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,ttd``0ur4 . CAMA ❑ DREDGE & FILL N° 89907 Pi�L (3 B C D
Previous permit
i GENERAL PERMIT Date previous permit issued /1J/LL
❑ New ❑ Modification M Complete Reissue ❑ Partial Reissue
As authorized by the State off Noah Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
SA NCAC - 114 ( 2Org ❑ Rules attached. Y General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City 121 S
Phone #(CH q) �o^
Email r-lh"'XQ" S
Affected ❑ CW
AEC(s): ❑OEA
ORW: yes/ to
Type of Project/
State W ZIP a-lG ly
©EW Y]PTA
❑IHA ❑UW
PNA: yes/C.-)
!x
Shoreline Length 'f
Access Length
Pier (dock) length�1 r X %{ef
Fixed Platform(s) ol� V
Floating Platform(s) _
Finger pier(s)
Total Platform area <'iiJU S��'I•
Groin length/M
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Beach
Other
❑ ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent /I
Project Location (County): C. ko U'.(Xyh c
Street Address/State Road/Lot #(s) ( O - J,W
( I I &A b�} 1 It��r.
Subdivision I Ift61I bY'4 A \Y � Q.Az+, I,w
City I-.�/1CQws/�'t7N ZIP ;LJ rl3�
Adj. Wtr. Body 01\0e�, 6sac k so d, .d (�ia%man/unk)
Closest Maj. Wtr. Body 14 �1e 4'A e SCY_"/
'- Z 6, le ) 51 "C'
1 rr=3d)
SAV observed: yes no
•GY
(f
Moratorium: n7 yes no LQC'Ir4irI
•f��YY`
`
(I ---
Site Photos: © no
Riparian Waiver Attached: yes (2
I
A building permit/zoning permit may be required by:
1
C'6'
❑TAR/PAM/NEUSE/BUFFER (circle one)
Mo Permit Conditions ��- bt
�c
TVA C+lCC(Q
'i)
>-r*kckn
rL G P SS Clreq�
❑ 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)
I1 e
Agent or Applicant PRINTED Name
Permit Office s PRINTED Name
44NI, gz1
Signature **Please read compliance statement on back of permit**
Signature
Application Fee(s)
Check q/Money Order
Issuing Date
Expiration Date

❑DREDGE &FILL N9 89907 A B C Q
a GENERAL Previous permit
PERMIT
� Date previous permit issued
❑New ❑Modification OComplete 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 •,� (1 1 " ��
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wv. Body (pat/,man/unk)
AEC(s): ❑ IDEA ❑ IHA ❑ OW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body i
ORW: yes/bo PNA: yes/no
Type of Project/ Activity
(Scale:
Shoreline Length _
Access Length
Pier (dock) lengf,
Fixed
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
SAVobserved: yes nog Moratorium:
o.
Moratorium: n/a yes no
Site Photos: yes no—j-
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 PROIECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Feels) Checktl/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
L oql`Y
Name of Adjacent Riparian Property Owner
2/� 73&ygc,2Y :We
Address
, A /C 279 3'2
City, State Zip
To Whom It May Concern:
RECEN� D
Jug 2 2 W3
DC► -EC
7 Z- ci 2 y
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
6Ot lsrgu/-r bo,--4 e ,&?047-LIFT
on my property at /17 i/�? Y 2).-
in 6, / County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
�/oG� Y GGsG otif/�O C`H0k-),4N (!D, PO, 630Y- /0-30, CbEM71oV AM 2793E
If you have any questions abctuut the project, please do/not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL). . i/—
HoLL.,Y GtitOrvi,go �Z 52� '/ FS2 - Siv I [
Sincerely,
/ 7 Ul"h P k—
Property Owner's Name
Address
&/9) 4�o& - yV�/9
Telephone Number
,bp- 1'?Az— lc fa &/C 2-76,14 _
City
State
— 1 have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Rr rian Signature
rr
Print or T pe Name
Date
z- 333��3 7�
Telephone Number
Zip
2/S E.[/3U,-OY -DP- L,)CAI ?oM 27132.
Address City State Zip
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
1, -V)D f D/,rNc sC-SC
Name of Adjacent Riparian Property Owner
//9 s�E %sv�✓ D2
Address
AAL- 279 3 2-
City, State Zip
To Whom It May Concern:
REC I4 rD
la22I'll
DCNI- LC
-7/Z � /Zz
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
Co/tJ5v7-euc7 VJ 27C K. '�( r r-T
on my property at /17 P JJSz)e v' �T2
in Cyoc')gt/ County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
,gml-y C ekolv3o Cflt/a9,,cd Co, PO 8ok /d>o e�Pr-Acrw A/G 27g3Z
If you have any questions aliout the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
�ot-GY Ce�c-onfac � C+low,4/t! C'v (z SZ� �82 - � 6y 8
Sincerely,
�C'H,494A f 0;e&/eF9 M yi r oO(n �FS�S/`�
Property Owner's Name �j Telephone/Number
//!% •l c3 A .i< / C i^.�U .�i3 A—f-EL.I'/�T•'%� /VCR �
Address City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
-� Aj4acetparian Signature Date
Print or Type Name Telephone Number
l/g BCA/z�ueY D e CAz:X1 C! /Y('_ Z 7 Z
Address City State Zip
Revised July 2021

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