Littleton, Greg

CAMA / ❑ DREDGE & FILL No. 75209
-. A B C D
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 /
(A Rules attached.
Applicant Name l l( / i Project Location: County k,
Address + Street Address/ State Road/ Lot #(s) w �+
r r
,
City, r V l �� StatZIP
Phone # OJ `.—/,E-Mail — Subdivision
Authorized Agent
�CW
nEW
�jES ❑PTS
Affected
,_OPTA
AEC(te
:
El OEA
O HHF
❑ IH ElUBA El N/A
❑ PWS:
ORW:
yes / no i
PNA
yes /\or)
City—
FAN
Phone # () River Basin
Adj. Wtr. Body i i- r ): (nat t/man /unkn)
Closest Maj. Wtr. Body
OEM
no
C..:■
IME0I1MMMEMNMEE1EEEEMO11.CMME
I■■■■'CCC■■.�C■■■■
■■■■■■Gil.■■■®■@1■■■■■■■■■■■■■■■■■■■■■■■
C■CCCCC■'■CC■■®CCCCCCCCCCC■■e■C■■■�C■■■■■■
EC■C��i®®
■■N■
■■■■■
CCCCCCCCC�
CCCC
■E■■■■C
CCCC
CCC:C�CC:CCCCC
CCCC
4LC_J(1i)
Agent or Applicant Printed Name
Signature **Please read compliancesat6 entonba ofp� t *
Application Fee(s) Check
#
'1
Permit Officer's Printed Name
� v
Signature
Issuing Date' Expir lion Date

t hereby certify that I own property adjacent to 62zy 1 >^� 's
/L~ fta4AMOFnf P. _ mnnr4u
property located at ! ✓ j�� _.., owner)
)
"dress, Clerk Goad, a c.)
on %� injly_j� N.C.
(Wate dy s (City/Town andlor Couavi
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 objeclioms to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Repair wall 144.33 ft in tlic canal and ap&&= 67 feet in Basin.
CANA,
/
WAIVER &ECTt4N
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' front my area of riparian access unless waived by me. (if you wish to waive
the setback, you must initial the appropriate blank below.)
t-A i S.� I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Lralie—Ysy _.lvyt:;;,
Telephone Number
Date
Property pwner Information)
rift or r jpe Name
27Jy rClllnn j 1/ltf{/,{�
Mailing Address
�Ity/State/Zip _
Telephone Number 1
-- --€-1 f? -12019
Date
(Revised 6/1WO12)
f

^,WACENT fi E:iRM PROPER i r OWNER STATEMENT
i'
I hereby cer°iity that t own property adjacentto ru A %) 's
! /� ( of Property Owner)
p erperiy located at �t ,r . , t �/t ti d G t�/ fits c—
d ! a • r/, r J (Ad ress, t_ot, ock, Road, etr,)
on �fGt�t_ 1,.tc In
(Water6odY MtyiFown ardtor unfa)
The applicant has described to me, as shown below, the development proposed at trhe abovm location_
I have no objection to this, proposal,
i
I have ob actxxn-i to khhls pfo posal.
,nF,, 3VR'6a iGitig9 .i F PROPOVZO. DEW-t%ZMEN
(Individual proposing development must till in descriptlon below or attach a site drawing)
Repair wall 144.83 ft in the canal and approx 67 feet in Basin.
ml a,w
i understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
9[M _ ..._ ._ __ .. ..._...3.,.
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.
IJ3
Dare
a,a
Dare
riMlrlfAe In4nerv,afin,.l
(Revised 6/1WO12)
40