54421D - Gray

CAMA / DREDGE & FILL 5
ENERAL PERMIT Previous permit#
r i
❑Modification Complete Reissue []Partial Reissue Date previous permit issued
Ariz.the State of North Carolina, Department of Environment and Natural Resources , /
:.:pasta Resources Commission in an area of environmental concern pursuant to 15A NCAC ? l%U �%� 12 D G
C9 R dt% attached.
it Name,, J6yr-1 Project Location: Countyj72w S <r C
1U O�c lG' Street Address/ State Road/ Lot #(s) Z1./
State ZIP �•Sr9t: _R�'.�5� de ✓��i'�,
f (_ ) `� f -t-Y0 Fax # ( -. ) Subdivisiona'q lj ✓ u� �od� � ,2
zed Agent /.. ✓ Iy J t Sn-'/h City 9% L I ✓ IId ZIP %
I cw Ew L,PTA C; Es I PTS Phone #
( ) /� // River Bastin u: y
OEA HHF IH UBA ]N/A Adj. Wtr. Body�GC/Civo� lY1 f �/i,.F"`htia�
PWS: AFC: '
Closest Maj. Wtr. Body 14
yes / no PNA yes / no Crit.Hab. yes / no
Project/ Activity , , , ,,;w f F , , l-1)G e.( f U"
length
pier(s)
length
number
eeRiprap length ©�f-
avg distance offshore
max distance offshore$
channel
:ubic yards
amp
i
ouse,,--atlift fp X l
Bulldozing
F�«ss ,x
(Scale :/ �r
MEMO MENEM MMMIM MIUMMONE
No MEN
ME!
..■ ■■■ : HE.■�■
■■■ ■■.�...®■■■■.■■ : ■:�::

Ok
3everly Eaves Perdue
;ovemor
im,
HOUNR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
James H. Gregson
Director
AGENT AUTHORIZATION FORM
ate: 12 Y , e--9
lame of Property Owner Applying for Permit:
e G�
Halting Address:
P P. /30x G h as 4
Z2fi BG
)hone Number: (gL)
Dee Freemar
Secretar
certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all /CAMA Permits necessary to install or
Construct (activity) e ! DL
at (my property located at) 4, rs �`� v We - �yZ
This certification is valid thru (date)
Date

CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY. OWNER STATEMENT
me of Property Owner: a w -' '
ldress of Property: d h's > Q— // li'i /jC ze1!'
(Lot or Street #, Street or Road, City & County)
vl ic. nt's phone #: / y / 0 -- 17 0 — /-/ 0 S S' Mailing Address: ,2 .Y-9 it ,t le4.v v,' j r 1142
►ereby certify that I own property adjacent to the above referenced property. The individual applying for this permit
s described to me as shown on the attached drawing the development they are proposing. A description of drawing,
ith dimensions must boLovided with this letter.
I have no objections to this proposal. I have objections to this proposal.
you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
/ilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
ms►dered the same as no oblecdon if you have been notified by Certified Mail. ___
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of
5' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
ppropriate 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 AInoation) (Riparian Property Owner Information)
>igna re Signature
'rint of Type Name
v4ailing Address
L dr O
Print or Type Name
r -0 x
r�'vN r
Mailing Address
U/ i
City / State /

L-
CERTIFIED MAIL _ RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY. OWNER STATEMENT
une of Property Owner: 9A :z Azd
1dress of Property: �P {s /G l 7 ¢ 1$ Be ,✓l{'9, D ►' �0%ram/ e ��. ,z F Yz -z
(Lot or Street #, Street or Road, City & County)
pplicant's phone #: zlefg- S Mailing Address: .28 od El ,�S% -su%
S / VK zf'yb 2—
icreby certify that I own property adjacent to the above referenced property. The individual applying for this permit
is described to me as shown on the attached drawing the development they are proposing. A description of drawi=
ith dimensions must b-g proyidd with this letter.
I have no objections to this proposal. I have objections to this proposal.
you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Wilmington, NC 28405-3845. DCM representatives can also be contacted at [phone], No response is
)nsidered the same as no oblectlon-if You hgvg been notified by Certified Mail
WAIVER SECTION
inderstand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of
i' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
)propriate blank below.)
I do wish to waive the IS' set back requirement.
I do not wish to waive the 15' set back requirement.
?roperty Owner Information)
ignatur
rint o'r Type Name
PD "TVx � y"ry
sailing Address
;ity) tate / Zip
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City / State / Zip

Ik.. WW* Gv w a.a...! AC Gild
t
eJ >u ....q omi/WfN .deaaK La.aM ✓ . uu.....�e ..d
BJ Prr V1Wr a,.rk/aa caB eC as. f>.B M dr dOtKr w o.mmwo.a
4) )V-,b- d l-- rWvo.1 b a1B 03 (iyoN wzvJ Pr eats vet r..tw...r.y
nycw doer Ie.. c«eNb o. fM4'VA
.! B�ri Nora e.rw b ran a.aw b B«e Book UM P*y XOx A4 GIN
f dya 66Wf A Pyr 1e0 .W Bw I—U,..
BJ AwHoa..n A.W .v M1 r.G 1A14 pr �J[T be [law u I0/II�X
%1 !nb f4 17 t to oam00wd y/wa m f.r m /]oad e.urtl xw• A% eYw O.r. l0;
JRY. 7r1fIYMrtla/, IJ.dIL Py.a/ O.e. llf/Ia�M
Lot /
19 Lot /
l� Lot
/ 15
/ I
S-0— B
i
Id � A hrwl Heim
/ SYrbdtrWon
/ W
mlr
Lots
I tl6ld ti 6
0-4 A—* m4 Py. aar
Im�a0. fr
am A40W
t.a.fw
d er"Plir 1 /� 11,*4 V
fcaJtr'
IiesN Jwrt
.MB b Gel 1Tr
Lot
e
Sbatlm B
Ida Rr7ast
0.brood� Hebw
� 1°n� Am4pJ I"
dM ti-ear /—"
B net Mk N L.r net
I PMww/ I
I � 0' 20' 40' 60'
Ww — I `M iadrlr rG.l � I
!B� CLniIN I� eMI LM . IiIiYJ%rr� � I �MyuAa
�I 1-.r t1wrM lYat haf /l I' � CLrr/dw ltao
Ia- mpa c�ovrmorPR AR'
I — I ►a. I
ELM
- -haT--FOR CORD NG-GR CONVEYAN
n..r
��nWoN % � t ws L wort. rMb YN tYr PY! .ar �a.a err
fa..• IMI dr e.fr ✓P+r.rr.
..b..r4l r l: laro►q W/ Yf. I" z�.I b
— — w.r.... ru w aarK ✓ A�.fir LW a.qpdW
■ .

l
97 38'
/
/
Lot G
Lots
sow
15
16Co17
ned
+�
/
�P •`��
in
Deed Book 2256, Page
305
p0 �0
�
Vacant Lot)
O
13163.85 SQ. FT
B
Q0.30
ACRES
3n t
�elrs
�
L
ion
'age 189
V�
RBS
Proposed
w
Bulkhead
Location approved
RBS
by Debbie #jIson
4?
!
N 87'50 35 " W
"
(CAMA) 11124109
00 06
Top of Bank
100.16
��
y
1all 6109
+
D-0.5(
D-3.0'
+
-'I D-4.0' I proposed
14'x16"
1� 50' I Uncovered
'-----I Boat Lift
I I
6
Proposed D-0.5'
TOJ4"
-0.8
ti
+
FYnger Pier
Bottom of Bal
I 10116109
ti
D=I.O�
I
D-J.
+
+
+
D-4.0'
Proposed
P sed I
B'ropo
x20' I
I�Riparian
12"xl2
Floating
I Corridor Line
+
Stationery
Covered Deck
Dock 15.0"
Dm4.8'
I 15" Riparian Corri�

lectronic Government Solutions - E Services
Yage 1 of 1
40 You Are Here: homepage > Tax Record Search > Real Property Search > Assessor Info
Ownership
(Notice: This site data is current as of 10/5/2009)
Ownership & Location Information
Parcel #:
2010003614
Physical Address:
Legal Description:
L-15 5-A HATTIE BRYANT GREET PLAT W/189
Current Owner:
GLOWACKI CAROL 3
Deed Book/Page:
2700/0035
Mailing Address:
3805 FAWN CREEK DRIVE
WILMINGTON NC 28409
Neighborhood:
5011 / HWY211
# of Lots or Acreage: 1.00
Assessed Value:
106,050
d9 - Print current page's data
sitemeter A
567,721

CERTIFIED IMA.IL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
me of Property Owner. V'4 2,✓ k �4 /4 A* Al G/,4 h
dress of Property: Zo & ! L , / % -' l $' �,� a/ /%s' iJs L &Z4,1 2 ��/ 2
(Lot or Street #, Street or Road, City & County)
plicant's phone #: I10 -/ 2,0 — l/G,5 S Mailing Address: 9 IF S % ,f eJ
-reby certify that I own property adjacent to the above referenced property. The individual applying for this permit
i described to me as shown on the attached drawing the development they are proposing. A description of Anyi=
. dimensions must be providtd with this letter.
I have no objections to this proposal. I have objections to this proposal.
you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
ilmington, NC 28405-3845. DCM representatives can also be contacted at [phone]. No response is
nsidered the same as no oblectlon if you have been notified by Certified Mail.
WAIVER SECTION -
nderstand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of
' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
propriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
roperty Owner Inf tiou)
gna e
d4'tea/
int of Type Name
fe 9'o-&- 6 y2.5 L
ailing Address
-4
tv / 9tate / Zip
(Riparian Property Owner Information)
Signature
�rrti �_ �s„✓�'�
Print or The Name
Mailing Address
2Z—
City I State i Zip

L
CERTIFIED MI A.IL—RETURN1 RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PRQPERTY. OWNER STATEMENT
ame of Property Owner: LVA-�ZV,- -i--
ddress of Property: 17 ¢ J $" a ,✓�'s e D r ��/�l��,e N�. Z F Yz -Z
(Lot or Street #, Street or Road, City & County)
pplicant's phone #: yDs S Mailing Address: 2Y'o� ,'— /,9,ri®r f7- S 4:�-)
7- 1" L
hereby certify that I own property adjacent to the above referenced property., The individual applying for this permit
as described to me as shown on the attached drawing the development they are proposing. A description ofdmy ntz,
'ith dimensions must be providd with this letter.
I have no objections to this proposal. I have objections to this proposal.
,'you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
i writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.
Vilmington, NC 28405-3845. DCM representatives can also be watacted at [phone]. No response is
)nsidered the name as no oblectlon-if You hgve been notified by Certified Mail
:.. . _ ........ . WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of
5' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
ppropriate blank below.)
I do wish to waive the IS' set back requirement.
I do not wish to waive the 15' set back requirement.
Property Owner Information)
ignatur
lrl,4--, t/ r G r�_
`rint r Type Name
Mailing Address
;ice tale / Zip
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City / State / Zip

R

/ c.. ^. x ."y� Jie�IcxAYp1;w Cp'Tika r t i %ic 4a rRh •. 9/.58�.tti''f.SS sSi. ,tkeSy
`
Lot Lots
�,`�• 17&18
15 Q� ti� bIn I sCombined in 0 `
Deed Book V56, F096 305 �0
(vacant Lot) titi .ry
13163.85 SQ. FT ti
I B a 30 ACRES y
ant
Heirs t
slon
page 189
osed
RBS Bulk , end roved
44 Location app
4 by Debbie •F3'ilson
(CAMA) IlIZ4109 00 10i
-R wto N 87" 50'95' w 0' �0 Top of Bank
C� 100.18 16/18/09
OF 10
Proposed I �o.S'
e s zl4 I DI Bottom of B
D�
0.0 nnger Pier
a6f I D=1.0 � 10/18/09.
Imo,, I
Al
+1
oposed +
Jr4 D-f.0' �posod Proposed I �� Ri
p�.ian
P
1i 5 p• I Uncovered lgxl8 BxzO Corridor Line.
stet/onM' block 15.0'
+ Covered De --
Riparian_Cor

Electronic Government Solutions - E Services
Page I of
a You Are Here: homepage > Tax Record Search > Real Property Search > Assessor Info
Ownership
(Notice: This site data Is current as of 10/5/2009)
Ownership & Location Information
Parcel #:
2010003807
Physical Address:
Legal Description:
L-8 S-B 0.785 AC PLAT W/189
Current Owner:
HEWETT PERCY O III
Deed Book/Page:
2200/0002
Mailing Address:
1604 TURKEY TRAP RD SW
SUPPLY NC 28462
Neighborhood:
5011 / HWY211
# of Lots or Acreage: 1.00
Assessed Value:
529,760
49 - Print current page's data
sitemeteiAA
567,714

,Lockwoods Folly River,,,..
I
r
' r
+-

WAYNE B SMITH 66-7143/2531 1131
EDELTROUDT SMITH 0000146876
NCDL 3882013 NCDL 3926265 , 2]
PH. 910-842-6317 /`' —
2800 ELEANOR ST. DATE
SUPPLY, NC 28462
e PAY TO
DOLLARS
i x , Ifle I/mi ,Yoh
SECURITY,
SAVNNa BANK
Shallotte,%NC��Y9'r'!
28459
MEMO p 61---
1:2S3 L7 L4301: 000014687611 1131

x
l2"x \1 = I L1 L�
? u F

Postage
Certified Fee
etum Receipt Fee
'sement Required)
icted Delivery Fee
sement Required)
Apt. No.;
Box No.
'ate, ZlP+4 , 1
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
1�eve ll
� � Y %r A'� y tr4lf Ac/
'5' /� :z� y� z
A. Signature
x
_(%�
¢ f°- Agent
Received by ( nted ame ),
El Addressee
C. Date of Delivery
D. Is deliv ry address different from item 1 ? ❑ Yes
If YES, enter delivery address below:
Tg'No
3. Service Type
Certified Mail C] Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
(Transferfr( 7009 1410 0001 3437 1359
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540
Postal Service
Q..
CERTIFIED MAIL7.I
RECEIPT
mOnly;.•
(Domestic
Provided)
m
_ ..:'
m
Postage $
1•' 4
vt
r•R
Certified Fee
$i.vii
tJi
M
IO
Return Receipt Fee
(Endorsement Required)
�t �! i
Postmark
Here
Restricted Delivery Fee
(Endorsement Required)
$! 1.11!)
r--3
Total Postage & Fees
'S•4
12r'0712011$
Er
o
E3
Sent To
-
Street, Co.; ��___.....
Apt No.;--------------•
or PO Box No. - �-- -- UC /
-- P % 1-s "� d
-
City State. ZIP+4 ��
/,
Z --•----------------
r rr.