60604D - Lanier

%LAMA / --'DREDGE & FILL Y No. 60
GENERAL' PERMIT Previous permit #
New ❑Modification -]Complete Reissue i- ,Partial Reissue Date previous permit issued
rized 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
❑ Rubes attached.
nt Name � -� - 1 viz._ Project Location: County�K
s to S Street Address/ State
// Road/ Lot #(s
State ZIP � �( (6
Subdivision c-
ized Agent City �V✓ ZIP'r�
d - CW �.kEW I%eTA J ES - PTS Phone # ( ) River Basin 1Q
- OEA •' HHF :_ IH - UBA l N/A
Adj. Wtr. Body G'4 h
PWS: -FC:
yes ZT5 PNA yes Crit.Hab. yes / Closest Maj. Wtr. Body
A Project/ Activity
(Scale:
ock)length �
m(s)
pier(s) f
ength
umber__ -
ad/ Riprap length
og distance offshore J
iax distance offshore
.rbic yards
imp
,use/ Boatlift �f
Bulldozing_ /
ne Length PT
not sure yes no
gs: not sure yes % 4-
rium: n/a yes ---
Vff
yes _ _. . _-
Attached: yes - --
ling permit may be required by: Lt ❑ See note on back regarding River Basin ,/

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CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner: �) �` C\ + �2
Address of Property:
(Lot or Street #, Street or Road, City & County)
Applicant's phone #:
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perm:
has described to me as shown on the attached drawing the development they are proposing. A description of drawin
with dimensions must be provided with this letter.
q2�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 (DCK
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ex
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
considered the same as no objection if you have been notified by Certified Mail. -
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance c
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
ap ropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Informah,
Signature
ar��_ L� t2
Print or Type Name
LI04�;� (. �f
Mailing Address
<' rl- ice. n�
(Riparian Property Owner Information)
ignature
Print or Type Name
1, rg �a .
Mailing Address
r 0 1 ► 1n --vbtlrlt-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOB A PIER/MOORMG PLUNGSBOATLIFTBOATHOIISE)
I hereby certify that I own property adjacent to L ezo-1 L o rr i e lz. 's
(Name of Property Owner)
property located at
*� S� S(,, rF C,
(Lot, Block, Road, etc.)
on CO S� �u n, in S or F C f' `L- , N.C.
(Waterbody) (Town and/or unty)
Applicant's phone #• 01 �� 3 4 S 6 OR Mailing Address: � 1 `G' S 7/'
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 pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fi8een feet (I T) 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 filed in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
(Riparian Property Owner Information)
0 Ul- - ignature
a 1�6y

plicant:
te: C
L-a - Z zf Z,--
Permit #: D
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.
(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 FINAL Feet
(Applied for. (Anticipated final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts) amount)
� J
Dredge ❑ Fill ❑ Both El Other
1 7�
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 0 Fill ❑ Both ❑ Other ❑

66.30/1531
La L Lanier 060 5199
Joyce Lee Lanier
6087 6th St.
Surf City, NC 28445
Ph. 910-328-5622
PAY TO THE CA �r
ORDER OE �� 66 4 --�---
First Citizens _
Bank
7ATF
Bank logo on back. 1lnot present. do not cash.
Premier
Qodlb 6