63106D - Crager

i
CAMA / [_ DREDGE & FILL Q ��`� C 63
iENERAL PERMIT Previous permi t #
Vew JModification ❑Complete Reissue El Partial Reissue Date previous permit issued -,0-
zed by the State of North Carolina, Department of Environment and Natural Resources �(
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0-7 T \ Z co
❑ Rues attached.
Name 49n�
W {k� State W--, ZIP 2��
!DO) 50- 441 L Fax # ( )
d Agent t' (S GDNNArla/i4
❑ CW NkEW PTA ❑ ES ❑ PTS
❑OEA ❑HHF ON ❑UBA ❑N/A
❑ PWS: ❑ FC:
es /�rt'd� PNA/ no Crit.Hab. yes /
;th
ber
Riprap length_
fistance offshore
distance offshon
nnel
V Boatlift
Idozing
Project Location: County
Street Address/ State Road/ Lot #(s)
S 01-4\*6, o"7-
Subdivisi n
City? AM ZIP
Phone River Basin
Adj. Wtr. Body VIf2 6111JIilk
Closest Maj. Wtr. Body To P�A.iL �nc�►�t{�
i�mg�iii Pull
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plicant: ��� r eM C ra Permit #:
te:
Scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
�itat Name DISTURB TYPE
Choose One
TOTAL Sq. Ft. FINAL Sq. Ft.
(Applied for. (Anticipated final
Disturbance total disturbance_
includes any Excludes any
anticipated restoration
restoration or and/or temp
temp impacts) impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp im acts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other ❑
t✓ �.✓ Dredge ❑ Fill ❑ Both ❑ Other
e
6(;�o 4K
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

STEPHEN CRAGER 66-46/531 1184
REBECCA CRAGER 1000103344221
1324 GARDEN SPRINGS COURT Date ®Shield'
LELAND, NC 28451
Pay to the
Sugmun ACH RT 061000104
Memo GO
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DOES LIE
HAZARD AREA.
OUTSIDE OF
4
CORDED PLAT.
Z. FIELD MEASUREMENTS
COORDINATE METHOD.
?ON PIPE)
PIPE)
IRON ROD)
ROD)
CONCRETE MONUMENT
ROL MONUMENT
WUMENT
MAC NAIL
0 LINE
i
VIRGINIA CREEK
)TE REGARDING RIPARIAN LINES.
JE TO THE SHAPE OF THE CHANNEL OF
RGINIA CREEK AND ITS ORIENTATION TO
IE SUBJECT PROPERTY LINE, THE
PARIAN LINES SHOWN ON THIS SURVEY
.RE DETERMINED IN THE FIELD BY
WA REPRESENTATIVES AND THE
)NTRACTOR AND ARE SHOWN AS
:SCRIBED BY THE CONTRACTOR.
IGH WATER LINE
ACCORDING TO PLAT
30' BUFFS___ _
' SETBACK
KAYAI
RACK
ATON OF
EAR APPROOOp0�NE
PIER
I PROPOSED
RIPARIAN LINE
i
i
SIR
ro ` LOT 54
o,
S1TE,l a

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date l( 2( /3
Name of Property Owner Applying for Permit:
91
Mailing Address:
`, 1 4L� R fh � ��2 .
dq el .0 aaa kje- ;Z8 I/V 37
I certify that I have authorized (agent) �.i.��tcJit� �4h:+! d✓S/7 to act on my
behalf, for the purpose of applying for
//and obtaining all CAMA Permits necessary to
install or construct (activity) C 4. ►Sl�c� �SS%�E^��� r -�
at (my property located at) .✓yfsdl� ��%��� ki
This certification is valid thru (date)
Property Owner SigIrcture Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORI_NG PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to pah ,�¢�/ �� h� 's
('.dame of Property Owner)
property located at
(Lot, Block, Road, etc.)
on _ V$A1PJ,f4 --. in
(Waterbody) (Town andior County)
Applicant's phone #: !fG 5�'�y �l JZ Mailing Address:
He has described to me, as shown below; the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings I boatiift / boathouse
must be set back a minimum distance of fifteen feet (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.)
(/ I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-------------------------------------------------------------------------------------------------------------------
(Information for Propem, Owner Applying (Riparian Property Owner Information)
for Permit)
110 ?-fits K ��)(� �t�- 1 n4tx ,�� ��"0,,
Mailing Address Signature
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IN
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOIL A PIER/MOORING PILIIITGS/BOATLIFTBOATHOUSE)
I hereby certify that I own prope
rty adjacent to 's
-ame o Property Owner)
property located at
(Lot, Block, Road, etc.)
on
(Waterbody) (Town and/or County)
Applicant's phone #: `� �'� 5'05- J,1 Z Mailing Address:
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatiift / boathouse
must be set back a minimum distance of fifteen feet (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.)
do not wish to waive
I do wish to waive that setback requirement.
- - -------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
----------------
(Information for Property, Owner Applying
for Permit)
Mailing Address
--------------------------------------------------------
(Riparian Property Owner Information)
Signature

r2 OF3)
)ES LIE
4ZARD AREA.
)UTSIDE OF
)RDED PLAT.
FIELD MEASUREMENTS.
)ORDINATE METHOD.
)N PIPE)
PIPE)
?ON ROD)
ROD)
,ONCRETE MONUMENT
VL MONUMENT
VUMENT
IAG NAIL
LINE VIRGINIA CREEK
/
IGH WATER LIM
ACCORDING TO PLAT
30' BUFFER
SETBACK
EX.
PIER
Ro"mw LAW
SITE.1 a
SIR `e
KAYAK
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