Litchfield, William Jr.

L CAMA / DREDGE & FILL No. 75034
GENERAL PERMIT Previous permit# A B (CD_
ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
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As auth Prized 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
I i II F Ij ules attached.
Applicant Name /)1(k, 1 i, �� ' / Jl. Project Location: County -(—,-
Address i I Street Address/ State Road/ Lot #(s)
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Agent or Applicant Printed Name
Signatgr�" ••Plea4e5ead compliance statement on back of permit *'*�
Application Fee(s) Check #
Permit Officer's Printed Name
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Signature
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Issuing Date Expiration Date

Styron, Heather M.
From: Will Litchfield <[e-mail]>
Sent: Thursday, June 27, 2019 7:49 AM
To: Styron, Heather M.
Subject: [External] Fwd: My cama form
Attachments: wiII003.pdf; ATT00001.htm
Heather attached is signed page from Neighbor. Thanks for taking a look at this before you leave. Mickey is down the
canal and wanting him to drive likings before he leaves. Other contractor has gone silent (they are so busy). Will send
other neighbor. My cell is 919 669 4355. Call me with questions.
Sent from my iPhone
Begin forwarded message:
From: Warren Wisnewski <warrenwisnewskiPgmail.com>
Date: June 26, 2019 at 3:06:41 PM EDT
To: Will Litchfield <William.Litchfield(@RavmondJames.com>
Subject: Re: My cama form
Reply -To: [e-mail]
Will,
I have attached your form.
Warren
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT `7
I hereby certify that I own property adJaoent to \&)i Ll\0N'^
F L (Name of Property Owner)
property located at ��� (GnS } on
on In cti. , N.C.
(Waterbody) (Cityrrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indh*kal proposing development must till 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 16from my area of riparian access unless waived by me. (If you
wish -to waive the setback, you must Initial the appropriate blank below.)
4JU/ 1 do wish to waive the 16' setback requirement.
I do not wish to waive the 16 setback requirement.
(Property Owner Information)
(Revised MM012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (Name
petty owner)
r) s
(Name of Property Owner)
property located at
on ,In
(Waterbody)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
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
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,)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature6NJI it
Print or Type Name
90 QU).
G'
M iling Addr ss
(Adjacent Property Owner Information)
SlEnatvre t
[h� Uov���n�
Print or Type Name
Mailing Address
City/state2ip
Telephone Number
Date
(Revised 611812012)

6-
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