Smith, Roy 77103C 118 Cedar Point. Blvd.

CAMA / �REDGE & FILL N ; '"7 t e 1
r. � t +,..� A B/ C D
GENERAL PERMIT Previous permit#
flew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality l'
and the Coastal Resources Commissi0' in an rea of environmental concern pursuant to 15A NCAC
E?Ruts'attached.
Applicant Name�`� ^ / Project Location: County
Add
City
Phoi
Authorized Agent
Affected ❑ CW �TA ❑ PTS
AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A
ORW: !Wo PNA yeL no
Type of Project/ Activity t`
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
_--._-max distance offshore j
(asin�,cannel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes 6cy
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdictioo
Notes/,Ppe,cial C ditions
Agent or Applicant Printed Name
Jatio
"Please read compliance statement on back of ermit**
70
n Fees) (•y Check #
Street Address/ State Road/
Lot #(s) A
Subdivision
City (G�C'�i✓9W/
Phone # () R' er Basin
Adj. Wtr. Body JIUt ma /unkn
Closest Maj. W. Body i '4'"7 &, `�
(Scale:
See note on back regarding River Basin rules.
Issuing to xpiration Date

From: Davenport, Ryan
rya n. davenport @r1cd, enngov
Subject.- Neighbor notification form
Date: Jun 15, 2020 at 8:56:45 AM
To: [e-mail]
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROVERTV OWNER NOTIFICATIONWAIVER FORM
Narne of Property owner,
Addross of Property:
(Lot or gtratA #, Street or Road, City& Ciunfy)
Applicantphone Mai I i n g A d d re s s.,
o.
I hereby carlify that I own property adjacent to the above referenced property. The in&v�ual
applying for this permit has described to me as shown on the attached dmwing_the devo, lopment
they are reposing. &L
I have no of jecfioas to tbis proposal. I have obJectio-m-; 10 this pralvial.
11YOU have O)Vocffuns t0lvhat is being Proposed, you must notify the Division of Coastal Managemeni
PCMI in writing within 10 days of receipt of this notice. Contact inforination for DCA# offices is
available at www.nccoastalmangementnetIconMct—dcm.htm or by calling f4IJ84RCOAST No
WAIVER SECTION
I (Indorstand that a pier, dock. mooring pilings, breakwater, boathouse, or lift njust be set back a
rninimurn distance of 1 5'frorn my area of riparian access unless waivod by ma_ (If you wish to
WaiVn the setback, you must Initial the appropriate blank biAow)
__ I do wish to waive the 15'satback fequiretroni-
r6­��_ f do. not wish to waive the 15'setback requirement,
(Property Owner Information (RI Arian Property 0 -or Info oration)
/X X
'Pr ' or Type Nam
.k4w'fina Address
'x/3
� - '_)_ S - a-C�-o

DIVISION OF COASTAL MANAGeMENT
AOJAe,ENT RIPA RM PROPERTY OWNER 140TIMA IOMMAMP FORM
Name, of Property rty Oynor .� « .,r.........
..0 � � � ✓ r
(Lot or Street A. Street or Road, City County
Appli of phone ��l V u `c.°'?� ht�iiA 91�ddr�s�: .,A.
I hereby certify that I own property ad cent to the above r0orencu f property, , The individual
applying for this permit ba's descAled to iyw as -shown on the attaihed €}rawingthe devot pment
thoy are pr sing.
I have no ob7jeefians to this proposal. _ I have ob.jectionA to this prupoq 1.
ifyouhavfr€atj�oof nafvt tabs beingptoposed.youmust nofify#lyeDivision ofCoaaial #anaga +rrt
'foc ) in writing Wiffilf) 10 ;days of rereipt of this notdso Contact infol-mation for tJCM offices is
available of o r�c� r iatrararr��aner�t.rr€�tr�tsr�#a�tud�trs.a�f rs or by calling 14844RGOAST No
f understand that a pier, dock, mooring plIfts, breakwater, boalhouse, or lift must- be set flack a
minimum distance of f 5° from my area of ripwian access untass wmvad by .ire, {if you. with to
waive r 'St ck. you mint Initial the appropriate blank below.)
a I do wish to waive the 15' s lback requirement_
I do not vAsh to waive tho •f T setttack requirement.
(Propaa €y nrrr�w Worrf tion)
1S
t
Print at Type Mare
Makny Ad'dreas
biyd,stalamp
Kia
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