53943D - Green

CAMA / DREDGE & FILL
ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources �j
oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC (/7•//'G
CIRa es attached.
7
t Name �\ It 4 4#4 d 64 .p e Project Location: County €2 ,,,-r5 IV c 1C
00 2 e hi91 111 f J% Street Address/State Road/Lot#(s) //1 Ci,9�
'Mom 8/Ae/i — State''L ZIP 2 ky62
• (9/0)YY2 -$9/9 Fax#( ) Subdivision
zed Agent CAA4 /e /9,0i2 -- ' City e)1 ci 42.•, 1/3 0Ac :S ZIP 2 8f
cW o.EW DPT-A ❑Fs ❑PTS Phone# ( ) River Basin Lie,,,OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body_/�ANAL e.Cr2/44i'v (nat
t
yes / no PNA yes n -' Crit.Hab. yes / no Closest Maj.Wtr. Body /9/�''' se/
o
•f Project/Activity kp,L,9e.e [x, y &41'A pqd
(Scale: / ''.
ock)length E:l t 5?I,/v,.
m(s) '` / iS I, .yI —
pier(s) i
length I uili .
, ,
: .
umber j
-ad/-Riprap length $Q ■■■ 1111111111
_.._... -
avg distance offshore i ' /
max distance offshore j 1 I
channel f I
I
...........
. mill
:ubic yards I 1
i.
amp f j
ouse/Boatlift HuH!
OL. ! !4IIIJI!II
I1IE1!II '!UIIIlI! 41I
M�,
Bulldozing �......... _ _
. ... �� -
- - - - U i 1111M1.1�i..NENEF itatt�a
ine Length A
not sure yes {
ags. not sure yes no—. ME 1
.
orium: n/a yes / L .
i
La
{
r Attached: yes I
ding permit may be required by:, ,L apti 0."0AL4 . I I See note on back regarding River Basin
./C.. 1_ reumeli*innc /721/ A.. . J '1. . ...r ^J /J /i.l de /1 , . 1/ ., ., i, I

Canat
Existing Dock
16'
Proposed Vinyl wall
i f t
50'
119 Charlotte St.

Canat
Existing Dock
16'
8'
/ Proposed Vinyl wall
50'
119 Charlotte St,

...._____. ._
...___ .... ..
AC,',5.1r,,6,AS,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
James H.Gregson Dee Freeman
Beverly Eaves Perdue Secretary
Governor Director
AGENT AUTHORIZATION FORM
Date: 4
Name of Property Owner Applying for Permit:
Mailing Address:
((? #i-e-- fit.
1L14,1 e...4 ,. , nJG 2854401,
At
Phone Number:('10) a eiA- 5V
I certify that I have authorized(agent) C', f1&5 Ir-'7-7— to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to install or
construct(activity) (544.{'k` "12-' '
. at(my property located at)_if 9 G4.-ck'tu2rc 7: v/ e.vi i ,rt,/U) 2954/i •
This certification is valid thru(date) l 7 F1 g d
/ X7
Eli
. ,,,,,,,, / Vc(:).Lf2P-4,4„)
roperty Owner Signature Date
ne
127 Cardinal Drive Ext.,41/Mington,NC 28405 IN°9 Cat+rroll/bIna
Phone:[phone] FAX:[phone] Internet:wvm.nccoastalmanagement•net Y tuc islL
An Equal Opportunity%Malabo Action Employer .
1

Jul O4Sep. 15. 2039 3::36PMMareM8 Dental Assoc PA 843 491 9853 910-842.4049 No. 2868 P. 7
I/AarlA bf t.rvtA, .
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A AIER/MOORING FILINGS/BOATLIFT/BOAT.UOUSE)
I hereby certify that I own property adjacent to R ir,W.t P[�, 7( 1 's
Q /''. J (Name of Property Owner)
property located at // 1 (/�.(1,f'"+Q 6
(Lot, lock,fRoad,etc.)
in -1 0 f.#( ,N.C.
on /ate-(Waterbody) owand/or County)
Applicant's phone R: 144i)Y Iq Mailing Address: /I R r 1 D r!"d 1'
tic iblt ReArk
Re 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 one. (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 A kiD/OR DRAWING OP PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A ref rp.cb tzook
(i•
•
•
(Information for Property Owner Applying (Riparian P party ncr Information)
for Permit)
11� t*ei Signature
Mailing Address
ack "1-11447-
CityIStat ,ip Print or.Type Name
,SgII g/� 22Z 'Tr��rr'
ce„ Telephone Number
Si ature Date Dare

Sep 11 09 07:59a Mike Moss [phone] p. l
yrvtiA-
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER MOORING PILINGS20�ATLIFTAIDATIMUSF.)
I hereby certify that I own property adjacent to A;({yl,1('Lrr,i. Gr r, 's
II / (Name of Property Owner)
�+property located at I t 9 .r.("(PIP, .51
(Lot,$$lock,Road,etc.)
l ,in NI:1�t'rl eACIt .N.C.
en �`1` 'ti'
(Waterbody) (Town and/or County)
ter'
• Applicant's phone A: 0"rL j�(IQ Mailing Address:li� C�<:.ir�'�S`1'
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/boatlft/boathouse
must be set back a minimum distance of fifteen feet(IS)from my area of riparium access unless
waived by me.(If you wish to waive the setback,you must initial the appropriate blank
below.)
1 do not wish to waive
1 do wish to waive that setback requirement.
- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A (�Q i� 4/t I'vn 1, (l l� �L roek6.[.c.- ivk, �t� , 1, G C�.,L
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
ailing Address J Signature
•
CitylStaterLip Print or Type Name
lotYti-1..W15"--
Telephone Number
Q- ---(iY et-
Si use Date Date
•

WATERWAY CREATIONS LLC
405 STONE CHIMNEY RD SW BS.910-619-0655 13524
SUPPLY,NC 28462-2662
66-112/531
Artr
theDate
of $ 490o, 00
Dollars a
BB&T BRANCH BANKING AND TRUST COMPAN(Y/ '��1fa� {'�/
1 G NK BBT 9.com IG 1 5394 /
For L r(✓^ l .9
C053 1 1 1 2 11:0005 294 29375411'0 135 2
COLONIAL CLASSIC.