54571D - Oldham

'CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
Npw 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 pursu
it Name Z?p V.4 [ D
2YI,� .l17ca'w0� 1.?,4, L _
.,9-,vI-ee 1� State ZIP
( YYZ-6z7y Fax #( )
zed Agent Tif /" P) V Vi9k /v,�
i CW ❑-EW []-PTA =,ES I PTS
OEA ❑ HHF ❑ IH - UBA N/A
PWS: ❑ FC:
yes / no PNA yes =t Crit.Hab. yes / no
ant to ISANCAC //i. /20o
C,-FRules attached.
Project Location: County L" /v J; C
Street Address/ State Road/ Lot #(s) V 9 o!9e1Jc,,-
Subdivision
City0c,co.`' 1S,Ze 11G f�cf ZIP .27 Y,
Phone # ( ) River Basin Lu,v
Adj. Wtr. Body C�9,1A t. o A91 w (nat
Closest Maj. Wtr. Body 1!9/" ,,y
f Project/ Activity W Pa o !9 i -P j � d 0004,1.L, �f
(Scale:
)ck) length
)ier(s)
angth
ember
id/ Riprap length_
,g distance offshore
ax distance offshore
hannel
ibic yards
mp
usei(�oatlift � 2
Uldozing
ie Length ._'���
not sure yes no
;s: not sure yes no
rium: n/a yes no
yes no
Attached: yes no
r
If
ing permit may be required by: !/CE fi/✓ ,� �SL� l3E/�C�� ❑ See note on back regarding River Basin r

I J f
ased 1NA,
ift with 5xl6ft.
Nay
It -

Mham Ay bac,e �'/o -
I F. Easley, Governor
AN,M ::�Zq rn
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Charles S. Jones, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Secre
:5zm l V0(10 M is hereby authorized to act on my behalf
(Printed Name of Agent)
to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to th
activities described in the attached sketch.
'ION OF PROJECT:
Iq 4 �0/1 S+ 0 _To
;RTY OWNER MAILING ADDRESS:
IV 0
PHONE NO. Q I q '� 14 a �' -) If
iRIZEDD AGENT MAILING ADDRESS:
HIV a���a
PHONE NO. 10 - �q.3' q,0�
- -f 0--t- M W�"41vx- -

1 b/ 2U111 UJ f: 34 J3bMbbbUb PALL WARTER TREATMET PAGE
L-14-2010 00:36R FROMWARNAM' S DOCKS&BLLK-! 910-755-6871 TO." 03689G56W P.1
1,1-7-3--ert-�orj y Ir old fl
lu
DIVISION OF COASTAL MANAGEME TT
,ADJ _CENT RIPARIAN PROPERTY Q—ViJ9R NQUEICATIaN/WAIM FQF:M
Mane of Individual Applying For Permit: QQF! 614,2M
Address of Property; �rt�on �'- o--�,6 A/C.
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-refareaced property. The individual
applying far dais permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
.' ' I have no objections to this proposal.
If you Gave objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-13900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have beet► notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift tnust be set
bek a mW mum distance of 15' from my area of riparian access - unless waived by me. (Ifyou
wish to waive the setback, you must imitbi the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 15' setback requirement,
d2a, -a-/o
tgn Name V Date
'P
Print Name .ii:

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Ocn V fd hG m
Address of Property: �q SSA Sf
(Lot or Street #, Street or Road)
(City and County)
NC
I hereby certify that I own property adjacent to the above -referenced property. The individ,
applying for this permit has described to me as shown on the attached drawing the development ti
are proposing. A description or drawing, with dimensions, should be provided with this letter.
X_ I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coas
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
within 10 days of receipt of this notice. No response is considered the same as no objectioc
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If y
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
1C� I do not wish to waive the 15' setback requirement.
4k;mmv�.z U�
'l 1 1D
Si Nam0 Date
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Division of Coastal Mgt. Habitat Impact Computer Sheet
licant: ,/e,j�L d OG c�h9� Permit #:,/-L
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
iitat 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 fina
disturbance.
Excludes any
restoration and/c
temp impact
amount
57 Ij
Dredge ❑ Fill ❑ Both ❑ OtherA
2,) 1--1
2 ��
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 ❑

VARNAMS DOCKS & BULKHEADS INC
1574 MONSTER BUCK ESTATES
SUPPLY, NC 28462
910-755-6861 7
DATE
TAY
O THE
ORDER OF f � , f ) s
T/)J % �I � nni I AP-(Z
BRANCH BANKING AND TRUST COMPANY
1-M-BANK BBT BBT.com
FOR P�`yl r�'- o c'PS�mo - cw.
Il'00006 148no on 5 3 10 1 12 11:000 5 2 15 79 211'