52471D - Johnson

CAMA/ ❑DREDGE & FILL lam° 52
iENERAL PERMIT Previous permit#
(Jew III Modification ❑Complete Reissue III Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources
>astal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Name II, a-0-N) _N o N- DS- �J Project Location: County j,ti%S i--
4 I 511a b'j 2Z s1 Xi Street Address/State Road/Lot#(s)
r
"'`) State 0 (- ZIP 2:3q4 to 1 C.) — , • ,.
(5►c>)f;1Z- 3)S'o Fax#( ) Subdivision
dAgent A0.11:- fL 5. City 5k-ncl-F Ci. --A *-j ZIP 2-` `L['
❑CW 1 EW Q PTA ❑ES ❑PTS Phone# ( ) River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A C�-u.�'"�L
Adj.Wtr. Body �(A fr`? '�• �h (flat�m
❑PWS: ❑FC:
es /� PNA yes /��rt > Crit.Hab. yes / no
Closest Maj.Wtr. Body �� t_IA)
Project/Activity Tv--, N ra 1---)\-> X )LA
S ';J i \l— (Scale: ! `�=-
c)length j X I LI
Js
gth
fiber 3
Riprap length
distance offshore • • I
distance offshore
innel
c yards _, 1 \ s\ \\::\\1/4
e/Board 1 -X) iI\\Ns .4
Ildozing I -
P ,
_ i - I - - - ----
Length 5 D is.
not sure yes no
not sure yes
um: n/a yes
Yes I I I
,flatbed: ® j no ig permit may be required by: C -9---•(- C...--,i- \_) ❑See note on back regarding River Basin ru

ATIS.
•
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F. Easley, Governor Charles S.Jones, Director William G. Ross Jr., Sec
Authorized Agent Consent Agreement
D) ‘N4(5 -\ ('Q+.y�T►� i Gf.1 is hereby authorized to act on my beha
(Printed Name of Agent)
to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to t
c activities described in the attached sketch.
TION OF PROJECT:
A h -`) -
C INN C
)Rt7 t ACC tT
CRTY OWNE-P MAILING ADDRESS:
V‘ 261 ,..1t L�l
��1[X 5-W-2.) N <
aZfs�(e0 PHONE NO. t - 3 7 At975
^Rl D "`'ENT MAILING ADDRESS:
CALV Q) 6417
a)-r3”1.
PHONE NO. 5 ►a - 37S
/rTh

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onsautillUlmilm smut Pin ~Slum=hasp tgardlsiaRP
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i 1 70

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 1GZrzy J o!I/'/So,i 's
(Name q Property Owner)
property located at 6'/U 2 47/.' S 1/ZQr Lo, 14' DtJ ,5
(Lot, Block, Road, e(c.)
on CA,VAY.SIumii D in 76--6./A ,N.C.
(Waterbody) (T6wn and/or Coucyy)
Applicant's phone#: 9/0 - - ke'Mailing Address: '¢/ 5.47./Oy g-D4%z' Z44
Dodd
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/ athouse
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.)
o 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)
kr41r
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
4/ S:NDy RoA
Mailing Address/ Signature
/ _

Bankof America.
ANTINORI CONSTRUCTION
145 VIRGINIA LANE 66 19/530
SNEADS FERRY, NC 28460 7 /JrQ
[phone]
etPAY TO THE ��
ORDER OF C•O• r . 7e• pp/
�1X H 01--
fitta.
AUTHORIZED NATURE
MEMO �� concl r (On CO.J
___ 00069L3II■ 1:0 5 3000 /961: 00065O52L99011'