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Home My WebLink About72840D - Butler"CAMA / `J DREDGE & FILL No. 72840 A B C �D GENERA4 PERMIT Previous permit# XNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued i As authorized by the State of North Carolina, Department of Environmental Quality nn /-� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCACT� la0V U ❑ Rules attached. Applicant Name &W Poe y9vfiee- L P r01 Pro'ect Location: County J i' <_ ,'( ��(�U� Address kKib �a' Je 5 �CGt�W�2J a��) A%t Street Addiless/ Stat Road/ Lot #(s) F�Ceo* /506 LP laPkI City SVti {Cf *WC State__(ZIP 99401 1� A)Cag45/ Phone # E-Mail f2.S5'610—U Authorized Agent NJ,4 Affected ❑ CW J?EW 9 PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ORW: yes / no PNA yes /(fioo Subdivision Symei 1lae bor City BL�i U iA ZIP Phone # l51�)I'At,, River Basin L�►�)�,�(,Y Adj. Wtr. Body (nat(Jm /unkn) Closest Maj. Wtr. Body .41 um/ in length number max distance offsh re — cubic yards :�.14 gloom ME MEN .- ENMEMEEMEME not sure yes ommMINMENESNor ME MINEW 0 is 0 NOMINEE M1111UM G / J flal ■■■■■■■■■■■L!_!!��'I�Q■1■► /I■■�,��!!"IL�J■■■�I■■■ill Nam_ ■■■��■I��■I�1��■■NN■■■w■w�■ _ ill�/i■r/■(/�■ �■■�■ N ��■■�ET�PZl3fithrh.+�ii�� Or01 f7'GCA NS CAgent or Applicant Printed Name �n U GPI_ Signature ** Please r back d compliance statement on o permit ao 0 °�- 1318��18 Application Fee(s) Check # rr rtnl/ ro4 //� tIct 1-1I hq PermjLiO cer' Prin Name Si/gna/ture Issuing Date Expiration Date WADJA'C'FNT/RIPAR'IANPROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toiAlll ' )/) /'��{' g�� ' is h (Name of Property Owner) property located at .3 tv (Address, Lot, Block, Road, etc.) on , 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. -/1V9 1 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.) x " I do wish to waive the 16' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) ature / Signature V Print or Type Name Print or Type Name Mailing Address Mailing Address 31011 City/S t'e2ip City/Statelzip Telephone mber Telephone Number 5!O3 fe-1,�vi9 Date Date RECEIVED (Revised 6/18/2012) R 1 1 2019 DCM WILMINGTON, NC i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT / I hereby certify that I own property adjacent to L? / �G N / �'' /1-e 's (Name of Property Owner) property located at SCrr��E �'��D6CF �D/ (Address, Lot, Block, Road, etc.) on , 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. K . (/�� 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 Informati ) (Adjacent Properly Owper Information) r i � D re �D � . / Signatures � v� it Print or Type Name Print or Type Name 451 P7 LOQ (�wdad M ilin d ess Mailing AdVre City/$iatel ip City/State2ip Telephone Number Telephone Nu Eber LT Date % — � _ f Date I - ZO- 201 % RECEIVED (Revised 6118/OPA 1 2019 DCM WILMINGTON, NC NOTES APR 11 2019 DCM WILMINGTON, NC Dah RecWrod DahDp..Ild Check From Nems Name o/ PWW( hWder V nd- Check NumDei amount PamNt NumbenCommenfa Necd t w RelunMhaSoc+hd C.1—i CIWumn2 C I-3 CohNnne CokwW5 Column8 Column? Colum" Cakann9