68525D - Higgins

CAMA / DREDGE & FILL 111V�o -8525 A B
3ENERAL PERMIT ,I Previous permit#
(New .Modification -]Complete Reissue Ell Partial Reissue Date previous permit issued_
prized by the State of North Carolina, Department of Environment and Natural Resources -� I
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �� + (- 2 ( )
-1J ❑Rules attached.
it Name 46CK�4 �i Project Location: County i
NO 12Wr c . Street Address/ State Road/ Lot #(s)
State ZIP ! i q �C _�?) t S--
E (10) q1 -4108G E-Mail Subdivision
Eed Agent
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❑ UBA ❑ N/A
❑ PWS:
yes no PNA yes no
f Project/ Activity
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city0 v- Ts zIPZ.8Y6!
Phone # ( ) River Basin CF'L
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ng permit may be required by: j OW'*' D 1./ 4 .LS I All" ❑ See note on back regarding River Basin ri
Local Planning lurisdiction) n — I

Aria
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
Dee Freeman
Secretary
AGENT AUTHORIZATION FORM
Date: _ � � 7
N m of P-}r—operty weer Applying for Permit: Name of Authorized Agent for this project:
•Address:
/i 0 ;
Phone Number,,
Agent's Mailing Address:
H 5= 2798 Sea Vista Dr.
CONSTRUCTION Supply, NC 28462
Phone Nurnberg/D) k —46ZI
I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all LAMA Permits necessary to install or construct the following (activity):
For my property located at _
This certification is valid thru (date)
Property Owner Signature Date

&IIJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own property adjaoentto ROBT--- --F 's
�- (Name of Property Owner)
property located at I I 5�
in
on OKti Calf (Address,Lot,
(Wated)ody)
WC,
The applicant has described to me, as shown below, the development proposed at the above
location.
T I have no objection to this proposal.
i have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
{Individual proposing development must 1711 In descdptlon below or attach a sloe "Wing)
WAIVER SE
I, understand that a pier, dock, mooring pilings, moat ramp, breakwater, boathouse, lift, or groin
must be set, back a minimum distance of lib' from My area of riparian access unless valved by
me. (If you wish to waive the setback, you must initial the appropriate btanf' below.)
I do wish to waive ft. IV setback.requirement..
i
1 do not wish to waive the i V setback requirement. f
(Property Owner Information) (Adjacent Property Owner infommdon)
WIC
Punt or Type Naim;1 /}
Matring Address
t lk- JC%i. ,J . AX .?zY(.S
GRylStatelL/p '
Terephone Plumber/emaXoddmas
Dale''

CAMA / DREDGE & FILL
ENERAL PERMIT
_ New OModiflcation ElComplete Reissue ❑Partial Reissue
N0 68525 A B C I
Previous permit #
Date previous permit issued
is authorbod by the State of North Carolina, Department of Environment and Natural Resources
rid the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ff
0 Ruler attached.
ppiicant Name 12o r
Project Location: County 1Ct
address- _� Z0 -- A � .
Street Address/ Statead/ Lot #(s)
state zip252
-La- AS
hone # i)- E-Mai)
Subdivision
,uthorized.Agent 4(Vr
City ZIP S
Ifected D CW )qsw x1l,,TA OR$ fl1'Ts
Phone # (__.) _ "— River Basin.
❑OEA ❑ OHHF iH OUSA 0WA
&C(s):
Adj. Wtr: Body � ANr � � . (nat`�:�'
Q PWS:
lRW yes 10 PNA ye / no
Closest Maj. Wti.Body
Iype of Project) Activity
Pier (dock) length
jjt- 1
Fixed Platform(s) -V-
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length__
avg distance, offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boad
Bach
0dwr
Shoreline langfh '
SAY: not wm yer r�
Moratorium: rVa yes no
Photos-. yes to
Waiver Attached:. yes no -
(Scale:. 20
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A building permit may be required by. Oak Tj 14,^ d ❑ See none on back regarding. River Basin mites.
( Note Local. Planning Jurisdiction)
"o>4es( Special Conditions :� t� m 7. Ct
( r . - _

Postal
CERTIFIED MAILP RECEIPT
a Domestic
m
it
rU ti cemfled Meii Fee $3.35 0459
'n $ 05
Lr) Extra (cn rvices&Feasrkeor,addben )
❑ Return R.csipt (hardc py) f �1��
O ] ecei Return Rpt (eleceonlc) _ so 00 Postmark
d CsrWVd AWi R.strfct.d Cauvery $ _ Here
❑ Mutt SWist re Retuned $ V 0
M ❑ Adun signature Restricted C.ivery$
O Postage
o t+J.49 �
,M Total Postagewd i U/i U/2U17
o $ $6.59 .
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3

USPS Tracking® Results
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Tracking Number: 70160600000055221300
In -Transit
Product & Tracking Information
Postal Product Features:
First -Class Mall® Certified Mail'
See tracking for related Kern: 9590940225976336476598 Vgo/TrackConfirmAction?
tLabels=9590940225976336476598)
DATE 8 TIME
STATUS OF ITEM
October 26, 2017, 9:58 am In Transit to Destination
The Item Is currently In transit to the destination as of October 26, 2017 at 9:58 am.
Removi
See Available Asti
LOCATION
October 25, 2017, 5:58 pm
Departed USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
October25, 2017, 121 pm
Arrived at USIPS Regional Origin Facility
RALEIGH NC DISTRIBUTION CENTER
October 12, 2017, 7,64 am
Forwarded
ROWLAND, NO
October 12, 2017, 7:39 am
Arrived at Unit
ROW LAND, NC 28383
October 11, 2017, 10:53 pm
Departed USPS Regional Facility
FAYETTEVILLE NC DISTRIBUTION CENTER
ANNEX
October 11, 2017, 927 arts
Arrived at LISPS Regional Facility
FAYETTEVILLE NC DISTRIBUTION CENTER
ANNEX
October 10, 2017, 10:29 pm
Departed LISPS Regional Facility
CHARLOTTE NC DISTRIBUTION CENTER
October 10, 2017, 6:51 pm
Arrived at LISPS Regioral Facility
CHARLOTTE NC DISTRIBUTION CENTER

,, Jo.Seph R Cruchurc, PL5 - 1759, Certlly that this plat
was drawn wrier my wperteSwn hem on actual Survey
made under my srrpervrsan from mfomwtaon 5hown m
deed boak,5 referew--d on reap and map hacks reference
on map, that any lines not actually 9vnmyed appear a5
broken hae5 and were protted from Infonratlon a5 noted
on the plat: Tlud the rota of praao on as calculated r5
tarter than I: /0, qW, trot the area Ii--vmpvtev by
cooed vtc . iNt17e55 Or79 rti/ SKJnitYr�.--votratJOn
number =
Tti day of MARCt!. A.O. 2017
im-cpWOrodwre - 1-1 59
Prof Lard $tnte}ar
ROAD 5rAr[9 "T.
rYRM: 370202
PANEL: 2066
WFLY'r
20W V 'At 14'
GMfCRVP D41r.6-2-06
AU D15rANC,E9 5t10" AR[
HORL70NTAL GROUND DVS.
771Ar 1M5 5URVEY 6 OF AN
fX15rrNG PARCEL OR
PAKCCt5 Or LAND.
RZOMMADDRE55:
1 /45.0 361H5TPJWT
OAK LSLANO. N.C.
PARCEL I235NDOI 101
LOT ARV, 9,544 5r. +/-
o
$4 / LOT 14A
h�
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er ILI � l
9 �
of
ki
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/RF
LEGEND:
Cfr - PXI51ING IRON P1PE
9W - RIGHT Or WAY
CA - CrAlrMUNE Sr.
15P - IRON 5Wt FOUNV
IRP - IRON ROD SET
♦ ROOr now
',
FRONT - 25,
OFAR - 2a
510E - 8'
PROr£RrYOWNCR9
Roff'r,1 H1GGlN5 t STPPH"AC-T. HIGG A15
LOT f4A, t1f= 16/, SECT. n3
OAK r-VAND,N.C.
PUIr--917- PG- 34
LOT 146
PARMA 235ND01102
r I �
�' �••tf
`C
1�
ARCA BETWFfN tfWA4 AND 75' AEC 15
4,517.64 SF, ALLOWID TO U5CD UP
/ 1 TO 30% OF nit` ARPA MR NCW V14fWAG
IO'i57fstar 'W. WHICH 15 1,955.35 5F
.wn
er PrLnc �
ptie h¢r�
and ewd r.�s �r-
aod towy /57 nrar� ` 4
Cr/AAOM Vf7An
22, 1 MAM 4•,SCCTICW
,raLve yin
3
F1tt+' /ibnt
3 �y�rya
4
�� Irf2ao.�a.Arr
for ARtA 9,>445F♦/-
TOTAL lkrrtt A"AQA, I,9425r
I.S42-gFIK 544a!- 20%
-MrrRt l" ouc-
1 - 1205FX I.!X12- IS CFM53- 4V
2- 456 5rX 1.'„(r12- 370" -"-/G IF
3- 4569FX 1.511257CW.53-16Lr
4-1205rX r..Vf2: IS CW,53- 4 tr
s -144 sx r -srtz- re rxo s3- s v
1 - 3365rX /,5n2-42 i7/22 1- 1,90 - 2chsM.vs
2- 3/O3FX 1.5/72y39 LTY2?.f =r.26-2 rMWrr
TOTAL VOLLAC TO W5TOKLG - 243 Cr
NON LOAD Br.SRW.
I203 n r7R01V ,MINI.
264owa5.53cNr

• SE 38T" STREET
PROPERTY LINE
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