Murphy, Andrew 78825C

%CAMA / ❑ DREDGE & FILL N9 78825 A B C� D
GENERAL PERMIT Previous permit#
FlNew [-]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
A
Rules attached.
Applicant Name Project Location: County
AddreAddress�) I, le, Street Address/ State Road/ Lot #(s)
City'5 St . ateAJC ZIP
Phone # (� E-Mail Subdivision
Authorized Agent E/1/)P-ff M,25'I0City ZIP
Affected ❑ CW —fj�EW 'ETA _" ❑ PTS Phone # () River Basin
AEC(s): ❑ 0EA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body_nat an unkn
❑ PINS:
ORW: yes P� n9� PNA yes no Closest Maj. Wr,. Body--
Type of Project/ Activity
Pier (dock) length X
-
Fixed Platform(s) fi y
Floating Platform(s yam_
Finger pier(s) 7� ✓
Groin length
number
Bulkhead/ Riprap length
avg distance offshore _
max distance offshore
!
"I
I
/ Y
Basin, channel �
� - �./
d
i
Qn
cubic yards
—.
i
Boat ramp T _ _ v
VVV
Beach
Other
Shoreline Length J-g0:L Z
SAV: not sure yes o
Moratorium: n/a yes '-
Photos: yos,n
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Sign ture ** Please read compliance statement on back of permit""
Application Fee(s) Check #
❑ See note on back
(Scale:' ?j
River Basin rules.
EC
PermitOfficer's Printed Name
Signature
�lj�l�► � 5�ia�t�-I
lss*gDate pira on Date

IAGENT Al2THORIZATION FOR LAMA 17'ERMtT APPLICATION
Name of Property Owner Requesting Permit: *CL--1j
MailingAddress: W P,hAl);.4 .AYO< nr.
Phone Number:
Email Address:
I certify that 1 have authorized
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:
at my property located at
ter, .
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.
TWO
Z I Zo zt
Date
This oertification is valid through —�J—/ i / Zo 2l
0#3%a
RECEIVED
JAN 07 2021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNF$ KATEMENT
I hereby certify that I own property adjacent tont�r� t p nY! I s
property located at _ _� _ a dU)I GI(i c'JiArP,4ofV I/A0 net) — --
/► , tr+aarese, L J, tslock, Rob etc,)
on. Ld1 in [1 .. Perry UPI. �l )�, N.C.
(Water body) (City own a/or county)
The applicant has described to me, as shown below, the development proposed at the above
eft
I have no objection to this proposal.
I have objections to this proposal.
b
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in desdrlpNon below or attach a site drawing)
5e,e- a4fqChu� drdw*1113
WAIVER SECTION
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.)
t A� _ I do wish to waive the 15' setback requirement.
,(yq-fit
�rNbRG i do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adja ent ProP e
/ , ►tY S%WtTer Information►
Date
�-'
ignature' Ad accn SJ ,]
AB�S �r L1t. e
or o N ma e,0
mal�g
15 t
c Addle �-rvy (` C�tS pi�n
cityisrata2/p .,
�ilD SfJ=-�15'���
Telephone Number/email address
art=
Dere♦ —.
'Valid for one calendar year after signature` (Revised Aug. 2014)

A4JACENT RIPARIAN PROPER OWN 8IM9MENT
I hereby certify that I own property adjacent to f'�[ () I rn� 1 Is
�c1 7�� (Name of roperly OvFner)
—
property located at A l.� k �Shnr_L�s_ ,�?il VP
(Address, Lot�Tfown
BlockRolletc,)
on , InYi 6llS�itltV �, N.C.
(Waterbody) � a for County)
The applicant has described to me, as shown below, the development proposed at the above
location.
QI I have no objection to this proposal.
one I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or aftach a site drawing)
,See g4f7Z((-hCd dt-dw1119
WAIVER SLUION
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.)
A, I do wish to waive the 15' setback requirement.
�I
DnG I do not wish to waive the 15' setback requirement.
(PrOP,OrtY Owner information) (Adjacent Prop" Owner information)
o.al „v„v ,vumoer i email address
Date
Date
'Valid for one calendar year after signature'
— Ad 4ceni
fh vYx f D� PleA6
i.,r 2/VG v 6,. j n
t whtirl f 11 / err -1-1
ress
(Revised Aug. 2014)