53189D - Bremer

:AMA / 'DREDGE & FILL L`.. �.
Previous permit #
ENERAL PERMIT
Vew ❑Modification ❑Complete Reissue [:]Partial Reissue Date previous permit issued
ted by the State of North Carolina, Department of Environment and Natural Resources 2,4112
� 1���2 GO
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC i �/ i� d / es attached.
Named irf�7 £/2 Project Location: County
Street Address/ State Road/ Lot #(s) w2 d L
LQ['1Z f f if>s1 -
x b a D State_P�G- ZI P- !,
9/ Fax # (_)
A Agent k ga r• �%�aZ t
❑ CW ❑w;,EW ❑ 9-TA ❑ Es ❑ PTS
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
i❑ PWS: ❑ M
yes PNA yes of % Crit.Hab. yes / no
Subdivision
City l�tJ C�P� /�r"Ac� zip 2�y
Phone # O River Basin.
Adj. Wtr. Body r2 ' k kV4,1(nat. /,d
Closest Mal. Wtr. Body �74ul"
Project/ Activity C� �t� /J/Q C X fi pe Lf)C e Cf < < f
i
ck) length ' ' �-
:ngth
imber
idJ� rap length
distance offshore
ax distance offshore_
:hannel
jbic yards
imp
)use/ Boatlift
Bulldozing
line Length - -- - /
not sure yesg t
ags: not sure yes o
:orium: n/a yes—
i
is: yes-
w Attached: yes
Iding permit may be required by:
&Z A r/ P
(Scale:,
❑ See note on back regarding River BBasir
I n _Jl ,-) i o /'/ /y, ✓/t ",7 ( -
:s/ Special Conditions 7(et C7t v'i v _ I 1 ii

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
lichael F. Easley, Governor James H. Gregson, Director William G. Ro
Authorized Agent Consent Agreement
%c>rc line Nciri n e Cons t ,-)c+ion is hereby authorized to act on r
(Printed Name of Agent)
)rder to obtain any CAMA permit(s) required for the property listed below. The authorization is lin
?cific activities described in the attached sketch.
CATION OF PROJECT: .
1 I a 00142�►;�
S�
dlclPrn
berc%
OPERTY OWNER MAILING ADDRESS:
T� 'Loc- r\
x b�o w.C. 75 7 3
PHONE NO. 33(o — 5 qF - 9291
!THORIZED AGENT MAILING ADDRESS:
5 �c5 tine, 1 "/ori11 t1s
po (o x )(D� 71
Iy C P2± qL I
Inature of Property Owner:

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to e/ is
(Name of Property Owner)
property located at
r
/ Address, Lot, Block, Road, etc.)
on ajg4 j,,\j( �t,�=( in _ A-, , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature //,,,,
Print ortrype Name
9ro - gtl3- zoz7
Telephone Number
1Zf /8 (0g
Date

DIVISION OF COASTAL MANAGEtENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Penrut: Rnn 6 -crhe C
Address of Property: 1 f a 54.
(Lot or Street #, Street or Road)
91' " I, AIC. 4PIGCz.
(City and County)
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 drawing the development t:
are proposing. A description or drawing, with dimensions, should be provided with this letter
►V 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 28405 or call 910-796-7
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 b,
bek a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to ~valve 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.
Si_ e Date
J r�cl Ovev&Aai
Print Name

5326
SHORELINE MARINE CONSTRUCTION a+
PH.910-845-2224 66-112/531
PO BOX 10671 f /�
SOUTHPORT, NC 28461 _�=" l "-t.�000 Ow, -~.
CDC
Y M
j \ BRANCH BANKING AND TRUST COMPANY
t-800-BANK BBT BBT.co
i:0531011211:0005101753Ll?J3 05326