57384D - Braswell

- CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
New Modification 'Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources Z� :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
it Name �j µ�YZ�SY�`t`.� i Project Location: County
s Vry �T• Street Address/ State Road/ Lot #(s)
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ed Agent ! S{ m ^ 'V'v';%1'(Ji,
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r❑ OEA ❑ HHF IH UBA J N/A
❑ PWS: FC:
yes / no PNA (yejsno Crit.Hab. yes no
Project/ Activity
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ling permit may be required by: V� / Stow �, K IS 0. 130s(UI �!tdv ❑ See4 note (on back regarding River Basin
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1`F4: --ai t. Easlav Gc -er!-fc,-
varnaa Grag on. D <<c.r
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M� G. Res Jr., Sweray
Date
1wlamrpi�o Property -'-. :aA.i �a�y�ij��� for Permit:
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Af
Lying -for an 0- taE��.`-Lng E C' M Permits neceesaaa-T- to
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propertty lte af,
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=-Mtffcaion is Vale Ltpn 3 ✓ V,--
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
-
or on the front if space permits.
1. Article Addressed to:
❑ Addressee
C. Date of Kelive6
D. Is delivry addre9ddifferent from Rem 1? e!
If YES, enter d9tivery address below: ❑ No

4•T�ll. ��� .�.. Jtf:s T:�i, t.• a ;- , ((''��
:4'tii`if14,.7L Y(EN T
ADJACENT RIPARIAN PROPERTY O "NER -G T TFtCATIO',\i/ViAIVER F OR.M1
%e uu post Or F(lts form i iQ prov}dg propel rtOtjCe to ;rou as an adjacent riparian property owner to the individual or
Individuals listed below. Tine CALLA General Pernir application procedures require that applicants provide the Division of
C aQa! �i3naa�rne�t or:`[l ratio^ that a %Lrirten statement has been obtained sirmed by the adjacent riparian. proper atmets
inUicadng Lhat tree`• t2a+'e nO O'JJectiOn M the proposed xork or tear the adjacent riparian prope.TJ Qwne s have been nod?IeCi
ser rigid mail of the proposed work. Often these forms are submitted - the adjacent riparian proper' owners by a marine
coFir actor or orher, indit iduais acting as an authorized rent on. behalf of the applicant.
"his torn- was sear tc you- b} rise following individual or company designated by the applicant as an
-- t j„•-:z _ �aaritre are
,N E71c _. .i:14: IC'4a! Apa'y LnG F or P-rm::
-31 cl 53Teer =- -Sr-ee: or Roads
,":7y and Counr%
-roue 2diacen? ro the abox:e-rerrenced prope:-r�,.. Tine individual applying for this petl7?jt
'": t ",e c: snc?�'•O an the aRached drat% ing zbe de%eioomeni tI?et are proposing. .'i description OrQ al4'j:i_.
:r_- ,itoula be pro4.-ided �: irh t:^.j: leaer.
i jdCtior: S:c :...
.,.are ,_ b iec:ions to w hst is being proposed, please write the Division of Coastal -Management. 12'
,iiaa6 .�`•.';.- Lxteasion. `Xiirnington. NC 28405 orsail 910-796-7215 within 10 days of receiprofthis notice.
-esponse is considered the same as no objection if you have been notified bti• Certified N aiI.
-- - laz a pier. dock. mooring pilings. breakwater. boat house or boat lift. must be set back a
dis_ance cf l�` fri}fr2 f{L?' area of riparian access - unless waived by me. (If you wish to waive the
iniriai the appropriate blank below.;
the setbaa.-egitremeRr.
-Paul emeni.
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C Division of Coastal h19t. Habitat Impact Computer Sheet
iplicant:
Permit #:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and 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 ❑ Other
I 6�
UD
Dredge ❑ Fill ❑ Both ❑ Other
4
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 ❑
1 11 Cf Kr

PILINGS AND MORE
JOHN CASSIDY 5873
PH: [phone]
169 LANE HAVEN DRIVE a �! 66-30/531
SNEADS FERRY, NC 26460 457
ate Polrd
'0 the L1er o ��` l� $ q 0, 00
fealuraa
Dollars
First Citizens
first�citiizzens.co Pa
For ) M,
1:053100300400457 13 270 05873