Cullison, Thomas - 84261C

fA tw L7CAMA C7 DREDGE & FILL©42fi1 A is C_J
g GENERAL PERMIT Previous permit
Date previous permit issued
❑Modification []Complete
ew plete Reissue DpartlalReissue
As authontod by the state of North Carolina. Department of Etrwonnxnral Quaky ind the Cao A Rasamcex co,,,,, n N an ttea of sro r na tal concern Pursuant to:
SA NCAC (] R+atsatushxd,
APPlicant C
AppliAddreas Nara, _�-s---%Zlp�
_ __ J, bad Agent.
-./ ^tCity
St, total
"'""'^"`_uc-.rslrsd.-State-
Phone ay o.2i`�
vs(Coumy)
Street Addrasa+State RoadA.ox B(t)-�,,_L:C-
---__
Email'r-,�(Icj�(ii2t �,J'(,1/yt
_-:
dNN\fin
$ub� .__W..._.._
uty Sl ><,
Affected cw EW EqV f' O s
AEC OOEA n1HA L❑��G'�W� ©SSPIMA
DPfs Adj. can. golly
EPWS Closest Fiat. Wtr. Body _._N-`,r/_/U .�
ORW: yesR.Y`o' PPo.
Type^ o f Project/ Activity
1=1�C ,l/7
..CC �L1J1_�.1 r1 n is
shorelinelength
AccessLe ✓
Access length ✓
Pier (dock) fertgth
Fixed plasyOxis)
�i
Floating piatlem (s)
Fingerpier(s)
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore . —
Breakwater/Sill ,
Max distance/length
Basin, channel "f _
Cubic yards
Boat ramp
Boathouse/ BoatiiR
Beach B�Juildrovstinngg -vr
Other •-,�..!_t..cazai�-�-
N.
��
sAv observed: Yes
moratorium; n/a yes < .s�s
-
Site Photos:ov yes -
Riparian Waiver Attached: yes
A building permR/rnning permit may be required by: .. .11•"1 `�' �.TA)UPAtNNEUSEMUFFER (circle one)
Permit Conditions._.... -_ � """" -""" see note on back regarding Rive Basin rules
._la'i f 1.1.E • __e
See additional rotes(conditionsonback
(please

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LJCAMA ❑ DREDGE & FILL NY 84261 A B �C D
GENERAL PERMIT Previous permit
Date previous permit issued ❑ 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 D �' ` z /� v ❑ Rules attached. [RG neral Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
City
ZIP
Phone # ( e�OM 2,4l7 ^ 0L`YJO
Email +ra L)-it icon 2� I ma-j-1 :C-ann
Authorized Agent �J�l,I LL
Project Location (County):
Street Address/State Road/Lot #(s)
Subdiv
City CWA1 / ZIP LTJ'J
Affected dcW ❑ W E4PTA 13-E-S ❑ PTS Adj. Wtr. Body ' nnnman/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ��/ /LL.� �% II/'Gl2
ORW: ye@!7 PNQfDno
Type of Project/ Activity
Shoreline
Access Length
Pier (dock) length_
Fixed Play ;(f)!—
Floating l7Platform(s)
laatform((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 2m, �f [�� �I'/,'I //n/I,•^e
SAV observed: yes 47, l� / / icCMpJGI� i ✓ LC-C_ /�
Moratorium: n/a yes ' J
Site Photos: yes o
Riparian Waiver Attached: yes /
A building permit/zoning permit may be required by: D1%5j16/N
I'D 0�- Vvo ,Z,
Permit Conditions
AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE
Agent or Applicant PRINTED Name
PRINTED
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Sig ature "Please read compliance statement on back of permit"
,2Do.
Application Feels) ec Money Order

�� °" ° ❑CAMA ❑DREDGE & FILL N9 84261 A B `c l D
Previous permit
GENERAL 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 )- / / j` �'r-' ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
�
r
r
Authorized Agent
Address i i
(� �\ .t; �(_ i I )r
r
) 4-L _ ((I,. (:
Project Location (County):
City '`' � ' C 1
State
'I
/ " ZIP % I/, - >'
Street Address/State Road/Lot #(s)
Phone #(i)
Email l .,
1 li
,
A ;; t 1 I '
Subdivision
City l ',. 7 i 1 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 r
PNA: yes/no
Type of Project/ Activity
(Scale:. )
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 T I 1 i 1
Boat ramp
{ I{
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be 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** Signature
Application Feels) Check k/Money Order Issuing Date Expiration Date

�`°""❑CAMA ❑ DREDGE & FILL N9 84261 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.den.nc.gov/CAMArules
Applicant Name i
Address
City State ZIP
Phone # (_ )
Authorized Agent ,.
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length _
Basin, channel
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
_. .. I
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:,. )
❑ 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
Application Feels) Check #/Money Order Issuing Date Expiration Date

Name of Property --r0 QS �• 1 S DYl
p rty Owner Requesting Permit: (i
Mailing Address: tS
2 z 8- �_ __---- --- Phone Number: 80$ o z
- t,-,i
Email Address: f r C u I So n a_---
' SCR LOCtS�_1__�aYl✓�,G 1�8�.
I certify that 1 have authorized �10_ k 6 R • S flw _5*0q _� — —
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
wool dock i levelowl8'x16' ft. er Build nerew S'
dock. Te,s-lall ner,.l 5�,voo lb. fide -l-amer31ina �r�a
T
at my property located at to7 _ --kt) AS Cree%C Ci
in Qh S 1 D t,J _ _ County
l 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:
sift, nature
Print or Type Name
Pr,,:cri, Owner __ R�Et^fIl1�A
i Title
APR
Date OCAM"M�D C l ry
This cerlifiration is wilid lhrough _�1=1__�� 1 Co;Z3

Name of Property Owner.-Tk0 r�)-0. w 1 I o" S/, r e
Address of Property: C' V
/
_� 8 County) Q. ✓r -516 9
nIG I )'S 5 p, (Lot or Street #, Streator Road, City
Agent's Name #: To li n .% r, So,, 97G Mailing Address:
— r G
Agents phone#: ,25 -aloq,---
-_ -rty (
I herebycertifythat I own property adjacent to the above referenced PrOPe' the mdMment
applying fort s permit has described to me as shown on the attached drawin the develo
they are proposing._
I have no objections to this proposal. I have objecti°� to proposal.
-- Management
if you have objections to what is being proposed, you mustnotirythe DivWon ofCoastal to'400
(DCM) In wrfttng within 10 days of receipt of this notice. Corrapondence should bbteed ati(2 2)1i08
Commerce Ave., Morehead City, NC, 28657. DCM representatives can also be contacted
Mall,
2808 No response is considered the same as no objection if oelrave been notNled 6
WAIVERSECTION coin must be set
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lit, or 9 If ou'
back a minimum distance of 15' from my area of riparian access unless waived by me. ( Y
wish to waive the setback, you must initial the appropriate Murk below.) pf(.�lr(VD
I do wish to waive the I setba(*jequiremerl 1 g3
I do not wish to waive the 15' setback requirnent ..ln C�
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
;dy/StateRip
,phone Number
l r 7-
Uar
(Adjacintproperty owner Information)
L
signabce
J! �r Q �tt�toarys /�
Print orrype Name
10
Mailli{ingA,�ddress//
City/stetelzip
Telephone Number
jf - 4- ZZ—
Dn[z - --
P,evised 3/1 d; 2C 1-