50274D - Witmer

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�£AMA / DREDGE &FILL
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GENERAL PERMIT
Previous permit # { %�
❑New ❑Modification ❑Complete Reissue
El Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources -7 , ! ' y U
f"r
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
int Name ' ° 'f 7 , ' r
Project Location: County
;s
Street Address/ State Road/ Lot #(s)
State ZIP
so FA ` T /1 /ps-
# (_� 1 L') l >/ Fax # ( )
Subdivision ',4,-J 9,1 l-lOExc
ized Agent )%eAlylool,
City S L) L. zip Z ply
CW ❑ EW PTA ES ❑ PTS
Phone # River Basin [�
d
oEA ❑ HHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body A41W —MADt (n�
PWS: ❑FC:
yes no) PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body TCV"/1- SOWn/p
of Project/ Activity GaNST%1 dGTiv.J of
(Scale:
dock)lenQth
:r pierts)
n length
number
lead/ Riprap length_
avg distance offshore
max distance offshore
'Q—
,channel
cubic yards
ramp
louse/ Boatlift
i Bulldozing
r
dine Length _
not sure yes no
:ags: not sure yes
torium: n/a yes no
is: yes no
:r Attached: yes n0) f /
(ding permit may be required by: /Ul��/� Co f U/t-f r
/
❑ See note on back regarding River Basir
�A _ - I_ / 7 /1 i/r. ,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to �jy1�g �Lh-ri►q sR is
(Name of Property Owner)
property located at S-0 /T/o-erH eA6-,
(Lot, Block, )(toad, etc.)
on t n�,4t , in SWel-- Ci-ry , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:9/0 - Mailing Address: -S'O /(/•
Jr-•t-e C/7�g.. AIC aS4yS
He has described to me, as shown below. the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�2oO�s�
ay,y a 5
(Information for Property Owner Applying
for Permit)
L
,+,4NJ
(N1L. S,Q rr
(Riparian Property Owner Information)
Mailing Address
Signature

Agv�Kw
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date Za ho
Name of Property Owner Applying for Permit:
\./ -g i s ccs w / -T .,1 6 .c
Mailing Address:
S-10 Al.
I certify that I have authorized (agent)
Y J /r/a.�./.1 �•�/ �2 i iYIdS
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) J-4r--qL- L, x,`
at (my property located at)
This certification is valid thru (date) -7 At /.,u
Property Owner Signature
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to irtEs 1AA-1 rM K�2 is
( Name of Property Owner)
property located at Sy /Vo,e -H K,1 A e r
(Lot, Block, (toad, etc.)
on C/V44 , in YC4eA C;=r e ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:9/O - 42Z-09*41 Mailing Address: —566 /1/• e,a Fs
s, -t,e C, 7 �� A/C .2 834y
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�2� Goy s D
L'AN-►(-
`s ors p%ja,yas
,C
(Information for Property Owner Applying
for Permit)
Mailing Address
(Riparian Property Owner Information)
�� Sig
natule

C Division of Coastal Mgt- Habitat Impact Computer sheet 4o
IT
)plicant: JAy%'*% E 5 W I T(V e VZ
ate.
the name,
and units of
measurement
below the HABITAT disturbances for the application.
All values should
match
)es cribe
ound in your Habitat code sheet.
OTAL Sq. Ft
FINAL Sq. Ft.
TOTAL Feet
for.
FINAL Feet
(Anticipated final
(Applied for.
(Anticipated final
A lied
(PP
Disturbance
disturbance.
DISTURBisturbance
7E'
total
any
Excludes anytotal
includes
a�estorationtoa
Excludes anyFincludes o
Habitat Name Choosanticipated
restoration
and/or temp
temp impactnd
restoration or
temp impacts
impact amount
temp impacts)
amount
�j Dredge ❑ Fill ❑ Both ❑ Otherx
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 0

B & B MARINE CONSTRUCTION
PH.910-540-5135
W45 9TH STREET
SURF CITY, NC 28445
q/-,-,,
RE
First Federal
fEAD, NC 28443
-------------
uB n n i en
1029
67-7194/2532
Date .-. ��
$ Ydo C)
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