Stepenson, Ben 77126C

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9NCAMA / 1-1DREDGE & FILL 7712�j g C� D
A C
ENERAL PERMIT Previous permit#
ew ❑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 15A NCAC 0 %
4KRules attached.
Applicant Name Project Location: County
Address , r Street Address/ State Road/ Lot #(s) 3
n
City yy�� lj State
C ZIP o'
Phone # (gyp) 'V l I E-Mail
Authorized Agent AnAKC, We
Affected ❑ CW W —?rfTA ?59S ❑ PTS
ElOEA ❑ HHF ❑ IH ElUBA ElN/A
AEC(s):
❑ PWS:
ORW: yes ! no PNA yes no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) to
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore��
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathou Boatlif
Beach Bulldozing
Other
r
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes no
-Photos: yes
Waiver Attached: yes no
- --
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Cgept or Applicant Pnnted Name
Subdivision Sa
City. . P0`4 ZIP
Phone # () f River Basin
Adj. Wtr. Body . Cj n /man /unkn
Closest Maj. Wtr. Body -
(Scale:
[See note on back regarding River Basin rules.
6�
Permit Officer's Printed I
Si nature ** Please read compliance statement on back of permit** Signat
r7&9)�O r vet/
Application Fee(s) Check#' v Issui Date pirati Date

E
A ENT AUTHORIZATION FOR CAM A- PERMIT APPLICATI -N
Name of Pi operty Owner Requesting Permit
At1-Irnn Aririrocc `7Ci)� � �/..�,_b�•
Phone Number.
Email Address:
I certify that I have authorized
33� ct05 -Oct l l
2736t'
. 0 "k
Agenl / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA pc nri t
necessary for the following proposed development " Zy
�
at my property located at
in C/ee(' County
I 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 inforinatron related to this
permit application
Property Owner Information:
r
Signature
:`tint or Type Nat ?e
Title
j yip ; ry
This Virfiification is valid thrt7l.+(jit � .�rf`�
. ,
- oEe"D---
JUL 2 3 2020
DCM,M,H,D CITY

DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner
Address of Property: 9 Sd S+ G�7`Fy>�>r' /UGNPbi�; �Nc ?,8S /o
(Lot or Street M, Street or Road, city & County)
MR "e6a48=-'-
#: �'p _J _ Mailing Address �y o,=D /����ir7" ,CJ
Agent's phone # 25 L -b65 - 5/3%R /V&/, ;5,x/v /Vr.
i
I herebycertify that I own roe 6 fY property rty 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 descrietion or dr&Mna with dimensions. must t� provided wi h this IF':tte�
't L 4W have no objections to this proposal I ha%e objections to thiN prupo'>al t
If you have objections to what is being proposed, you must notify the Division of Coastal Management
WCJVn in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at lrKp:1/www.nccoasfalmanapement neL'wc bic�lrsbnq or by calling 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 RECEIVED
you wish to waive the setback, you must initial the appropriate blank below )
1 do wish to waive the 15' setback requirement
JUL 2 3 2020
do not wish to waive the 16 setback requirement. DCM-MHD CITY
(pro dy Ow6er Information)-
(R!Ipanian Property Owne infonnat' on)
/Pq
5'l lure.
.Signature
Sfephen M . Aus�n / BYovk, NI Us�in
.. >s3rrrtor Tgp�e�oNamw ~�: _.._
print or T Name
YAr,
gg52 ��volu�innary pL
INeffl �ttirriess.
o u�ll .- V.C. 2 7
Mailing Address
e&anicsv�I
ap. '
City/S7ate2,ip`
'y� Nd i°il i A
Tetepttdne Ntmtber / Emall Addre s s
(Revised Aug 201.1)

lop
............. .....
N/l.MVER FORM'
AIC UC70
A-
M)
0W. EY
A
ftabove referenced
�,!Gmeas shown on the attached drawing the development
71
MMiWbjjik dMMjM- Mft dimeftgos- MLMt be 2Miji widh this latter
AZI-fave Y10 objections to this prop(nal
il/av, -- ' I have Objections 10 1111S P10POSdi
Ifyou haw 04%ctkas towtwt Is beingpn)p..d, you must noW the Division of Coastal Management
(DCAIP in wilting within 10 days of receipt of this notice. Contact information for DCM offices is
evaftsbb at
AYW W aCcoostaL ma -listin -888.4RCOAST.
r?a-QenWnt.neMweb1cm/staff of by calling I
Mo Mage Ls consildpred 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 Ifft 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 16 setback requirement.
4
—,I do not wish tD.
requrem".
`hm a r-*\
Owner InformationlPECEIVED
'JUL 2 3 207i)
PQM-MHDc;,r,,,,
Pdnt or Type Nam
Mt it -k ng Address
7 fX41
J�C ................
TWO" Nuffftr Eme# Addre r,
-13 -2o
(Revi.,,(.-aAa,,,1 2014i

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k;
L 3*� 1
o Y
AVER FORM
3;
` Ale, Z8S Sao
Y 40
p/g�jtr
i
if .J , I
�tt
4
o *:above referenced f "
u
per:rttt haft t{escribad o me as shown on the attached drawing_the development
teY,slra >P ., i Tatter
J41ave no Objections to this proposal I have r,bleoiuns to this proposal
Iry«t hm" 06fiW00rts to what Is being Proposed, you rnust notify the Division of Coastal Management
{DC1i9 in wiping within 10 days of receipt of this notice. Contact information for DCM offices is
rGS M at lr Jlr
NO yww.nccoastalmanaaement neftweb/cmistaffda istinor by calling 1-888-4RCOAST.
NO r®st�wlse is cortsldered the same as no objection if you have been notirred by Certified Mail.
WAIVER SECTION
i understand that a pier, dock, moonng pilings, boat ramp, breakwater. boathouse, or lift must
be set back a minimum distance of 15' from my area of ripanan access unless waived by me (if s
you wish to waive the setback, you must initial the appropriate blank below 1
i do wish to waive the 15' setback requirement.
i do not wish to setback requirement, i
,h Owner information
p �•• -
Si the
R Tnl or Type•+�Nam
RECEIVED
`77Meteng Address
a
. .��C. 2�`V 'JUL 2 3 2020
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' i8bpftOflB NurnWr l Emeg Addres s
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i tiDate
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ne <ss shown on 2ha. -aiVached dnwong..
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f ,ter
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f'1*ns& --ugle as 0c, QW-ncdca R ,rou ftmv* nalrefed bu ce'n
VVANER SECTICil
I IT--o & pior, idlock, moaring pdings, boat ramp, brGz'r viater. bcathousc-. or 1tft -illusi
to-3 set ineft is in-Mirl'urn disWw'-'s of 15' from my area, 0i f1pa) lairl 8CMISS ur%U-:'Ss "%,a 1,_f eel ":),Ys (if
u '4,Aoil fib, fta sethpack, joiu !,wu�qr. th-a- oppropri-ale. blank belm�j
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RECEIVED
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JUL 2 3 2020
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JUL_!2020
DCM-MHD Cl"
WEEP MATING & PE516N STEPHENSON RESIDENCE --,--,___
NIS
ANC.1?E MOP 956 SEA GATE DRIVE NEWPORT, NC
Ls-t
540 aV AKPOff VOAI7 q:
NEW MM, NC 28562 DOCK PLAN OPTION 1
_ 252-665-4398 tOFI