54511D - Sledge

CAMA / DREDGE & FILL
3" 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 --7i1
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / IT
pRules attached.
t Name l -Z/�Q Project Location: County I C(
Street Address/ State Road/ Lot #(s)
/.S L frN,12 State )"'JC- ZIP ��i �- _ WS '51 P" -S .
Fax # ( )—
ed Agent Nl' 2 i[„ I tC t EX T
CW ❑HEW [PTA Cl ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Subdivision
54
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body Otto -SA-
f "V ��- /r
yes /Lfio7 PNA "/ no Crit.Hab. yes / no Closest Maj. vvtr. Body / ► i W
Project/ Activity COnj`IF A T [ SQJSJ l �(if1T1_1 Fi
(Scale:
ck) length
ngth
,nber
J/ Riprap length
: distance offshore
x distance offshore
cannel
)ic yards
ip
se/ Boatlift
illdozing
"P+rwA"LtL 2,Z�xt1
7X
Length
r.rirr_ri�rir.��Ttrrnrt��tarir•�r•■
zq�zl
❑ See note on back regarding River Basin r

i
n 1►4�! A

•5 . :s.,.. ,:.i• .. y• '�• .. '�i• .sl,; c4:..:,�'��. .!'j•^+t .. �lt•.�1.r;..� �;..,•
D-'COASTAL MANACENENT
' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVERFORM
Name of Individual Applying For Permit: _DOL U e f)
Address of Property:
(Lot or Street #, Street or Road)
(City and county)
I hereby certify that I own property adjacent to the above-referenced.property. The indivi
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this ro osal.
P P
If you have objections to what is being proposed, please write the Division of Co;
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mu
set bck a minimum distance of 15' from my area of riparian access - unless waived by in,
you wish to waive the setback, you must initial.the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
.7--7_/a

DIVISION OF COASTAL MANAGEMENT
AD.TACENT RIPARIAN PROPERTY OWNER NOTTFTCATTON/WAIVERFORM
Name of Individual Applying For Permit:.,.
Address of Property:
(Lot or Street #, Street or Road) ,
(City and County)
I hereby certify that I own property adjacent.to the above-referenced.property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this Jett,
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395.
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVERSECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access - unless waived by r
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the IS' setback requirement.
I do not wish to waive the 15' setback requirement.
Vft.

NC Division of Coastal Mlgt. Habitat Impact Computer Sheet
Applicant:SLloCl6ii
Date: 711311 O
Permit* `AS1
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp
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 im acts
FINAL Feet
(Anticipated fi
disturbance.
Excludes any
restoration an
temp impact
amount
0 V V
Dredge ❑ Fill ❑ Both ❑ Other
impacts)
V
(C 5
Dredge ❑ Fill ❑ Both ❑ Others
�
g�
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 ❑

ID L. SLEDGE NCDL 17121.50
'A H. SLEDGE NCDL 2092462
0-933-4328
6TH ST
LAND, NC 28465
BRANCH BANKWO AND TRUST COMPANY
I -WO -BANK BBT BBT.W,.
8487
66-112/531
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