Boggs, William 88527C

CAMA ❑ DREDGE & FILL Na 88527 A B/&gD
3 GENERAL PERMIT Previous permit
Date previous permit issued
ZNew ❑ 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 - 0 �' /t/ ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.Eov/CAMArules
Applicant Name S Authorized Agent
Address 117�.4F n Project Location (County);
CityYrkeq r(V G ZIP 14gr�2 Street Address/State Road/Lot #(s)
Phone#q!q,)
Email Subdivision
City ZIP
Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr Body at/ /unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/ o PNA: ye no
Type of Project/ Activity
(Scal
Shoreline Length
T F
Access Length +_..- _+-. ) _.... T ;—� i..._}
Pier (dock) length j j" j 'f--
Fixed Platform(s)
III-
Floating Platform(s)
- i--a - _?
--
Fingerpier(s) ! sNN
Total Platform area
1 I !
Groin length/p Bulkhead/ Rlprap length 1- a-
-- _- ! _ f I R
Avg distance offshore
Breakwater/Sill r�--i--� I --�- --i-- -- r-+- .�_-a__'._ ..�. _ � f _ ., `._ _� __
Max distance/length J--.e.-f- -t- - - -r !--) �._.w_ -�- -i- --,- --} )----- t-- ---�- --
r
Basin, channel -
Cubic yards-
3 Boat ramp t ! _
Boathouse B at' -! I s - -i _!® i ! ��--��!! i I i -! T I _
Fes_. --"i'�•___ •'�•__.
Beach II g LJI 1 (-
Other
,
SAV observed:
oy
Moratorium: n/a Wes "� _I -� -� -3 �._ '_ 4_ �M 4._!
Site Photos: yes
'(
Riparian Waiver Attached: ,�e�f na_�--I--1-1 + t_a i i �_._ E_y Id ._.�-•= .(s..a..J--_."_i. _ ; v _ ._ _
A building permit/zoning p rmit may be required by:
^ ❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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 MP1IIAN STATEMENT. (Please n tial)
Age Appli TE Name Permit Officer's PRINT
Si ature **P a se read compliance statemen on back of permit** VSignatureApplication Fees) Check P/ oney Order Ex iration ate

Preous permit
rENERAL
AMA ❑DREDGE& FILL r�N9 88527 A B (C D PERMIT Dtepreiospermitissued
ew [-]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 0 /11 tRules attached. General Permit Rules available at the following link: wwwdpq.nc gov/CAMArules
I, 1 1 n I_ 0) e
Applicant Name,,,! 1 Authorized Agent fTOI.\ BI I nG( � / J
Address ; f An rqj YI nCeI tie, 9 I JP Project Location (County):
City ` 8fe n/ 6 ZIP `� Street Address/State Road/Lot #(s)
/
Phone#qa) 7�.f.
Email Subdivision a
City ZIP
Affected ❑ CW ,XIEW PTA ❑ ES ❑ P75 Adj. Wtr. Body 0 at/ n/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. V :r. Body
ORW: yes/ o PNA: ye no
Type of Project/ Activity C© L70 cJ
(Scale+ I
Shoreline Length �D
Access Length ,f
Pier (dock) length
Fixed Platform(s) yt/
Floating Platform(s)
Finger pier(s)
Total Platforn
Groin length/
Bulkhead/ Ril
Avg distance
Breakwater/5
Max distance
Basin, charm
Cubic yards _
Boat ramp
BoathousefE
Beach II \o
Other
SAV observe(
Moratorium:
Site Photos:
Riparian Wain
A building pe
Permit Condi
PRINTED
THIS PROJECT
Permit Officer's
ie)
,._.. ._. in rules
See additional notes/conditions on back
Siature�Pl use read compliance statement on back of permit'* ��D�
d/d/I�iiV , !�'.
Application Feels) Check tf/Money Order
Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Zoo
Name of Property Owner Requesting Permit: 0)i11/A rn
Mailing Address:
Phone Number:
Email Address <AQ e° (fAJ4<_Zv 111V4 A) G4-
certify that I have authorized Ct�c�l N�a yi�Q_esrt�L,`�,� �r�A e �/ S ✓zu F_„
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposeddevelopment: Qejfl@FBIe iZ to4a S, e- (fir -IL /
0)P(0®-> le-6 SJ 0 'PIP-r' L%/�rn 'k),PA,v d)liVl�AhIY
d �'1 t4[Y_rsc,
at my property located at d02f 11V C &?A�£% 40A_d'_&Adl, AX' z$S/z,
ins r 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
Print or Type Name
_ee Per L Doa g `-
Title
7 1 3 1 z0z z--
Date
This certification is valid through
4w
* boa
RECE��IED
JUG � 5 ti0'l2

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /t>rf /Am D. 6t)qqS I
. (Name of Property Owner)
property located at No SADee./tae b210fi
�+ (Address, Lot, Block, Road, etc.
on l�af�t1£ Jokn)t� , in 9S ACs, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
—1/-1*Y 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)
?,F (�e,P�t✓ z)Sg - hel slip, 6n�0
slaQ� �� ��e�-�, �6�-a,;� ►��.ugA�1e
o- r
. o
a r�P�;g•ble� 40 IE4
wp-4er xoe e-ssr
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
�nI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) Signature
W�t)itam b, 6OCCGS
Print or Type Name
ZDi© S�oQel,ti,F�I%v2�c>�
Mailing Address
City/StatelZip
1JJ4 4/Z 5935
Teleph ne yyumber/email address
713/2z
Date
(Adjacent Property Owner Information)
/
Signature*
y e-
Print or Type Name
75'�G.,�.�J7�i'fii�•
Madi g Address
�tirv. -IC Z 16 /.i
Cit /Sta lZip
9r9.210-ryw.av a iCOoe 60k lls vc t�
Telephone Number/email address
r/� 9 ),22
D te* RECEIVED
*Valid for one calendar year after signature*
JUL 15 2022 ' 'Revised Aug. 2014)
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /�,Arv1 D (3MC , 's
„ , (Name of Property Owner)
property located at
(Address
on �oGI�F- Sbttins/� in
(Waterbody)
Lot, Block, Road, etc.)
/��lAal�tC' geAd N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have obiections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
ELJQ-Ar g1,P , DO vT-k--.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.)
,;P z I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
(Adjacent Property Owner Information)
VV I�(Y/ (�+AVr tL/ `✓C�13
Signature i
Si '01Iw., SA
1
Print or Type Name
P�yp Name
/
Mailing Address
f�fl d,c i�e�te>r; CSC L `ilL
Mai i Add (es,T
f�' to -&ES L
g_t
City/State/Zip
City/StatelZip
%0 V/Z
e'llh VI.Z;-'r L3
Telephone Number/email address
Telephone Number/email address
Date
Date* ' - `0
'Valid for one calendar year after signatureJU( (` 1
DCM-MHD CITY
Revised Aug. 2014)