Bruce, Michael - 91410C

,��`°"'".❑CAMA ❑DREDGE & FILL N° 91410 A B (C) D
3 GENERAL PERMIT Previous permit
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:
15A NCAC
❑ Rules attached. ❑General Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name /\, �i r Aar
Address /,3 (0 `I
City AlD P) r ', State ZIP 1 I0
Phone #(ill) L4 01- 1 2. r
Email
Affected ,.F-J�CW ❑EW
AEC(s): ❑OEA ❑IHA
ORW: yes/no '
Type of Project/ Activity
❑ PTA ' h❑ ES ❑ PTS
❑uW ❑SPIMA ❑PWS
Authorized Agent
Project Location (County): 0,46-LA 4 o...
AA . L.
Street Address/State Road/Lot#(s) 14)L) Y�'+•-���O(
:aUWi;� ' b , -,
City
Adj. Wtr. Body d7 nna man/unk
Closest Mal. Wtr. Body
J
(Scale:n ;�S0)
Shoreline Length
Access Length
f -
j
Pier (dock) length --
Fixed Platform(s) ` - -----
Y'.IL C
Floating Platform(s)
r
i
-I---
Finger pier(s) L IL f
Total Platform area
Groin length/tt
r l Bulkhead/;Riprap length
Avg distance offshore - ]'A - 54 v,- UV
Breakwater/Sill ----1— -i - -- -- -- -- -- - - -- -- - — — -
Maxdistance/length " -- -- -
Basin, channel
;J­
SAVCubic yards �-- -# wrt-Boat ramp ./ Boathouse/ BoatliftBeach Bulldozing I
Other observed: yes no -
Moratorium: n/a yes no --
Site Photos: yes
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: '0Lt Lua. of III
Permit Conditions I dl nLp-Q (s/ ❑TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
Rt,i �LluL 7aGi-� - oC wt, �CKG�W o'/",
z See additional notes/conditions on back
t41
1
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"
Feels) Check tf/Money Order
Signat e
Issuing Date Expiration Date

�� °"'" ❑LAMA ❑DREDGE & FILL N9 91410 A B c D
'GENERAL PERMIT Previous permit
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 I
❑ Rules attached. ❑ General Permit Rules available at the following link: wwvv.deq.nc.gov/CAMAruIes
Applicant Name _
Address
City
Phone # (_ )
Email
Affected ❑CW ❑EW
❑PTA
AEC(s): ❑OEA ❑IHA
❑UW
ORW: yes/no ; PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
.... L
.-
Pier (dock)length
Fixed Platform(s),.
Floating Platforms)
Finger pier(s)
-!—
Total Platform area
Groin length/it
Bulkhea�,Riprap length /Cj
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
observed: yes no Moratorium; n/a yes i no
Site Photos: yes ` no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions 1)111 4r1d
Authorized Agent
Project Location (County): f. r.,._!f,•1.e-'t ' , i-
Street Address/State Road/Lot #(s)
/
Subdivision
CityN (n-r LmI C(. F{n ZIP
,❑ES ❑PTS Adj. Win Body �3 C '1-- f {rti-rye- (nai/man/unk)
J
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
(Scale: T
❑ 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** Signature
c
Application Feels) Check q/Money Order Issuing Date Expiration Date

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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: /��, C "r1 e I /� . 4),Ae2
Mailing Address' /���'�LvL��E ���YGH W!1`/—
lil)4��1r
Phone Number:
Email Address: ) t I l { is I' 1 i N j.1 ! I pp r it fr ttk
I certify that I have authorized B&B Marine Construction
P9ent 1 Contractor �-J
To act on my behalf. for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development. S e a w a I I a n d
Dock
at my property located at W /V SOu,0rF G, ))iV?e %iflio
in1ArrC-ret County
! furthermore cettl(Y that ! am authorized 10 grant. and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on fire aforementioned lands in connection with evaluating infonnation relafe4o to this
penmd applicaYon.
Property Owner information:
P't f d' Zltc� --/
�rgnarure
X,
Print or Type Name
Maier
Title
�l s1�3
Owe
This certification is valid through

I hereby certify that I own
/property ad
j
acent to --E L� k 6O t
— (� %CCU/F� �ac� Na a of P p rtY Own ) _s
propertylocated at _ �
�"`�� (Address, Lot, Block ad etc) A`d'""' r �`
in
(Waterbody) (CitytTown 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 b Ow or attach a site drawing)
(
�dl/hd� ✓ d PrpPbled
,t 0+ 1. 1b �t l
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.
sm
(Property Owner mation) (Adjacent Property Owner information)
Si n%rture Sitat re*
"�--ci gel,— 1� u�tE�
Print jV' Type Nameyy �j q /y / Prjjnt!ojrType Name ff
%1/ /n: t� / / UM l ':L 111l 1' o,"ri(�'PCLI.
Ma "i dress 9/ M ili g AddressJ
City/Statelzip r_ ✓ city/St e2ip
a l S ,-
Telep on Numberl email address Teleph ne N tuber
f'�
��� Date Bate*
/email address,
(Revised Aug. 201 t

5/9123, 10:05 AM
Mail - Brandt Thomas - Outlook
I hereby certify that I own property adjacent to /h
' l / 's
property, located at / ,iNa(ne o property Own9r)
14� (Address, Lot, Bio k� ad, etc.) n
on !
(Waterbody) In ,I/ Lad , N.C.
(City/Town and/or County)
The applicant has described to me, as shown below. the development proposed at the above
locati
1 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 blow or attach a site drawing)
Propb)rd
b�lkdp9d
w;(( rvh
1 P(DPG4 l ~e
f P d,kl,�a
WAIVER SECTION IV
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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property n mation)
r t/d L
Print of Tyne,Name
aurc �'i tfC� �J•L{/
2
signtifure
rm
Chuck Falls
ASSISTANT DIRECTOR PUBLIC SERVICES
[phone]
[e-mail]
'Valid for one calendar year after signature'wwIll-M ore be
r
hftps://OuUook.office365.comimail/inboWid/AAgkADM3yTM1 Njy5LW14MGItNDFhMS1iOTczLTU47ToirMIkhAo,urnena,14.1v..:,-..,. - ..

A( ENJ AUTMORIZATI4N FOR CAM& PERMIT APPLICATION,
,y
Namo of Property Owner Requesting Permits
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Agent i Contractor
P V C' c cr:c.
To act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development'
at my prop" located at AW 1111'1j Specw-fF 1�r)4iotdie'd L"i � �5
inCounty.
t furthermore certify that t on) 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 aforemantioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
t / $rgna ro
Y"!ke'•
Print or Typo Name
} lt1Y1C` t�
Title
Cate
This certification is valid through

AQ9N j AUTHq; 3gATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �r p
Mailing Address: f I Y/L r jr'f 4 164
Phone Number:'
Email Address: fI
I certify that 1 have authorized
Agent ! Contractor
To act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Necessary for the following proposed development:
at my property located at 40 1IIG�} S au r01F Pr' 0Q-'AP,4d L " 1 %1
in Lldkffef County,
t furthermore certify that t am authorized to grant, and do in fact grant permission to
Dvision 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:
r
J Sign re
Print or Type Name
Title
date
This cartiffcation Is valid through t t�