Hill, Matthew 88569C

�a°"P°"k QA❑DREDGE & FILL N9 88569 A B (90 ERAL PERMIT DatepPrevioeviouspermit
Date previous permit issued
New ❑Modification ❑Complete Rei Lie ❑Partial Reissue
As authorized by the State
1 of N rthyC�ar�olina, Department of Emironmernal Qua nd the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC _ C A • l/l / ❑ Rules attached. ❑ General Permit Rules available at the following link: W,8q.nc.yov/CAMArules
r
Applicant
Address
City--i
Phone #
Email e
Affected ❑CW
AEC(s): ❑OEA
Project Location ation (County):
Street Q OS
2ressi$ to Road/
City—jVC4-N
DEW ❑PTA ES ❑pTS Adj. Wtr. Body_
❑IHA ❑I1W NSPIMA ❑PWS Closest Mal. Wtr. Body
Shoreline Length hi.)�
Access Length
Pier (dock) length
Fixed Platfonn(s) ------
Floating Platform(s)
Finger
Total Platform area
Riprap
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlif�
.Beach Bulldozing
O[her
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes o
Riparian Waiver Attached: yes no
A building permit/zoning permit may be
IAM
Agent or Applicant PRIMED Name
L]CIiL/ �LLU�2
Sig at re'•Plea d mpliance statement on back of permit•
%-� QU 7
Appll t nFeels) I tht6#11Moneyorder
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (drcle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Expiration Date

CAMA ❑DREDGE & FILL N° 88569 A B ©D
Previous permit
ENERAL PERMIT Date previous permit issued
`New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the
eSState
Lof N (rt'hy�Ca�rolina. Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC! fit ' y1l/ ❑ Rules attached. ❑ General Permit Rules available at the following link: mmnVde nq�/CAMArules
t
9WHI9;
``f r
'•l 1�
Authorized Ater
Project Location (County): L W I rP/WZ
Street�OAddre
�ss/$ to Road/Lot #(s)
City
Affected ❑ cw ❑ EW ❑ PTA tSPIMA
PTS Adj. Wtr. Body t an/unk)
AEC(s):❑ OEA ❑ IHA ❑1 uuW\ ❑ PWS Closest Maj. Wtr. Body
ORW: Ve6/rlo PNA: yes/gq /
Type of Project/ Activity
�-rra�t
Shoreline Length ti
Access Length���
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) —�
Finger pier(s)
Total Platform area
Gr ' ngth/# 1 *
ulkhea / Riprap length
Avg distance offshore e')'
Breakwater/Sill �
Max distance/ length
Basin, channel �—
Cubic yards
Boat ramp
Boathouse/ Boadil t
Beach Bulldozing
Other
r—
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes o
Riparian Waiver Attached: yes no
A building permit/zoning permit may be regr
PRINTED Name
v✓ ✓ /
�--eAb"`
a
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Sig;at re **Plea d compliance statement on back of permit** Signature
Ot I-
Appli tin Feels) I the&-#/Mo6ey Order Iss Date
Expiration Date

'JUTY 13,2022
Carte -et County, N.C. ,
33

AGENT AUTHORIZATION FOR CAMA PERMIT,APPLICATION
Name of Property Owner Requesting Permit: /1111tli (L C"
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
K
NN9*fi[y G;#e,\10C0 f . cuM
7t
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: A6Xf6-*10'f'--"'
at my property located at e�) IQk "
in �pQ.`f�:�:�!'i 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:
�-t Si natdrre/
Print or Type Name
Title
? /to? 'o /_1
Date
This certification is valid through'~ 2,1 ✓ 0 I �

Carteret County, N.C. ail