59111D - Watson

:CAMA / D DREDGE & FILL
GENERAL PERMIT Previous permit #
XNew i❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
wized by the State of North Carolina, Department of Environment and Natural Resources `J
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7-
ules attached.
rt Name JeSSIM WA ASZ*i
�^�' S
/�4* 0 1AW State zi P 2
33- .>liW Fax #
zed Agent r A`7 �. is/! ;/11?
❑ CW ❑ EW 71 PTA L71ES r I PTS
❑ OEA L-1 HHF - IH - UBA -1 N/A
❑ PWS: ❑ FC:
yes / n.0 PNA yes C o
f Project/
�XiS �Ir
xk) length
)ier(s)
mgth
amber
d/ Riprap length
g distance offshore
ax distance offshore__�j
hannel
ibic yards
mp_
ise/ Boatlift
lulldozing
ie Length
not sure yes �rf7
:s: not sure yes
1um: n/a yes
no
Attached: yes
ing permit may be required by:
Crit.Hab. yes /e!5�1
kris f�hC L
Project Location: County 141ei I
Street Address/ State Road/ Lot #(s)
219
Subdivision
City Wrr' 05il'lly f'sl�r� zips
Phone # ( )�3%����y River Basin�a
Adj. Wtr. Body I UP tS el-00 6/ (nat i
Closest Maj. Wtr. Body 11O
1,06140ml Gil � '7
(Scale:/
L__j i
See note on back regarding River Basin r
117 1 / 1 A r

It `�
`Or�,rC� ©(,t ACr �'© Fill DrytQ ,
1'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Seca
Authorized Agent Consent Agreement
e 40 - is hereby authorized to act on my behal
(Printed Name of Agent)
to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to tl
activities described in the attached sketch.
ION OF PROJECT:
zl c�N1s � ► c.tr� r��}-4
=RTY OWNER MAILING ADDRESS:
1 S 3 S S. rh wrCk; I
)RIZED AGENT MAILING ADDRESS:
��,C��o✓� , /L 2d'41�i /
,lure of Property O
PHONE NO. a 1 D) 233. 35 l 5
PHONE NO.
q�
!ure of Authorized Agent:
Z

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER
FORM .
Yame of individual applying for the permit: dA ye_ �Ck,
Address of property: � I � (-Sea GV45� L.
(Lot or streets, street of road)
ri G �;
& county)
ra c1\
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided whit this letter.
1�6 have no objections to this proposal
If you have objections to what is being proposed, please write the Di mon of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call (910)
796-7215 within (10) days of receipt of the notice. 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, lift or
sandbags must be set back a mh mium distance of LF 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
I do wish to waive the 15' setback requirement
_0-�-.
I do not wish to waive the 15" setback requirements
Si
j ,azI1
Date

FOR04
[ mfa t�f t vklu�l eppi try x the permit; _—. - dvtZ' ,, 141 k,7 n
Ad*wl inf pr .rt3':
J keneby OeOlf� the f own arty Amcent tD the abeve rr crmcod pr rly. 'Tite
Indthi" apoying fcr 004 piemW bas € ascribed t" mr. 6w shown on the a llarlml
drawWx1 Um dmiopwnt lb" life PFfTO446 A div-- rilAtin ar drawing. with
Oman s hrrAl Iw prio1.ded whk tbk le0w.
MYOU hke *dint to mat is being VrDp-,scd, pbt&.,v writt dw. Division of Cc tai
90=114 127 Cat'diaal fidV4 Lxtcn!*m, Wilmington, NC ZMO or cljl i.9l(t)
N6-721:5 *thy 4110) daY8 Of rmc* of 1U WXkx. No respnktie Is eomider ed the
Omm a8 no 041000M If you Dave kvxrt MUMM by Qe`tilled MaH.
Waiver Section
1 UB*Tlctanri that a pfer, dock, mcorink pWngxF breakwater, bmihouge, b t or
-9GMtMbR4-s M[Mt k,r. Wt hWCk st Mh3ich.,h uric* of l C, FlrM My ura of riper
act"S un1csS Iva"-vni 11% me. OrYm Web to walve tlhe sett} T you nrliLgt dntth! the
�_ (� - al-75
�i �,wtai toWat� c� 15' �tt�:� rr+�toir�uherJt or -
lie yi'l a1( J f'D
I y vxiah wmiye the 15" lc requ[Tc n is C lav I e'COUnm n m
�, dS
c
s
iIm
1-0

FORK
m 4 ktdivktual applytog for the permit;_ of��5��
Adt i n t V oVerty: % SC4 �,rl s (' It ccl / � U' C ��
CLO*w@UftA r�wrrt arr+a.
MV if rAMq
J erehy, c [' t r -OWn prGperty aced acent to the above r+hi7varod prgertN TM
Indh1 ( applying fnr t* pena hu dewribed trt r"r. ("x s?t+;lwn on the allnckd
) the dcw1OVuw41W, We proprvAn& A dr-urrilAirin or drawing, with
d1. yukl 1w rxvddtLd whk tbk letter.
aw rMa c,►lhE Tt{oa'M to thts
You bye ab&cdom to WhAt It being prgp d+ pleat, *rite tW Division o(CwW
M4"9ftu6j*, 127 C'Brd1=1 ildv* Eatertskn, Wiluti vioN Nc Ox cal(91M
196-7213 wi,dtfa (10) tba" q)f receipt nitM "r► IM. No MPORM is vmmddu ed tint
RUDE as no 0410didO if you have - a MUMM by CatMed Ma.
1 uJXkTstznd that a pW, doek, mooring pRinp} breaIrpmer, twinihouse, lift or
-"At1bqV nmfit he bmck R eniuimiuki cNAmnev of 1 ' FrM ins area of dpartn
aeftis un1ta Iwrul toy me. qfym wish to waiTe tl* sett t} You m�iqt jnjtl2:1 tj*
a priatt bilk br ,'E
l'm all ") v *VC (bC 15' Wtl 4 TVgLiikWWnt
I Nviah CO wai4r. the 15- 9etbuk rcquimmnts
Dam
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'C Division of Coastal Mgt. Habitat impact Computer Sheet
�plicant:. less 1�0 W'f` ork?
tte:
,21z, 1z
Permit #: ,�"q / / /
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind 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/or
temp impact
amount)
lDredge
❑ 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 ❑
Dredge ❑ Fill 0 Both ❑ Other ❑

uilding Systems & Consultants, Inc.
4532 SawMill Road
Leland, NC 28451
[phone]
[phone]
U
D 69 1 + i --
BRANCH BANKING AND TRUST COMPANY 8709
Leland, NC 2W1
66-112/531
/2/-� /x/
DOLLARS
L
U
d
Vaud for 90 Days i
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1i'00870911' 1:053 LO L 12 L1:5 1 L707674311' -