53191D - Boyer

CAMA / DREDGE & FILL
HENERAL PERMIT
Blew Modification ]Complete Reissue EPartial Reissue
Previous permit #
Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources �� / GO
>astal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Name?"r- A11V /,c (�TE Ot
P0� ?ex
/1 i9 [ Vf/ 11 ewe StatePA zip 16�
Fax # ( )
-d Agent
❑ CW E3EW' F -pTA Cam. ❑ PTS
OEA ❑ HHF ❑ IH ❑ UBA A N/A
❑ PWS: ❑ FC:
res / no _ PNA yes /4
Project/ Activity 1 w
A) length
(s) /2,
er(s) _
igth —
nber
i/ Riprap length
distance offshore
x distance offshore
i
cannel
oic yards
np --
ise/ Boatlift
ulldozing t
'x/o _-I
ie Length _ b 7
not sure yes
gs: not sure yes
rium: n/a yes
I
yes
Attached: yes
Crit.Hab. yes / no
r
53
Project Location: CountyCLN.�S w
Street Address/ State Road/ Lot #(s)�
-,r-SCP 4✓ef7t
Subdivision y�
CityDLGA�✓1 zlP27Y6
Phone # () River Basin L b ,
Adj. Wtr. Body c) C12 O1 e anal;/rr
Closest Maj. Wtr. Body %% 4yj w
(Scale:/
ling permit may be required by: Qe'Pw" 1SL P ��/AL� ❑ See note on back regarding River Basin
/ Special Conditions S�%zNC7Uof C P) f / r Q F� �� rJ-)

AVA
MCD6 R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
hael F. Easley, Govemor James H. Gregson, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Secrel
kir� is hereby authorized to act on my behalf
(Printed Name ofof Agent)
der to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
:ific activities described in the attached sketch.
ATION OF PROJECT:
1PERTY OWNER MAILING ADDRESS:
HORIZED AGENT MAILING ADDRESS:
PHONE NO. ! �2Ll 7 E -�> -/ & a 4
PHONE NO. S 11 S "_ - o JC'i
ature of Property Owner:
6L
ature of Authorized Agent:

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I, Samuel T. InmaF l�kg nd Surveyor, cert I fy
that the ratio c►° 1 1 q �° 000 +j and meets the
minimum standards C GI�c°f • ��as; surveying in
North Carolina. + . 0
Witness y honol and l this a�a f January, 2008.
y. a
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Sa el T. Inmar� F�1S� � „ —277�
nljTy, `` jj' 16
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N -i A
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Isle
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Lot I
Most
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LOCATION MAP
D\d Sand Cn¢tK
ocean ts\e Hest B\�d
At\onto
NO SCALE

DEAN G SILER 2132
DEANS HOME IMPROVEMENTS 66-112/531
PH.910-755-6888
P O BOX 6448
OCEAN ISLE BEACH, NC 28469 r
DATE C `
PAYTO THE
t�
ORDER OF zn/ d Y aL/ C. %%� �� `� C y
DOLLARS
a
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.Com
FOR QnGa. 49 GP 531Q1 _._.C.. .�-_.. c/ "�-- _.._.—_.
11'0000 2 L 3 211' l:0 5 3 l0 1 L 2 Li:000 5 l9 7 3 l 300 711'

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: (_ �l C�(' eccl 1
(Lot or Street #, Street or Road)
E "ill C3C• �"
(City and County) Q y�
I hereby certify that I own property adjacent. to the above -referenced property. The individc
applying for this permit has described to.me as shown on the attached drawing the development th
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 Coas
Management, 127 'Cardinal Drive Extension, Wilmington,. NC 28405 or call 910-796-72
within 10 days -of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
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 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
4� `-'C �/ ' / y - e8
Sian Name Date
A N K A (A w
Print Name

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
rrl r �'1r s Jaen N odgs o�
a o ?
Ld h 4e-
d, � y71;�--
A. Signature
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) of Delivery
�PCC 7 Date , 0 �
D. Is delivery address different from item 1 . LJ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7008 0500 0000 3875 0829
PS Form 3811 ,February 2004 Domestic Return Receipt 102595-02-M-1540