54100D - Bryant

-'CAMA / ❑ DREDGE & FILL 'k MSs'(d "- 15
GENERAL PERMIT G P50 Previous permit #
❑New ❑Modification ❑Complete Reissue [--]Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources . 11 a
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC J'j 1
i'pp Rul ttached.
nt Name G i ' JY l� Project Location: County �5
Street Address/ State Road/ Lot #(s)
State ZIP
# 60) 0 Fax # ( ) SubdjaAsion
t G
ized Agent c�t� City
Y G ZIP o
❑ CW J )<EW ❑ PTA X S ElPTS Phohe # r ) J� River Basin
d ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Bod CO 1'1atS nat
❑7no
ElFQ
y � '
Closest Maj. Wtr. Bod%1yes PNA yes `no + Crit.Hab. yes / no
i
A Project/ Activity �
W V-q to Vl u !
lock) length 2zlif1w,
'm(s) W X 14
pier(s) 2 " X Zo "
length
umber
:ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ubic yards
amp
)use/ Boatlift
ovum: n/a yes no
s: no
r Attached: Dy-
no
ding permit may be required by:
--) i 1
f In I. —)II l-)r), A
❑ See note on back regarding River Basin
1w^AI CY-1, A I A A 1"4'. III V�i

N
ofp' 0�=
r

ItAchas, F. Easlle}r: G-ove-mor James H. Gregson, Djjre&,0r wifflam G. Noss Jr., Secret-iy
Date 7 rfM41
-Name, of Property Owner° Applying far Permitt;
^.�L"rC'+y N . L 2g y�15
% that I have authw—Ize�€ ��� �� ��''' C-Ab icy tv -Ad 4n May
aeon tsr purpose of applyi�� for and o�£����� �i��'���� Pi is ae�esa�� t�
or comtruct el
pr%perty located at; yb XC �' J-7- ESL A /.0 ';8f�'
is valid I r a (date) /(U L/C /Z
Own
Date
Y 127 Sr i-Dfive Ext., Wilmington, Norb) C",mlina 28405-3845
£� i-7 t FAX9IC-.95-31� 4:ntemei: =�.ftGroastaimanageme-,t.nec

04I12f2010 11:03 910675162E PUMER PACKING PAG` 01
.. - t, tom' E�rESTED
DVS N rT
A ACE'�(T R PAENT
t�PE$7'�=—° `� '+' ;Y Lim
The purpose of this Form is to provide pros. er ponce :o yoo as arl adjacent (Varian property owrler to the individual or
individuals listed below, The LAMA General Persists application procedures require that appli=ts provide rite Divis;o t;'2
Coastal Management conf (matiUn that a w, ittert ttacement has been obtained signed by the adjacent riparian prot7srty
indicating that they have no obiec:ion to :hc prcpos.d wrrti or that the adjacent red ba he adjacent
owners have been no[l#�ed
by crttfied maxi of the proposed worts. Oft: n these 'orris are submitted co the adjacent -ipa , property owners by a �
cortrrccor or ether individuQ s acting as ar. r ::thun2ec agenr on behest Jf the applicant.
Tbis form was setxt to ; ou by the foilo*-,irig iuoi;.idual or cam any designated b the !teens as set
p g y
authorized agent: 1?P
c7b ,
r
_,uthori �—rr •
gent's S ignaruro Cate '
Name of individual Applying For Permit: _ ! 3/Ly,Ar r
- -dress of ?rope
(Lot or Street ?`, Stre :r or Rosa)
.rim and County)
i �:e;e5y ceniiv tn21:: own property adjacent IJ Che aoo�'e,(eic(erced p;cpem, The inoividuai appiytng for this permit
gas described to me �5 shown on the attached dray ine the dtvelopmer:t they are proposing. A description or drawl
ith dimensions. should be provided with this letter.'
C .
_ I have no objections to ;his proposal.
If -ou have objection, to what is being proposed, piease write the Division of Coastal Nlanagement. 12?
Cardinal Drive Extenso)a, Wilmington, NC 2840$ or call 910••796-7215 within 10 days of receipt of this notice.
.No response is consider,•d the same as no objection if you have been notified by Certified y:ail.
WAIVtFt SECTION
I understand that a pier. dock, mooring pilings, breakwater, boat house or boat lit't must be set back a
minimum distance of is' 1,-om my area of riparian access • unless waived by me. (If you wish to waive the
setback, you must initial tb s appropriate blank br_iow.)
I do wish io waive the 15' setback requirement.
I do--wi wish to Naive 4ie 15' ;erback requirement. ic, ,. Wt�-T'r
/.
QgamLe Date NCDENR
� . EYw11Q`njr7 MC H+C.1M.I�MCL1
rint Name
9 Istir}

CE >r . fL RET RN C R TED
ADJACENT RIPARIAN PJ ERn' QANER NOTIFICATION/WAC, EF, F!QB.M
he purpose ot'ttlis farm is :o providt proper notice :o you as an adjacent riparian property ow:ler to the individual or
indi'Adcals fisted x1ow.. The CAMA General Pcrrn'.t app;ication pracedurt:s require that applicants provide the Division
Coastal Management confirmation that a Amrten staaemtnt hm been obtained signed by _ire adja •tnt riparian property awtl;ii..
indicating that they have no objection to the proposed work gp thac r♦ie adjacent riparian propertm owners 'rave been nodfi#i
by certified mill of the proposed Work. O,tcn thesz fermi are su>%rnived to the adjacent riparian proper, owners by4.X-00
..
contractor or other individuals acting as an authorized agent on behalf of the applicant_
This form was sent to you by the following iudh klual or company designated by the applicant as an
authorized agent:
Autho Agent's Signamure Da c
Narne of Individual Applying For Perrttit;
Address of Property: �'c `/J" �`7J7
(Lot or Street 0, Street o- Raad)
(City and Coup )
1 hereb- certify that 1 o-n property adjac-.ent to the above-rerererced properrv. The individual applying for this permit
his described to me as shown on the attached draw inrt the der el prnent thev are proposing. A description or drawing_
with dimensions, should be provided with this letter.
I have Ito objections to this prc oosa►.
if you have objections to what is being proposed, please write the Division of Coastal Management, 12'
Cardinal Drive Extension. Wiiwingtou, tit. 25405 or call 91C •796-7215 within 10 days of recelpt of this notice.
No response is considered the same as no objection if y.ou ha 'e beeu nntifled by Certified Mail.
VVAIVTR SECT, 7N
I understand that a pier, dock, mooring pilings, breakwater, boat Louse or boat lift must be set back a
Miniulum distance of 15' from ray area of riparian access - braless waived by ate. (If you wish to waive the
setback, you must initial the appropriate blank below.)
✓ I do wish to waive the 1 S' setba k requirement.
1 d2 not wish to waive tote I:' setback regn,rement.

Division of Coastal Mgt. Habitat Impact Computer Sheet
)licant: d Permit #: 5�i I d0
`e: 5/-9/
►o
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
Ditat 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 and/(
temp impact
amount
Dredge ❑ FilIX Both ❑ Other ❑
o
l so
Dredge ❑ Fill ❑ Both ❑ Other
2dg
5
46
Dredge ❑ Fill ❑ Both ❑ Other
S
W
Dredge ❑ Fill ❑ Both ❑ Other
3 a
l
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 ❑

5702
66-301531 '
451
p nnoaE
PILINGS AN ut�1e
JOHN CASSIDY
PH: (910) 327-200 DRIVE
169 LAKE OXVEY DR 28460 i
SNEADS EERR
order
02fir
first citizensank
etteicizens.co ?n0 2
L 311�
For I,S?L327O
:O 5 3 LOO 300�.�Op