61599D - Crouch

DtAMA / ❑ DREDGE & FILL
jr 9 61
GENERAL PERMIT
Previous permit #
V+Mew �- Modification E-Complete Reissue --. Partial Reissue
Date previous permit issued
Drized by the State of North Carolina, Department of Environment and
Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Zt:
FrRules attached.
nt Name J E�Fp rg w cw-
Project Location:
County 6'�-
Street Address/ State Road/ Lot #(s)
State�VL, ZIP
10 (c
iNJ• :YT�C ! 17 1 ��
# t ki) ) 4(A - ax # ( )
Subdivision
zed Agent -- --' _
City Ay-
ZIP
d CW u EW _, PTA ❑ ES ❑ PTS
Phone # ( )
River Basin L—L/A
❑ OEA ❑ HHF IH _ UBA ❑ N/A
Adj. Wtr. Bod
VV Aa
❑ PWS: ❑ FC:
yes / no , PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
)f Project/ Activity
(Scale: �f
l'
ock) length 2locZ X4� * J T4uk i
'
(4u7 t`t�L� P�cly+✓
ength
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
:hannel
ibic yards
imp
wse/ Boatlift L
Bulldozing
T�_�-ate ►� x4S
�■NINE
ME
�N�n■iRiN��M��l�
ling permit may be required by:'f? 7C 1 S 1._ Pr6V r% ❑ See note on back regarding River Basin

Applicant: J E-F C C�
Date: 15/u/ ( 3
Permit #: ! I S C, Gi
)escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ound in your Habitat code sheet.
labitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/oi
temp impact
amount)
I
O V V
Dredge ❑ Fill ❑ Both ❑ Other
1 Lc) U �
( b ()R'
Dredge ❑
Fill ❑ Both ❑ Other
-72-0
(ZQ
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 ❑

�-- 091VI -->

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: J e f C.mbV&-\
Address of Property:
—106 WQ4
(Lot or Street #, Street or 1
0c�-I(.. Z.S(6'4
(City and County)
k4 VDY.
�rur,�w,CiL
I hereby certify that I own property adjacent to the above -referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development tf.
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 Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ify
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
e1*11_
Sign Name C
I do not wish to waive the 15' setback requirement.
k I (1+-2-
Date
s 1 22,1 1 3
♦ lvmmmr"Imw-'�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: EAA
Address of Property:
t "1 G (r, W2 sk v
(Lot or Street #, Street
L -1-SIeeA
(City and County)
W, CIL
I hereby certify that I own property adjacent to the above -referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
iWC I have no objections to this ro osal.
P P
If you have objections to what is being proposed, please write the Division of Coasl
Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395-39,
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ify(
wish to waive the setback, you must initial the appropriate blank below.)
74t"" �' I do wish to waive the 15' setback requirement.
Sign Name
I do not wish to waive the 15' setback requirement.
to

JEFF CROUCH BUILDERS
910-540-7204
3302 E. YACHT DR..
OAK ISLAND, NC 28465
7843
66-112/531
Date
to r of e 1 V U P-N 1 `-- _ -� s �b
Db o ars
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.c0m