74819D - Winders

ICAMA / ❑ DREDGE & FILL
31ENERAL PERMIT
New ::]Modification ❑Complete Reissue El Partial Reissue
No. 74819 A
Previous permit #
Date previous permit issued
-ized by the State of North Carolina, Department of Environmental Quality
:oastal Resources Commission in an area o environmental concern pursuant to I SA NCAC (�J
��I + ulesa ched.
t Name Project Location: County
Street Address/ State Road/ Lot # s
r T State/"6- ZIP % F ! Z /
3� 7 70 E-Mail Subdivision
ed Agent
❑ CW 1� EW >a PTA \ e6 ❑ P'TS
❑ OEA /❑ HHF ElIH ElUBA ❑ N/A
❑ PWS:
Project/ Activity
'ngth -
mber \
d/ 'prap length
g distance offshore
uc distance offshore
City L'' ' �'` ZIP
Phone # ( -T— River Basin
Adj. Wtr. Body %�M--4--i��G o��i
at If
Closest Maj. Wtr. Body�(����L
ng permit may be required by:
Local Planning jurisdiction)
See note on back regarding River Basin r

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: MCA 1 V W � N I)C—'Y
Mailing Address: �� �1 • ��� %k:�,je
Phone Number: C�t9
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: a \IOui�-A'k
�-
at my property located at
in CLnaor. County.
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
W.l
Signature
i
Print or Type Name
V\cy'(e- O L--co<
Title

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �C62�_ �� �� 's
f (Name of Property Owner)
property located at _ 12G1 � C-�Gt� �'
(Address, Lot, 11319ck, Road, etc
on s -.in $�tA2r Ci }�i . 1 e(1a46;,� Cam. N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above loca
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawirn
WAIVER SECTION �(..�� Q p f 5.0
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set be
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to M
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.
(Property Owner Information)
Sigr ut ure
s�04
Print or Type Name
(Adjace P rt wner Information)
Print or Type Na/Ve � � ��
yS -Y"" �_

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to SC(;n 01 � W��l ��� 's
located at '�Z� 1� (Name of Plopert Owner Zg4t
property (iV :��(� i� , 1 L.
on i C-�,)
(Waterbody)
(Address, Lot, BI
in S.x%
Road, etc
1-J 1 P
(City/flown and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above loca
—ri I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawini
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set bE
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to M
the setback, you must initial the appropriate blank below.)
I, V 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
s!a'Ljr�
� ff
S rtulznc_ Sign lure
V Al I E 0
Print or Type Name Print or Typ Name
0-CA d (16L t V- A

APPARENT
crrtLnvr- LIAM; VL/10/LLIU/
N74'20'33'E 11CP
OVERLAP
LEGEND
2.27'
N/F
MON— EXISTING MONUMENT
ARNOLD
EIR— EXISTING IRON ROD
CP
4022/203
CP — COMPUTED POINT
WATER LINE
® — ELECTRIC PEDESTAL
INSET
©— CLEANOUT
N — WATER VALVE
kDWALL
S 6-36'00'
137.18' EIR
�S36*18"E 98.29'
EIR IN
PVC S36'59'16"E M
04
N36.59'16"W 236.29'
POND
© 50.09'
(EIR IN PVC TO CP)
7ARE
bo
u'
„�
ro
a
N
N
OVERLAP � 0
O p Q
FUTURE DEV LOT M
HEADWALL
NO
WZ PIN:
/
4234-02-2916-0
0.27 +/— ACRES
EDGE OF
1E�H
i1
0 0 0
PAVEMENT Z
SCALED
WETLANDS
12.0
ABC
DECK
CHAIN
PER M8 23. PG 35
rn
FENCE
�
p D
.
46.0'
?.
28.1
70
CP \ 0
N36'3 00"W 242.20'
rn
®
<n
<
PORCH
2 STORY
cn
m
I"E
DECK
DWELLING
11'
—
ON PILINGS
CONC
A
NOTES:
o
DRIVE
O
1. SOLID LINE'
SURVEYED, RE
9"E C rX.
16.1
2. THE ERROF
—�'
LOT 48
4 .8
DEPARTURES
?--7
PIN: 4234-02-1973-0000
o
O Ln
ANDALL ME
COORDINATE I
"W
0.28 +/— ACRES
1 0
1
pp
3. SURVEYOR
FOR EASEMEN
ap
OWNERSHIP, T
AND CURRENT
SCALED
N36-36'00"W 237.98'
EIR
4. ALL DISTAI
WETLAND
WETLANDS
PER M8 23. PG 3S
S DRAWN U DER MY
Ln
BOUND,
,L SURVEY MADE UNDER MY
N /F
A
N
ON RECORDED IN BOOK AS
URSO
`D
4-
OTHER REFERENCE SOURCE
���111I1///��
2149/159
A
A
LOT 48 &
IES NOT SURVEYED ARE
CA/,�0%�
0D
TOPSo
VFORMATION IN BOOK A�
\����
\ S'S •. (/�%
E
Do
OTHER REFERENCE SOURCE
A� O . of �O ' , ti
41
PRECISION OR POSITIONAL
_ 9
a SEAL
THAT THIS MAP MEETS THE _ ; r' ; =
= L-4955
EIR
)ARDS OF PRACTICE FOR LAND
; r
F (21 NCAC 56.). THIS
O
9y 1o_''
�
N
o
4
Q
i_ ✓ '. .Q110\ 30
0 15 30
60

Name o/ Permit ttkhar
Vondw
Check Number
Check
amount
Pemdt Numbw/com m
Roc ipt or Ro/und/Rea/located
rd
colamM
columns
cobmrM
Cokam7
columns
Columno
vices LLC
Ca Fear Marine FCB
Sean Winders Truliant
Robert Park Coastal Bank and Trust
1 Robert and John Martin Coastal Bank and Trust
3313
5548'
$ 200.00
GP •71872D Tmac rd. 10996
GP #74819D _ JD rd. 10846
GP A76456D JJD rd. 10782
1 GP 076453D I JD rd. 10781
$ 400.00
rst xmm'
3324
S 200.00
ftuctlan
33231$
200.00