54462D - Beam

CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
New -Modification _ Complete Reissue ❑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 / H 2/,��
ules attached.
it Name % /0 IJ 1 ��
7
f`fi'-JUry StateiYC ZIP.21G
(Zi9 2 d 3 - V1 Fax #cry, )
zed Agent t �j,ii217l / /'t �& d
Cw EW ❑-PTA r7ES ❑ PTS
OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
yes 4 no` _. PNA yes -7VE - __ _Crit.Hab. yes / no
Project Location: County .al"^s&V�c,t
Street Address/ State Road/ Lot #(s) S ;p 4/ aC 169.
,�'G vd , G•i
Subdivision
City&IO—Z 1 zlP�
Phone # ( ) River Basin L W '*�
Adj. Wtr. Body rzli a Ly-ly wgnat
Closest Maj. Wtr. Body /A91 f"/ A/
bf Project/ Activity
(Scale:
jock) length/-,( I t ,
rm(s) C< 134,
pier(s)
length
lumber
!OAiprap length
ivg distance offshc
nax distance offsh
channel
:ubic yards
amp
Ouse/ Boatlift
Bulldozing
ine Length
not sure
igs: not sure
arium: n/a
Attached
ling permit may be required by: J7 1011011 � GfJ ❑ See note on back regarding River Basin
AO/ 1 n . .4 -1- - -- %"!!�' ///A A♦ . , - /i n - - / i i/w e -.-

orposed vinyl
ail
16'
18-
Existing Dock

CERTIFIED MAIL — RETUR1N RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to To�-ame
- � e� is
/, Property Owner)
property located at S 6� Q g ��
(Lot uBlo Road, etc.)
on C/0,(W-k , in �6 k- � , N.C.
(Waterb dy) (Town and/or County)
Applicant's phone #: — i 11
V 1 3 Mailing Address: 77
S 61tA NC, 11164
He/She has described to me as shown below the development he/she is proposing at that cation,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing development mustfill in description below or attach a site drawing)
Ann
v u EAs Dock
A
P, L 1.1 1 PIS
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writi
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
DCM representatives can also be contacted at [phone].
No response is considered the same as no obiectlon if you have been notified by Certified Mail
(Property Owner Information)
" jeaMen--
Sign ture
Print or Pe Name
P. 0. ilk '717
Mailing Address
.S� l ln,a AV, 21/4/ Z
(Riparian Property Owner Information)
c �
Signs ure
Print'or Type Name
10307 WdCJ)W1,¢E L,4/vc
Mailing Address

VLAHOPLUS
AM.;
PHONE NO. : 919 7811178 Feb. 23 2010 10:32PM
Ct, IrTIVIED MAYL -- RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to p _t� Q.C, t.l. 's
property located at �Jr
0 s Nawc of Property Owner)
(Let, Ioqh Road, etc.)
on GaA4 in (? i�- , N.C.
(Waterb dy. (Town and/or County)
Applicant's phone s%_ Mailing Address: () mac 717
S ►� I - N L Zell 44
14e/She has described to me as shown below the development he/she is proposing at that 1 cation,
and 1 have no objections to the proposal. (�
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT:
(Individual proposing drevelopment mustflll in description below or attach a site drawing
.ou
ffyou have objections to what is being proposed, you must notify the Division of Coastal Management (I CM) in writ
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, M
DCM representatives can also be contacted at (910) 7%-1215.
No_resi ouse is considered the same as no oblectton if von have been notified by Certified Mail
(Property Owner Information)
Si
Print or pe Aame
P. 0..&k 711
Mail'iog Address
Id» A(/, 'r -04z
(Riparian Pr a Owner Information)
Signature
CHAgsropl--Yz_yL-,f-/OPL,✓S J-W—
Print or Type Name
Z S 36 (.✓A-k t —D/L
Mailing Address
-� AFV C— it n) C_ 2'1

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Frei
Governor Director Seci
AGENT AUTHORIZATION FORM
)ate:
3�
Jame of Property Owner Applying for Permit:
gnu Reap, --
Wailing Address:
Pk rZ
t
Szl� n �a 1�L Ap
Phone Number: (rlM
I certify that I have authorized (agent) 4 6 . to act on my
behalf, for the purpose of app
construct (activity)
at (my property located at)
for and obtaining all CAMA Permits necessary to install or
This certification is valid thru (date) �9

giant: 4/� pj� Permit #: C �l Y op 2
31}/_ -�
26
'ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
t in your Habitat code sheet.
at 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/o
temp impact
amount)
Dredge ❑ 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 ❑ Both ❑ Other ❑

1483
Wl12/531
WA7ERWAY CREATIONS LLC
S 5 !STONECCHIMNEY 2g462-26 D SW BS. 910-619-0655
Date
P� the
order o
w/'10o� d�
_ Dollars
BRANCH gANpN� AND 1� �� 1 i I 1
i i 1�OFNIMC!!T } NP
For
�:053LOLL2L�:00052942 3754n'0L48