53995D - Federal

CAMA/ 11 DREDGE & FILL f-$
3ENERAL PERMIT Previous permit#
(New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources ` 1 , '��
Zoastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC f
A;�iy1les attached.
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It Name �Q�lt VA, f G 1 t�� l/oihr � '��J Project Location: County
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(�� �c� Street Address/State Road/Lot#(s)
rA VI II NI t tadi1 State ZIP at p cl 10 �1 r1 k�G A Lt.
E �, ) I 4 Fax#( ) Subdivision N/A
:ed Agent, G4ti (1f1E (.CYO-. ekSlaneS w CityVCU 0 a 1 ((C.�� zip ��«
oCa
❑CW r,
/,EW [PTA ❑ES El PTS Phone# ( I I 0 J 3 River Basin / 1
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 1 liDI 11 la 1�a� �.1t t'4} 1 6
❑ PWS: ❑FC: n c
yes(no) no ; Crit.Hab. yes 1 no ,
Closest Maj.Wtr. Body is/1 yv4-lQ 1f1(C . XLUYU
PNA yes
F Project/Activity I(_,.b 1(t (} Vey 1 a I i 1 ft L )(a-k' C 1 t(Cl 1 i1(
(Scale:
ick)length
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i(s) • - •N•• ••■•_ jj� '
pier(s) ••� 1••1 11•
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tuber IIHIIUIHHI
d/Riprap length
g distance offshore 11141N_IIM"Illirltix distance offshzore _ •11111111111sommigiIjil
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ise/Boatlift �y
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e Length V 0 + 1 1 ium: yes no ME II •1Ifli'i!II
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yes no % 111111M1111111M1111=11111M11111111111111111111M �111111111=111111111111
4ttached: yes
r (a �p
ng permit may be requir by O..&YI i l 1 C 14 a; c: i 1(.--kd • i See note on back regarding River Basin ri
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46753r„,,,A,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
chael F. Easley, Governor James H.Gregson, Director William G.Ross Jr.,
Authorized Agent Consent Agreement
S�1ahe. Snow S mo W Ir lahi rA Consc '. is hereby authorized to act cn my bei
(Printed Name of Agent)
rder to obtain any CAMA permit(s) required for the property listed below. The authorization is limited I
cific activities described in the attached sketch.
CATION OF PROJECT:
1 ROgSl Qcc-
-Ltf t'CO L, Y\C- acmC7..
OPERTY OWNER MAILING ADDRESS:
ter k_k , iC . t (
PHONE NO. (A1O ` q 'Cl—Lt.51, )
THORIZED AGENT MAILING ADDRESS:
•
l Svmr Sg14- [".
.ei rbV YNcl G 11 N C `P-er
PHONE NO. 13-"
nature cf Property Owner:
"11 ...C.I/C-Ctie---'
R
r>

SNOW MARINE CONSTRUCTION& DREDGING, INC.
1328 SAINT JOSEPH STREET
CAROLINA BEACH, NC 28428
Office: 910-458-5855
Carl Snow: 910-443-5499
Shane Snow: 910-443-8172
FAX: [phone]
NC Contractor License #64721
N
tad-t r ai P cn ry
Shane Snow has the permission to unload dredge spoil on to Marsha and
Billy Taylors land at,
Address:
Land Owners signature: 700. oii
Contractors signature: _ h, - �l'�1"-/
Pilings, Bulkheads, Piers, Docks, Dredging, Boat Lifts, Gazebos
New construction & repairs

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Pe_(LU-,0-k �jj✓Y)-\f g '‘P"'
(Name of Property Owner)
property located at 91 a as/ c 1 //- C..ckozAI r\c, .12c.41-‘ C
(Lot, Block,Road,etc.)
on In CrCOAs4-aA V20A-tnwcr4.(,' , in CCir61I v\e, gc ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 9Jo y413 I1 Mailing Address: )O g Sv r-\w-e v Ste.Yrs Lr...
c(�, N c a8 y 2-&
He has described to me,as shown below,the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
pr 5 vA.,n, fel /4- " • MA•Olt
v Mailing Address Signature
City/State/Zip Print or Type;1 ame

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Jl\ccILL 5rta;,0 —F L.cL Po.V'r}
Address of Property: vl/(27 Ba3ln j z c1.
(Lot or Street#, Street or Road)
CCroliY QQ c),( , tvC 2-gala-8
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv:
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this left(
V I have no objectionstothis n�h.� rrop.,,a..
If you have objections to what is being proposed, please write the Division of Co:
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 objecti
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
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (II
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 15' setback requirement.
'
Sign Name DatThakr-) ATTFA
Print Name

SNOW MARINE CONSTRUCTION
Z & DREDGING, INC. 6
0 108 SUMMER SALT LANE 88_i
` CAROLINA BEACH,NC 28428 q
�m A DATE ��-0.5- 1
51 PAY t C bEi
`' ;Y TO THE
zi ; ORDER OF
Y I $
��UO
., SNP hen .O c o t� pa ,�
DOLLARS ' 8
I THIS CHECK IS DELIVERED IN CONNECTION WITH THE FOLLOWING ACCOUNT(S
I
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TI 1P 531's p (n+f-co kt-t f41,01
' 1160000 L li UP° :053 1O 1 1 2 LI:0005 LO 13746390