54483D - Fulcher

-CAMA / DREDGE & FILL
"ENERAL PERMIT Previous permit #
New Modifi?ation * Complete Reissue _ Partial Reissue Date previous permit issued
rized 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
�- [:�Kules attached.
t Namesp iJAI 00 ��" c/ x � Project Location: County
f ea k i Street Address/ State Road/ Lot #(s)
f� Y, 11-r
State o 2_
/S Fax # ( )
edAgent 1"'h42f
of e -Z
_ CW EW
PTA DES PTS
❑ OEA HHF
= IH ❑ UBA N/A
❑ PWS:
❑ FC:
yes / no PNA
yes / Crit.Hab. yes / no
11 4 -.-' 4 fl r -e - -
Subdivision
City ?? / V ZIP 2
Phone # ( ) River Basin
Adj. Wtr. Body '4/ G+i (nit
Closest Maj. Wtr Body _ 'q/ W i..--
Project/ Activity i6e l6 c,4 7 a + 'u S % . „ . U<•H : ' L � t V l��ci C t CX ' S ,/' C;Z 2� ,
(Scale:
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iumber
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vg distance offshore
nax distance offshore
channel
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ling permit may be required by: ,J C (1 14-1-)
Le El See note on back regarding River Basin

ROSNER
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
AGENT AUTHORIZATION FORM
)ate: (Imol A
Jame of Property Owner Applying for Permit:
"A /") r -
Waiting Address:
P. 0, 27gq
phone Number: (9i01(xi
Dee Fre
Sec
I certify that I have authorized (agent) Cld-es a, YY, rL 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 loc
This certification is valid thru (date) �ZLIZ

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:
(Lot or Jtreei FF, street
City & County)
Applicant's phone #: _ Mailing Address: �o,QO�e L!
?.�3 a 2
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pi
has described to me as shown on the attached drawing the development they are proposing. A description of dray
with dimensions must be provided with this letter.
d" I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DI
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drivi
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. jlo response
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, or lift must be set back a minimum distai
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial tf,
appropriate blank below.) --
�— — I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
Information)
Signature ac6r
Print or Type Name
P19Aw Z7V
Mailing Address
. ,11,,,ill. A/r 7VGA
(Riparian Property Owner Inf rm tion)
Signature
Print or Type Name
Mailing Address
a�

9-/,-.
,W
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
r
Address of Property: 63 W LA. 2,
(Lot or Street #, Street o ,�C7ity & County)
Applicant's phone #: — Mailing Address: ' OBOX Z � Lp
q
#C .7,Z-3
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this 1
has described to me as shown on the attached drawing the development they are proposing. A description of dr,
with dimensions must be provided with this letter.
J/0 I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (E
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drip
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]ti jio response
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, or lift must be set back a minimum disto
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial t
appropriate blank below.) -
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information)
Signature
�PAd.4,/./1�1 c�er
Print or Type Name
P /) ov Z7117
Mailing Address
Alr 7-Z9)7,
(RRiiparian Property Owner Information)
Signature
rmA p l Tr'm,4n�
Print or Type Name
1706' f-1 M602L41�= /Gft
Mailing Address
GA v)W ATE ILl/L/ A(G

IS - Track & Confirm
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Label/Receipt Number: 7010 0780 0002 0183 5017 Track & Confiml
Class: Priority WHOT
Service(s): Certified Ma IT" Enter Label/Receipt Number.
Status: Delivered
Your item was delivered at 11:47 AM on May 12, 2010 in
FAYETTEVILLE, NC 28304.
Detailed Results:
• Delivered, May 12, 2010, 11:47 am, FAYETTEVILLE, NC 28304
• Acceptance, May 10, 2010, 9:44 am, SUPPLY, NC 28462
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pyright© 2010 USPS. All Rights Reserved. No FEAR Act EEO Data FOIA 19 iv
]
n
,
FOMTVPI
n
D
Postage
$
Certified Fee
] Return Receipt Fee
]
(Endorsement Required)
Restricted Delivery Fee
] (Endorsement Required)
Total Postage & Fees
$
$4." 0462
$2.80 01
Postmark
$0.00 Here
$0.00
$7.70 05/10/2010

Preview
Pagc
Brunswick County, NC
245CA022
245GA020
sw
245W43 j 245CA042
Z45CA044
245 GA001
2
245GA041
245 CA040
245GA039
245 CA038
Parcel Number
Account Number
245CA042 Plat Date
50586752 Land Value
109507693641 Building Value
$576,000
PIN
$28,630
Owner
PITTMAN EDNA LIVING TRUST Other Value
$1,570
Owner Address 1
C/O EDNA PITTMAN Deferred Value
$0
Owner Address 2
1705 HATHERLEIGH PLACE
Total Taxable Value
$606,200
City
FAYETTEVILLE
Heated Sq Ft
1,096
State NC
Zip 26305
Legal Description L-28 RIVERVIEW PLAT 2/268
Year Built
1960
Bedrooms
1 BEDROOMS
Full Baths
Parcel Street Number
3591
Stories
Parcel Street
RIVER VIEW
Ext. Wall 1
CONCRETE BLOCK
Street Type
LN Ext. Wall 2
SW Neighborhood
Municipality
1055 Fire Tax District
0940 Township
1ni-,;ila4,, A -o
ALUM SIDING/VINYL
Street Dir
506E
Subdivision
Deed Book
TRI-BEACH
Deed Page
LOCKWOOD FOLLY
naafinatR

16'
tions
aif t
ne
0

17
y..
Existing
Lif t
!CWW
2'-Y
2'
12'
1'
14'
10'
3
Existin
Lift
Current Layout of
the existing dock

Division of Coastal Mgt. Habitat Impact Computer Sheet
ilicant: ,e p,J '4t �h ` "/ (L'ij Pti-
�31110
Permit #: -�
;cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
)itat 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)
7 v'
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

cl-l— 1551
WATERWAY CREATIONS LLC 66-112/531
405 STONE CHIMNEY RD SW BS. 910-619 0655
SUPPLY, NC 28462-2662
Date
P Yto the
order o
.� Dollars 8
U
� BRANCH
For1�r7
NNC? CAlN6Df TeRUs��Fo
is053 10 112 p:0005 294 293?541100 IS I