Woolbright, Rosalind 88559C

`OWAI t, nCAMA ❑ DREDGE & FILL T 9 88559 A B c D
GENERAL PERM 1 T Previous permit
y Date previous permit issued
F-INew ❑ 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wvaw.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body - (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length _
Access Length _
Pier (dock) length
Fixed Platform(s).
Floating Platform(s)
r--
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
s
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift 'p
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no I , f j �r ';
Site Photos: yes no"I LL
Riparian Waiver Attached: yes no _ _. . -- , -
A building permit/zoning permit maybe required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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 COMPLIANCE STATEMENT. (Please Initial) _
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Signature
Check #/Money Order Issuing Date
Expiration Date

`OAStN ❑CAMA ❑ DREDGE & FILL N9 88559 A B C D
ti
GENERAL PERMIT Previous permit
2 Date previous permit issued
New [—]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 ❑Rules attached. ❑General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no _.
Site Photos: yes no --;—
Riparian Waiver Attached: yes no
".t
A building permit/zoning permit may be required by.
Permit Conditions
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
I
(Scale•/`
❑ TAR/PAM/NEUSE/BUFFER (circle one)
i
❑ 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 COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
,
Application Feels) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:c�S(�LL��
Mailing Address:
2256-7 o
Phone Number:
Email Address:
I certify that I have authorized
CA 51:6 --7a !E-r 3q I Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 'D6Ck--
at my property located at q- 5
inC MZ15'V` County.
1 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 information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
-bo�
Title
Date
No dne,ek
This certification is valid through / / RECEIVE[
JUN 14 2022
DCM-MHD CITY

i i -12' 1 b 09: 36 FROM- ..
T-063 P0001 /0001 F-145
Divrcrr sm nr ..,, ...� . .
1 h-ereby certify that i own property adjacent to$-i�L)�n
property located at. —{ 3--AS
(Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on / S� >�
in c� `% CIA 'T
(Waterbody) N.C.
PVT~ and/or County)
Agent's Name #: w
Agent's phone Mailing Address: _eb �.b4 � 'S
�. � S
aiHe1She has describOd to me as-shownbelow the deve
d I have no objections to fhe proposal.lopment he/she is proposing, at that location,
------........... ---------------------------
----------- --
DIrSCRII�1'ION AND/OR DRitWING OF PROPOSED DEVELOPMENT j
(Individualproposing develo rn4ent must f/11 in descrlptic'n below or attach a site drawing)
WO objections to what lg l
in writing w/thln 10. days
)1e athtto: A. .y,...,... ._
is
(Property Owner Information)
*Sinature
Pnnt or Type Name
Mailing Address
06e
cltyisteteRIP
�r�phone Number/mail Address
Date
!9 Proposed, you mustnotity the Division Of Coastal Management
repeipt of this notice. Contact information for DCM offices is
napem4'nt-►iet/web/cnr/stAff listino orby calling 1�888-4RCQAS7
3 es nn nhtnA#i-.- s
have been
(Riparian Property Owner Information)
/ L } O
ignatum
Pnnt or Type Name
33 6dra
Mailing Address
Ctty/Sfaie%��p
Telephone Number/Email Address
Date --
(Revised: Aug. 2014)

7o
No
x
OP -TIED
4.
JUN 14 ZOO
DCM-MHD CITY

b 09: 36 FR0tM-
T-063 P0001/000-1 F-145
if
DIVISION OF.CoAS
ADJACENT RIPARIAN PROPERTY OWNER IVOTIFfCATION FARM
I hereby certify that I Own property adjacent to��
Property located at (Name of Property Owner)
on (Address, Lot, 13100k, Road, etc,)
P Dt
in
(Waterbody) N.C.
(C VTOwn and/or County)
Agent's Name #:
Mailing Address: PP TI-Y-4
Agont's phone
"e'She has describ
to Me as shown.below the develOPment he/she is
end I have -no Objections to the oropo�aj. PtOPosing at f fiat location,
------------ on,
7 --------- ----------
----------------------- --------
- ---------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED - DEVELOPMENT ---------------
(individual Proposing do
velopMont.must fill in d0s;CrIPGOrl below or attach a site (yra
wing)
d. I
5�ge -WAC+k5-b
-; ---m 'faciglons ro what is-be.ki
gPrOposed, yotimilstnotify the DWsjO
to W"t'ng within 10. d8Y$ Of receiptn Of Coa"Zfalmanaggment
av011able at httO-,1Avww-ncCOast;a1' Of this notice. Contact information fb� DCM ogices is
mo
red orbycallijig 1.888-4RCOASt.
ou have been no d by CoHifiai m, it
P11rope
rt� OWner Information)
Slg'n0 -0
ature
Pdnc or Type Iverne
76
100h, Address
9j 06W
Al—lrlpz -
city. tatealp
06-7D
6�liq�p�—hon e �Aft�jm ha,
mberltna# Address
bet
(Riparian Property Owner Information)
-8 Signa ig Y
Fri�n-t or T ype �Na M 0
Pljl,l Rd
AM)
016phone NUMberlErnaif Address
RECEIVED
Gate
(Revised: Aug. 2014) JUN 1 4 ?OVi
DCM-MHD City

74
Rl
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RECEIVE[
JUN 14 2022 pa
DCM-MHD CITY