52592D - Bullard

,,CAMA / i_ ! DREDGE & FILL
31ENERAL PERMIT
!New;' Modification -Complete Reissue Partial Reissue
Previous permit #
Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources
;oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7ZH . I J C (2
ules attached.
t Name JrJ ft--v) iU LL ttv2
State !� ZI P
(V) 7Q - u, r� Fax # ( )
ed Agent
CW -FW PTA E41ES 1 PTS
OEA -1 HHF 7 IH 71 UBA N/A
PWS: ❑ FC:
es / no ; PNA es / o Crit Hab es / no
Project Location: County
Street Address/ State Road/ Lot #(s)
iCtGJ! KA&S J rh,1O1N& rz,-3.
Subdivision
City l�ht��_� ZIPS411
Phone # ( ) River Basint
Adj. Wtr. Body 'A 1 oyy at J?
y y y Closest Maj. Wtr. Body k l O W
' Project/ Activity IJ:N a4@ kw U jhio 66754
f
(Scale:
-k) length
i(s)
ier(s)
ngth
tuber
I/ Riprap length
distance offshore
xdistance
toffshore�'
cannel 12� A2c X—A
)ic yards 37 8
e Length 7 lt".j✓
ng permit may be required by: ❑ See note on back regarding River Basin n
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Special Conditions t C �/l/%%/%%iiiU,� IiJI �/7_ 1,c;r , Lj,c t— -dm7u c--'

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor James H. Gregson,.Director Wllllam G. Ross Ji
Authorized Agent Consent Agreement
is hereby authorized to act on my t
(Prim ed Name of Age )
AIrl
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limits,
pecific activities described in the attached sketch.
,OCATION OF PROJECT:
ROPERTY OWNER MAILING ADDRESS:
N1 S1
UTHORIZED AGENT MAILING ADDRESS:
-�3600
PHONE NO.� -7 p — 96' 7�
PHONE NO. J Y/O) 79,3 — 41YW3

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FOR -IM
Name of Individual Applying For Permit: I/K "11411-
Address of Property:
(Lot or Street €, Street or Road)
(City and County}
I hereby certify that I ov,!n propenzy adjacent to the above -referenced property. The indi-•id
2pplying for this permit has described to me as shorn on the anached dmwinQ the de,, e;oprne:,t t
are proposing. A description or drativinQ, with dimensions; should be prop ided tirith this Rz:per
I have no objections to thisproposal.
J
If you have objections to what is being proposed, please ivrire the Division of Coa<
Manazement. 127 Cardinal Drive Extension, Wilminawn, INC 23-1.05 or call 910-39-;-3!
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
«-ABIR SECTION
I understand -that a pier, dock; mooring pilings; breakiv ater, boat house or boat lift muse be
bck a minimum distance of 1�;- from my area of riparian access - unless NN•aived by me. (If,
Wish to waive' the setback. you must inirial the appropriate biank Wow.)
✓ I C� ti� lsh t0 v ai e � b -a.
ii.c l_1 5e'.u,:�:�t�lllr-:::e:it.
I ca riot wish to waive the 15• setback requirement.-

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: /W ti� 6,10
!� �+ � ��
Address of Property: S� ��� s /_ft/yd,& /y ,
(Lot or Street #, Street or Road) )�
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The indivi,
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A descri tion or drawing, with dimensions, should be provided with this lette:
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coo
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-1
within 10 days of receipt of this notice. No response is considered the same as no objectic
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bi
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 requirement.
I do not wish to waive the 15' setback requirement.
a

FOR SECURITY PURPOSES, THE BORDER OF THIS DOCUMENT CONTAINS MICROPRINTING =
CAROLINA MARINE CONSTRUCTION, INC. 66-717212531
f Ph: 910-793-4143
3600-E South College Road PMB 326
Wilmington, NC 28412
DATE
� AY
! TO THE
ORDER OF
i
1I
4
COOPERATIVE BANK
WILMINGTON, NC
MEMO: /7✓ll� 4"C / M /}�-- — — —
G?5a5 GP5.359 2 (Pe Co.D
' II00 36 7 tun 1-
' .253L71728i. 1990002L1,?II