Mellot, Randy 88422C

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Previous permit
GENERAL PERMIT Cute previous permit issued
- ew []Modification O Complete Reissue [^ Partial Reissue
As authotized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in at area of environmental concern pursuant to:
I5A NCAC , do t? __ __ _ ., ._._...m — E1 Rules attached, g General Permit Rules available at the following Itnk: y v.dea.n5: +ayLC� 1MAr i
Affected W � EW M PTA
AEC(s): nOEA INA F UW
ORW1 yes, o PNA yes o
Type of Project/ Activity
Shoreline Length
Access Length
Pier(dock)length __....
Fixed Platforms, M
.... _..
FloafingPla#orrrlsj _.
_.._..............
..__._..__.._.. _...._..... .W...
Total Platform area a.._
Groin length/4 ..... _
Bulkhead/ Riprap length
Asir; distance. offshore
RreakwaterJSill '
Max distance) length .%
Basin, channel
Cubic yards.�-
Boaf ramp
Lwatlk0tl3ESj oatitft
Beach Bulldozing~
*ES PTS
SPIMA E.I PWS
W
+- ry ii.to r—
j
i
Authorized Agent... ......... �
Project Location (County) g--
Street Address/State Road!i. or #(s)
city
Adj, Wm Body
Closest Maj. Wtr. Body
SAV observed: yee no i
t o osn/a
Site Photos:
es n
yes d
Riparian Waiver Attached-, yes
A building Conditions aoningt permit may be required by ...
Permit _
am
l� TAKIPAMINEUSEIBUFFER (circle one)
0See note or) pack regarding River Basin rules
ElSee additionalnotes/conditions on hack
I AM AWARE OF STATUTES CRC RULESAND CONDITIONS THAT APPLY TO Tq S PROJECT) N[I REVIEWED COMPLIANCE STATEMENT. (Please nuuat) a
___._,.,�.Y,.....__.....��., ,
Signature'"Pleas ad ec: _ta8iance statement on Fuck of Peru it'
iA
T m — Chuck #lfttaoneY OrderApplication Feels) _
Per Officer's
�PRIINT D Namel
Issuing Gate Expiration Date

o1*000A`r"`�CM`CAMA ❑ DREDGE & FILL NO 8942.2 A B CD D
GENERAL PERMIT Date previous permit issued
[:Lew ❑ 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 I / n / f ft t 12-0 0 ❑ Rules attached. ®"General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address f
City A AA— State ZIP
Phone # ( q " -7 5(_)�)
Email r-rYA 2 aJl n+- 02 <:?sM " Qsc�
1 con ckuuc_ 6/%
Affected O eW EW © PTA � ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW''y,,,e PNA es o
Authorized Agent j ry 17►—I A% AFvJ
Project Location (County):-- 0r1E;l
Street Address/State Road/Lot #(s)
as
Subdivision
City ZIP
Adj. Wtr. Body
Closest Mal. Wtr. Body
Type of Project/ Activity 1 f 1 lr i6tl/
Y,-51
ILX"(` 'TL7 f[.X.lt
Shoreline Length T"1
Access Length
Pier(dock)length
Fixed Platform(s)
• o
Floating Platform(s)
--Sx
, " L vj a o
Finger pier(s) 2.
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
/
Max distance/ length
Basin, channel .�
W
Cubic yards
Boat ramp
V/
Boathouse/ oatlift
Beach Bulldozing
umdvad�_ `16
NwJ-f1/-90 -pvc, "
Other
SAV observed: yes no
Moratorium: n/a es no
Site Photos: yes
Riparian Waiver Attached: yes Jvt�
A building permit/zoning
�+permit may be required by: �' y ) iC>0J
IvI Permit Conditions M1MLkM 94 •� � LnQ'��+� -
I'm
M3)
cloaun j . -Fu .l ►
❑ 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 Applica Peru' Officer's PRINT D NameJ_
Signature � `s compliance statemen on back of pe**��� ign�tu��AR IQ/^ IQ
Application Fee(s) Check q/Money Order Issuing Date Expiration Date

o�oFcoasr, rYCAMA ❑ DREDGE & FILL 2 N9 88422 A B d D
GENERAL PERMIT 9 Previous permit
y Date previous permit issued
�lew ❑ 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:
15A NCAC 12-0 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent �� Wn 0
Address f— Project Location (County): nng�A A n
City b A A State Q ZIP Street Address/State Road/Lot #(s) . � (ew c
Phone #(.,�{1 �n9 -7 ��J 2A
Email 1(.1 r tJ2-Un+- 0 _ 4��CU ee-3 NI Subdiv' ion
` City �,+'Y'L,i ZIP ZY /W)
a- -1 con -c t c-,,,)n ,
Affected ©CW EW t PTA � ES ❑ PTS Adj. Wtr. Body (n man/unk)
AEC(s): ❑ ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORWryesis PNA es o
Type of Project/ Activity. L
A i� �I r ( e: M-9
Shoreline Length
Access Length
Pier (dock) length � � 1
Fixed Platform(s) ��►+
y 0 o �! i�wv�,�p�-e�
Floating Platform(s) 33j�1n 3 K 12—
Finger pier(s)
Total Platform area r S� Jnq
Groin length/# ��! 1�n�J"J
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel S/ I
IV
Cubic yards ';_1 7��P
Boat rampBoathouse/oatliftNSBeach BulldzingOther
SAV observed: yes no /�Qr�
Moratorium: n/a yes no / �Q(>pC
Site Photos: yes o
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: �' ")��1J
Permit Conditions (UICIXIMuN1 �4' tSlt{� Q (�fiLQC1, ❑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 Per Officer's PRINT D Name
Signature *Please read compliance statement on back of ignat ��^ /eIQiO0
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: Ga7t "'b
DA� .NC 933
y
Phone Number: �'19 — 3[ � ""7S 0 7
Email Address: �" /-0 f /w /f 42 P C- /m" /
I certify that I have authorized __Zj0%�J-� (,on 5*1/u cf" b VU ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: lgo&l / 0
at my property located at
in Q/ .5hLL) County.
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:
Signature
Pri t or Type Name
Title 1
l
Date
This certification is valid through / /

The Richard Peacock Family

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
[�e��nc�rn i }�ic�hi� • � Z`.~
II I'I�III III I'I I II IIII I I'lll' II II I illll II i III
9590 9402 5069 9092 5272 48
2. Article Number (Transfer from service label)
7020 1290 0000 2824 8980
PS Form 3811, July 2015 PSN 7530-02-000-9053
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
RICho r(-,f pcoa k arc���I�;
FON e-T 161fI i le, NC 2.�3OZ
A. S'grtature (T(/� 0 Agent
Addressee
B. cell by `hinted ame) C. tt o Delivery ,
'/
I❑/Y
sln/�V
D. s deliv ry address different frorrritem 1
if YES, enter delivery address below: ❑ No���
3 Service Type ❑ Priority Mall Express®
❑ Registered MailTM
Signature
Signature Restricted Delivery CI Registered Mail Restricted
tAdu�t
ertified Mail® Delivery
ertified Mail Restricted Delivery ❑ Return Receipt for
Merchandise
❑ Collect on Delivery signature ConfinnatlonT"
❑ Collect on Delivery Restricted Delivery' Signature Confirmation
El Insured Mail Restricted Delivery
❑ Insured Mall Restricted Delivery ..
(over $500)
Domestic Return Receipt
A. Signature
X r ` •� A Agent
B. Received bY1Pnhted Name) C. Date of Delivery
D. Is delivery address different from item 1 ? ❑Yes
If YES, enter delivery address below: ❑ No
111111
Jill
III I1I
11111
I11111111111111I1111II
3. Service Type
Adult Signature
o Priority Mail Express@
9590 9402 5069 9092 5272 31
C1 Adult Signature Restricted Delivery
gtiCertified Mail®
❑ Registered Mail
❑ Registered Mail Restricted
Delivery
-----------------------
© Certified Mail Restricted Delivery
❑Return Receipt for
7 0 2 0 1290
❑ Collect on Delivery Merchandise
O Collect on Delivery Restricted Delivery yd���ignature Confirmation-
11 Insured
0000 2824 8997
Mail
❑Signature Confirmation
❑ Insured Mail Restricted Delivery
(over $500)
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt