66141D - Faircloth

1CAIVIA / ❑ DREDGE & FILL �1�. �� 66141
IENERAL PERMIT !�J Previous permit # 1,5(�
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued 1 �
•ized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
i y, Rules attached.
t Nam � VN Y` �I U 1 /t Project Location: County ✓ l,'11 'LY I (.i,�
�I X0V,C1►"%A sv{ UJf>t
6�((k c k State K C ZIP ZL �'
( )
E-Mail
eclAgent j �'lrlf
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UK MM/l tV 1�L)1S"
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g1th't'l—
❑ CW KkW
C)OTA ICES
❑ PTS
❑ OEA ❑ HHF
❑ IH ❑ UBA
❑ N/A
El PWs:
no PN,
Project/ Activity
igth
nber
i/ Riprap length
distance offshore
x distance offshore
cannel
)ic yards
ip
se/ Boatlift
ill ozing
Length
Street Address/ State Road/ Lot #(s)
Subdivision N
c;ty ALA ZIP �� y
Phtine�# l0 ) `3 bpi River Basin
Adj. Wtr. Body A. i ��� �% nat A'
■ ■■�■■■f.!\I.■■■■
(scale: `
ig permit may be required by:
_ocal Planningjurisdictioo)-1 I
❑ See note on back regarding River Basin rt

9/17/2015 9/18/15 John Clawson
same
9/17/2015 9/18/15; Francis and Ann Prior
same
9/17/2015 9/18/15 H5 Construction LLC
Thomas Fitzgerald
9/17/2015 9/18/15 H5 Construction LLC
Bill Sewell
9/18/2015, F and S Marine Contractors Inc
Brook Taube
9/21/2015 Jeffery and Cindy Young
same
9/21/2015 American Marine Construction
Z- -
Citizens Bank
3506
$300.00 GP 64748D see
PNC Bank
720
$200.00 GP 66105D
BB &T
1306:
$200.00 GP 64793D
BB &T
1307
$200,00 GP 64794D
PNC Bank
_
4818
1250 00 mainr fee. 29 Sar

GENERAL PERMIT Previous permit # 0
New Modification I (Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 1 SA NCACV
�"�' Ryes attached.
t Nafrte 'f"GLIJ Project Location: County T[j%JSj_
Street Address/ State RoaW Lot #(s)
State ZIF'. ab ►nit 11/ 5+� —
( Fax # (_ )_ Subdi ision -
�Bent.`71_tlriz�1411 d r13hct,� City _ UY1 6k-Q�—
:ed__ Z(P.__�fib
ijj❑ CW W PTA ❑ ES ❑ PTS Phone # ��_t _ River Basin1M
C1 OEA HHF I IH ❑ USA 0 WA
EAdj. Wtr. y_
Bod-_�ir ---
❑ PWS: _l FC:
yes no PNA yes no Crit.Hab. yes no Closest Maj. Wtr. Body — -
- -- ��
f Project/ Activity
ck) fen th ��..�_.i.L_ ._,_ _..._-_... i i -� 'r—� 111w, `
ngth Tt_ ��yy 11�rti
tuber_ ; I l�nk711
dl Ripnp length — _ IZ
S
distance offshore dirt.
tx distance offs
cannel -
bic yards
np
Ise/ Boadift
*-zing
Mme
e Length'
notsure yes no
s: not sun yes no
ium: fya ] s no !
no
%ttached: yes no --
ng permit may be required E
SpecZal Conditions
W`W
a
ff
(Scale: � zt
See note on back regarding River Basin rules.
.fie UJ Wf:.14 VfAldI +140'

t Ilw tea♦ ■A
IN JENK
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director
Authorized Agent Consent Agreement
William G, Ross Jr.,
Printed Na
is hereby authorized to act on my bE
order to obtain any C MA permit(s) a of Agent) required for the property listed below. The authorization is limited
)ecific activities described in the attached sketch.
)CATION OF PROJECT:
02 5 6r`ddii1@' c>lr t ve �^j e-S'
20PERTY OWNER MAILING ADDRESS:
10 -3hn1-e(I'm car 'w-5-r
>�AnS 't `B!ee4 n.C. 2'Vg16ir
JTHORIZED AGENT MAILING ADDRESS:
(t(i r i o e C e.'LS�
x,jg6L
]nature of Property Owner:
PHONE NO. g 11,e'5 7 Q - (oO-7q
PHONE NO.
)OL-11N

� •�y f?�Ja
Nnme of Indi4dUai Applying For Fermi:^ n C-c6 r c # o �
address of Propen-
LKi
#, Strw or hoed'
rCity 4nd County.)
hereby certify that I own property adjacem to the above•referencrn prope.m" Ttta individ
SPPlY*B for this Permit ha described to to as shown Oathe aaachea drawing the devewom,esatt
are proposing. A descrirnion or drawing, with dimmlons, should be vrovided with this tefier
?-have no objecdons to this Pmposa:
V you have obitCVaas tG svhgt is bstrig propos$d. please 8%,r,cz the 13a; ijit,n 8f r
Managswsat, 127 Cardinal Drive EXtMWD, Wilminetatt, NC 28405 or c::11 910-796_7
witble 18 days of receipt of this notice. No response is considered the same as no O jQ
YOU have been notified by Certified Mail.
WANER StC7,IO
i uoderstund trot a pier, dock. moringplllap, breakwater, bout 110use or boat lift m%*t,
bcka minimum distance Of 15' front my 8M of riparian access • unless Srait ed b% +tt►t• Cif
wish to waive the setback, you must hitch1 the appropriate blank beloW
: do wiSh to Naive the i 5' se.b6ck rCQLire^-'--
kf-r'_ i ja n2 wish to waive the !;' 3etback-�-
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AMERICAN MARINE CONSTRUCTION
.� ►"'�:' - 3600 Old Bridge Road
•� , Southport, North Carolina 28461 INVOICE NO. #T
Email: [e-mail]
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(910) 457
(910) 457
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