38956D - Walker

�94MA / - DREDGE & FILL
WN ERAL PERMIT Previous permit # '"-
blew —�Modification Complete Reissue uPartial Reissue Date previous permit issued
•ized by the State of North Carolina, Department of Environment and Natural Resources ' ( r l (}
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC V
Name �f �N �� ❑Rules attach
�vp 14 log0 $ C PAP/-) tr LPG roc
XA2 9 � Stateee�{�ZIP 7 Y 530
ad Agent ]4ir (A-�jNo'-Joe
❑ CVN �#W j�MTA ffl ❑ PTS
❑ OEA ❑ HHF /❑ IH / ❑ UBA ❑ WA
❑ PWS: ❑ FC:
yes � PNA yes
Project/ Activity
U
:k) length
er(s)
igth
nber
I�iprap length
distance offshore
K distance offshore L"
annel
do yards
ip
W Boadift
dldozing
Length
not sure yes _
not sure yes
um: n/a yes WAN
yes
�i
ttached: (Y y,---
ig permit may be required by:
Crit. Hab.
AA
4
9
Project Location: County � 0-i-S"Irwr
Street Address/ State Road/ Lot #(s) K 0(P-7 Y
Subdivision I
City ZIP
Phone # ( ) 7�11/0River Basin
Adj. Wtr. Body 64-'V 44
D
Closest Maj. Wtr. Body
(Scale:
Y ... — i - - + t_t.._
�.
❑ See note on back regarding River Basin r

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: FAA m Ili L U RI keL
Address of Property
(Lot or Street #, Street or Road)
(City and County)
ITC. Ddedbt.J
I hereby certify that I own property adjacent to the above -referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development the
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 Coast,
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
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 sl
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If ya
wish to waive the setback, you must initial the appropriate blank below.)
Sign Name
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
51-56//Z
Date
Z*/k xy Z Z11)Fon AN 15 WA

Parcel Information
-cel Number:
800-74
ID:
013063
)IN:
424517672581
ier Name:
WALKER FRANKIE S
rerty Address:
4067 4TH ST
)erty Description:
OLD SET 3 B42 L27
OLD SETTLERS BEACH
division:
SEC 3
Ihborhood Code:
3000
Limit:
SURF CITY
mship:
STUMP SOUND
ling Address:
108 E APRIL LN
ling City, State, Zip:
GOLDSBORO NC 27530
Code:
2
Assessed Value:
$257,990.00
Total Taxable Value:
$257,990.00
Building Value:
$7,990.00
Land Value:
$250,000.00
Heated Living Sq Ft:
Year Built:
Adjusted Acres:
0.18
Legal Acres:
Improvement Code:
O
Book:
3768
Page:
3
Deed Date:
26-APR-12
Deed Stamp Amount:
170000.00
Plat Book & Plat Page:
11-032

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 2D12-
Name of Property Owner Applying for Permit:
Kra N k') L S. i A a l kEl?-
Mailing Address:
C Z.8
w I'
I certify that I have authorized (agent) At6 �� norl to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 1 -:+ I N i n!� i.3 0.1 D Y SE -��
at (my property located at) �-iCJ �� L(4, Stl rf Ci t, N
This certification is valid thru (date) f- V"� Zo13
---; �;-1Z
Property Owner Signature
Date

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: qO� FEAki-L L )C C :
Address of Property: LJQ LJq 4k :S�
(Lot or Street #, Street or Road)
(City and
[ hereby certify that I own property adjacent to the above -referenced property. The indivi&
applying for this permit has described to me as shown on the attached drawing the development the
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 Coast:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
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
1 understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s4
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yo
wish to waive the setback, you must initial the appropriate blank below.)
C�6 I do wish to waive the 15' setback requirement.
Sign N
I do not wish to waive the 15' setback requirement.
Date
Brm%ar Jy
A. A

)plicant: �k�—
Permit #: -5 �5 S-&
:scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
bitat 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/o
temp impact
amount)
' J
lit/
Dredge ❑ Fill h. Both ❑ Other ❑
lU
Dredge ❑ Fill rtkl Both ❑ Other ❑
D�
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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 ❑