Ray Thomas 72329D

p.�r 'v3' •.•yam--rrYi•.'% o-r•;.' '6 .et.
sv.
Atli ErCANIA'/iitZIREDGE & FILL F ppt-Air r No 72329
�C^3�NERAL PERMIT A B C '�
yv New /' /�,� wlz� �� 1 +'r Previous permit#�Ejb�f
ew EModification ❑Complete Reis ue L_Partial Reissue Date previous permit issued "4'�l/I t
As authorized by the State of North Carolina,Department of Environmental Quality �� 1 t 44 COO or)and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 5 (
ules ttached.
Applicant Name & Thô► S Project Location: County5/?j j�/�I C (0 Lf 117
401 f f 1-lia D #(s) .M 4
Addressd 1�! Y L x Street Address/S to Road!Lot
City State!V c ZIP i 7j53 3m1 r s4-,
Phone#(3g3 Sib a� I?O$' E-Mail Subdivision Stk & �1
Authorized Agent —�""'� City / /1')/IG( ZIP a 4,, � Zr
•
❑CW ❑EW ❑PTA J> S J'PTS Phone# ( ` p River Basin ` ,,° /
Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A
AEC(s): Adj.Wtr. Body L DC kaek)rIs illy lei\`' i,
an /unkn)
❑PWS:
L.,J
ORW: yes .PNA OE)* Closest Maj.Wtr. Body 4!/
Type ol Project/Activity D
Oft n ,r (Scale: l : p;V )
Pier(dock)length
Fixed Platform(s)
Floating Platform(s) r /.. I';/ ' Y ‘
Finger pier(s)
Groin length
ber egg I r � 4 f� , / j. '�i r
ulkhea 'prap length %9 ■■�■■■■..■■.■'�,_ �f
avg distance offshore d sulimin
irik
�'�
max distance offshore 0
i . ,„.., ,, ,„,„,,,.,,,„„,..
Basin,channeIIIIIIIIIIII11II1111m11INIuhIII
cub
Boat amip yards Iuuhhhhhhuii!hhb011!!imil
Boathouse/Boatlift Beach Bulldozing
Other !14/ !li u...1..u... •r1, I Ji li . -
■UU■UU■1 IIIIISI,17==.1/--- . .1. _�,,�..:. ,
Shoreline Length ?7 / ASAV: not sure yes v p , j _ ` jIII
PotoMoratorium: n/a yes es �� 11�� 1 •UU =L i Gfirg� i' i®� �� ..
Y
Waiver Attached: yes 1 1
A building permit may be required by: P 14,d�(LUhl-7 ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) /�[ ,/ /,Notes/Special C nditions fi /./ 250011/� and t��/f (YAP' /re /
-t clfrai o �/ GAP . 7his foNft�ifhcriee /'p/t f
,, 1 I/7 a f
Rohr g l'ti a ` I S e
Agent or pli tPr�inted Name Perini Officer's nted Name
�(
Signature Ple a read compliance statement on back of a mit Signa ure
4 1/ 1'
Ai /. i9 0,0 ,019
Application Fee(s) , Check# Issuing Date Expiration Date
4

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Pay /Vf 04
Address of Property: ?6r 9-. SE /4/e? _,'VC '4L ' Frwifiti (,r2
(Lot or Street#, Street or Road, City&County) ,,/
Agent's Name#: Mailing Address: 401 N>�� La ie l/
Agent's phone#: S*kaa tvc 35 TZ
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
VI have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Property Owner Information) (Adjacent Property Owner Information)
,Jii/frikz-r e (
Signature Signature f� 61,.06
,y.7knias
Print or Type Name Print or Type Name/
46/ /rcI tae. �r/Int 3 T'C '_r3 I`T j �%
Mailing Address Mailing Address
(-9-0 ' ) �'C a ?35F N�' & Sf
City/State/Zip City/State/Zip
336 362 Ig ©U q/6 - (= Y — cW /a-3
Telephone Number Telephone Number
1/g/iq - F --lq
Date Date
Revised 6/18/2012

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to &V Vi 1/S 's
property located at ,?7464 Sf / (Namepf Pro gas i k1
i�� `� ��� (Address, Lot, Block, Road, etc.)
on l oc[c'rtx.&s l -et Ave/ , in , N.C.
(Waterbody) (City/Town and/or County)
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 below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Property Owner Information) (Adjacent P operty Owner Information)
c)-41-,74.-ctz,
SigilaSz Sig ore
Rey Ahliii5 t6(-e1) BeWt-
4 qr T •e4-r' /- Print or Type Name
! ' ,'7� - b4 /`�f0 ie �/� Po ga 3o 2--
Mailing Address Mailing Address
4!/pcdale Aie 2935? s-eA °ie� ,v.c. 22gcy
/State/ZipCity/State/Zi
3, 2 lyd S q(o - �eI7 -`fl7
Telephone Number Telephone Number
Date Date
(Revised 6/18/2012)

X,CAMA/ DREDGE & FILL❑ 1
V
•� 1 ��\\ C , f�, ti A B C
g ENERAL PERM! V Previous pgmit# '.—
Y�� New ilModification ❑Complete Reissue artial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources I
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC u� 11 ' 1 �O / -
t"' �-. �n Rules attached.
Applicant Name lyI f 10 VA tAk Project Location: County 6 �s LA..
Address
-�N 01 \+d <i L Y\ L 414 f, Street Address/State Road/Lot#(s)
City SAT Ye S d '1.1 State d/ ZIP . i `j1 .. / A -
Phone#( 3(1 _Mail Subdivision
Authorized Agent - City 1,6 c" O\ ZIP V11 `
Affected ❑CW , 1 EW XPT ❑ES PTS Phone # ( .""f— J River Bas' LAAAA 06
AEC(s): ❑0EA ❑HHF Cl V� AdS
('yam 1 \ iL�a�/
Y�/" q Y�'l at man /unkn)
❑ PWS: ''Vt
ORW: yes / no PNA ( ; os tr. V
Type of Project/Activity , .. \ C r g `i i S C1 itT V r X'( a A 6ikAtt, j AC 006'`
t?t.. . ... (Scale: '! --~ ' )
Pier(dock)length h X 1
I
Fixed Platform(s) I 1 (1pe �/ { { { I
Floating Platform(s) 8 Y ( 7 1 AO).i . ,= : I i /{ ,,rt, C - �v
Finger pier(s) 4k ti I , Aicr ��l vW W Y { �
Groin length \ ! . •. I; f A ' ! I t
number Ip
Bulkhead/Riprap length . `'•'l �i J I; ..:'• 0 ( '�
av distance offshore 4,. !y �r ! I
max distance offshore I ' AI ' l' ► f d�(d j�0 �y, HI �Xi �: ,,y,
Basin,channel I j
T -
cu c yards i .�'x i�i j
Boat p i � L i
Boathduse/Boatlift 4I. A b { +J I i �O �t � (�� j I _ t
I. Nis j x ( ( f Y
Beach Bulldozing 4 [ * `{� �►' 1
Other s X )4 a} 1M 1 err , `� '� 4 4
i { I , f 1�CA �1h�i A1'd'li fit
I j i j t , i '.-r,�t. :A:aiC+It�Z+.'p t�jas.,i.
rr� -
Shoreline Length '�S I { I i 1 I I ,t ct, 1I
_.
SAV: not sure yes OP n r. Q { of 1
i r
' I rl ot i
Moratorium: n/a yes 014 i i `I tf A- / i i i , 4,d
`rS:71,\101iPhotos: yes 14 ; i i ' ! • • I
Waiver Attached: ._/ y(o ' 1 •. I i I I i Ii i ii i ii
A building permit may be required by: /'F, v4i'•,S v� t f- L Ov\A-1 ./ . n See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) iji 1 i
Notes/Special Conditions ''P 3 t1, 1 J n h ,i (/A •I. ( d tr - ``,a t
P u fi v L. 1 C Vt
F"-
-{ t ✓/Ydk k y''—r't'1, \jJ�'y4, t• A fi'\,,
i ,i0 Y,., _ ti_"C � 4i
Agent or Applicadt Printed Name P itOffic ' nted//ay ie
17 •
Signature **Please read compliance statement on back of permit** Signature a hot.
Application Fee(s) Check# Issuing Dte 'Expiration Date