76502D - Denton

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CAMA / ❑ DREDGE & FILL N9 76502 A B
x"ENERAL PERMIT Previous permit#
INew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality 7�OA
;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 6 Zk G
Rules attached.
Name CpR ✓ t e'S Project Location: County
[/✓ Street Address/ State Road/ Lot #(s)
IaU Statq�6/ZIP ZP� �� � (�b VW/ iA-
ZIO b-� ` Z S E_ Subdivision
ad Agent 4A- City l���Gu� ZIP
❑ CW '[�tW `Ep'PTA ❑ES ❑ PTS Phone # (' )i— River Basin !�
❑ OEA ❑ HHF I— IH f l URA rl N/A /
❑ PWS:
(es; c_� PNA yes no
Project/ Activity
:k)length /
tform(s)
i
'latform(s)
=r(s) -
igth
Ri r
praplength
istance offshore
c istance offshore
I
i
I
is j
P
e/ Boatlift f_..........._......__._
Length
not sure yes
im: n/a yes
ttached: /{es ) no I -A DI' —
Adj. Wtr. Body "G { 6 / 7 A—natVr
Closest Maj. Wtr. Body 114 4,�'-f
(Scale: �f
g permit may be required by: d/�l7/l� C /�- ❑ See note on back regarding River Basin
ocal Planning jurisdiction)

l�
I

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Govemor James H. Gregson, Director "Iec- Free, -.an. Sec,etary
Date Y-k—'0�y
Name of Property Owner Applying for Permit:
Mailing; Addre-ss:
I 1 9L-1 P
L
RECEIVED
MAY 2 2 2020
DCM WILMINGTON, NC
1 certifv that 1 ha,e authorize[ (agent) �tL� ��/�� to act on in
behalf, for the ptrrpose of applying; for and obtaining; all LAMA Permits necessar•N° to
install or construct (actin itv)
at (my property located at)
14ve, o sti ,_ C 13e-<c , vc - ,S
This certification is -valid thru (date) 1 ,2, 3 U - -20-�- U

a
7� 1- �FOR A f7s'V,L
L
--- - _ � oill to i I I
DL M. Rrf 11�`T i O'_ C
fill
v unit. !i

ADJACENT RIPARIAN PIMPF:RTV OWNER STATEMENT
(FOR A PIF.RIMOORIVG PII.I N(;,VBOATLIFT180—t TI1(IL:4F.)
I hereb} certify that I own property adjacent to �{�� !�(y�� u'� _ ___Is
(Name of Property Owner)
property located at 1 �6 CT- o u . /l v C f v t Fl) n • /3t'�,
on
(Waterbody)
(Lot, Block, Road; etc.)
(Town and/or County)
applicant's phone #: l �! ' �'` `) IL Mailing Address: cr'-7 I?
T✓cu, PLC �%S.13
tie has described to me, as shown below, the development he is proposing at that location, and, 1
have no objections to his proposal. I understand that a pier: mooring pilings boatlitt boathouse
must be set back a minimum distance of fifteen fret I I i') from my area of riparian a,, _ - unless
wiuved by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not «ish to %%awc
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEL.OPME N Y.
(To be fitted in by individual proposing development)
^C'L 1SC Si 2e b 5,
r Information for Property Owner Applying
for Permit)
Mailing Add ss
CiMAStat .ip
Ala- c`1�^21,rq
(Riparian Property Owner Information)
Signature
Print or Type Name

Mn
Name of Parmk Hddw
VMdo
CMck Number
CMok
amount
Parmk Numbar/C—ta
Racal t - Ref-WRad/ocatad
IIIMt#
COMMM
CdumnS
Cdumn#
Cd 1
Cdumn#
C01umn9
LC Fletcher Ferguson BUT
3m Bulkheads LLC FM White Jr. Wells Fargo_
i of Brunswick Cow Jerry Hutton BB&T
ne LLC Leroy Offman First Bank
3nsley Michael Kuipers/Stan Hansley First Citizens Bank
.ractors LLC Charles Denton First Citizens Bank
rectors LLC Will Burnette FCB
Construction Inc. Acott and Yuki Prescott Coastal Bank and Trust
1 2494
$ 200.00 GP #76194D
$400.00 GP #75846D
$ 200.00 iGP #76522D
BB rct. 10471
PA rct. 10759
BB rot. 10472
JD rct. 10835
JD rot. 10192
JD rct. 10191
JD rr.L 10190
JD rot. 10836
23330
13859
1288
S 200.00
$ 200.00
$ 200.00
$ 200.00
200.00
GP #76295D
GP #76503D _ _
GP 076502D
GP 976501D _ _
I GP #76296D
5824
8998
8999
_
3227