setback
lc'FFErtd i�i2RtTitot�6
of Property
(Cityrrown and/or
'S
N.C.
the development proposed at the above
PROPOSED DEVELOPMENT
3scripl5on below or aUach a site drawing)
Mo
® '%Eb�lrrou�r. �o�rttJ
SPACE �IIINC
J6
=ION
%akwater, boathouse, lift, or groin must tie set
riparian access unless waived by me. (If you
propriate blank below.)
V
I do not wish to waive the 15' setback requirement.
(Property Owner information)
i /l,+elf
S iFA
JFFFE$� 1fkRJr&Wr6
P�®Tyr Na
t;tI rJ6 Sr
M�iaiylingA ��, � C Z� r� s
�Ci! K3 F2 z532- s192
Telephone Number
3 - I. zoz(
Date
(Adjacent
Print or Types Name
/D.i" U.4FCTAIOT Chi
ling AdIgiss
Cityrzhtelzo
Telephone
Date —RECEIVED
(Revised 6r182012)
APR 19 2021
DCM-MHD CITY

I hereby oer tty that I own property a4aoent to
proper y,oeatw at 1O3 a rrsnrm-
on A&FO , (Address
M►aY1
in
The applicant has described to me, as shown
location.
1 have no ob]ecdon to ft
the dwilopmerd proposed at tfw above
rn
sew be*,o
DESCRIPTION ANUM DMVMG iomokswDEVEWPMEW
MkOMMIpropoo +8dbvcloPmartmust p6or►balowclip
�aHadraMedrawbW
PAUr fasrnos 'Doer. `,
,4aarrwUfte b«fc seer
�tust'(,�G �fuN6
�p�f1T0Al�i. �fLIII;Co �
- I understand OW a pier, dodo
back a mfnirnwn distance of 1S from my area
wishtowaN9 Ma soft* you must InuW Use
--M wish to weive the IS setback
t do riot wish to wsnre the IS aen
(f rr OV Owner kdorrnation)
Alu r
6trs &W
doyen!
s6. r/x1.«
eo/fgwt AW
boathouse, ►R, or groin must be set
aocess unless waived by me. (If you
i btank balgw.)
,t r m usr 8r s'Wah( tM°60711uMI-)
Iafo KMN) \
?fAe Il.�(�rn>:>
72
(Revlwdk"&M2pECElVED
APR 19 2021
CCM-MHD CITY