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Home My WebLink About69428D - FentonCAMA / YDREDGE & FILL 'ENERAL PERMIT INew '--Modification ❑Complete Reissue El Partial Reissue A B Previous permit # Date previous permit issued_ -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 _ ElRules attached. t Name d{ (' V �� -12.L 1 �� f` b1 f f In f (t Project Location: County IA H A 11 t'V f V (�lLI-4-�tr I, (mole l� -cl t( till i i,� l__ G_I l r o State N L ZIP 2 f� E-Mail ed Agent " t Ij-) 1)p11/1 1)1)w A/ 16( 1 It lA- ❑ Cw � EW VPTA E)�ES PTS ❑ OEA ❑ HHF ❑ IH ❑ USA r N/A C PWS: yes f o ) PNA ffes T no Street Address/ State Road/ Lot #(s) lLIL-I 1 Pt h �>✓ � V tc Subdivision City W I I 0 l l V1 G I fit. L1 ZIP? t" '- I( l Phone # (M) 9 4 2- C' Ll6er Basin C 11 j) ' Adj. Wtr. Body T-0 C { A-a-ZIft Closest Maj. Wtr. Body I Project/ Activity L,um S �u l t; f; jN �� n I �� i 6 i l 1 K L( LT l i ll; ilk j1 (' Y 611 !I (Scale: n _k) length xform nber ■■■�■■■■■■ ■1■■I� AE►'�1.1� ON ME ■==■►r■,f,■■ ■■■■■■■■■►i■■i■■1■M1:0■■l�tl■1■■■■■■■■■il■■ Riprap length ■....■■■■H■I■■;■ri�17�!l��lL■V■■■■■■■■■■■ distance offshore C' ■i■■■■■■■■■■■i■■ ®■■■�w■■1■■■■■■■■■■■■ annel ■1�■■■■■■■■■■■�■■ ■■■■®■■■■■■■■■■t■ ■�■■■m■■■�■■■MO ■■■■®■■■■■■■■■Il�u'�■■■i ■■■■ic ■V�fflas■■ ■■■■�■■■■■■■ommum■■■ yards 1p ■■■l�1`i'1711!ti!■■■■■ ■■ ■■■r®■■■■R1►`1'i■►�i 97■■■■■ ■■■■■■�7■■■■■ ■■ ■■■■®■■■/��1■■■■■■■■■ ■ ■■■■ ��iiii■iiiiaiJiiiiiiiiJi�I�lii�a��J�: ■ Aldozing ■■■!►\■■■■■■■■■■■■■■■■■■■■■■■■ILI■ ■■KCaI■r ■■■■IM105111"■■li■IriKt�I111iI9J0MEaUVI ■ . awul■!■■► ■!■■��■■■■■■■■■■■■■■6L�■L ■if ■Jill ■■■■i i�uir��iii�i■iiliiliililnntlill��l��lil��i■ ■■■■1■■i1r�■��■�■■■■■�■■■■�i■■■■ ■� ■■■1I ■■iii��IJ��1�■■�■■■■■r■�■■■■■ MEN ■■■■ ■■I■■■ ■ ION ■■ ■■■■■■■■■■■,L`L:.110MiMIMM�1&i1Q�■I■■■■■ ig permit may be required by: N Q l GI I IVY V (bl l I (r�l. ❑ See note on back regarding River Basin rt -ocal Planning Jurisdiction) Date ��— /JD� - Zo /7 Name of Property Owner Applying for Permit: f IM;2-2' EZ4 2Z3LI-%j, 1i-E�J Mailing Address: GJi L Ir'14 iDuN C, I certify that I have authorized (agent) -j�f/J z�� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) �A &a / at (my property located at) This certification is valid thru (date) �j/�e ACoJ l31 l7 Property Owner'Signature Date RECI=IVED DCM WILMINGTON, NC NOV 2 12017 l rJ UV--1 tl wa.a.ev a• _ -- (Address, Lot, Block, Road, etc.) on "Fu A4 ee in t M I Nd 1, TO t-1 �! (Waterbody) (CitylTown and/or County) NC The applicant nas described to me. as shown below, the development proposed at the above location/ !1 I have no objection to this proposal. ! 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, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by rite. (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 information) (Adjacent Property Owner Information) Si nature 'PeAer�-,- Print or Type Name�� 1g4`7 Fu fah M iti gL ddr kf cirylsC r/ 1p Z 0o - 3 i7 Telephone Number / email address / 3 A/O\/ - Z 017 Dale Print or Type Name Mailing Address L.)t w, ("� M +r AJ C- z..e-i 1 / City/State/-Zip 9 t"> • G. G G . -7!§ L-? Telephone Number i email address (Revised Aug. 2014) "Valid For one calendar year after signature* (AGWO", tt'.!" .��_�,_.in ttwtrcer}�oxlr} tC + snd)ot Cote *Y) Ttw aopkcwli has 6w- t*d ;n me at~ #to" tar ow st- 43 tars aboft i have W obteowtt to I" PrOP0849 t ha" 0t7I+Kbm& to P"B iNopo OOCRWTOki A DRAMM OF PROPOSW DWVI,:�' Rammolm i unc7vv nd thm a pier, thick, !!rgt mvU ir boa IrM. � W m or gra must tM set � s ff** � M 4offt 00 Qt, IPI 11 t a DOM a ma. '; f you ~ to vvwro'the 5e'*a4K. ytV *AM 00 4PPMPAMO bw* boimj do Wish I& Woo* be IV solw* ft*lkffv*v (ptoOeRY owner Infaarrrxaftn) (Ad*ont Property Owner m) tt r Y. Pw ar t• .r ,4'��r re e /~ A0*MX Y Daw NON W on# UOO14W your Ow vv ma'** I. 6Di._ -F"o C REEK Kp. 4-5-537z I, 1� sit Oft~ ALS M1.9