40906_WALKER, SUSAN & WILLIS, BETTY_20050205

ICAMA / '. i DREDGE & FILL
GENERAL PERMIT
,7New -]Modification FIComplete Reissue ❑Partial Reissue
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources f
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
ules attached.
Applicant Name ...+ . , .% /! (�` - �! / `✓' '' Project Location: County ( /' 11 (. r <
Address J i"; �� i �`i <_J/ < lJl Street Address/ State Road/ Lot #(s)
City State ZIP
Phone ( 1 Fax ( 1 Subdivision
-------------------
Authorized Agent City �.� E{ <� ��'' .I V` _ ZIP S
Affected
CW ❑ EW ❑ PTA L, ES ❑ PTS Phone # ( ) River Basin i"' _! 0�1 f<-
❑ OEA ❑ HHF ❑ IH 7 UBA _ N/A G} , : ,.-
AEC(s): Adj. Wtr. Body - dnat /man /unkn)
❑ PWs: ❑iFC: ;' ; ., - .
OIRW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body— i - _l (" '% c-'
Type of Project/ Activity
Pier (dock) length
Platform(s) -
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift—
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
�f. (Scale:-S )
1 41
A building permit may be required by: r �' - � C See note on back regarding River Basin rules.
Notes/ Special Conditions
f'
(^1�
Agent or Applicant Printed Nam`
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permi f uer's Signature
Issuing Date pirati n Date
Local Planning jurisdiction Rover File Name

IMP RTANT MESSAG
FOR , /
❑ATE u d L
j TIME
M SL4� �� LA, ! k(f
OF
PHONE S�� - 13119
�AREA
NUMBER EXTENSION
8��p
2Z-2- Q JCY J
DE NUMBER TIME TO CALL
EPHON€D:
PLEASE CALL
ME TO SEE YOU
rV
WILL. GALL. AGAIN
NTS TO SEE YOU
RUSH
RETURNED YOUR CAL
SPECIAL ATTENTION
MESSAGE
I
SIGNED
FORM 3002P
MADE IN U.S,A,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to `�/I e e'7 ft
(Name of Property Owner)
property located at ( r-) �
(Lot, Block, Road, etc.)
on r' n� , in L, <�2 2) ,:, '( N.C.
terbody) (Town and/or County)
�t
He has described to me as shown below, the developme he opos�g afF'
that location, and, I have no objections to his proposal.
FEB 0 2 2005
Morehead City DCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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as d 01�
Signature
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Print or Type Name
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Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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lkl i �.. 1. �.v
I hereby certify that I own property adjacent to 's
i 8 l (Name of Property Owner)
property located at � Le v6Z ,
(Lot, Block, Road, etc.)
on nc -Y - z �� ,in
(W rbody) (Town and/or ounty)
F ?005
He has described to me as shown below, the development he is proposing at
that location, and, I have no objections to his proposal. Morehead City DCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
le L CXCe`�
cc
I
Signature
tti/C-fLE ,-- C)�+,s
Print or Type Name
?19-7?S— Mr9
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L c%p,-e d 0L 'r �s lu" «<'s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
l �\
on inN.C.
terbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at2005
that location, and, I have no objections to his proposal.
Morehead city ®cM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Sk 0��
bcA A of S1-)(ftVV 2
(a �-' 4"C-Q C-1, 0
n �
it)
Signature
Print or Type Name
°�,Z-7-Z-DLi
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to cls IS.
(Name of Property Owner)
property located at
(Lot, Block, Road, eta
on Rj in Y c , N.C.
terbody) (Town an or County)
He has described to me as shown below, the development he is proposing at
that location, and, I have no objections to his proposal. j
0 2 2005
Morehead City DC
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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lQno Sr'a P I•� 1ub1 C� �' r
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S eaujCA l O-AA e cam,
Q
QEDVe G can
/ /Signature
Print or Type Name
3-E�-6 L5^&�
Telephone N

STATE EMPLOYEES' CREDIT UNION
MOREHEAD CITY BRANCH
REMITTER Susan Walker
PAY TO THE D E N R
ORDER OF
MONEY ORDER 0041
DATE 2-4-200
$ 100.00
DOLLARS
State Employees' Credit Union
062 MOREHEAD CITY NORTH CAROLlNA VOID AFTER 180 DAYS
11' 0 0 01, 12110 1: 2 5 3 17 7 0 4 91: 0 a 6 0 4 3 0 0 3 8 511' AUTHORIZED S'