Weeks, Anthony

�CAMA / ❑ DREDGE & FILL7!v
NENERAL PERMIT PPeviouepermit #
New ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources/
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r ,1 110 " I-
�Tn Rules attached.
Applicant Name Project Location: County j-i A
Address _ Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( )
Fax # ( )
Subdivision
Authorized Agent
Cii 11
ZIP
CW
El EW oTA [I ES ❑ PTS
Phone #;River
�),
) /
Basin I
Affected
'
❑OEA
AEC(s):
❑HHF ❑❑❑ 11H UBA N/A
Adj. Wtr. Body, 1,
l : (�i'+` ''(nat /in'an�)
LJ PWS:
❑FC:
i !
' t
Closest Maj. Wtr. Body
ORW: yes / no
PNA yes / no Crit.Hab. yes /. no
Type of Project/ Activity
•
�MENEE
E�EEQEMEE�EE
®
�CKi
:J■:
�SR
■■■■
M■
M■■■hM■■■■..
\.■MEN
■.
0
No:.0
::
EENE=Cm�:::E�ME
M
EMISSION
■■■■■■■MMMMM
I■■■ISQITi�9S■■
.......
MEN
0
MEN
�C:
CI
IImon
MeR'•�C•"C
M■■■■■■
SEMEN
M■►�■I
■
■■■■■M{i1111itdL�■■■■■ISM
MUIR
M■■
M■■■I�li■■M■M■■■■■MMIM■M■
M■■MMM■MM
1164AWSs.■■■■MN
MENEM
I■�eh�IESSI�4MM■�11■■■■S■
INN��:e:M
�■0
�
s
ME::ES��
R�a���
:r"'E
Ir1Ml■■N■■■
M■■■■■■IS■�
■■■li■■SITii®
■■
MEN
■■■MH■
±ANNI
MEMS
■
■■�ii
iiiii�!E1ISMINEME
■■■ISM
. .■..��.■MI�1097AUJNo
Sf9S®■
is!r-11i� i■■■W�IN RILWAI■.■.i
IMMENSE
ii■��M■■ii■� nMM�M
■■�
ZZAMIM11 ��1�4M.No
Agent or Applicant
PermitOfficer's
Signature *' Please read compliance statement on back of permit**
i
Application Fee(s) Check#
Expiration Date.
Local rlanningJurisdiction Rover File Name

psy
nera\aidsgethePem`tt becO�e .
-Cbe
ar,d atta`` o aid may ca djor CO ePaPP\ ca°t\oca\
5`te y2c �a Or c���\ a O ect. \O .. s Perm`se P\a� a°t a<�Par*\a°
s`Ster°y \`cati%o° eOr cr\ct` e°thePr or\ied�°y \W\ e 2,60 °
PCran°e a�aG� e \Nwo eCr� ttee t° aC�° m`tOCG�e ,\<\es z 8%th tCa yea Cron th best aJadab\e
e°COCR'° ecttO CO ml pUOti\ectthe P ccess\b\e �°o JV\deftx O-ect %S Ptshas bee° ob errrdt U°e°tpr gram.
��r�`tI 'Lermsm 5`teav% c wp'l r e4tt\,\ret�r° re SUmg ttvaMaragecr
\Pa�d�odesustbep°t $etiseON t or -\es IL orocC�`� d maJ Ma�agemo hGarO\%°aG°fit
lhrsPerm`crtd`esbyC�ate\°caer` st teme° ° of G° N�thtbe� t\re
Oj
-xvko
? °0 Saa�d 21 a �r\tt \`°a a°d �e o\ec scp°s`ste 5\0� seUCeef � o Grp°
CIO of61"', er�si'b\Orty%C-2, ta�thatt �tbe< eme°tGoerjoviced $\ioftbe�f�\\R
\ar cote of °dbe\ref, ect. \Marag jec U\esare gg6 6A
.O� rR`at�p°a CevOKo°r9 CerVows e8"�.%(O mN he ebUp°a\pkCkcer��es
sPpPCrcaowwerB�`a Wes ectt°tb �er6a5�° on�e$thesed\ectbU
skp
tKr�er�as`��O�Neus �Jerm,y°U`P\o ate°c�QUab soh ov °c m \y \�
e to .rJa ad
Optr°�t°aboied \0\0 °Ore\�COrm
a ea e R� Q\gtr ut e\�\a\\
\C\°aC�a4rOchecGp°t�g6�2\51COr shrr` O 'SQ arq
ys\i�r`gt Gig88
water a\pOc� ers qA3 hiagtO� N
ead part 19Ab b 48 �A18 Ne�tord
(� S t N 25 ' S2A ge&e, t-es)
\ rehea�e ce p�G Lg551 co Ns' F res.ee \Aoft: nC013u
MO eee d ao I \\ g88 ACtG ab Je l5yrre\\ aua e52 8� Z ql 33G�,jeu,Oo -0, uiO \� topof- -reExt
Fax 25 ea�erec, dPambc arama\QG�.8A135
_ �SeNe(CNec M\et- au \2�` m\rrgto(\, 5
Nev+ t t b- 2 N
QCstr\e q\c'lq\ 395'3g6 e14
`� \ ECrtabet5 1 S°°tG2g909 w 5 grkxv" \4e0 R
\361 etbG,trj\ 0us\o,N Coll"tes)
ECrtab A-39�\ 13 rftock, penile
'L52' (5226qo1Gho�'aan Qer4u�maos
FIaX a Sd WSQuota^k
Se Ne to P
dare,
ou tes)
G

GP Habitat Sheet
Name: Anthony Weeks Permit #: 63834
Date: 6/6/14 Address: 122 junius dr
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
Open water
70
70
N/A
N/A

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,n fj —1F/o N i 1�� �� 's
(Name of Property Owner)
property located at / �;� `S� h=1 US
(Address, Lot, Block, Road, etc.)
on MAN it ROF C_A0A(- in H1=wPrV CJ)P7K'Q'e7- N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to ati
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposin development must fill in description below or attach a site drawing)
�IP''E' �1IS1,/N�}5E1) JC pp�ul r L�
�tCS �rMfirN�
1 � _1
Lf oa1i e'C-
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.)
Z/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
:'So ut uS -7pv-
CE
`111( 7'Lt" L 7 5 u
Telephone Number
Date
r
(-+,v u
Print or Type_Name
ailing Address
Mlgat 3 2(
Information)
(Revised 611812012)
bC:K:vfFlDCl'PY

k.y.
S}c,.

I '�& 10 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
aA" `A\'I h y certify that I own property adjacent to APT-HbIJ `') lr� � kS Is
(Name of Property Owner)
property located at e Jy N l CS
(Address, Lot, Block, Road, etc.)
on m Y11flQ'E Cfl L inJJ&i..�PbCAA VJ5—' kZ: N.C.
(Waterbody) (City/Town and/or County)
�w6
The li ant has described to me, as shown below, the development proposed at the above
loc '
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
QigNALc`f-lSTlr�.
1iS7/N� -P Psa tT ��rf[U's
�� ►� 15" P" fr3 ocvr L tT' F
4 0 ( v
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Property Owner Information)
Signature
41tx-( AC)N`'t a �1cS
Print orTvne Name
F-1' Ne- 129516
Telephone Numbel
�- %g/
/Date
kdjacot Property Ow a nforr
r;
a lf'f 5—Lu S'
ri t or Type Name
'y
aili g�dd�ess� � �C
'y�(5 �s9-�h17
elephone Number
c. � I—Icc
rLF Me�,
MAY 2 9 2014
(Revised 6/18/2012)
` flCRi•RhFYiit