72807D - Keir

"AMA / Ll DREDGE # FILL
ENERAL PERMIT
1NeW ❑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 15A NCAC
Applicant Name Dot iJ I F L­ 9C(K,
Address -/L22 1 I'\ C P` ll, .�
IA- f /�_
City W ( L IM 11J 6-Z bA) State � ZIP 2,(�:)
Phone # fjj 0 )E-Mail
i
Authorized Agent Lc,)��� d i V I H � V ill
Affected ❑ CW EW )(PTA ❑ ES ElPTS
AEC(s): ❑ OEA O HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes PNA yes 111fiF�
No. 72807 A B C �D
Previous permit #_
Date previous permit issued
m 0 - Zn>ef:)o
❑ Rules attached.
Project Location: County 1` i- PJ i : %✓
Street Address/ Stat e Road/ Lot #(s)
IS('�NO>,��
Subdivision
city zip
Phone # (—j----- River Basikvw �c
Adj. Wtr. Body A fJ 4-41 6 - / P'►J N I-,frfai]iman /unkn)
Closest Maj. Wtr. Body -1t)&A IL 50()NJt>
Type of Project/ Activity 4 G pL A-T C g O C�
i
��ii�iiii■i■■■ii■i■ii■■�■i■�i■i■■■■■■i�
Groin
Bulkhead/ Riprap`l@ngth
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
i
Boathou _ oatr 1Z * ,�
Beach Bulldozin
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a yes
Photos: Y.o
Waiver Attached: ei/ s A not
A building permit may be required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
�AieL (tt_
or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Printed Name
v-+.
Signa reV
2 I72-��
Issuing Date Expiration Date

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
X Address of Property:
Agent's Name #:
Agent's phone #:
(Lot or Street #, Street or Road, City & County)
Mailing Address:
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 dimensic
XVA11- I have no objections to this proposal. I,-1
1 CERTIFIED MAIL@ RECEIPT
Q Domestic Mail Only
Er
If you have objections to what is being proposed, you must notify tl ru Fordelivery '
writing within 10 days of receipt of this notice. Correspondence scc WAL EA `:Nf
Wilmington, NC, 28405-3845. DCM representatives can also be c Certified Ma(I Fee
considered the same as no objection if you have been notified by M $ $3. 4 -' ) 406'
WAIVER SECTION c3
I understand that a pier, dock, mooring pilings, breakwater,o
back a minimum distance of 15' from 'my area of riparian ac
wish to waive the setback, you must initial the appropriatem
i% I do wish to waive the 15' setback requirem r-3
CO
I do not wish to waive the 15' setback regrE3
(Property Owner formation)
JYgndlure
Print or Type Name
LL2 i 14CaC ir_ �>r"✓e—
Mailing Address
Jvc-
City/Sta te`Lip
9/9 - Z 6z-
Telephone Number
Dare
Signal ure
:Xtra Services & Fees (check box, add
❑ Return Receipt (hardcopy) E �'= • '� ='
❑ Return Receipt (electronic) S
Postmark
❑ Certified Mail Restricted Delivery $
Here "
❑ Adult Signature Required $
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❑Adult Signature Restricted Delivery $
'ostage $ 1 .21
Al /1 7/2 B
otel Postage and Fells
Vt.66
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x CJcs fe ►. ��;irYl-
Print or Type Name
Mailing Address
City/State/Zip
9/ 0 ,211 /?s?
Telephone Number
Date
ntormation)
Revised 611812012

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to [� j2 n led d I.,6e s
(Name of Property Owner)
property located atQ� r /4 as
(Ad rd ess, Lot, Block, Road, etc.)
on a. 5o4r"p( in N.C.
(Waterbody) (City/To and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
X — 4) i have no objection to this proposal.
I have objections to this proposal.
a • . I t- I- --... GTT
• • off • • • • • • U.S. Postal Service""
CERTIFIED MAIL° RECEIPT
• Domestic Mail Only
r
For delivery information, visit our website at www.usps.com'.
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4e a,te Sex C: m
Certified Mail Feec
s • '
f14r{b
/ co
$ 01711
25
$Sri
Extra Services Fees (check box, add fee�pypq �ptlereJ
Q
❑ Retum Receipt (�dmpy) $
M
❑RealmReceipt(electronk) $ iiy� III
Postmark
0
❑ Certified Mall Restricted Dellvery $y tit{
:,FiAre
C3
❑Adult signature Require! $
❑ Adult signature Restrkted Del" $
-
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m
Postage
$1.21
r.qTotal
$
iiill7/2rl19
Postage and ,
_ ��ts.bb
CO sent To
--- �l-,-
WAIVER ;r` randsjQr'rvo.,i;FP6F o-No. ___
AL
4 -7 ts. ►'►"o
G'ity'$tiie; zTP«a -
I understand that a pier, dock, mooring •
p� g pilings, brea 3800,
� � C./�
minimum distance of 15' from my area of riparian Z PS
the setback, you must initial the appropriate blank below.)
•
?� k/ 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)
Signalure S'ignalu e
/4 g u t
Print or Type Name Print or Type Nam
222I AizcLc is %r� ✓� }� ,- I�- k.,VC)r :act ►�
Mailing Address Mailing Address
w ; ! • ...1 a - !y C- YU1J cal lc il in C_c�% '1�6
City/State/Zip ° City/State/Zip
Sid- (,>,- K 9►a all ��5�
Telephone Number Telephone Number
Dw -- --
Uure - -. - -
(Revised 611812012)

N,F
WESL EY C. HAIRR
D.B. 2318, PG. 234
IN
� o
\ CONCRETE BULKHEAD ` le
N27'15'00"W 141.45' �E;P S�
20,86' 71.55' :Rs 28,45' EIPj 20.09'
ON
000
WY"R
J, o
\25.65'
6.91'CONCRETE BULKHEAD
ElP ' 28.13' 76.27' 38.75'
IRS S27`1 9'00"E 150.06' IRS CP r ADJOINER'S
WOODEN
BULKHEAD
N F
WILLIAM A. HUFF ET AL
D.6. 3914, PG. 118

N/F
WESL ET' C. HAIRR
D.B. 2318, PG. 234 \
\ r4
�Z \ CONCRETE BULKHEAD
\ N27'15'00"W 141.45' _ E;P `SO
20.86' - 71.55' IRS1 28.45' EIPA 20.09'�-
L a.50 yj ,ice— -0 0
s $ t.
Oo
> I tiJti rF S g'RfZ
. OS)
=� II 9
r-- ` (� � � � S e4, n � 0 tU„ �-.Cl.w N, � i4 r ¢ e,�4•� N c L Q `� k-�
6.91 CONCRETE BULKHEAD
25.65' EIP 28.13' 76.27' 3$.75'
- - - - - -ECM IRS IRS CP �_ ADJOINER'S �.
S27'19'00"E 150.06' � WOODEN � •
BULKHEAD
N F
WILLIAM A. HUFF ET AL
D.B. 3914. PG. 1 18 '

Date Received
Date Deposited I Check From (Name
Name of Permit Holder
Vendor
Check Number
Check
amount
Permit NumberIComments
Receipt or Refund/R--located
Column!
Column! Column3
ColumM
Column5
Co1umn6
Column7
Column8
Column9
149 Dan,el and A Iev Kerr
Keir Wells Fa... Bank 5079 S 200 00 GP 072807D
JD rd 7769

'CAMA / DREDGE St FILL "vO. � �7 A B C
G{�ENERAL 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 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC �� i
Rules attached.
Applicant Name 11M (�j% � �+�. Project Location: County
Address 2-11-1 PCC,A< D(Ok-- l A-. Street Address/ State Road/ Lot #(s)
City W tLWI l k6fi0A) State � ZIP Z�,� � ` 15P{
Phone #{ o) UOir E-M 11
Authorized Agent (C2.iT G� ��Q —� }VI) l,—) .
Affected CW y( EW XPTA ES PTS
Affecte OEA / IHHF IH UBA N/
PWS.
ORW: yes ;� PNA yes
Subdivision - �.�.. .._� __�. " • .
(taw` city 5>uR- ZIP
Phone # ( j--`� _ ., . River Basir�(1�AA�C,. O
A
Adj. Wtr. Body. _ add 11A -Im)man /unkn
Closest Maj. Wtr. Body.. -" /fit It, 50t1k5t>
Type of Project/ Activity I��L PtT� �01'-TL-it=T- '5�
Pier (dock) length
Qc
Fixed Platform(s)
Floahog Platforms)
Finger p)er(s)
Groin length
number
Bulkhead/ Riprap Length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathou,>Or tli
Beach Bulldozing.
Other
'�/ !Y 4/I
Shoreline Length'{ /i
SAV not sure! yes n
Moratorium: n;a yes
Photos: yes
Waiver Attached: es
A budding permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
G1,
SI
flop- i1 r" r)
P MA-1kf
�entr Applicant Print e Name j 0
Signatureadcompliancestatement on back of permit
Application Feels) Check #
(Scale: llr=Zo r)
•
I
;"10,T- YJO01-p P�r
r
EX -
See note on back regarding River Basin rules.
Per Officer's Printed Name
Sign it
Issuing Date
!Expiration Date