55824D - Rush

.CAMA / DREDGE & FILL C;F
aENERAL PERMIT Previous permit#
IN' 71Modification ❑Complete Reissue CPartial Reissue Date previous permit issued
Ized by the State of North Carolina, Department of Environment and Natural Resources h
.oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC , � �� O-o d 1 T OV
p ules attached.
t Name U L Project Location: County .?,P lfNSwm le
So �� S /�ci, Street Address/ State Road/ Lot #(s) / j//S� L'h'N4
44 0tv AtK,5 State/1/of ZIP .2 , 3s 2
O20-43h Fax # ( ) Subdivision
edAgent /3,LL %/iD!»Al City J4NS¢f 6pAcLl ZIP 2 b'
❑ CW RAW C9•11MA B;ES ❑ PTS Phone # ( ) River Basin G/1M
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS: ❑FC: Adj. Wtr. Body 7t, e
Closest Maj. Wtr. Body �� w
yes / PNA yes /`� Cript.Hab. yes / no
' Project/ Activity " p L!a / i ilz t m d Dace d
' e , z p ( e e • .v e N fX . "L.�b p.�d (Scale:,/
ck) length y� �� Y T c` ! h f^ f
,(s) / Z 'x t� <
L
ngth
tuber
J/ Riprap length
distance offshore
x distance offshore
cannel
sic yards
np
ise/ oatlift
ulldozing
w JUj'
r(ess Oe f
N
e Length 50 �
not sure yes
s: not sure yes f l IY e r t • Jt,d r
cum: n/a yes ifg • - \� ;}ya /� ( t7PA�MP� AS N.tcll�l Q
? iKe no
kttached:*L es no
9
ng permit may be required by: SiiNSP 4 Qj o,4e- See note on back regarding River Basin r

AWACENT RIP ARIA\ PROPERTY OWNTIR STATFNIELT
lFOR A PIF.R.IfOORI.VGPILL,OGSIBOATLIIIiROATHOG:3E)
I hereby certify that T own property adiacent to s
(Name of Property Owner)
l-opertN located at
(Lot. Biock, Road..e1c.)
Anal Gtd.scrcc�f- �-6
MI ::rCWW ". Sidl5g�" fit. itt JLLnSt't.d}ItA
(Waterhody) (Town a;a"r Coup )
Applicant's phone :q IOWH.3dtJr Mailin Address: . /� /`Q)L O& J-Q h S �iX�
He has described to me. as sho»n below, the development lie is proposing at tha. location, a d. l
have no objections to.his proposal. ( understand that a pier/mooring pilings?" boatlilt 1 boathot:::
must be set back a minimum distance of finteen feet (i 5') from my IM-A of riparian access unless
waived by me. (If y;►u wish to vraive tre.setback, you must initial the atpproYriste Ma:
belolv,)
i .o not vvisir t6 wti c
JobI do ,,%i to waive thPt sethaci requirement.
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rr., be ,lid irr h:' inr/ivirluaj prruu�s;tr� cleseiJpn:en,j
(Information for Proper y Owner A pplying
or per nho
I/ya cold TC)AIL
M.Mlirt(Z Addres.
.�—
.lop,
Sisutatur� T�:::e
fRipnrianFroner:vOwner Eni:zrm..>_inn)
Priv, :v- Tt pe

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'/ LJ/ LV- - - JJ - JYV - 1 JLV / V11G �1W Vly
WJV VL/
-25-2011 11:46 FROM:MRRITIME BUILDERS 9105458222 TO:15404273207 P.3/3
ADJACENT RIPARIAN PROPERTY OWNERSTATEMENT
ENT
(FOR A PIERMOORING PILINGVROA TLIFBOATROCSE)
l lie, eby certify' Char. T nwn property adjacent to
(Name of Prnperty Owner)
propct,r) located at _ 1 Ca k of / /J(:
(Lot,131ock. lZoad, etc.)
on ::r7 W 0 - -tom'
(Waterbody) (Town and/or County)
Appli.eant's phone #: i0 a8H3Z Mailing Address:IZZO X Old
�
Ile has described to rrie. as shown. below, the development be is proposing at ilia. location: and, l
have no objections to his proposal. f undem-mrld that a pierlmooring pilings I boatlift I boathouse
must be set back a minimum distance of fifteen teet (15') from my arsn of rip:irinn access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below,)
�gR
T do tent wish to waiti-c
I do wish to waive that setback regidremem.
---- -- E)T:S('9tlN"llt>?� Atil�lO1Z ftTiA��'Iti(q OF YR(1Y()tilti.l} !)k,Vi:l.t}1'll�l1�11r�
(ro hef11ed in by individual prapaid rleveltipment)
------ - --------- ..----------------------- - -- --------------- -------------------- P rtA.SA
(Tnrormation for Nropert} (fa-ner Applying (Riparian, Property Owner Inrorination) sib a
for Permit) IN eA-
Mailing Address tiigna-Lim
Prim or Ttpc lame
i-rleply�r�'•r_�ttibet n _ � - ; eie�ws�u �uc:�>>sr

iIicant: % 0l9 &/z d( ys 4
e:
,3/?•/.1 /
Permit #: SS FZy -.J)
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
nd in your Habitat code sheet.
iitat 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 fins
disturbance.
Excludes any
restoration ands
temp impact
amount)
i J!�V
Dredge ❑ Fill ❑ Both ❑ Other,¢
Dredge ❑ Fill ❑ Both ❑ Other
/ S 6-
�3C!
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 ❑

MARITIME BUILDERS, INC. 12-06
910-842-3625
115 E ISLAND DR.
OAK ISLAND, NC 28465-7612 /
DATE
PAY
TO THE
ORDER OF
1P� e D O
Bankof America
ACH RR 053000196
FOR -
11,00 2 L840 i:053000 L96i: 23700058638411'