61657D - Marshburn

✓ N9 616
CAMA DREDGE & FILL
IENERAL PERMIT
Previous permit# -46—
issued
Vew ❑Modification ❑Complete Reissue 'Partial Reissue Date previous permit
zed by the State of North Carolina, Department of Environment and Natural Resources
environmental concern pursuant to 15A NCAC
:)astal Resources Commission in an area of
ules attached.
Name
; I ¢ �JU�
Project Location: County CAS 6UJ
" C, Y1 C'
Street�Add�d�r(ess/ State Road/ Lot #(s)
Stated(.. ZIP
1 L ?en) ,� - t ax # ( )
llJr
Subdivision
.d Agent
city7�N s '0-
ZIP 2
❑ CW D EW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) f _ 1 River Basin W
JL t-�
❑ OEA ❑ HHF ❑ IH Fl USA ❑ N/A
Adj. Wtr. Body I nat
❑ PWS: ❑FC:
iJti1/4 ,�i
Closest Maj. Wtr. Body -�-
yes / no PNA yes / no Crit.Hab. yes / no
Project/ Activity ✓J� 'ctsttiy9IoL4 "t)
ck)length V h
i(s)
ier(s)
ngth
tuber
d/ Riprap length_
g distance offshore_
ax distance offshore
hannel
ibic yards
mp
use/ Boatlift
Wldozing
r
ne Length
i
not sure yes no
ggs: not sure yes o
>rium: n/a yes no L
yes no �
• Attached: yes no j
Lam_
ling permit may be required by:
L
❑ See note on back regarding River Basin
A . ti /n J r''.. /i ✓i i,i b. ,1/Ajf -

,licant:
i "-5l ` IJ01ZN
Permit#:
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
itat 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/or
temp impact
amount)
Dredge ❑
Fill ❑
Both ❑
Othe
o
3 ( Q
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 ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑

17 0
-�� --� �-7404/531
ISHBURN
ISHBURN ( f
r LANE DATE
NC 28460
zoo .00
DOLLARS
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ank
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HAND DELIVER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(TOR A PIER/MOORING PILINGSIBOATLIFTBOA`I'HOUSE)
I hereby certify that I own property adjacent to — (Name `"►� f Proper Owner)
property located at &— tvw -!�
(Lot, Block, Road, etc.)
Oil
in S � Cr � ,^, N.C.
(Waterbody) (Town and/olf County)
4(0-?js�-??3Z Mailing Address:
Applicant's phone ll: Z6
He has described to me, as shown below, the development lie is proposing at that location, and, l
have no objections to his proposal. I understand that a pierlmooring pilings I boatlift / boathouse
must be set back a minimum distance of fifteen feet 0 5') 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 DEVVLOPMCNT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
SC9
Mailing Address
elf
---------------------------------------------------------
(Riparian Property Owner Information)
r nature
Print or Type Name

US MAIL
CERTIFIED MAIL -- RETURIN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: ML4311w1
Address of Properly: __28 Gt7 _ ne # L n e � 7e, CJS Ro:' N6 ZSV1G 6'
(Lot or Street #, Street or Road, City & County)
Applicant's phone; 4: 9 ro - 3 a- 2 23Z Mailing Address: 2gY 6/e-W Le-*,e —
� �t<_f, Nc 2 �2.
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 of drawiuL
with dimensions, must be provided with this letter.
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. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no obieclion if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, clock, mooring pilings, 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.)
I do wish to waive the 15' set back requirement.
✓ I do not wish to waive the 15' set back requirement.
(Prop rty Own r r at' (Riparian Pro er Owner Information) T
At
l
Signature S'
�Y_ _Mire, S
Print or Type Na a Print or Type Name
61�N� "u), -7 b)it t;vo
Mailing Address Mailing Address
04,, / et.►e / 7;�