50397D - Cherico

11--ICAMA / 0 DREDGE & FILL ld a I
GENERAL PERMIT Previous permit #
PJNew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
iorized by the State of North Carolina, Department of Environment and Natural Resources —7
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC L
Rules attached.
ant Name Project Location: County �VA I J "4SS `�2GU9
7CL 1, l- Stated b ZIP L 1 S Q
rized Agent i UC ►�� �; '- AlWA . f l`A 1
d ❑ CW i7 EW ❑"PTA ❑'ES ❑ PTS
Street Address/ State Road/ Lot #(s)
Subdivision
City �.�,-r ZIP it
Phone # (
River Basin ( j
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 11 l UV LA (nat
❑ PWS: ❑ FC:
yes / no PNA yes r� Crit.Hab. yes / no Closest Maj. Win Body��/�
of Project/ Activity � I P (Q1e
dock)length
,rm(s)
ilength
number
eadts:fan
prap length
avg ceoffshore
max distance offshore_
channel
cubic yards
amp
ouse/ Boatlift
i Bulldozing
line Length d�!
not sure
yes
to
ags: not sure
yes
:orium: n/a
yes
t
yes
ir Attached:
yes
(Scale: I".
ding permit may be required by: ��% /t ❑ See note on back regarding River Basin
A i / , ►n i nch

0�
ba-
.North Carolina DepaRrhent.of E &Ironrrient and Natural Resources
Dlvtsion of Coastal Management
Michael F, _L_ley', C� 01
;Charles 5; Jonas, Director
Authorized'Agent Consent Agreement
William G. Ross Jr.,
is hereby authorized to act on my be
(Print3U famo of Adeaq • '..; ;
in order to obtain any LAMA permits) required for ttie property listed below. The authorization is limited
specific activities described in the attached sketch.
LOCATION OF PROJECT.
Wes
PROPERTY OVINIER MAILING ADDRESS:-.::'.':
CJ
PH�Ni~NO. I7 7r�.
PHONE NO
Rio 5/s;1 /88
Sh7fN W'c of PI0P(Y1Y OWn ('

Name of Individual Applying For Permit: ► �� Fish y �n �` i
---
Address of PYeperry: 10t �� U1 -r' • --
(Lot or Street #, Street or Road)
(City and County)
I here�y certify that I own Property adjacent to the above•referenccd
applving for this pumit has described to me as shown onthe amAchcd draw'r o tine dtv-ci
are proposing. A description or drawing, with dimerisions, should be providca witn :: 3
/ I have no o'3jcctions 10 this propwl.
If you have objections to what is being proposed, please write the. Divisi�411
Management, 117 Cardinal Drive -EXtensign, Wilminatarl, NC 2840A ()I.c:d,
within 10 days of reccipr of this notice. No response is considered the same:i� nu Jbjcc
you have been notiried by'Certiried Mail.
WAIVER SECTION
I uadr rstund that',) pier-, dock, mooring pilings, brealcrvaR!r, bom house (3 - r)0:1r. !if:
' cka ailnirnum distance of IS` from vny area of riparian access- unlc: y n.e
4vish to waive the sotb:lck, you must initial tho appropriate blank below-i
I do wish to waive the 15' setbw;k regUremcnt.
1 do no -�xish to waive the 15' setback rEquireawn'..
$.; an Name Dntc
Print Name

CATIONiW
Name of Individual Applying For Pcrrnit: t D 6, e-�C.
Address of'roperry:
(1 nr nr .4trPPt Curt? nr. V Anti)
(Lity ana LoUnty)
I hereby certify that I own property adjacent to the above -referenced pruperry. TI- e it 61VIi
applying for this permit has described to me as shown on the attached drawing the develooniznt
are proposi:12. A description or drawing, with dimensions, should be provided cairn his ietle:
RV 7 have no objections to this proposrtl .
�26C 4 6 12ill. 124,
If you have objections to iiat is being proposed, please write the Division u',' Cu:t
Management, 127 Cardinal Drlvo Extension, Wilminbron, NC 28405 or call 91 -i9u
within 10 days of receipt of this notice. No response is considered the same as no ob•iectir
you hive been notifiit;d by Certified Mail,
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, brealcwater, boat house or ho;tt lift must t;
bck a minimum distance of 15' from my area of riparian access - unless waived by me. ;lf
wish to waive the setback, you must initial tho appropriate blank below,)
I do wish to waive the ': 7' setback requirement,
i do no wish to waive the IS' setback requirement.
7 p
S-yen �tern� Date
? in Name

American Fish Company
P 0. Box 11046
y 5~,, •s,r+�<< ��•th (,arohna 28461
tr J�j J i sfi.�
A
�i51ny Fl�h�
prKS fiw .+nQr:.N."
,
YV'�...fl � ►JIxJ l e i V(�
«1101 4S 7-r4RR
"o
10

I
80443
THE AMERICAN FISH CO.RRy 66-30/531
C14ARLES It OR KAREN Z. PE DATE 453
P.O. BOX 11046
SOU-fHpORT, NC 211461 l
moo - 00
t
first Citizens
Bank
w ens cOm
DOLLARS
bc. co -