54471D - Beach

l CAMA / D DREDGE & FILL L
31ENERAL PERMIT Previous permit#
NVew ❑ Modification Complete Reissue ❑Partial Reissue Date previous permit issued
irized by the State of North Carolina, Department of Environment and Natural Resources rr77 //��
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC //y, x/ a
/ � i, j '- [EMules attached.
it Name.2'C/7'C/'/ /%©r/fy ©,n a.n l C Project Location: County �,eu�✓Sw/C/�
0. �'p x b S 6 �1 Street Address/ State Road/ Lot #(s) f SD �✓
"P,?-) 1 fZe ZPAe.4 State
(2-1-�) ye9422© Fax # C—) Subdivision
tedAgent do ifY7` City0CP^, 1SlP SCAc4 ZIP 2 7//;
C CW 0EW D-PTA C--ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Phone # ( ) / / River Basin Ll/i7�
Adj. Wtr. Body �cd 62 ep/4f �uai✓'/
Closest MWtr. Body Z^' w
yes / q§.. PNA yes /� Crit.Hab. yes / no 9- ��
f Project/ Activity
(Scale:
)ck) length ✓�
mgth
amber
i�prap length
g distance offshore
ax distance offshore
hannel
bic yards
np
ise/ Boatlift
iulldozing
ie Length 7iJ
not sure yes no
:s: not sure yes o,
-ium: n/a yes 64'
(&— no
Attached: X 2 & no
ng permit may be required by: ❑ See note on back regarding River Basin r
. . — /1 / 1 1, 1 1 - _ i // / i AA n - I- - _ _.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNERNOTIFICATION/WAIVERFORM
Name of Individual Applying For Permit: ] �jATE
Address of Property: 160 • WES-r 3a-V
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent. to the above -referenced property. The indivk
applying for this permit has described to.me as shown on the attached drawing the.development t
Are proposing. A description or drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Con.
Management, 127 cardinal Drive Extension, i�iilmington,. NC 28405 or call 910-796-7
within 10 days -of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bE
bck a minimum distance of 15' from my area of riparian access -unless waived by me. (If
wish to Nvaive the.setback,'you must initial the appropriate blank below.*
I do wish to waiv"e the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
3i3 ,
Name Date
AlIMA

c
DWISI_ON OF COASTAL tviANAGEMENT
ADJACENT Rti'ARIAI�I 1'ROFERTY bWNERNOTIFICA'TIOHfWAIVERFORM
Name of Individual Applying For Permit: TATIE
Address of Property: 15d WEST 8aA ST'
(Lot or Street#, Street. or Road)
(City and County)
I hereby certify that I own property adjacent. tothe' above -referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the. development -they
are proposing. A description or drau¢inQ, with dimensions, should -be provided with this. letter.
I have no objections to this proposal.
If. you have objections to wbat Is being proposed, please write the Division of Coastai
Management, 127 'Cardinal Drive Extension, Wilmington,: N-C 2840.3 or eail 9.10496-721.5
within IQ days'of receipt of this. 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 piling , break-)Ynter, boat house orboat lift must beset
bck a minimum distance of 15' from rriy area of riparian access - unless waived by me. (If you
wish to waive the.setback,'you must initial the. appropriate blank- below.)
JX I do wish to waive the 1 5' setback requirement. '
I d not wish to waive .the 1 5' setback requirement.
Sign Name �' Date
Print Name
733939
Telephone Number with Area Code
lux
NCDENR
Mo+M Gwa�.. CPMTMC. ai
Gmwa�.wm Me Nau�K Relau�cu

r.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Gael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Se
Authorized Agent Consent Agreement
go In116 is hereby authorized to act on my beh�
(Printed Name of Agent)
ler to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
fic activities described in the attached sketch.
kTION OF PROJECT:
\N gil 6Wc V STF61 T
1s LE 5b�c}� , t x' 7 84(19
'ERTY OWNER MAILING ADDRESS:
W SST ago ST. OWj t 9A55OGPk"R 00 -- Mto mN wA� n 4
' k1 n N EvuE�"t- L U
K-C, 78A o9 PHONE NO. 91
ORIZED AGENT MAILING ADDRESS:
T-ATE
>• 5o z.4-
C-A;,4 USUE SBA � t-1L . 2-J!?) 4-�
PHONE NO. 9/d /� " D 6) Z
''—T
ure of Property Owner:

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Division of Coastal Mgt tat Impact Computer Sheet
cant: 3e"00 /'IA -je y,a.V --'; 61 c to /r%, G Permit #: -5- L/ -.11)
ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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/c
temp impact
amount)
0
Dredge ❑ Fil1Z Both ❑ Other ❑
CIAO
/ e7d
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 ❑

JESSIE & MYERS CONSTRUCTION
puBOX 50u
OCEAN ISLE BEACH, NC 28469
NORTH CAZUii=^
mw
ro/*s **4'
ORDER OF DEHNR ,
Four Hundred and
DEHNR
WILMINGTON REGIONAL OFFICE
DIVISION OF COASTAL MANAGEMENT
127 CARDINAL DRIVE EXTENSION �
WILMINGTON, NC 28405-3845 SIGNATURE
msmn 150 W. Third
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