76504D - Darden

]CRMA / ❑ DREDGE & FILL N9 76504 A B
3"ENERAL PERMIT Previous permit#
,New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environmental Quality
-oastal Resource,A, Commission in an area of en ironmental concern pursuant to I SA NCAC f^
Ruleshatuiched.
t Name r vV Project Location: County
l� Street Address/ State Road/ L #(s)
'4 7
State /l,C ZIP
E-Mail Subdivisio
ed Agent �/f Ijy11 /� City p ZIP
ElCW �W `-I.PTA [I ES ❑ PTS Phone # )�-/ River Basin
❑ OEA 1❑ HHF /❑ IH ❑ URA ❑ N/A Adj. Wtr. Bodyif'l /� �C (nT
❑ PWS:
yes no) PNA yes Closest Maj. Wtr. Body_
' Project/ Activity
ck) length 7 x J
atform(s)
Platforms
ier(s)
ngth
tuber
d/ Riprap length
distance offshore
x distance offshore
cannel
)ic yards
np
se/ t i Z X/Z
e Length
not sure yes
ium: n/a yes
yes n
>ttached:
rig permit may be required by:
Local Planning lurisdiction)
// C/O61,1z( -
(Scaler i_
❑ See note on back regarding River Basin ri

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY�OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: 11-4 r4 4 PV*1 r C W a -Mailing Address:
Agent's phone #:
/� c A',v
I hereby certify that I own property adjacent to the above referenced property. 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 must be provided with this letter.
L.&t4 I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httn:/fwww.nccoastalmanagement.nethweblcmistaff-listing or by calling 1-888-4RCOAST.
No response Is considered the same as no objection if you have been notified by Certified Mai!
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse. or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback. you must initial the appropriate blank below.)
L A PL I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
7(Pro rty Owner Information)
Signa e
Print or Type Name
36(o
Mailing Address
i/ l/A.1-A,.J itl (""_ a P? J A
(Riparian Property Owner Information)
Signature
Ld rn-4
Print or Type Name
_`I o L
Mailing Address

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: ------------------
Phone Number: 9pw— oV / 4 -- ®OR I —
Email Address:
1 certify that I have authorized JetiN('f4 h'1rgH„c;r,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
1 'C 1 a.. k
f 4, Zr
at my property located at jb 4 64.
in J�� County.
l furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Print or Type Name
0A)4
Title
1 % 1 / ')O.lo

Data Received
0.1.0.positd Check From (Name)
Name o/ Permit Holder
Vendar
Glaek mallkar
t omw
Permit NumberlCo-flta
Co/umnl
Columnt
Column9
Colu-4
Comma
COatmM
CeMann7
Columne
611112020
8/112020
5/H/2020
0/11/2020
6/1 /2020
6/112020
8/11/2020
8/11R020
6f112020
_
Leona Bryan
Jerry Ennett
Lighthouse Marine Construction Inc.
Weekend Dance Party Inc.
_.;Charles Fox Homea, LTD _
_ AMW Docks and Marble Construction LLC
_ CLTMC, Inc
_ PalmehoManneConstruction
Coastal Marne Piers Bulkheads LLC
Coastal Marine Piers Bulkheads LLC
wms _ -_
Darden
Dous1 Jackson
Sherman Sandlin
Patrick and Claire Joyce -
Charles Campbell
Joseph Lyons
Jerry Cobb
Meyers and Cameron _
William Rhett Taber III
FCB
Coastal Bank and TnW
Coastal Bank and Trig3146
Four Oaks Bank
Branch Banking and Trust
B08T
FCB
FirstPalmetloSavi Bank
Wells Fargo
Wells Fargo
8020
S 2W.00
GPif78505D
GP 076504D
GP t7%MD _
GP #762970 _.
GP 974582D _
GPat78510D
OPf78/22D
3121
$ 200.00
200.W
1822
200.W
27042
200.00
5890
S 200.00
1082
S 200.00
5350
S 200.00
GP%. 1%
GP 1t76525D _ _ _.
23359
S 200.00
1 233721GIR9755250