76438D - Wellen

�CAMA / J DREDGE & FILL
� ENE�AL PERMIT
Jew Modification ❑Complete Reissue El Partial Reissue
ed by the State of North Carolina, Department of Environmental Quality
;oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
N° 76438 A B
Previous permit # G D (v 9$
Date previous permit issued
-1 , 1 9-0o
❑ Rules attached.
Name r9rp A wr L. I Project Location: County r Ar\
Street Address/ Sttaate(�Road/ Lot #(s)
p
State NC ZIP Z I ! D lJ ��1ler r .
E-Mail ClreJ • we1(e4, gN44,cv,,Subdivision
ad Agent DW�X J Ciry ' O�1VIA ZIP
El7❑l CW (tW )(PTA El ES ElPTS Phone # ( �_ River Basin U4
❑ OEA HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: FO! Adj. Wtr. Body O
(es / no) PNA / es no Closest Maj. Wtr. Body --A 7rw
Project/ Activity
(Scale: I
:k) length
.... ".h�m
;e/ Boatlift
illdozing
ig permit may be required by:
_ocal Planning JurisdictionAlf

' (dame of Property Owner)
property located at Y b Qecc We+tom iava-,c Sc - -
(Address, Lot, Block, Road, etc.)
on Loe.k_4-oo,a 4 in %fin 11✓+cl N.C.
(Waterbody (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
I on.
�( I have no objection to this proposal. V-"*
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 drawing)
Move IC 1oa 1-:' (Jot- t4^o.v1 L..e_�-� s J�C. C)! -(; yc2� d&C.14c,
J cl v K . A I s o c-t Jar fv dog /c s v le't e(? o"
o a
W ER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. f you wish to waive the setback, you must initial the appropriate blank below.)
iZ
I do wish to waive the 15' setback requirement. ✓
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
its
Signa
G-' R. tie IIF—
Print orTyX Name
Y9F neCie
Mailin Address
60 �r✓t4. 14,1 C_ z y zz
City/StatelZip
7-0Z—,3fJ0 —FS
Information)
ature *
Zlane1 4 P e*o c un le.✓
Print or Type Name _
.SO( Oe o W-dc' or".lC SE
Mailing Address
60)t'%ad NC- ZFsyzZ
City/State/Zip
9/0- y77 -_370 y
Telephone Number/email address
Telephone Number/email address

'J (,Name of Property Owner)
property located at hr -14- -) c
(Address, Lot, Block, Road, etc.)
on 2.owa J rc 11. in i3 c 11�1 o , N.C.
(Waterbody (City/Town and/or County)
The a�plicant has described to me, as shown below, the development proposed at the above
Ioca
x 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 drawing)
Move F 1 o � y tD c, , Ic l -C,
size- rp,( f��c
o a
o c
W ER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
e. I ou wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. 1%
I do not wish to waive the 15' setback requirement.
(Property Owner Information) Si na
Print orTypb Name r
MailiAddress
6137,1t4 N C 2, q ZZ
City/State/Zip
Z.oz_-.3,:Fa—SXsY
(A J cent Prope ner Inf ation)
Signature
�G,r/'cI �i.,�rPNcon
Print or Type Name
i,•%a ��✓v-}•mac
Mailing Address
[1 n 1 : -� c,
City/State/Zip
Jo 2- L!- � Y
Telephone Number/email address
Telenhone Number / email address

All
402
.10
PT ar V J-a

n (Name)
Name of Permit Holder
Vendor
Chw k NumEw
d h-k
Permit NUmeW/ComMents
Reeol t or R f n&RealMcaton
_
1n3
Column4
Columns
columns
coke-7
ColumM
Columns
Glenn Lee Spach 8-&T
Same _ Bank of America
David Lane _ _ _ FCB
same _� Tower Federal CU
LLC James Allred 0B&T
Mindie and John HenryFCB
2241
200.00
GP #768000
BB rd. 10223
Ben rd. 10293 _
Ben reL 10286-
Ben rcL 00291
88 rU. 10224
5
5388
S _ 200.00 GP #76424D
200.00 GP #76435D
S - 200.00 GP #76438S
1507
3704
2238
f 400.00 GP #764490
8936
200-00 GP 18D