55843D - Abernathy

CAMA / EJ DREDGE & FILL F51
1ENERAL PERMIT Previous permit#
INew EjModification ❑Complete Reissue El Partial Reissue Date previous permit issued
-ized 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
r,
A Rules attached.
Name ��wvi Project Location: County UAQV
1.
1 ncl UUt' Street Address/ State Road/ Lot #(s)
to o �` _ H � i 1, State IVC ZIP d�?I �� A'
")lt J - � a,34 Fax # ( ) SubdWworAfa
n / l� l�l Y 6AV
3d Agent N1 iI f MA YIY11 i `Y S�� � LS'F'1� CityZIP 2� 14_2
�( ❑ CW ❑ EW ElPTA XES ❑ PTS e # (t ) 2 a - Z530 River Basin A Q 1
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body A I a 118 ✓d Co VA (nat r
❑ PWS: ❑ FC:
—�
des �/\no ;; PNA i yes%; no Crit.Hab. yes / no Closest Mal. Wtr. Body
Project( Activity _r ,) I
:k) length
t
igth �r�1 tGn -
nber
a- - -
I/ wprap lengthIA-
�2 i
distance offshore
(distance offshore
r
annel
is yards
--
;e/ Boatlift
PI ;- }
Ildozing
'INGWAIL
X Z�
r
Leng'L / �
�' ...� not sure yes no
not sure yes no
Jm: n/a yes no T �11
yes no
ttached: yes no
g permit may be required by:
A
(Scale: I
A Y) fCt Ck ❑ See note on back regarding River Basin i
pecial Conditions

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Fred /I 6 ef-11 's
I i zo (Name of
Property Owner
property located at
(Lot, Block, Road, etc.y I�
on J, in I�� "t , N.C.
(Waterbody) (Town aiWor County)
Applicant's phone #: �`�' L� — l��i Mailing Address: f';
e h Ab </ ^/c oZ 7,�-
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') 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 do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
r� eP �x'5 IL
—2-
(Information for Property Owner Applying
for Permit)
//&d
Mailing Address
�14,r4 2 V
City/4ta /7in
(Riparian Property Owner Information)
Signature
nrin4 �r T.-- AT. --

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Grepm, Director Dee Freeman, Secretary
Date S ' o?3 l4
Name of Property Owner Applying for Permit:
Frei
Mailing Address:
I certify that I have authorized (agent) X/ �! elj r /4-I-/11,e to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) //'� 0 147G //r. 14
This certification is valid thru (date) J z 3 D
2,3- io
Property Owner Signature Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to �/—P �j2/'/1 _ + IS
(Name of Property Owner
property located at / % O C /73 a / /"
(Lot, Block,
on G c') („ J , in T`ii M 45/-e i. , N.C.
(Waterbody) (TdWn an(/or County)
Applicant's phone #: ' 9 6 / N 1 a2 3 i Mailing Address: Cf -
CG, 7t {v 2 7SrH
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') 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 do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
V
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature

C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: �y,�� tY,►�� I ra Permit #:
te:
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 fina
disturbance.
Excludes any
restoration andh
temp impact
amount)
Dredge ❑ Fill Both ❑ Other ❑
7 y
46
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 ❑

Bank of America
ACH RIT 053000196
MARINE CONTRACTORS, LLC 08-03
910-367-2159
92 HAROLD CT.
HAMPSTEAD, NC 28443
IA-1
15$31> - pl::")
112004 L5411' 1:0530001961: 000684743738
4154
66-19/530 NC
702
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