54461D - Smith

Previous permit #
Date previous permit issued
9RUles attached.
Project Location: County -6a f A, s g-✓ , c /4�
Street Address/ State Road/ Lot #(s)% % 6✓� L /y
S T.
Subdivision
city 1�7� c.9r L e 6of'c % ZIP 2 �;
Phone # ( ) River Basin L c✓nj
Adj. Wtr. Body C fI (nat
Closest Maj. Wtr. Body
-ICAMA / --]DREDGE & FILL
GENERAL PERMIT
IVew J Modification Complete Reissue ❑ Partial Reissue
)rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
t Name I C. 4,0( "t , 'e" , h
S Z '7 vZ .sk'1 c .7Pn
fi�� ✓� ��/ State IVC ZIP .2 G
Fax # ( )
'zed Agent 4 v /4.+2
.d ❑ CW [t7 E•W E�P-TA C� ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
l:
❑ PWS: ❑ FC:
yes /Cno - PNA yes �-rtoj Crit.Hab. yes / no
of Project/ Activity )
lock) length - >6 j)`,,v
rm(s)
pier(s)
length
camber
gad/ Riprap length
wg distance offshore
nax distance offshore
channel
:ubic yards
amp
aus oath/5� X /L
Bulldozing
Y..
ine Length 5
not sure yes r
igs: not sure yes 02 `
rf I I
orium: n/a yes VLi
yes I
r Attached:xr yes no
ding permit may be required by: C 40,9 r' < L e P q
(Scale: / "',
❑ See note on back regarding River Basin
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NCDENR
North Car©lina Department of Environment and Natural Resources
civision of coastal Management
Easley, Govern.or Charles & Jones, Director Willlarm G. Ross Jr,. Secretary
Authorized Agent Consent Agreement
UA 's hereby authorized to act on my behalf
(Printed Name or Agent)
to obtain any CANIA permit(s) required for the property listed below. T`ia authorization is limited to the
activities described in the attached sketch.
:)N OF PROJECT: Pka�e
l.znR61.5+ oz e
C�
ITY OWNER MAILING ADDRESS.,
'51g'o
Rio 7�=6g71
'ToQk PHONE NO. q 16
:IZED AGENT MAILING ADDRESS:
_ NC
PHONE NO, gla- l 7 oq T
of Property Owner:
. e //A ae. iu . - 1/4 .

DIVISION OF COASTAL MANAGEMENT
-ADJACENT RIPARIAN' PROPERTY OWNER NOTIFICATION/WAIVER FORYI
lame of Individual Applying For Permit: 7eLrq :5m i4ii __ .
address of Property:
(Lot or Street 4, Street or Road)
Arv'&Sf�,hc'_k Co wlh
(City and County)
hereby certify that I own property adjacent to the above -referenced property. The individual
,pplying for this permit has described to me as shown on the attached drawing the development they
re proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmin, on, NC 28405 or call 910-395-3900
vithin 10 days of receipt of this notice. No response is considered the same as no objection if
'ou have been notified by Certified Mail.
WANER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
,ck a minimum distance of 15' from my area of riparian access - unless waived by me_ (If you
vvish to waive the setback, you must initial the appropriate blank below.)
f
I do wish to waive she 15' setback requirement. Pe tieek q S t�,v
aS :5houm 0/I Ct �a�r
I a' - ^ not wish to waive the 15' setback requirement.
n' 4IJ-1 ►c)
i g n Name Date
TRMR m . V��\ii' AVZP AVW:dCW&

18-2010 08:36 AM SHIRLEY GARNES,'SPIVE'Y 910 579 5226
P.
IYam Of individual Applying For Permit: T
Addtts Of Property:
► )(01901,ce Clow
(Lot or Street 1f, Street or
W
/ vC
, City do County)
I hereby certify that I own property adjacent to the above -referenced property. The individual
applying for this permit has described to rile as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
1 have no objections to this al.
P�
I .Umkff%WW that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbag► must be
set.bwk a rnirihnum distat>Ce of 15' from my area of riparian saxes unless waived by me. (if you
wish to waive the setback, you musi initial appropriate blank below.)
` I do wish to waive the 15' setback requirement.
I d -= wish to waive the 15' setback requirement.
e'
.Ae%i 1 K2 i_/ NUCEIMA

'1 a ♦lip
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:ant: 7e2, . y *S'-; i //'I
3/Zy/d
Permit #: ✓ yy r /
'ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
i in your Habitat code sheet.
at 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)
LI/
Dredge ❑ Fill ❑ Both ❑ Other
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

VARNAMS7DOCKS MONSTER &BULKHEADS INC
CK ESTATES
SUPPLY, NC 28462
910-755-6861
TOTHE-
ORDER OF
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HATE . 9 3-- 1V
BRANCH BANKING ANO TRUST COMPANY
1-SW.BANK BBT BBTXGM
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FOR -- - '
n'00006064ll' 1:053 LO L L 2 L1:0005 L579 211
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