68554D - Hobgood

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CAMA / El DREDGE DREDGE & FILL ��A B
GENERAL PERMIT Previous permit#
�(New ❑Modification El Complete Reissue '—Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources � �w fJ ��f �
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 r! •
V `�/c i ' / ❑Rules attached.
nt Name 0 0A Project Location: County ,1&Loo c, J J t. K
s 4 Z/b 4 Street Address/ State Road/ Lot #(s)
=-O a v.Q i�r� 1; S State -TA ZIP 41(0.2f)Z- 3`12 (Jest �i�.I A
# 04) E-Mail Subdivision
zed Agent (�Q cc � It3c/Y�T City VQ ZIP Z25411
CW>tW XPTA LIES ❑ PTS Phone # ( ) River Basin-j
C OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body t4�'a ( (nat I
❑ PWS:
yes /+� PNA yes / no eN Closest Maj. Wtr. Body �G..J L,
A Project/ Activity
ock) length —
'latform(s) I V� X 2O
g Platform(s)
pier(s)
ength
umber
ad/ Riprap length
✓g distance offshore
iax distance offshor
:hannel
jbic yards_
imp
'use/ Boatlift
Bulldozing
r1� �, �
t
- iiri ■�ii■■�iii��i■i
a"" MAPT ENE
amp
(Scale: 1 =
a
❑ See note on back regarding River Basin

©ENR
North Carolina Department of Environment and
Division of Coastal Management
,,Crory Braxton C. Davis
,mor Director
me-,P Th;S for ci
Natural Resources
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM
Date: S-- -'�01 %
of Property Owner Alplying for Permit: Name of Authorized Agent for this project:
LhQ f r' r3 R� �D�COOD --!' (l5� Q
's Mailing Address:
�Log't �(S,� CC0.0
? 6 icczs f c) e rM on -t d ,
aka n ` P6. Z-�i V-6a0-2
Number W4 ) X'59 — ISC4
Agent's Mailing Address:
Ro. or
Phone Number( )
i that I have authorized the agent listed above to act on my behalf, for the purpose of applying
I obtaining all CAMA Permits necessary to install or construct the following (activity):
j -0O /6 x a G 7 7-0 ?ham E Per.
I property located at ljc '+ c--)66R i Ph
.rtification is valid thru (date)
M� �•I.'.•aI� ner signature
Date

•r3�Q�&C
DIVISION OF COASTA . MANAGENMN' r
4D.fACENT RIPARIAN PROPERTY O-WNEg NOTIFiCATION/WAIVER FORtit
Name of Individual Applying For Permit:
Address of Property: c- 90?�
0
In
(Lot or Street #, Street or Road) T
(City and County)
VF
I hereby certify that I own property adjacent to the above -referenced -property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
<to l 1' ,(� I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu,
set bck a minimum distance of 15' from my area of riparian access - unless waived by me
you wish to waive the setback, you must initial•the appropriate blank below.)
I do wish to waive the 15' setback requirement.
�,}�1� I do not wish to waive the 15' setback requirement.

1706:59a TRJ. Inc. -Tommy Jones 336-629-1311 p.1
'ONtk A
5
DIVISTON OF COASTAL M06iGENJENT
ADJACENT R1P4RiAN PROPERTY OWNER NOTTFICAT•IONIWAIVE FORM
ORM
Name of Individual Applying For Permit: Choir-ri L4;nt%'D
Address of Property.
(Lot or Street #, Street or Road) .
0612 _L:SLA)1P QC YY-Ks
(City and County)
I hereby certify that I own property adjacent. to the above-referenced.preperty. 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 910-395-3ft
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WALVERSECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
set bek a minimum distance of 15' from my area of riparian access - unless waived by me, {1
you wish to waive the setback, you must initial the appropriate blank below,)
I do wish to waive the 15' setback requirement.
�. I do nQt wish to waive the 15' setback requirement.
Sign Name Date

PMI