54084D - Carson

'"LAMA / ❑ DREDGE & FILL .;
GENERAL PERMIT Previous permit #
�"/Vew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ionzed by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC w) i LJJ
' (�ules attached.
int Name - �0'm fr cl Project Location: County F),>e, �
,s Z-5 3 5 Twcuc (I C\
SAP E L H I t-L State Oc ZIP rm 1
# RA) W1 L LI S"7 6 Fax # ( )
ized Agent
d CW ?EWRTA ❑, ES ❑ PTS
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS: ❑ FC:
yes PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
10Q)6(, (,-'r, sT.
Subdivision
CitysL,n.(, ZIP-Z'CaH
Phone # ( ) River Basin C PP
/Laa W`)
Adj. Wtr. Body ! r" r, . P �yi, %.. j U (nat
Closest Maj. Wtr. Body PC; w Y/
of Project/ Activity Z tz Ssr"LL I ` x ; L. ? I-A-T f o i,-r` — ,!> k y- L !- "s ,-/ e—�'
x ! to
lock) length
•m(s) l oo( 114
pier(s)
length
camber
md/ Riprap length
ivg distance offshore_
nax distance offshore
channel
:ubic yards
amp
3use/ Boatlift
Bulldozing
ine Length
not sure
yes
igs: not sure
yes
xium: n/a
yes
yes
r Attached:
yes
(Scale: ) 11,
ling permit maybe required by: fs" tL F C.� y ❑ See note on back regarding River Basin

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
L/
Ti-l" ,� U is
(Nam of Property Owner)
property located at t? �k S- ,
(Lot, Block, Road, etc.)
on , in (%,ef C/TzJ , N.C.
(Waterbody) (Town and/or ounty)
Applicant's hone #: �9976Mailing Address:us J149Ce. &���'
I hereby certify that I own property adjacent to
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
---------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
aa2-.�- J;kz
Mailing Address Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
�i� (Name Property Owner)
property located at �y
(Lot, Block, Road, etc.)
on , in N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:
Mailing Address: ��� `J xe.4�4e-
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------z -------------------------------------------------------------------------
- ----------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
�- I hereby certify that I own property adjacent to � ��% '►`' C f'
q (Name o(Property Owner)
property located at
(Lot, Block, Road, etc.)
on , in �U,C�<%�� , N.C.
(Waterbody) (Town and/or County)
76 /
Applicant's phone #:I / / Mailing Address:r�J �.� J�E>,� /<2�i�
ll til
He has described to me, as shown below, the development, he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boadift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
Signature

J
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cx a
nn �'1

A „�■� TOMMY & PAUTA CARSON 6365
2535 JACK BENNETT RD r C
CHAPEL HILL , NC 27517
/�asf a i re _/✓ C� ✓� C v l 00
BANK OF AMERICA
ACH R/T 053000196
1:0 S 3000 1961: 000 L L 3 S8 LB9611 6 36 5
r' a-lr, I via, 1 i (L.l