57320D - Athari

CAMA / DREDGE & FILL
'ENERAL PERMIT Previous permit #
New [;]Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
riz#d by the State of North Carolina, Department of Environment and Natural Resources
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Z/i .2O(Ja
Rules attached.
t Name _ _ Project Location: CountyJ3/7 h.fSw1e-,e
j ->'(r %4�, ;= re+' ("`^. r9,r r? Street Address/ State Road/ Lot #(s)
_State _`-%C ZIPS if
( /61) �11 —I' 2 jA,; Fax # ( )
.ed Agent T Lgl 1 1),Qr Cr F f
❑ CW OfW © PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Subdivision
City
Phone # (
ZIP
River Basin 14Mi
Adj. Wtr. Body 1�7/ G✓ 1 / n�
yes /o) PNA no Crit.Hab. yes / no Closest Maj. Wtr. Body �� w
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ig permit may be required by: S,.dfp i 6 p.9e4 ❑ See note on back regarding River Basin m

AM
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HOENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Mirhae! F. EasieY. Gcve�rtor Charles S. Jones, Director William G. Ro:
Authorized Agent Consent Agreement
is hereby authorized to act on rr
(Printed Nerve of Awnn
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is lim
specific activities described in the attached sketch.
LOCATION OF PROJECT:
1 car) C
4 Oaf
Suh N NC aBy(n
PROPERTY OWNER MAILING ADDRESS:
��`Ci �•��s Q � Kok \�_
aT �SLG�C.Y� �C PHONE NO. O
%UTHORIZED AGENT MAILING ADDRESS:
PHONE NO
lignature of Property Owner. -- I CLr16L,
'ignature of Authorized Agent:

23EOdd
6649S4SOT6 63NNnd8 8dUM03 ZI:22 IT02-80
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DIVISION OF COASTAL 1viANAtiEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/VAIVER FORI'V1
Name of Individual ,4pplyZng For Permit:
Address of Property: ,_ r -�01'S Q
iLot or Street 4, Street or Road)
ors - Rc= 4
(City and County)
-Ek-c ky13wi dr--
I hereby certify that I own property adjacent to the above -referenced property. The indiN
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions, should be provided with this lett
' I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910 395-
4within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
A SZ, - "i 7
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mt
set bek a minimum distance of 15' from my area of riparian access unless waived by m
you wish to waive the setback, you must initial the appropriate blank below.)
Sip Name
I do N :sh to waive the IS` setback requirement.
I do not wish to waive the 15' setback requirement.
Date
,Sy,f Ill. -
Print Name

8-2011 12:16P FROM: TO:18886877943 P.1
�` e
F�.pn Mary Wilkinson 1.8882of3
-.687.7943 Fri Apr 8 08:46:47 2021 a9 r,rvr QN DF C- T
=---- � ' �.ti.rca ,.tt> 11F1CAZi(3�[lW,Rl��
Name of ladividvai AppiYing t
Adder Of PrupcTtY -�
j_0t or SUj d Strc+%t or Road)
(City and County)
�re�e�,ccd �opetty- Ile individuel
X hcrei�y certify that 1 awn pro"' ' a•,djsc�nt be the ahfl �c►•dlopment they
it Itas dcsctibad to0'C: lIS �yQWtl � � 8� ��� the d
$PP S this p with dhnsnsiOlm, shcxrid. P1°"' 'this letter_
are proposing. A descriphan ar dr8 Wis1g,
I have no objtxdmis to this prop-
�- plssse wsitc the Div
of Coaszta
if you bsvvc Obz Cardioai Dat i Fbei � dW ag men, NC U405 or calf 9I4.39S-390!
mr,`II t, 1 t of this I No rzsiwgae is congkkred the snare:: as abjeedon i
witjria 10 days at ret:� � Ms�ll.
you luxe be&n notified by
praskwater, boat bowse or bait Il1t utrst 1
,r.do,Mad that:* pier, dodk, area of r'ix accem - auulm waived by me -
set
bek a minimnm ce of 15' f*RP. my riste bbuk below-)
YOU wisfr to •vie the setbadt, YOU mati-t filth the S"rop
I do wish to w5ira fix 15' setback r"ulrement.
I dvvish to wai vt the l 5' setbtr� 1 eut
Date
nrit t Nam
l� r 77
3-
-- w;......w..,. x&4th Area Code

tc
.41
-08-2011 22:13 EDWPM BRUNNER 9105756799

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-08-2011 22:13 EDAcM BRLN,YNER 9105756799

i 3Jdd
66L9SZS0t6 d3wnde OdUM03 L2:22 TT02-80
Dock Support Beam
30-61.110 6061-T6 length: 20' Mill Finish
30-61-112 (NC) 6061-T6 length: 32' Mill Finish
1 30-61-113 (NC) 6061-T6 length: 28' Mill Finish
I
2.000" Ir
Dock Support Bearn with Lip
30-61-105 6061-T6 length: 20'
30-61-108 NC 16061-T6 length, 28'
2.000"
8.000"
Mill Finish
Mill Finish
9.062" -
Gangway Beam with Lip
30-61-115 6061-T6 length: 20' Mill Finish
30-61-118 NC 6061-T6 length: 28' Mill Finish
Mill Finish
I
2.00a"
5: 062"
Boat Dock Connoctor
Sq. Tubs (Radius Corners)
Robed Sq. Tube
Ladder Rung
3"1-1 20
6041-T6 Mill finish
(Itedtus Corners)
40-055-100 2 x 1
6flg 1- i 6
52-61-1760 2' x 1i6- x 32'
6005-TS Nil Fldsh
19-51-534 2.7- x 118' x ZO'
30-03.200 (NC) 2' x 1!8' x 32'
length 12' Mill Finish
mvea with is si-535
30,-05-205 (NC) T x VW x 32'
40-05-105K 2 x 1
accepts 1-1/2' SCH 40 pipe
19-M1-83S (NC) 3'x 1/8' x 20'
(Knurled)Males
with 19-6f-534

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pplicant: '
. JL� Permit #:
ate:
z/%
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
and in your Habitat code sheet.
ibitat 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 fi
disturbance.
Excludes any
restoration an
temp impact
amount)
Q Ly
Dredge ❑ Fill ❑ Both ❑ Other
1,� O
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 ❑

6
J W &ASSOCIATES 7-198/532 1146
300 BOXCAR DR. ` I
LONGS, SC 29568 L
DATE
PAY TO THE I $ ^ ^ p
i
HOR COTATEIC B
l L Member UNTY SFD��
1:053 20 198 21:03 130 1 1
2570 LK1,6
� pOLLARS 8 EE' ='