McAllister, Linda 84587C

No 84587 n v
akbura TACAMA LI DREDGE & FILL ;' pre�auspermit_ f�i '�J
GENERAL PERMIT Date premlouspermltissuln 1----
r[ANew ❑Modification LIComplete Reissue ❑Partial Reissue romneMalconarnpursuantto:
w avdlonmd by d+e Sowof Nvnki CarWlnn, neparemone d Emlronrnenral QrwLry and 8ie CaasUl Resources Conmialon In an ara+ of ernl
ISA NCAC ❑ Rulesatrad+nl. Oq GenerYa rcime We, avollabb, the MIQWng Ilr:k:S��ds9JLa�'/rA_MAf
r
a� �P�-1 NOlG1_------
ApplieantName.. UNy� C�_ ,r _ _ A•.,4,00 dAgent_ n vma
ss?,. rr ��`F 0 �V� - Protect Lncwon (&.Ly):.
Addre
L 7�G���� So-eet+AdrewWte RoadlLae #(s) _
[iry 4,, i_4_..t_:� njV tUw State— —21P ..LSL50Lr — _—.—
Phona # (FLU ya" ____— —
Email —SIP ��—I.�--•
Affected ❑cw I kW IpTA FS I-IPP5 Ad]. Wir. Body_—.�31Y/'".
AEC($): []a6A ff FfA ❑UW SPIMA ❑PWS Closctc Mal. Wrr. Bode �1+-y�IA/`—
OriW: yesinn PNA: vWno
AN aSCaub 3ULP�rir�h tUr'�C'R.6r� i�lp�`i �`1�1> uNS(f��f.� I} /uE�
Type of Pra}ttt/ Activity •d (Stale:
Shoreline Length
Acwm
PRer Idork) lrsi WLtk
Fiend plaffolmisy
t rr
rloabne P1ad6nrmisy / — I - �'' , - I
Fin er plerls)�q 1. yg T a ibh I i l l l i 'r'l �.._li I.s
Total Pbtfonn Groin knere:i
Pth/r - I ._,
Bulkhw iprap lengYnI
M is hannelk�f�.
I
cublcvards�— I
l
Boat ramp +
_ i I , r , y" � I
�..
Rrnthousel -
Brach r1Wldo2kt9-_
I I� rt. I I I I� l ,•,{F�n� I I
Mamwrivm: n!a Yes I I ._ ;
Site y?s 1( - iv
Sie rlan'Nai1crAUUdrcJ:
AhtdldinSpermitJaonir®pennifmaybnrrAl+irrdby: �r /y ,b ij w.
Permit t:nnl�tY.L'1 t{jj. �t�r�ni�tf�0fl.{Lt'S_�i�7tk,Ir� Cj>� �►/��,+� Ll TAAIPAM EUSFJBU FFER (circlo one)
_ See note on back Kriardl nR Rlvrr Basin, rules
,rii�A1 8r d�wlA �R�ti�
rNE lkwH—d Q.fcPiA(3ywr SNAb1 Firhtik� un2� �L Bl `}�i�{�Alu ❑SceaddlHonal nn rs/cundlnnnson back
read compllan
t ...1
LtAvlMoney Order Isvabtg DaN '—~' 4x h on D to

"'❑CAMA ❑ DREDGE & FILL N9 84587 A B (c% D
3 GENERAL PERMIT Dtep°e io slpermitissued
�] New []Modification ❑ Complete Reissue ❑ Partial Reissue
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 ❑ Rules attached. In General Permit Rules available at the following link: wwwdeg nc gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
City
Affected ❑ CW [A EW [NPTA n ES ❑ PTS Adj. Wtr. Body (nadman/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area t,q p, f
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
Other -
SAV observed:
Moratorium: n/a
yes no
yes no
f.
I- " __-" j
�'f)`-V k
Site Photos:
yes no
--!;--,--�--
Riparian Waiver Attached:
,yes no
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) k
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" li ([:�� i
1 1
Application Feels) Check,#/Money Order
Signature
Issuing Date
Expiration Date

❑CAMA ❑ DREDGE & FILL N9 84587 A B ;c D
3 GENw' C C n/� ?' Previous permit
ERAL GRAL PERMIT Date previous permit issued -
Fj,JNevv ❑ Modification []Complete Reissue ❑ Partial Reissue
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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMAruIes
Applicant Name - I Authorized Agent
Address Project Location (County):
r .
City State ZIP Street Address/State Road/Lot#(s)
Phone#(_)
Email Subdivision -
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
Shoreline Length _
Access Length -- —'
Pier (dock) length.
—
Fixed Platforms) _ ! ;,_ ��` i � � _
Floating Platform(s)-
Finger pier(s) -
Total Platform area
-1
Groin length/#
Bulkhead/Riprap length Yl
Avg distance offshore-
Breakwater/Sill
Max distance/ length
Basin, channel
--
Cubic yards -
Boat ramp -
Boathouse/ Boatlift
Beach Bulldozing-
Other
1-
SAV observed: yes no ! r-
Moratorium: n/a yes no
Site Photos: yes no -}--
Riparian Waiver Attached: ,yes, no
A building permit/zoning permit may be required
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT, (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature -*Please read compliance statement on back of permit**
E
Application Feels) Check p/Money Order
Signature
Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 2-L( U marAl i0-cvr
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1f t° .) SV-0- Q "\
at my property located at 2. 'F
in or)S)oW County.
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.
Property Owner Information:
gn' ature
Vtree n'lacC.iltg;ixI
Print or Type Name
owr,V,a
Title
5 1 10 I ZDZZ
Date
This certification is valid through 5 1 ID / 7-DZ.3

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of
property located at 'S i
I
(Addreds, Lot, Block, Roa , efc.)
on RiSo in
(Waterbody City/Town and/or County- gS /L/. l
The applicant has described to me, as shown below, the development proposed he above St
location.
�_ 1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/en DRAWING OF PROPOSED DEVELOPM�
(Individual proposing development must fill in description below or attach site drawing))
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Revised Aug. 2014)
`Valid for one calendar year after signature'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent tdur)r1 '1
/� 1 (Name of Property Owner)
property located at Z tJCS� 51 L / (�
on Iv 6J Z'Yev'
(Waterbody)
I strs
ss, Lot, Bloc , Road, etc, 1
in .)QCJCS 0")' � �! lr' , N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to 'qn,
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM
(Individual proposing development must fill in description below or attache 4ite drawing)
12X
l fEJ River ALCL�p 38 C)'5
b a--fi
4, V
Vemoye e)4slm
,.)Qlf tz��
slew wedl�em eCx4jel)47
walkwe y
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.)
I do wish to waive the 15' setback requirement.
n' I do not wish to waive the 15' setback requirement.
(Property Owner Information)
')t nature r�
/D11-N
Print or
. 4U%6i v;) I �e
City/State/Zip -�Njc' .
Telephone Number/email address
Date
(Adjaceperty Owner Information)
ignature* I /
Gut •<t g t�
,�,�
, ) r
Plr'�7' e �
l IA 11(� R"
M-.1 t�
Ut St�te2i� ���
Telephone Number / email address
tv� L4ltr3S0µ
Date
`Valid for one calendar year after signature*
(Revised Aug. 2014)

DATE:
TIME:
PROJECT:
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BBM
assocunas, mc.
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407 GORN AN STREET SUITE 101 RALEIGH, NORTH CAROUNA 27607 PHONE: [phone] FAx: [phone]
WWW. B BMASSOCIATE S. COM