Goad, Marshall 80071C

PICAMA / ElDREDGE & FILL � � N9 80071 A B © D
—. GENERAL 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 �w
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC D 714,10
c-c/
Rules attach d.
Applicant Name q al
nr' Project Location: County
Address 50 �I�jA (� lA a/ ^llA hj I VP_ Street Address/ State Road/ Lot #(s) J/
n I i State & ZIP
Phone # `I( E-Mail /
Authorized Agent >�nasip— k e�
Affected LJ CW , 4WTA ,S ❑ PTS
AEC(s): Ll OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWs:
ORW: yes& PNA yes no
Type of Project/ Activity _ P li�o
Pier (dock) length ffi�
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) r
Groin length
number
Bulkhead/ Riprap length
/ 1
avg distance offshore
max distance offshore _
Basin, channel
cubic yards
Boat ramp
Beach
Other
Shoreline Length f
SAV: not sure yes
Moratorium: n/a yes
Subdivision V/Y es I Y K�x-cAl.S
City ZIP ''.9$�70
Phone # () River Basin W✓ll'- I'�
Adj. Wtr. Body t7 na man /unkn
Closest Maj. Wtr. Body
(Scale: / v1 f J' )
f I4I H F j
,
td—
ICCavU; n 1661 011cq'001
,I
by WMc)SnC.-
Photos: yes (
Waiver Attached: yes n - - --- - -
A h,dldinv narmit may he reaured bv: l "C P5F p- l-Ol.tAV ❑ See note on back regarding River Basin rules.
'Sigin ure ** Please read compliance statement on back of permit"
Fee(s) Check #

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: &4 A/ RgkG hk //
Mailing Address:
Phone Number:
Email Address:
G�elc jr' �2 :26Z2,-
- .vS'4--'7/ Z4-
rhC/o ad 3z63't Q (z0/ CaM
I certify that I have authorized 14,Aj7RE /'Q(,q
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
to
��r. /Z� �ocK i✓ioL,/C'4/�i'
lZ',K
at my property located at ��`/ SHl-E.( .Nl< 70� Nf/✓Pa t t /VG
in e'AXTel'g7' 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:
Mk0_ketu ?� $ a o 0
n Signature
Print or Type Name
Title
l l/
Date
RECEIVED
This certification is valid through s I I �°� Z JUN 0 3 2021
DCM-MHD CITY

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Aw-51-1pz f 61V-p
Address of Property:
(Lot or Street #, Street or Road, City &
Agent's Name#: �IND�( /A)(, s'
Agent's phone #: Z� — 66, S - 4132p
Mailing Address: �yt3f) pU�/�Pa2�/Ic�r,
jU� t�� y /Nc LO'SCS
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 drawing with dimensions 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 notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.netlweb/cm/staff-listin p or by call 1-888 4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
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 15' setback requirement.
f' I do not wish to waive the 15' setback requirement.
(Property Owner Informati n
Signature
/Y%/ISyc Gc 6 0x >
Print or Type Name
1/4/ SNCi! /for/< A4-0
Mailing Address
N��PN�r ��c Zb'S7o
City/State, Zip
'�-719 -7s V -=71 z
Telephone Number/Email Address
/7�l za z-I
Date
(Riparian Property Owner Information)
r
Signature
N111-5dN
Print or Type Name
5h,01/ &Pik rwd
Mailing Address
City/State ip
X `10-6il -7732
Telephone Number/Email AddressRECEIVED
2`t'�2n2 021
Dare $ 2
(Revised Aug. 2014)
DCM-MHD CITY

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT10NMAIVER FORM
Name of Property Owner.
Address of Property:
C
0o NFd Pic: NC
(Lot or Street #, Street or Road, City &
Agent's Name #: X/vD/.?t' NFL'
Agent's phone #: 25 Z - 66 S y32p
Mailing Address: 3V11,4 Ciln��P�i �pao
zk-� A6jv /ye. Z9SSZ
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 drawinn with
__�_ I have no objections to this proposal. I have objections to this proposal
/fyou have objections to what's be/n9pt01P0se4 you mustnotify the Division of Coastaliftnagement
(OCMjavailable to athfwriting within 10 days of receipt of this notice. Contact information for DCM offices is
✓hvwov nccoastalrrranaaementnetM�etycm/staffdisLna orbycalling 1-888-4RCOAST.
No response ms Murdered the cams me n.,..�,.,...�:.._ :s___-_ -- -
WAIVER SECTION
I understand that a pier, dock, moor'
be set back a minimum distance of 15' fro'Impilings,
area of paean access unless waived by me.t(if
You wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
rs` I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
_/��ARs wef G o o�
Pnnt or Type Name
//41 S*42a &�'/< gm-o
Matting Address
NtGItiPo,�T /�,/C 78S7v
City/State2ip
Telephone Number/Email Address
Date
(Riparia Property Owner Information,))
Signature /
SNCCc *o*
Pent or Type Name
Matlmg Address
Ctty/Sfate2p
'/cRIeCEIVE-O
Telephone Number/Email Address
. i,'- ,� JUN 0 S 2021
Date DC��A.MHE) CITY
((Revised Aug. 14)

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WDDC, INC.
ANDki Wi66
3
N1A OLD ARPOkf ROAD
NEW ff9N,NC28562
252-665-4518
MARSHALL GOAD
144 SHELL BANK ROAD, NEWPORT, NC
4/21/2021
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PROPOSED DOCK SITE PLAN
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