69254D - Bridgewater

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CAMA / DREDGE & FILL A B C
E N E RAL PERMIT Previous permit #
61
ew Modification ❑Complete Reissue ❑Partial Reissue Date previous eF
issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources N Z�JD6
and the Coastal Resources Commission in an area of environmental concern pursuant to 15 N C 5 0
YO tj] p��E �jR ✓ j2 IT ❑ Rules attach
Applicant Name YLY �0`�"'���N'i Project Location: County 6'wk , c
Address V1 p Street Address/ State Road/ Lot #(s)
City CC State C ZIP S ' r �;^? GY1IVA W1. ��.
Phone # (Atli� E-Mail, —/'" Subdivision- I c
Authorized Agent _ ��'� J1�1vvan'h'V1/l CLZqyZIP
Affected _ Cw EW XPTA ❑ES ❑PTS nPhone# (�(V)N�3'�Z"ts River Basin b L4AA
OEA HHF I -I IN f-1 11BA n N/0
AEC(s):
C': PWS:
ORW: yes /0 PNA yes / no
Type of Project/ Activity _
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) )C
Finger pier(s) L
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshor
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boat
Beach Bul
Other ,
Shoreline Length t NO
SAV: not sure yes no
Moratorium: n/a yes n
Photos: yes o
Waiver Attached: yes o
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
f
Agent or ApplicinteKnfed Name
Adj. Wtr. Body / man unkn
Closest Maj. Wtr. Body
-r0 vv, , of I1--b iAW e-r4Pt7
hA o Not o a; h I
A I n +t , d -A i-C . 1 UCG
Si�nature �** Please read compliance statement on back of permit �*
(n(CA Ad "f n--4- 2 50 0
Fee(s)
Check #
vnZCiof-
(Scale: ) ":; 10 1
❑ See note on back regarding River Basin
N41

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NCDE��
`Vcrth Carclin:a Cepartment ,)f Environment and natural Resources
Division of Coastal Management
n Charles S. ,;ones, Direc.or lam ' .:
-
_asley• Go�rem��r
Authorized Agent Consent .Agreement
s ''ereby s7.:thohzeC -c pact ;n `;ehalf
;n orrier to ,aitxn any CANIA oermi:(s) ie;Uired fcr ,he j7,ec `:e!cvV. The authnrizatlon IS lin itoC: t7� :-)e
necific activities described in the attached sketch.
�..00ATION OF PROJECT: /
114
PROPERTY OWNER M,SIt_ NG ADDRESS:
G
AUTHORIZED AGENT MAILING ADDRESS:
�g laCUre o? rrOpErty t:wr'er
signature of Authorized Agen:
- 'al
7
PHONE NO. 9/ 9 g6o /y�50
ONE NO
c'� �dr�7'^3l �`iVc' C%'.�.. ,:Iliili '��1Gf, "�rii. _ ?f^I:C:3 ���(.1.�'i• .,.5,^�
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DIVISION OF COASTAL MANAGEMENT
I ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
i
Name of Individual Applying For Permit: C� E �d W/1%0 fI
i
Address of Property: 9 e+w { Nyl 1Ce) 1.e c t� ►✓�U i S Pj
(Lot or Street #, Street or Road)
(- Olde_m &eack- r9CV17sW1el' Co . k)C
(City and County)
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, should be provided with this letter.
I have no objections to this proposal. J p p 1.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-3900
within 10 days of receipt of this notice. 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, boat house or boat lift must be set
bck 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.
1 elephone Number
S :\cama'.shells\riparianproperty. frm
with Area Code
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SIN& R
NORTM GROLJ" oowrtr oWr OF
ENV no—e r µ0 NRtY ..l RESOURCES

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Find Addre3s or parcel :D 01
33.915-78.270 Degree
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 6(1'(_kQV'JAQ( l O Wn ho M es'
Address of Property: 9#'iv'e Pe) I R" co' e d- l oi`i Nkj 5 f ' 9j ,
(Lot or Street #, Street or Road)
Id e wl 61100CJA cc), N C
(City and County)
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, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. 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, boat house or boat lift must be set
bck 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.
q « OFG
Telephone Number with Area Code
S:`,cama' shells`riparianproperty.frm
ORA
NCDENR
NC- CjJMU4 0EtiRT 9Nr OF
EH RcmmEM u o Nxrumw RESOI RcEs

ge place
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2016 Orthoirnagery
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BrUnswick count/ L Data Viewer
Find Address or Parcel ID 01
33.915 -78.270 Degrees
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