Browning, Joseph 800026C

(AFE
/ ❑DREDGE & FILL . 6 N9 80026 A B O D
rNRAL PERMIT Previous permit#
wModification ❑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 6 7 /'j'i '/
Rules attach-�
�f
Applicant Name ,S � 't% Project Location: County a��P r
Address �nt !1 i I Y ± Street Address/ State Road/ Lot #(s)Uto11%hd
Phone #
Authorized Agent
❑CW NEW .-J fTA El ES ❑PTS
nectea
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s):
❑ PWS:
ORW: yes no PNA yes no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) O �l
Finger pier(s)
Groin length
number r
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic
Boat ramp
Boathouse/
Beach
Other
Shoreline Length I /li
SAV: not sure yes
Moratorium: n/a yes I
Photos: yeWaiver Attached:
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
l�ev or Applicant Printed Name
E
'i Si tore Please read compliance statement on back ofpermit'°'
O, 1028 7
pplication Fee(s) Check#
Subdivij'on t
City I �fliO /tom e1z1s�ZIP✓y
Phone # () River Basin—
Adj. Wtr. Body_1 7 �2 nI (nat(tQal/unkn)
Closest Maj. Wtr.
❑ See note on
11 i
(Scale: i I0 )
regarding River Basin rules.

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (� S6?t
Mailing Address: I I I � I Atr,L41 Zt1
Phone Number:
I)W"M Nc a14 I ;�'
q 19- LI2-3 - cI"SSS
Email Address.— lop, 61rowV+• ftErf(, r un� _
I certify that I have authorized �� Zvt t I (n�rl Dv a l pry• s
Ag nt I Contractor
j to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
doc k Lid
at my property located at 1ao w0,1h'AA CircLe
in CRfIrAr-ct County.
W1 Slwl'i. W avSI-
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:
(1� � -�-Z
Signatur fl
grown;
Print or Type Namav
Date
This certification is valid through 5 1 D- 11 a )
Cos#_ io5 g�-
RECEIVED
APR 19 2021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to cyt',u� P. S('0"'g' r'4) I
�` i „`\ Name of Property Owner)
property located at ` � 1 crry
(Address, Lot, Block, Road, etc.)
on p rr • v u l� W rap c v in pu-g S , N.C.
(Waterbody) (City/Town and/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)
Iz'
r gyp• ' ��Aa�'�
�i r fir,
WAIVER SECTION L r-v-
I understand that a pier, dock, mooring pilings, boat ramp, 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)
•Valid fnr nna nalandar ,Pnr aaar cinnaUrra-
(Adjacent Property Owner Information)
(Revised Aug_ ASCEIVED
APR 19 2021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby rortdy that I mw, }va}tarty ari)ncnnt to __ fu, � r.r+ •s
Name of Propertynor)
pwpartyUcawdat 12�' f.J•-1�,.� (•itr�:
yy A (Address, Lot.
BI It �oa etc.)
fir. `),ri. F.,�,,t, lN�r+lte ii ,J n t', � S" _ n�+......ra, .K?) , M.G.
(Waterbody) (CtlyfTown andfor County)
fho aplNrdnt has doacrlhed to me, as shown below, the development Proposed at the "Dove
io_ation. .
V' I have no ot),,\90fon to thls proposal,
I have otiactlons to this proposal,
DESCRIPTION ANOIOR DRAWING OF PROPOSED DEVELOPMENT
Qndfvldual propoahrg development must fl11 !n doscdpNon below or affach a affe,droWhip)
j }�JC� I _—- Iv - 1tt�.:i")e,l �••t„`d.
WAIVER SECTION L' r..k
I understand UW a plus, dock, mooti+yd pilings, boat ramp, breakwater, t4mthousu, tifl, or groin
must be sel beat a minimum distance of Is' from my area of riparian across ur,toss waived by
me. (It you Msh to waive the setback, you must Initial the appropriate blank bRIDW.)
CPT, I do wish to Naive the W eelboek requlremoni.
I do not Wsh to walvo P,u 15' setback requirement.
(Property Owner Information)
•Betio trq aw. .-n4.nd e• "—, 0"., dnnnev,•'
(Adjacent
ru7ap)t;»_ Fu /arnalls¢d�esa
(Revjs%l /lag..l011; RECEIVED
APR 19 2021
DCM-MHD CITY