88528C - Montgomery Motors LLC

❑DREDGE & FILL N) 88,528 A B Q D
Previous permit
GENERAL PERMIT Date previous permit issued
jjew ❑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 (, Z�"� • / I �(� ❑ Rules attached. Ni General Permit Rules javailable at the following link: www deo nc govICAMArules
Applicant N e � Authorized Agent f0 r, tA-iq_ d
Address Project Location (County): 'Lizi
'�J
City State ZIP _ Street Address/State Road/Lot #(s)
Phone # 1093) S�5'U^ fNe % /
Affected ❑CW
AEC(s): ❑ OEA
ORW: vesa
Subdivision
City ZIP
❑EW ❑PTA ES ❑PTS Adj. Wtr. Body /(70 �/ na tan/unk)
❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body �tr
Type of Project/ Activity
istance offshore
Breakwater/Sill _
Max distance/ length
Basin, channel _
Cubic yards
Boat ramp
SAV observed:
yesInMoratorium:
n/a
yesSite
Photos:
yesRiparian
Waiver Attached:
yes
A building permit/zom�n/g per i.I m
be n
Permit Conditions _/yA
\-'_�
_ q
M . r rn\ l hA
r l fly"
L.L '
❑ TAR(PAM/NEUSE/BUFFER (circle
See note on back regarding Riv B
See additional notes/condid ns en
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCEASTATEMEpt=. iPlease lr}tial) :t-z;___ _
dge or Applicant PRIN Name
Si t re "Please read co pant
dlyi-
RApplication Feels)
statement on back of

CAMA ❑DREDGE & FILL ,V N9 88528 A 8 0 D
GENERAL PERMIT Previous permit
• Date previous permit issued
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 IJ 714 1100 ❑ Rules attached. IX General Permit Rules available at the following link: wvvvzden nc gov/CAMArules
Applicant
Citym
Phone #
Email
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes() PNA a nb
Type of Project/ Activity pyn
Shoreline Length
Access Length
Pier(dock) length
Fixed Platform(s)
Floating
Finger
Total Platform area
V
Riprap length
Bulkhe
eoffshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes oMoratorium: n/a yesSite Photos: yesRiparian Waiver Attached: yes
A building permit/zoning perrpit mIl be r quired by
Permit Conditions A (T' i I !i
or Applicant PRINTED Name
ZIP
ES ❑ PTS
SPIMA ❑PWS
Authorized Agent z
Project Location (County):
Street Address/State Road/Lot #(s) %
Subdivision 1�
City ZIPS
Adj. Wtr. Body na an/unk)
AI _
Closest Maj. Wtr. Body
U � ,�•, C�.\;r� Csee,K
IV
V v
Mmsi�� 'V l —Ak5, L f i/
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Permit Officer's
(Please
� t r4 e_**Plebe read compliance statement on back of peer-rmiit**_ � 1Z ��
Application Fees) Check #/Money Order

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 11fv ,ns' J 7vi/NS�.�L n,,�l�„sniyl�/ /,"600P-9
Mailing Address: Lr
Phone Number:
Email Address:
I certify that I have authorized e otktas- '70-h r��nLnv�s
�51— 3y� - 50 a Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
/
necessary for the following proposed development: yf,-90 ' �®
L' AP car m15 AL "& a"apw 1361&44 rm
at my property located at / yro lay sr e4b
in W�096E County.
1 furthermore certify that 1 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
r
Print or Type Name
Title
/5- / a- a oo
Date -tF al
RFCFIVFP
This certification is valid through l / 12Z JUL. 1.4 2022
UCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to IYee BAY 51' ,s J
(Name of Property Owner)
property located at &01- $7 i„©2�ys+fe eery .iN
(Address, Lot, Block, Road, etc.)
on ID -AL, Ybo 'c-' /� in # C
(Waterbody) (City/Town and'/or County)
N.C.
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 objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
6ow'41yr'ht"•
r-1 [ir7y i�fiArevt
9 N°° fj0'�
�ol�N
I understand that a pier, dock, rhooring 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
'A
Signat re IJ
_ I
o wiccs ) . o v� 11s 4
Print 1r Type Name
Mailing AdAress
City/State2ip
s13
Telephone Number/email address
,7-- S-�tL
Date
(Adjacent Property Owner Information)
Signature*
lhiromx-5
Print or Type Name
�. O� By r- G>< _3
Mailing Add ess
IT, �ig8A�tT S, c. 1�yG3
City/State2ip
9 V 3 - 1-1
Telephone Number/ ggWail address
�7, x�-7Z-, RECEIVED
Date*
(Revised A404 2022
*Valid for one calendar year after signature*
DCM-MHD CITY

/ HUJ Hl4
I hereby certify that I own
property located at
l y Po ejrly y'T
adjacent to , ,,,p+7Cy�i r
(Name of Property Owner)
I
(Address, Lot, Block, Road, etc.)
on CAbrUo Nam-- in _ V �Apiff-k frrTyv sty (°jam N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca i
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OE. PROPOSED DEVELOPMENT
(Individual proposing development must fill ill description below or attach a site drawing)
I'VOAW % 1,06(}ItfiAna
Tc/*a
pvleA/
WAIVER SECTION
I underst9nd 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.)
I do wish to waive the 15' setback requirement.
—L�I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjace�ft Pr pertyyOw er I rm �on,)'
JSigs� Signatur
��� I. �fd��� - � s
Print or Type Name Prior TprahA �. AbL G 3 e-S ' A
5�.
Mailing Address / Mailing Addle.
� r C, 19 y�f s
City/State/Zip Cr' /S�d e/Zip G
Telephone Number/email address Telephone NumbLyrlemafl address
%IVED
Date Date
(Revised Aud. 1 J)4 ?_022
*Valid for one calendar year after signature*
DCM_MHD CITY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ma,Jiis 1
Mailing Address: O,
Phone Number: x y3 v v 7%
Email Address:
I certify that I have authorized ilmaig, Csvcilos- %an
31,r)w Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: R„w?z rW^4 — So'
/�.•-�2:� G� .�ti fl ev �.�f1?j i1>19 �L�bO'Y 3Hc�m.r u9 w:�� /3:�1.0 /J:6eiJ Gc'viJ (��°.
at my property located at l V o 2 /iny S7- ,
in o97,,rflj4-- County.
l 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
u you Title p o # (�
/s'/�2
Date
RECEIVED
JUL. l.9 ?.022.
This certification is valid through P/_)/ :a
DCM-MHD CITY

I hereby certify that I own
Mo
property located at _im
adjacent to
(Address, Lot,
on i`A�fe,d CK� in_t
(Waterbody)
�-
(Name bf Property Owner)
lock, Road, etc.) N.C.
�lbk.IAwP2 C/tri_
(Citv/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiop
\4� I have no objection to this proposal.
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)
�u %?
�, R;-an i
'%cllZ4:,N
a/v�y )q00 ffil
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner Information) (Aer mrormauum
Signa re r _ tg�t tre"
Print or Type Name PH or Types
PD Box &q3 Y vv—/
Mailing Address
City/State2ip City/State2ip
Telephone Ngmber/email address Telephone Number/email address
Date Date
(Revisedjkg.�f pb?7
'Valid for one calendar year after signature'
DCM-MHE) CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to l ya2 6hA 5-t 's
(Name of Property Owner)
property located at J /00
(Address, Lot, Block, Road, etc.)
on 6Abaoe, ed in paO-OV2� .VN.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc
j 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)
&1 y ima40
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.)
:La I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signat re
Print or Type Name
/�. 0 Pad- G Y 3
Mailing Ad ress
.,ter 6'rsa-r_I, S.e myi
City/State/Zip
W1 -15-1 0(171
Telephone Number/email address
Date
*Valid for one calendar year after signature"
(Adjacent Property Owner Information) �
Signature*
J 0'y ) 6" Wjo-y -- A7a4,7601/1Lky /MdTep
Print or Type Name
Telephone Number/email address
-7 y �yCJ
Date* RECEIVED
(Revised Aug. 2 1JUL 1)4 2022
DCM-MHD CITY