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?LAMA / 'ibREDGE & FILL 'ENERAL PERMIT Previous permit# Wew —I Modification ❑Complete Reissue El Partial Reissue Date previous permit issued -ized by the State of North Carolina, Department of Environment and Natural Resources ;oastal Resources Commission in an area of environmental concern pursuant to I NCAC //�• ���� 7.�f: f�1GZ es attached. t Name Project Location: County lRi/*✓X4 /C k Y / h iYxzz' se ,✓ /Ai/Street Address/ State Road/ Lot #(s) 1-2 iR S- jt�••+S4✓i�k State /y TZIP ©p y /,6 -214 2S'1-07S Fax # ( ) ed Agent C. X4,d *f .. t U CW LI EW PTA --E ES -1 PTS ❑ OEA ❑ HHF - IH ❑ UBA G N/A ❑ PWS: i lI FC: yes'_ PNA yes / no Crit.Hab. yes / no Subdivision City /yoL d e.., ZIP 2 F-yn Phone # ( ) River Basin L w w 0 Adj. Wtr. Body (^-,0 L (nat Closest Maj. Wtr. Body Project/ Activity n/ S 'A L f IV e w �uL%�� P� d f 2vo�A L L X S .� %/ • t eLu d4 l-^ S ?�.4 l [ iy P,,.+ SGl.4 C p•� /�Lv' 1 �, �ac /rC . (Scale: % ck)length ngth nber ;VRiprap length distance offshore_ x distance offshore cannel >ic yards ip se/ Boatlift Aldozing a« %V Length J 4r not sure yes not sure yes a um: n/a yes yes C?) attached: yes I nO9E ig permit may be required ��,,by: pIder UC it ❑ See note on back regarding River Basin r 5 0' Drposed vinyl )' R Im. ON isting Dock Proposed Floating dock Cana n CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT y property JLa�SCl<<Z - is I hereby certify that i ownadjacent to _._. i // /t / (Marne of Property Owner) property located at —� / ' (Lot, BI c oad, etc.) in , N.C. on ��C,t� (Waterbody) (Town and/or Coun ty) , Applicant's phone #: J 3 Mailing Address: i a✓i He/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 OF PROPOSED DEVELOPMENT: (Individual proposing development mustkll in description below or attach a site drawing) Wall III�III �loatngd dock 1 �- 1 �I A /-C�? V!� I.2 � /�zO. eL�T/ P L Canal P IL If you have objections to what is being proposed, you must notify the Division of Coas alvranagement (DCM) in .�r within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, r DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no obi ction if you have been notified by Certified Mail (Property Owner Information) Signature Print or4TyvDpeame 44f Mailing Address (Riparian Property Owner Information) i1ggZna*ture , Print or The Name 2/3 />,�. 1�,�s 5+-- Mailing Address 9&--P Af VEATIFTED KUL RF('EIPT RlK01!vsrr ) DIVISION OF COASTAL MANAGEMENT ADJACYNT It)PAl IAN I'ItI)PERIY OWNER STATENIVA`I. 1 h.=by Certify that I town prupemy adjacupt to (Nilme of Property Owticr) petty ttxatcd atfjeii�i�-t-C--�..- _...... ....... _.� an1et�i.�>!i (14aterbotly) (Town antll/o�.r C:oudty) ASlplic�tnt's tsht,llc ��:•�_� IVfailing AtWres: T .f��ri 1f Hv/Shc has dcscribed to the as shown below the cktvckq ment Ilctshe k proposing at that [neatlon. anal I have no obje�.tions io the 1tt1a3%at. DESCRttI' ON ANDK)R DRAWLNG OF PROPOSED DEVELOPMENT: (Imlividmal proposi"g develupmem tarts! t)l in desc riplion below or atlaeh a site drtcwingj J - WN 4Aq W Of (ALAR-9170,) e t. cat 1. b ehelpw z If you have objections to what is being proposed, vorr most woiify the Division of 'apt a \f n�emeat (DCM) lif writin wilbin 10 days of rw ipt or this uotito. Currvolm rdsace : timid be malled up 127 4-ardinat itrivc Ext. Wilmir4fl4lN■ NV VC'M reprtsetitafires can awv be contackd id {9lit) 796-7215, No roisuonve is considered the same as no obketion if you have been notiftod by Certified Mail (PC t)vl wr Infor-tlt tiu t 'heft orA'yNIatne rx�� A11P, Mailing P cliri!: % kil Stan: iZ.ip (Riparian 11rupt-rly Owtwr Infurmation) r'f St �'1tillUtrt: Print or Type Mum ,tNncin»r Akl,lresa City J mote I Zip _ IS - Track & Confirm Page 1 UNITEDSTATES POSTAL SERVICE, Track & Confirm Search Results Label/Receipt Number: 7008 0500 0000 3885 5203 Class: First -Class Mail® Service(s): Certified Mail"" Status: Delivered Your item was delivered at 6:47 AM on March 15, 2010 in DALLAS, TX 75265. Detailed Results: • Delivered, March 15, 2010, 6:47 am, DALLAS, TX 75265 • Arrival at Pick -Up -Point, March 13, 2010, 2:12 am, DALLAS, TX 75222 • Arrival at Unit, March 13, 2010, 1:59 am, DALLAS, TX 75222 • Acceptance, March 08, 2010, 3:04 pm, SHALLOTTE, NC 28470 Home Track & Confirm F{ Track & Confirm Enter Label/Receipt Number. Notification Options Track & Confirm by email Get current event information or updates for your item sent to you or others by email. Go > Map Customer Service Forms Gov't Services Careers Privacy Policy )yright@ 2010 USPS. All Rights Reserved. No FEAR Act EEO Data FOIA Is U.S..Postal Service,., CERTIFIED MAIL,., RECEIPT ru Ln Ln (Domestic Mail Only; No Insurance Coverage Provided) For delivery inforniatlon visit our webslte at www.usps.com® CO Postage $ ED Certified Fee Return Receipt Fee Postmark (Endorsement Required) Here C3 Restricted D(Endorsement Required) 7-1 elivery Go Terms of Use Business Customer Gateway nt Preview Pagc Parcel Number Account Number PIN Owner Owner Address 1 Owner Address 2 City State Zip Legal Description Parcel Street Number Parcel Street Street Type Street Dir Subdivision Deed Book Deed Page Opal Data Brunswick County, NC 232PF003 232 P F004 232PF005 232PF004 Plat Date 50235524 Land Value 201618409471 Building Value $430,000 $83,070 FANNIE MAE Other Value $12,300 Deferred Value $0 PO BOX 650043 Total Taxable Value $525,370 DALLAS Heated Sq Ft TX Year Built 75265 Bedrooms L-294 CANAL B PLAT 7/22 Full Baths 2,206 1962 3 BEDROOMS 126 Stories FAYETTEVILLE Ext. Wall 1 ALUM SIDINGNINYL ST Ext. Wall 2 Neighborhood 5005 Municipality HOLDEN BEACH 2995 Fire Tax District TRI-BEACH 0631 Township LOCKWOOD FOLLY 11 igni,?nnca Division of Coastal Mgt. Habitat Impact Computer Sheet icant: ' C w� td SC hyL Z Permit #: 4/2/�� tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat 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) Dredge ❑ Fill ❑ Both ❑ Other ❑ U 141,9 Dredge ❑ Fill Both ❑ Other S(/ U 6/ 0 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 ❑ WATERWAY CREATIONS LLC 405 STONE CHIMNEY RD SW BS. 910-619-0655 SUPPLY, NC 28462-2662 .TAM ord o 0 o c F BRANCH BANIONO AND TRUST COMPANY 1�004L M §W BWoam c up C ) For 9A& Date Wd . Da 1:053 10 L L 2 L1:0005 294 2937541100 1486 1486 66-112631 Dollars 8