53111D - Barbarie

CAMA / ! I DREDGE & FILL
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�EIMERAL PERMIT
New -'Modification ❑Complete Reissue CPartial 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 15A NCAC %,
[PRules attached.
:Name ,QN AW 13 A R6 AIQ-1 e Project Location: County
To &( ^776 Street Address/ State Road/ Lot #(s)
'x9Aft K State C41 ZIP 1151 l7 I I ( NtAlTC ftek L N C vC
(SA r2Z,6-I ito I Fax # ( ) Subdivision Ct- ( dC I lsi
ad Agent !�IwHeN ( CN MM City 5T)� ZIP_
ElCW ❑ibW L7PTA
❑ OEA ElHHF ❑ IH
El PWS: ❑ FC:
❑ ES 1- PTS Phone # ( _) River Basin ( G
❑ UBA El N/A
Adj. Wtr. Body �t �N 5 i� mat n
yes / ro PNA yes /� Crit.Hab. yes / no Closest Maj. Wtr. Body MLtJ LA I
Project/ Activity � L icL -E L—o � O(g Day- r- � �iC I sin t 6 � � ��
(Scale: 1
:k) length T- —
(s) —
- i{� L
er(s) txo1�
igth
I ' I
nber
fV
I/ Riprap length
,distance offshore
x distance offshore
annel f _.
sic yards
1p
se/ BoatliftNY
Adozing !
WT
I I
not sure yes
um: n/a yes
yes, o
Length
not sure yes
\ yes 050)
-ig permit may be required by: j ❑ See note on back regarding River Basin rt
Special Conditions A,L_A_ ( oN) ITl aN 01' -7H , ja-,; PVC - Si�A—r�- V VY

DIVISION OF COASTAL MANAGF,MENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: NC n c rJ 4C
Address of Property: JI I W h'`� p vvo—ryy e�
(Lot or Street #, Street or Road)
(City and'County)
I hereby certify that I own property adjacent to the above -referenced property. The indi`
applying for this permit has described to me as shown on the aftached drawing the developmer
are proposing. A description or drawing, with dimensions, should be provided with this let,
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of G
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no objec
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
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 13' setback requirement.
♦ VNNNP:. A

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:�-
Address of Property: U I W K L7keh e P^O n CO `'
(Lot or Street #, Street or Road)
.C,
(City acid County)
I hereby certify that I own property adjacent to the above -referenced property. The indiN
applying for this permit has described to me as shown on the aftached drawing the developmer
are proposing. A description or drawing, with dimensions, should be provided with this lets
✓" I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C1
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
40.4(- �L� 4
Sign Name

�3/Vi/ZVUy 11 Z4 FAX 1�31bu4ZJ3(8 ULYMYlU 1NJUKANUE AGENCY t000ltoo
03/03/2a09 80:16 9107914319 STEPFEN CONWAY „PAGE
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N I ; GDENR - 10 711-43 i1�
North Carclln DepaMtent Of Environment and Natural Res S
Divisioh of Coastal Manit�ment
Mioha•I F. Eeaky, �3Qv�R1Or Cherlee S. Jones, Director
William G. R08A Jr., 5
Authorized Agent Consent Agreement
Is hereby aut razed to act on my beh
in order to obtairli any CAMA parmit(s) required fbr the property listed below. The a thorization is limited to
specific activitle-% cWscrlbed in the attached sketch.
LOCATION••
♦ _b j6�.� ��.a s
PROPERTY OWNER MAILING ADDRESS:
/
84K 72 r
PHONE NO
AUTHORIZED A013NT MAILING ADDRESS;
IA -
Signature of Propwrty Owner
Date:

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S. B. CONWAY CONSTRUCTION CO.
P.O. BOX 7363 910-790-9737
WILMINGTON, NC 28403
66-85/531
0272174266
f DATE
PAY TO THE
ORDER OF
Ro
g RBC Bank- `
4932
$ 26tD- 02�
p
DOLLARS 0—"'.,a:
RBC Bank (USA)
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MEMO.9�' ky- 1 /_Aar/►4
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