54474D - Masonboro

CAMA / DREDGE & FILL
ENERAL 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
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �� t(
ules attached.
t Name ; t ,t Z i i U Project Location: County �l F4ti t l t' t ✓`
Street Address/ State Road/ Lot #(s)
IlYY1t;k It _ State 1VC ZIP d0ti1C�1
(_ ) l - J Fax # O Subdivision
ized Agent
d ❑ CW
❑ OEA
❑ PWS
yes / no
1
EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA , / no Crit.Hab. yes / no
Project/ Activity
Jock)length
pier(s)
length
camber
Bad/ Riprap length
ivg distance offshore_
nax distance offshore
channel
:ubic yards
amp
ruse/ Boatlift X
Bulldozing_
ine Length
not sure yes
igs: not sure yes
arium: n/a yes.
yes
Attached: yes
ling permit may be re
Gixy `11V►1E ZIP
", • , ,err ,l
Phone # (�'� jG) }� (r G River Basin CU
I
Adj. Wtr. Body k[ 6,61( . gnat
Closest Maj. Wtr. Body A M W
014
(Scale: ( //

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!3/30/2010 16:33
9107919777
MASONBORO BOAT YARD 1 PAGE
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to (h y C- 's
(Name of Property Owner)
property located at
(Lot, Block, Road, ate.)
On- 14AnL4nL Jn �1 Aeo— ,1W7 /Ur��✓ N! �✓ff, N.C.
(Wa r y) (Town and/Or County)
Applicant's phone #:&a) N7y -642/2 Mailing Address: 3600 - L &P-W h
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled In by property owner proposing dew1opment)
(Information for Property Owner Applying (Riparian Property Owner tion)
for Permit)
Mailing Address gignatum

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIERIMOORING PIL.INGSBOATLIFTYBOATHOUSE)
I hereby certify that I own property adjacent to ('*,)_ e - Is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on ` W� _ cep h1 f, U) , in 1 !� R �l/c.,l 17 , N.C.
(Vaterbody) (Town and/or County)
Applicant's phone #: 'q -70 "&10 _ Mailing Address: 3 `00 - � • Cv �
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 / boatlift / 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.)
R� I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying 40
for Permit)
Mailing Address

Division at Coastal Mgt. }habitat impact Computer Sheet
e: l
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
Disturbance total disturbance. Disturbance disturbance.
DISTURB TYPE
includes any Excludes any total includes Excludes any
ibitat Name Choose One anticipated restoration any storaltiontord restoration temp impact
restoration or and/or temp acts amount
temp impacts) impact amount temp impacts
�v v Dredge ❑ Fill ❑ Both ❑ Other' ' a U I�O
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 CO] Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both 0 Other 0

:_.._--. FOR SECURITY PURPOSES. THE BORDER OF THIS DOCUMENT CONTAINS MICROPRINTING
r 66-7172/2531
CAROLINA MARINE CONSTRUCTION, INC.
Ph: 910-793-4143
I{ 3600 E South College Road PMB 326 DATE Wilmington, NC 2B412 V
P AY
TO THEE NA
ORDER OF
COOPERATIVE BANK
WILMINGTON, NC
A� 1
MEMO: / � �d'J'�r
00L.248I'm 1:25317L7213
199000 2 L L 71"