53964D - Bruce

CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
JNe\v ❑Modification _ Complete Reissue ❑Partial Reissue Date previous permit issued
>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 , Z� J
❑ Rules attached.
it Name Project Location: County�—
> 1�^ �. % \k '= Street Address/ State Road/ Lot #(s)
State— ZIP
(c Fax # ( ) Subdivision
ed Agent
CW -!EW P£TA ❑ES ❑PTS
OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS ❑FC:
yes / no PNA yes /,Q Crit.Hab. yes / no
Project/ Activity
Jock) length
rm(s)
length
camber
aad/ Riprap length_
wg distance offshore
nax distance offshore
channel
:ubic yards_
amp
ruse/ Boatlift
Bulldozing
City 00 OS i L ZIP 7 �LI
Phone # ( ) River Basin 'Arc
Adj. Wtr. Body-))) j L L + & k (nat
Closest Maj. Wtr. Body
■■■■■■■■ �■Y�■�1®�■
ine Length ■■■■■Fmiii■■■■I®■■
not sure yes Qq-'1■■■/'.■/■■■■■■■■■■
igs: not sure yes ■■■I./■■■N■N■■■
yes
■ x_
. ■■■a■■■�v■■■�
(Scale:
ling permit may be required by:
Cb-
El See note on back regarding River Basin

JOB NAME
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(PRESS'
;YSTEMS, INCORPORATED
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JOB NO.
P.O. Box 1156
Ocoee, Florida 34761-1156 VERIFIED BY
407-877-6632
1
PAGE OF
DATE
SCALE

• DIVISION OF COASTAL IVIANAGENENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
.�arne of Lndividual Applying For Permit: �h+ �j l,p 8 r(d(!L
address of Property: (Os"Jr
tits f-� 03
(Lot or Street €, Street or Road)
146611-1,,,) N. C-
(City and County)
I hereby certify that I own propem' ', adjacent to the above -referenced property. The indiv.idua
applvina for this pe.•-mit has described to me as shown on the attached drawing the development the,
are proposing. A description or drawing. with dimensions; should be provided with this le ner.
161 I have no objections to this proposal.
If you have objections to what is being proposed; please pyrite the Division of Coasto
'Iana,zernent. 127 Cardinal Drive Extension, Wilmington, INC 2S40: cr call 910-3955-390
within 10 days of receipt of this notice. l o response is considered the same as no objection i
you have been notified by Certified 'Mail.
WAIVER SECTIO.
I under stand that a pier, , dock, mooring piiin?s. break -Neater, boat house or boat lift must be si
bck a minimum distance of 15,' from my area of riparian access - unless waived by me. (If yo
wish to Nvaiye the setback. you must initial the appropriate biank below.)
G. I do Nyish to Nvaive the 15' sedbac'.c reauirement.
I do not wish to waive the 15' setback requirement.
Sioan Name
d
Date

DIVISION OF COASTAL MANAGENMENT
,'k-DJACENT RIPARIAN PROPERTY OWNTS. NOTIFICATIONA VAI`rER FORM
.game of Individual Applying For Permit:8r4--
�SS�
A.ddress or Propz: ry:
(Lot or Street r, Street or Road)
,C
(City and County)
herelov certif;v that I own proper adjacent to the above -referenced proctie
e—,.. The MdiVid.ut
m applying for this pe.it has described to me as shown on the attached drawing the development
pro: A deSCr:ptton or drawing, «with dimensions; should be prop ided with this le -,Le:.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
NIaaaaernent. 127 Cardinal Drive Extension, Wilminaton, I C 2S2.0f cr call 910-- -390
oithia 10 days of receipt of this notice. No response is considered the same as no objection
,Vou have been notified by Certified Hail.
WAIVER SECTION
I undo: stand that a pier, dock-, mooring pilings. breakvi-ater, boat house or boat lift must be s�
bcl: a minimum distance of 15' from my area of riparian access - unless waived by me. (If y o
��ish to v,aive the setback, you must initial the appropriate blank- Mow.)
I do wish to the 15' setb-c' requirement.
I d ; not wish to waive the 15 setback re L'lremer i.

PHILLIP D BRUCE 101
655 HUGHES RD
HAMPSTEAD, NC 28443-2103 66-11Z
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BRANCH BANKING AND TRUST COMPANY
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