55893D - Schwaiger

ZAMA / DREDGE & FILL
E N E RAL PERMIT Previous permit #
New ❑Modification Complete Reissue CPartial Reissue Date previous permit issued
prized by the State of North Carolina, Department of Environment and Natural Resources `j 21
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / /i- �)61 (/
J Eo'Rules attached.
nt Name &e e i w Ai� Project Location: County /3Q y .v S 4, i Ct
AWZ Street Address/ State Road/ Lot #(s) ���
State ZIp 2 F
C91O FLV ' ,3/Z 9 Fax # ( )
zed Agent t�r prL i'c•/ i✓
❑ CW E;EW [}-"A E ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA N/A
❑ PWS: ❑ FC:
yes / Co . PNA yes Crit.Hab. yes / no
Subdivision
City -/ D Z t40N SAAZIP
Phone # ( ) + River Basin L4�
Adj. Wtr. Body C ND 1 61%T/%mow (nat
Closest Maj. Wtr. Body 04/ Z"" j
of Project/ Activity iZPIJL ,A CiC i 5 ..- (�. r L fi fh'!dt C!a M e 7�G�11,2e,,.,7
(Scale:,
lock) length L� s .1
rm(s)
pier(s)
length
lumber
md/ Riprap length S
ivg distance offshore$_
nax distance offshore `19--
channel
:ubic yards
amp
Ruse/ Boatlift
Bulldozing
ine Length -5 Q If
not sure yes no
igs: not sure yes
)rium: n/a yes Q
yes Q
Attached: yes no
ling permit may be required by:
❑ See note on back regarding River Basin

,Lo ,,d - d e,/I ✓Cy
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
r l tt�a y
I hereby certify that I own property adjacent to (NOwner)
of Property )
property located at 11 -
(Lot, Block, Road, etc.)
on
in 4-
(Wa b (Town and/or County)
Applicant's phone #:�%1 D % 44-3Id 9 Mailing Address: C i3
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
r1 11 — - - - 4- - ) ,- . I- .4 i .. 4 A A e Z4 /1,-YYl_ 6L <,--G CC_
�•.y^_w=ar_ l��K __ _ 7 vtr� _-__Y w' �cr_s_--1_-________r_'______ _.
DESCRI TION AND/ DRAWING OF PROPOSED DEVELO
(To be filled in by property owner proposing development)
No+CJJ
a��4��t
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
J.
/ .lgnature
Mailing Address A4�

CERTIFIED MAIL — RETURN RECEIPT RE UESTFD
DIVISION OF COASTAL i .&T- iAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
¢�0z/ }/ 's
hereby certify that I own property adj ace nt to / G f'Property pO er)
I h y fy (Name of
property located at `�� �%Ay�`��
(Lot, Block, Road, etc.) ) N.C.
Oil �`e w1'J C7��tG,h ,in �f f7S �J�G
(Waterbody) (Town and/or County) �
/h1 _ �� � �_ Mailing Address:
Applicant's .phone #: '6
I-Ie/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.----------
------------------
------------------
------------
-- - ---- -------------------------------------
DESCRIPTION AND/OR DRAWING OPROPOSED }DEVELOPMENT: r attach drawing)
(Individual proposing development must filldescription
S........... .:
you must notify the Division of Coastal Management (DCM) in writing
If you have objections to what is being proposed,
within 14 days of receipt of this notice. Correspondence ( should be mailed to 127 Cardinal Drive I;xt. Wilmington, N
DCM. representatives can also be contacted at (910) 9
4h. amp as no obiection if ou have been notified b Certified Mail
(Property Owner Information)
Signature
Print or Type Name
43 A r
Mailing Address /;
n:- / Ctat p 1 7in
(Riparian Property Owner Information)
Signatur
Print or pe Name j�,�
Z/6/J -�/ i Ue—
Qy
Mailing Address
City tate / Zip

Le-2010 16:23 From:THB PLAN&INSP 9108427003 To:3953964 P.1/1
ZW *A
*11
rirMOR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management pee Freeman
Beverly Eaves Perdue James H. Gregson Secretary
Governor
Director
AGENT AUTNORl7ATION FORM
Date:
ne o prop O no App ing for Permit: N e of Authorized Agent for this project:
pvvner's mailina Address:
Phone Number
Agent's Mailing Address:
Phone Number - d
t certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CANIA Permits necessary to install or construct the following (activity):
(my property located) at
This certification is valid thru dat
Property Owner Signature
Date

tv Permit #. (— c j 7 —�
/ 0//
:ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ri in vniir Habitat code sheet.
tat 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)
!L
Dredge ❑ Fill Both ❑ Other ❑
V
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 0 Fill ❑ Both ❑ Other ❑

JANIE BRITT BROWN
GERALD L BROWN PH. 910-842-5685
510 RUFFIN LN
SUPPLY, NC 28462
BRANCH BANKING AND TRUST COMPANY III II �-/ Zp,
1-8U0-BANK BBT BBT, o• euu
Cl
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I:053 101 211:0005 2144 296341,00 2680
2680
66-112/531
Nane�,e Cesare