52420D - Brown

CAMA / DREDGE & FILL
GENERAL PERMIT
f INew, ❑Modification LlComplete Reissue Partial Reissue
Previous permit #
Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources j�J /
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC— f� / -2-�
Rulesattached.
nt Name llt' Is �2� /�i.' �.�� Project Location: County /f'/�YeV
s - 7�/ /p Get ��Ll�/� � �/Street Address/ State Road/ Lot #(s)5 2�
xxJ State /JC ZIP ? �1/%
#�'r�,. Fax#()
rized Agent` t l Tim ;VC e 1a m 111f�lZi/.f� ��U
d CW 1 EW 1J PTA �E ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS: ❑ FC:
ye / no PNA - y�/ no Crit.Hab. yes / no
of Project/ Activity
'fib /2 r> /?
'dock) length-Z-5—
>rm(s) 12
r pier(s)
ilength
number
lead/ Riprap length_
avg distance offshore
max distance offshor
,channel
cubic yards
ramp
iouse/�atr L
i Bulldozing
line Length _�> 2le
not sure y
,ags: not sure y
:orium: n/a y
5: y
:r Attached: yl
r.
Subdivision
City ZIP -=
Phone # ( ) River Basin
Adj. Wtr. Body
Closest Maj. Wtr. Body'r !�
rr Xi5- --P6-)CA
(Scale:
ding permit may be required by/-) 1'�WQl/i57-C C-0 " F See note on back regarding River Basir

LAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
-New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC r1/ N ! Z 0,0
_ ❑ Rules attached.
nt Name ��� / ( � V6x L.� ,��LtJ�(/ Project Location: County /V �GlJ �j'ti4
s -3,gx,%!7 LoQf' Z-0Street Address/ State Road/ Lot #(s) 5-,#70 r
Z to / l..�--,7VIV State A/ C ZIP Z
#( )3/` ` r%1� Fax#( )
ized Agent PF�6-T,4 Dci( +-c e-10 119AZ71,t/
Cw EW PTA n ES ❑ PTS �2a -Z3G
d OEA Ll HHF ❑ IH C UBA ❑ N/A
PWS: ❑ FC:
yes / no PNA yes / no Crit.Hab. yes / no
Subdivision e2t
City l, ZIP/
Phone # ( ) 55>?VY River Basin �y144
Adj. Wtr. Body l —61we 7�/L�z / nat
Closest Maj. Wtr. Body y ippz F
of Project/ Activity T f L% (-' F P I Fk!- it /?-T FDO`yt , f r Z Uri ,06 D ey r
(Scale:
dock) length J 4,9 l
length
number
ead/ Riprap length
avg distance offshore
max distance offshore
channel
:ubic yards
'gyp
ous oat' S j3
Bulldozing
Frrp--r,/j,, noCK
line Length
not sure yes no i
1
ags: not sure yes no +
orium: n/a yes 'no
s: yes no
r Attached: ves , no
�56°S `►tSc.R
ding permit maybe required by: 4f,/) It Akoo u 6 k Ct] • ❑ See note on back regarding River Basin

DELTA DOCK & BOAT LIFT , 7653
402 An"A
RIDS DR. 910-636-9700
WILMINGTON, NO 28405
AY
TO THE
ORDER OF
FIRbT CIT1;r. j Bev
vv?
ww.firstcitizens.c:}rQ
FOR
II'007653112:%;531003001:0035319915
J'C 66-30/5'
DATE 31
►sya1=
OLLARS B "

-
�A
NCDENR
North Caroiina Department of Environment and Natural Resources
Division of Coastal Management
;hael F. Easley, Governor James H. Gregson, Director
Authorized Agent Consent Agreement
William Ross Jr.,
G i�A�e//`•v Apia Occl, t t3t�.¢T t, r—i is hereby authorized to act on my bel
(Printed Name of Agent)
rder to obtain any CAMA permit(s) required for the property !isted below. The authorization is limited 1
cific activities described in the attached sketch.
'.ATION OF PROJECT:
DPERTY OWNER MAILING ADDRESS:
? 217-1'2421,, Zoc,,J 4 %-*>
fo
6
�kAa,Uuac-.'f2_
PHONENOX
rHORIZED AGENT MAILING ADDRESS:
PHONE NO. 9/0
r
nature of Property Owner:

Ul V 131V!V Ur t"t-) J iPi—, J.
ADJACENT RIPARaAN PROPERTY OWN -ER NOTIFICATIONMAIVER FORM
•
Name of Individual Applying For Permit: U kz' ,JZA ,8ePWAS
Address of Property. S �iS��rI; iL�G SE� :v,s " `r .'e i)
(Lot or Street, Street or Road)
U/ I I -Al I + 7 op ,v
(City and ounty)
I hereby certify that I own property adjacent to the above -referenced property. The individ
applying for this permit has described to me as shown on the attached drawins the development d
are proposing. A descri ion or drawing, with dimensions, should be provided with this letter.
_ have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cow
Management, 127 Cardinal Drive Extension. Wilmington, NC 28405 or call 910-796-7
within 10 days of receipt of this notice. do response is considered the same as no objectio
you have been notified by Certified Mail.
4
WAIVER SECTION
I understand that a pier, dock. mooring pilings, breakwater, boat house or boat lift must bE
bck a minimum distance of 15' from my area of riparian access - unless Waived by me. (If
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback repuireMent.
I do not N; ish to waive the 15' setback recuirer.Zerit.
Print Fame "

i
DELTADOCK AND BOAT LIFT,
V UU NGTQN. NC 4 V; A&V AR 10 S 'ck Phone: (91 C3 686-9700
WILMINGTON, N.C. 284,11 Fax: [phone]X
:u, 9 to 52-0 e 3 G 1

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name or Individual Applying For Permit: rPa��� �/r✓�,;e� j3�c�ce��J
Address of Property:
(Lot or Street #, Street or Road)
(City and Counry)
I hereby certify that I own property adjacent to the above -referenced property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
I have no objections to this proposal.
If you have objections `to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 23403 or call 910-796-7
within 10 days of receipt of this notice. No response is considered the same as no objectie
you have been notified by Certified iY1aiI.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break --water, boat house or boat lift must b4
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to waive the setback, you must initial the appropriate blank below.)
ame
I do wish to waive the 1 5' setback requirement.
I do not xish to waive the 15' setback requirement.
'i-l2.-o0u
Date
Print Name ,

aui
DELTADOCK AND BOAT LIFT,
WILD NGTON. NC L,� � A9,4 0 S ` Phone: (91 a 686-9700
WILMINGTON, N.C. 284,11 Fax: [phone]X
:u, 910 6zo e'3 (o l

PAY
TO THE
ORDER OF
DELTA DOCK & BOAT LIFT
402 AQUARIUS DR. 910-686-9700
WILMINGTON, NC 28405
'-C-J/f�
/�
eep,
me
DATE 66-30/531
2
365
1 0 First Citizens
Bankfi
FOR
OR
n@nn ?u gqu■ ,-n c; - inn inni:nn; S 3 L99 L 504ua
S u