76297D - Sandlin

CAMA / - DREDGE & FILL NO. 76297
x ENERAL PERMIT Previous permit# A B
New Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality Iy©
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC U?
l, " ❑ Rules atta%%hed.
Name ^ �it/iit Project Location: County 0 P- I U w
4 Street Address/ State Road/ Lot #(s) C f
U r State ll�_ ZIPM�5_ 1, o �"R- (p+1
E-Mail Subdivision �x
:d Agent City ✓4ZIP
❑ CW �aW PTA ❑ ES ❑ PTS Phone # ( `j---- River Basin / y
❑ OEA ❑ HHF Ll 1H ❑ UBA ❑ N/A---
� PWS. Adj. Wtr. Body ads Of G nat n
(es PNA yes /
Closest Maj. Wtr. Body Uv
Project/ Activity A& 011
is ■■■ MINME ■�������
/ Ripr* length
( distance
annel
is yards
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; 'Y f 3
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■■■■■■■Y� i. ■■■■I
■P�■■■■■ESEEN
■ ■■■■�
(Scale: '
ocal Planning Jurisdiction)
❑ See note on back regarding River Basin ru

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I'hereby certify that I own property adjacent to .Jke-ln 4& Jc Sc, nd�l °s
-tk - Name Property Owner)
property located at :511-ee KYU Ale
(Address, Lot, Block, o d, etc.)
on Sur'c, �v L'Gn�,/s , in �r� G, f N.C.
(Waterbody) ( i /Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
AKI have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
.-4
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waiv(
the s tb ck, 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.
W
erty own r Information)
Si ature /
A(.c. rn.,c
Print or T oe Name
(Adjacent Property Owner Information)
A 73v,��
S,9?7/ CA-
e
bv'6wa
Printor�.yopr

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT fA
I- hereby certify that I own property adjacent to
r (Name of Property Owner)
property located at � l9
(Address, Lt, Block, Road, etc.)
on
inN.C.
(VYaterbocfj) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
�\R!� I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
f
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waiv
the setback, you must initial the appropriate blank below.)
(P
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
on)
04
Print or/Typqrr�}e�� �re�
(Adjacent Prope Owner Information)
Signature
Print or Type/Nme3 �

Date Ra Wved Date Doposiftd
Clwsa Fam
Name of Permit Holder
V-dor
Chook Manaar
amount
Permrr NumEar/Cwnmenrs
Cok—I C.&~2
Cdu-3
CdumM
Columnt
Cob."
CM-7
C01-8
6/11/2020
6/11/2020t
Leona Bryan same _
Jerry Ennen Andy Darden -
Lighthouse Marine Construction Inc. Doug Jackson
FCB _
Coastal Bank and Trust -
Coastal Bank and Trust
8020 $ _ 200.00
3121 . $ 2W.00
GP #76505D
.GP #76504D
GP #75884D
6/1 U2020 k
_
3146 $ 260.00
6/11l2020,,
Weekend Dance PaM Inc Sherman Sandlin
Charles Fox Homes, LTD Patrick and Claire Joyce
Four Oaks Bank
Branch Bankin and Trust
_ 1622 $ 200.00
27042. $ 200.00
_
GP #76297D
'GP #74582D
6H1/2020,
6/11/2020
_
MW Docks and Manne Construction LLC Chades Campbell
B88T
5890 $ 200.00
GP #76510D6NU2020
LTMC, Inc. Joseph Lyons
FCB
1082 $
GP #76422D
6!1V2020
AC
almetto Manne Construction Jerry Cobb
_
First Palmetto Sayings Bank
_200.00
5350 $ 200.00
GP 076413D
6/11/2020
oastal Marine Piers Bulkheads LLC Meyers and Cameron
Wells Fargo
GP i765251)6111!
23359
200.00
020
oastal Marine Piers Bulkheads LLC William Rhett Taber III
Wells Fargo
D
23372152
0