55805D - Inman

-AMA / C DREDGE & FILL
,FNERAL PERMIT Previous permit #
Jew Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
Eed by the State of North Carolina, Department of Environment and Natural Resources `
>astal Resources Commission in an area of environmental concern pursuant to I SA NCAC es attached.
Name
<'hM j ps ^jrjg,,.i Project Location: County
/ V. � � �� Street Address/ State Road/ Lot #(s) % A2 s9 i L
�DL ��l.S ��< <
I�o State,a ZIP F YS
(y v)?- 0 Z �— SFax # ( )
ad Agent t l #j e
❑ CW Cal*/ ❑PTA L3er` ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
(es no . PNA yes k no' Crit.Hab. yes / no
Subdivision
City NU CC�PN /�.R9C ii ZIP
Phone # () River Basin 4 Um
Adj. Wtr. Body
Closest Maj. Wtr. Body
Project/ Activity 'ej d 1 y e t l &,* 1-�, 7, 74 -/o �� 15 -7/•^s r , PA AN C
..
(Scale: /
:k) length
(s)
ier(s)
ngth
nber
J/ Riprap length
distance offshore
uc distance offshore
cannel
bic yards
np
ise/ oatli !
iulldozing
❑ See note on back regarding River Basin i

ADJACENT RIPARIAN PROPERTY OWNER STATFNlENT
(FORA PIERMOOU G PILING.SiBOA"!'UFrfta4THOUsE)
1 hereby certify that I own propem• adjacent tU
(Natne of Property Owner)
propert looted Ott �_�� `) r6,��b6r�EJ � (� ~> �'
(Lot, Block, Road, cte.)
on �1.+c'kL2`,
(Waterbody) (Town andior Coun(y)
Applicant's phone #: L - ( Mailing Address: �� �' I Cxzk?�_�t
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I widerstand that a pier/mooring pilings J boattift; boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me. (if you wish to waive the setback, you must initial the appropriate blank
below.)
1 du not wish to waive
._ Trio wish to waive that setback requirement.
DESC IUPTION kNDrOR DRAWING OF rROPOSYJ) DEV1!:.LOPIVRAT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
RECEIVED
DCM WILMINGTON, NC
SEP 2 1 2010
(Riparian Property O►vner Info nation)
GAG

Nvtb Carolina Department of Environment and Iat ra', t cjiffr s
Division of coaswl managefwnt
everly Eaves Perdue fames H. Gregson
Govwncx DIMIOT
Date; .,._r.
------
Name � Property Owner Applying for Permit;
y�v
Mailing dress.
Phone Number:
Dee Fr emai
Beasts°
to act on m ;
l certify that l have auth zed (agent)
;, _'. _ •ar., . - ,
behalf, for the pwposa Of aPOY1119 for and obtaining all G t A Permits rKreSsary to install or
construct (ectivitY)
at (my property �ocated at)
This oeftification is valid thru a
N
nit

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Label/Receipt Number: 7010 0290 0002 3210 8731
Class: First -Class Mail®
Service(s): Certified Mail"
Status: Notice Left
We attempted to deliver your item at 1:23 pm on August 14, 2010 in
WAYNESVILLE, NC 28786 and a notice was left. You may pick up the
item at the Post Office indicated on the notice, go to
www.usps.com/redelivery, or call 800-ASK-USPS to arrange for
redelivery. If this item is unclaimed after 15 days then it will be returned to
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day. Please check again later.
Detailed Results:
• Notice Left, August 14, 2010, 1:23 pm, WAYNESVILLE, NC 28786
• Notice Left, August 09, 2010, 10:41 am, WAYNESVILLE, NC 28786
• Arrival at Unit, August 09, 2010, 6:08 am, WAYNESVILLE, NC 28786
• Acceptance, August 06, 2010, 3:55 pm, LUMBERTON, NC 28358
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Preview Pagf
Brunswick County, NC
t 246AA002
240AA003
24FjAA004 t
Parcel Number
Account Number
PIN
246AA001
51176800
200505197706
246AA001
Owner BROWN EUNICE F
Owner Address 1
48 BLACKBERRY RIDGE
Owner Address 2
City
WAYNESVILLE
NC
28786 —
L-325 HARBOR AC PLAT 8/13
194
SAILFISH
State
Zip
Legal Description
Parcel Street Number
Parcel Street
Street Type
Street Dir
Subdivision
Deed Book
DR
1042
Deed Page
0717
Deed Date
7/18/1995
24CAE071
Plat Date
Land Value $430,000
Building Value $0
Other Value
$20,000
Deferred Value
$0
Total Taxable Value
$450,000
Heated Sq Ft
Year Built
Bedrooms
Full Baths
Stories
Ext. Wall 1
Ext. Wall
Neighborhood
5005
Municipality
HOLDEN BEACH
Fire Tax District
TRI-BEACH
Township
LOCKWOOD FOLLY
Acreaae

0
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(TOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
1 hereby certify that I own property adjacent to cf ' u
• ame Lof Property Owner)
Prop�y loc � -
(Lot, Block, R ad, etc.)
an in
(Waterbbdy) (Town and/or County)
Applicant's phone 9:�l `� 7'Fy' �Y' Mailing Address: �'�►+ s`k :fz
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boadifl / boathouse
must be set back a minimun distance of fiRxn feet (151 from my area of riparian access unless
waived by me- (If you wish to waive the setback, you must initial the Appropriate blank
below.)
I do no wish to waive
1 do wish to waive that setback requirement-
DESCRIPTION AND/OR DRAWING OF PROPOSPW DEVELOPMENT:
(To JlQed in by individual proposing opmenl)
cn,«
4r
6'
Pl y Pl
Lot
(Information for Property Owner Applying (Riparian Property Owner Information)
` for Permit)
Mt/ailing Address Signature
L
--)Print or Tvne Name

icant: �h-9 f �✓ 9�/
Permit #: 1 — — 0 r�
l� fJ
gibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id 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/o
temp impact
amount
ev,
Dredge ❑ Fill ❑ Both ❑ Other
/ t� ��
/ v Y
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 ❑

4UO b IUNE CHIMNEY RD SW BS. 910-619-0655
SUPPLY, NC 28462-2662
O
BRANCH BANIONO AND TRUST COMPANY
1�OLFeNKBST leioam
For %9L _GPSSFsc�S (810
I:053 10 1 1 2 11:0005 294 2937
5 41100 16 10
10 IV
W112/531
Dote
t 200 ,tea
Dollars 8