89349A - MacDonald, Steve

❑LAMA ❑`DREDGE & FILL N9 89349 A B C D
GENERAL PERMIT Previous permit
AI
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:
ISA NCAC ❑Rules attached. [E] General Permit Rules available at the following link: vmv✓.deq.nc.gov/CAMArules
Applicant Name i' ° i /` 1;, c. Do r,..,r i d Authorized Agent 01 B 01..
Address - - r r b - v i' Y.' Project Location (County):
City �' F' I' State %V c ZIP -2 .7:`' Street Address/State Road/Lot#(s)
Phone #
Email -�'` _ - 1 Subdivision
City ZIP
Affected ❑ CW EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
ChnrAinc I anath
Adj. Wtr. Body (nat/man/unk)
Closest Mal. Wtr. Body
(Scale:
lengthAccess Length
Pier (dock)
NoME
Fixed
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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
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Pleaselnitial) '
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature '*Please read compliance statement on back of permit-* }
r J
Application Feels) ChecklH/Money Order
Signature
Issuing Date Expiration Date

Doeusign EnwbpO ID: D7e8DU7{B78-419E-88E"IAB9F02CBC7
Name of Property Owner RegreWft Pemrk: %-eVC ' ' "'COO wCI—
MOW"
51a �Vo."(+Qou \j�cw o\/
VI 0¢Ui i -W 11s tv c "4-P 48
Phone Number. �5a a(.01 3S�z
Emag Address: JiiagDsptfnacd P t .
I cwtKy that f have aWwdzed v � ;Ru ky /��
Aawd/Cion"dw
10 era on my nel,atf. for the Ixxpa89 of a *ft for and obtak ft ap c W pemlfts
necessary for the fdlowkrg proposed development 6ww y,,t;�
at my Properly located st 5% 2k 4 arbo w V1fAN OY
fnDaff e Inh,.
I fudwmOFR oarai'r drat I am aL*Wtud to WwK and do In Aw grarx peardsslon to
a'on °►ft w* Ofterand thefragsrxs to enter
P� *AWECedm e9aAredng 6pbrmadon refaced to t►ris
Properlyownerkr wrra w:
CtKE
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SOWN"
Steve Macdonald
Orkrf or Type Nerve
77de
10/22/2024
oars
7 * oerdficadm 18 valid lh wo

I
Ki C. Ci+:'a5i@fd Of COASTAL MANAGEMENT �
ADJACEYr RiPARLAN PROPERTY OWNER ROyVICATEO@lMAIVER FORM
CER71FIED MAIL raETUR REGEiPT REQUESTED Os D t? L� P4, �
(Top pareon to be wrnplat{edd by owns- ar their agent}
Name of Prap&'y Owner. tit] \ e i}�-P t"km i / r L + \C1 �r�
Addr� t of perly: � \ \C3 �C�LZ Lit ti, f ly L N V
Mailing Address e Ownerownefs ownees
Agent a �c>rr�,��u, k Agent Phan as -� aa__ Lj
A�EY�S : � 4ve �-eY�t� 33�1 C�rn^� 4 ce•�vT
ADJACENT RIPARIAN PROPERTY CWXWS CERTIFICATiON
(SeSem owtUM to be =m#k#g by live AdW.Aft EMM 2ORr?
i heraby certify that i own props* adacentto the above refersnoad property. The indiv}du21 aPWYln9 far this
perm t has described to me, as shown on the attached drawing, the development they are proposing. A
descriotion or drawind v th dimenafans, must be provided wttl Otis Setter.
TYV-h R t DO id67Y i121C NYECOnS td !h s prapaaai T_ i DO f aVE Dbaa�na YhES propdsal.
If ycu have objections to what Is befrrg proposed, you muse n0tffy the M. WaiOn Of COdSM
Aranagement (DM in SerrtMV w4Ut1n 18 days of nscWPt of this nodes "attoutd b'
mew to Acl S. t3dhi- St., St& IM, Et/zabath City, NC, 279d9. DC den also &'
eontactsd at rA2j 2s44 dt. No faaponae is considered the same ass no abjeam N you have
bw
noffeed by CarltPterf Afatt.
Y
E WAWPEsR SECTION (Choose onto 0ns>3
e iar. dads. moadng Pilings, tit ramp. crew Wer. cuethoc:se, l f ar
t , understand tha4 arty propasad p'
groin must be ffi back a minimum distanoe of t5' tmm my am of riparian access unless waived by me .5
(&Rs does roe an#v to bulkheads or -'Orad revetments). (if you wish to waive the satbac`x, y au vnstst n
!he appropriate blank below.)
Do wish to waive somelail of the 1 s setback
Signature a, AqacertRpa fal PMperry--,WTar
-OR- ` t
1 i DO MoT wish to waive the ,6 setbz^-, requirement (Initial the blank;
c I
I
ttignatssre*1Adjacent fti Property
Typedirrtnted name of ARPO: CTMa"?-
SKfol1<l� eta
+ng Address or Ago:
ARPC's la.G, ' "'OA D'e Phan:A14Q�
Dami 'watvar to vam for up to one yeas 4rm Altpct z tent'; Lf

`(ova cox, ke)t�- c4 wvwk% veyax�e
fa-�f a• . [ of :. « _i : -.ri : u�tr . ■ �. � � _. It .
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Addten of Property:
17
t.
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ty a t •
I hereby set lV that I own property ad)soentto the above referenced properly. The fndivi"l aP*Ing for this
pemdt has dexrbed to me, as sham an fhe ammatied drawing, the dawamprisM eft am proposing' 6
tksr:fmt m ordruging vft OMMA t M must be madded Wuh eft temrr.
%yu0., � l DO KaT have ageeemis to eft proposal I DO have oW obw to fads proposal.
ff you have anjacuorts m wtmt fa beft proposers, you muzz pawy on jr." ur.rsrsm w .........
Moug ma (ZiM in t•rteng WOM fo dayg a(rrcwpe arid. no d Owroapandanos abotffd be
,eased to 40 S GYM St. eta. 300, 6habeth C11% NC, 279M Dcm rapraeaaatlyta an abo be
earrfacead � (I6� id1,100f. Mo naparsa h rorr:rd.raat the:mtre as tw otyaetk>rr Myou haver bar
no~ by cartMfad Afar!
I "fm 6ECnOM (Chem only oaai
t tt W&,SWtd gw any proposed pier, dock moo" lam. boat ramP. ixmloaafer, boaefousa, RR Or
groat rent be set bade a miNrn m dtaWm of IS from nV area of r1parm seem unkaa valved by Re
tthia does not am�gr to butldtesde a Aorao r'eyetrenta). (tf you wish fo waive the aematic, you Q
fhe approp pats t>dnk below.)
I DO wish to waive sohefell of the I5' aathadc
Stynamre ofAt(jeoerfterlen RopeRY Owner
-OR-
1 De NOT wbh to wawa eye IB seam* raquirwnw* tfr+eW the blank) JYMA-1 Q 1
G%Pu m of A40MU tnparhtt sty
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lypsdfPrhAad a of Mips: ^�
tWerrfi Address of AM42P. iS 05 Q .'�,,ty ery 1 e.f'J
ARPOa� GLVmTroNe(JGmoA GAAmotiftoniam 157-417- 144I
now. 11- 3- 2-6 _,saw« to v&W fdr ap to oaa vmr *m AI00% slgnaous-

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