52532D - Beasley

CAMA / DREDGE & FILL
iENERAL PERMIT Previous permit#
New Modification Complete Reissue ram, Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC 2A /Z UO
B Rules attached.
Name(Q,C&2 W T oowslPy Project Location: County,3a&„r..r4V/C/_
G. 1 "k /OZ 1 Street Address/ State Road/ Lot #(s) J % CiQ9!/EN
Stated ZIP_Z
Fax # ()
A Agent �"�i Ila 1-cl !eV_e
❑ CW [,-W [_ PTA ❑E5 ❑ PTS
❑ OEA ❑ HHF n IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Subdivision
city OCQv.."7—sle46/flcii ZIP 2FYf ;
Phone # (_ ) River Basin 4.,N
Adj. Wtr. Body- na m
,es /:;no PNA yes no. Crit.Hab. yes / no Closest Map Wtr. Body z2/ A%"AJ
Project/ Activity ogd %�a A f L� TD t �r iSri•� �1 �Oc /� 1r 1P P t jf""C , i4. ..S/
k) length 5 P, f (Scale:1 = 2
gth
fiber
Riprap length
distance offshore-
. distance offshore
innel
c yards
3
_ oatliftx
44 12 is
Idozing
Length
not sure yes
not sure yes <; now -
im: n a yes ,- -no
� yes r_. - - ,
tached: des no
g permit maybe required by: or o d,,,J'S ke d7-,"C h ❑ See note on back regarding River Basin rul,
pecial Conditions 011 re"., d//, A Er r v � %/� . /2 ,9G 411

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3/16/2009 12:34 2111111111
9 09 03:39p Charles Maree
NTC
91 0-842-4049
PAGE 01/01
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UN.24.2005 B:41RM NCDENR WIRO
NO.[158 P.�'
D"SlYSi_Q,N— OF COASTAL• MANAG�?vinN'1
ADJACENT RIPARIAN PR.OPFRTY OWNER WQTIFICA FORM
Frame of Individual Applying For Permi r L
Address of Property. S / tl-, ac /1 ) f
(Lot or Street #, Street or Road)
(City and County)
hereby cerpfy that I own property adjacent to the above -referenced proper y. The individual
applying for this permit has d.,sen"bed to me as shown, onihe amched drawing the development they
are proposing.- A des 'on or drawing, with dimensions, should be provided with this letter,
I have no objections to this proposal.
if you have ab3ections to what is being proposed, please write the Division of Coastal
&Zanagement, L7 Cardinal Drive Fxir_nsion, Wilmington, C 28405 or call 91-•395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mai.
WAIVER SECTION
I understand that a pier, dock, mooring pflings, breakwater, boat house or boat Oft must be set
bek a minimum distanc t of 15' from my area of riparian access - unless weed by me. (If you
wish to waive the setba cl , you must initial the appropriate black below.)
I do wish to waive the I5' setback requirement
I do not with to waive the 15' setback requirement.
Sign Name b Date
Print Name

09 04:51 p Charles Maree 910-842-4049
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
chaei F. Easley, Governor Charles S. Jones, Director
Authorized Agent Consent Agreement
p.2
Alilliarr, G. Ross Jr., 5E
r 1�sG UZ _ is hereby authorized to act on my bet
(Punted Name oft)
order to obtain any CAMA permit(s) required for the property listed below_ The authorizaticn is limited tc
!cific activities described in the attached sketch.
CATION OF PROJECT:
,OPERTY OWNER MAILING ADDRESS:
PHONE NO. O .7"3 0
.JTHORIZ.ED AGENT MAILING ADDRESS:
PHONE NO.
ignature of Property Owner. k_�

WATERWAY CREATIONS LLC
405 STONE CHIMNEY RD SW BS. 910-619-0655
SUPPLY, NC 28462-2662
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BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
For P�M�
1:053 LI I li:0005 294 2
1209
66-112/531
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