55828D - Johnson

CAMA / DREDGE & FILL
I
E N E RAL PERMIT
Previous permit #
New ❑Modification'Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources b
Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
Ckavlfs
Rule attac ed.
t Name L' I!15cyv
Project Location: County6J
GthS ill i4aj
Street Address/ State Road/ Lot #(s)
njeAevi'k
tate N C zIPZ$3 --1-1
-+O+3
�?�' S+r-a+`_-
3
( ') - G 3�" Fax # ( )
Subdivision
O
I F► I� ((d v
zed Agent I Vl/(� 6 L4j l)r
City' � + ZIP O�
C CW AW X PTA ES ElPTS
p4 et# (C o M-L-4 5 River Basin
C OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
I
Adj. Wtr. Body �� nat
C PWS: ❑FC:
yes / no PNA yes no) Crit.Hab. yes / no
Closest Maj. Wtr. BodyC-hjolo -ZU06t
A Project/ Activity
VivaJ /.oA
(Scale:
lock) length _ .—._.. _.
pier(s)
length
umber -
!ad/ Riprap length _
vg distance offshore
iax distance offshore_ ax 2
channel`
ubic yards `• `� -!Yl �1A I 1
AA t111J l( I X
amp C�
)use/ Boatlift 9dait it � ►fit t<-�
Vo#f► r L� ► Zi of -04 -
Bulldozing l� l bVIL.i1 aA.
W I NAI- W A1,L, t" 2(p' Zl�� 11
)aSeb IS X 55 °it 101 Cx zc'U(t
ne Length 55 / [
not sure yes
cgs: not sure yes no /
)rium: r yes no
yes
Attached: yes no
1.
ling permit may be required by: Iot See note on back regarding River Basin i
I-__._.^--1------ --�I1 17rh -.I3 11t:\ n..A III i..LP...II c.l-aI_ n.,A i„1, -I ,,i,.L;-,

ILNAM
LL, SOUTH CAROLINA 29059
AC 803-496-5027
Poll Free: 1-800-922-7001
ate Toll Free: 1-800-845-7051
�C,
South Atlantic Region 800-9,'
919-&
Santee Region 800-8,
803-7;
n�
Fr
101x 2,1; ' -Dock
s 5' Lo+

NCDENR
North Carolina Department of Environment and Natura
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director
Date L/l 2 //c
Name of Property Owner Applying for Permit:
Mailing Address:
v E�/041 6Oti, V'-
vi lfe /V C, Zff3 l Z
910- Lw-9137
Resources
William G. Ross Jr., Secretary
I certify that I have authorized (agent) , G h T %o✓ /�07rj YI °� to act on my
behalf, for the purpose of applying for and obtaining all CAINU Permits necessary to
install or construct (activity) 5:eCt L�/Gt a lld Qi (, ,
at (my property located at) 70 q � SeVp,lyg .S'�f, 5L)4 C3Y VC
This certification is valid thru (date) 7/% 1/y
-�Z / qIb a
Property Owner Sig*ure Date

Name Of _==dig -ideal App�
$Cr pe_'•Tlit :
Address 0= ?rope.:ty: -70 4 74-�, S�
(Lot or S - ree t T: r
NIC,
tr�et or Road, Ci.`_Y
I hereby certify that I own property
referenced property. The individual adjacent to the above -
referenced to me appi}-i na for this Pest has
as shown on the attached drawing the. deveiDp,nent =•hey are proposing. A description or should drawing, rwith dimensions,
be pC � with this letter.
�T
have no objections to this proposaj.
a
rca + o fi M--
Sii T Q
waders :and bat a pier, dock,, .moor=ng s bz +-
D�._2IIg r
house or boat lilt azust bei;wa..e; , boat
set bacr a ms.z=mum d c! .stane o. - =r
MY a= eC a==ipa_r.an access
• - srzless waved by me . �-r -
waive he setback, you j • _ the
_= you wise to
vY mum.. �.s �zai he `ppropriet .blanl: below. )
do wish to waive mho lS se- ach rern:ire'rant .
L-L-IlQy wish t0 waive the iS I Sez:b 3.c}C 'rec
„z gn T �!�

Name Of individual Applying For Permit
Address 0- Property:
(Lot or Street #,
/-k
or Road, Ci ty County)
I hereby certify that I own property adjacent
referenced Property. The to the above-
P P Y- individual applyiIIg for this �erlrit has
described to me as shown on the attached drawi
they are proposin ng the development
g. A description or drawing, with dimensions,
should be provided with this letter.
K�&_T have no objections to this proposal.
•
_on if
o as
- ro a a
io r o
I uaderst8ad
aouse
that .a pier,
doah .maar"=g ceilings bi• +-
earwa,.e�,
or boat
lift L o
38LIS .. 'J_
,.
set 'ba._r
, � boat
c ' r :mites: distance
my area O-
.=._ar1an aCcesS
of
-me.
vrai�e the
aetbach, you Y muzL
itia?
y (.7_ you. wish to
the
aaProPriate blanlr below.)
'I do Wish D wa4 ve she _S e
Tt wish to waive the, --
1� sa__�Dack requixamant_
r

Division of Coastal Mgt, }habitat Impact COMPutar Shee
t
,,
plicant: aOV"
iW scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
)und in your Habitat code sheet. FINAL So. Ft. TOTAL Feet FINAL Feet
f I
•labitat Name
TOTAL Sq. Ft.
(Applied for.
Anticipated final
DISTURB TYPE
Disturbance total
includes any
Excludes any
Choose One
anticipated
restoration
restoration or
temp impacts)
and/or temp
impact amount`
Other
Zc, O
`—` -' O
Dredge ❑ Fill ❑ Both ❑
�cJ
Dredge ❑ Fill Both ❑ Other ❑
Other
Dredge ❑ Fill ❑ Both ❑
��
❑ Other ❑
Dredge ❑ Fill Both
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 [IDredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other 0
(Applied for.
(Anticipated ina
Disturbance
disturbance.
total includes
Excludes any
any anticipated
restoranioaand/or
restoration or
temp Pc
«o..,n imnarts)
amount)

LIGHTHOUSE MARINE CONSTRUCTION INC.
P.O. BOX 2532
SURF CITY, NC 28445-0028
PAY
TO THE
ORDER OF-__JLf
Bank of America
i�ACH Ri1053000196
z P. 558Zg
II' 0 0 3 8 4 8 u■ �-�--�
01-10
DATE
�.0 5 3000 196': 2 3 700 54 L 588 7u'
3848
66-19/630 NC
702
$ �n eo 0,0
s...,;„
OLLARS