53944D - Iseman

IICAMA/ r 'DREDGE & FILL
3ENERAL�,,/' PERMIT Previous permit#
'f w -_Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
irized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ,/yl/QO ' 2H /1 GO
[}Rules attached.
It Name'0`/4,j ..,�,SC/1ge/ Project Location: County ea u„r_rw '.c A
; 1/ 7 C4A2 l0 79t S7' Street Address/State Road/Lot#(s)//7 C'/9,t i
a Lcio,s iffo.30c A State,A✓c ZIP 2796Z
( .Z22 Itr Fax#( ) Subdivision y /
Ced Agent t 01 Ait / e 5 /72y4 e t City/r�LSa l�' r9C4 ZIP 2 1 Y!
❑CW LE EW ;-PTA &S ❑PTS Phone# ( ) River Basin Lt,,,,
❑OEA ❑HHF E IH ❑UBA ❑N/A Adj.Wtr. Body 01,0A I. v tip ,4/Lt/kil (nat R
❑ PWS: ❑FC:
yes / PNA yes / no , Crit.Hab. yes / no Closest Maj.Wtr. Body /9/i-t.iiti
f Project/Activity lj Sc71AC e EA i s/,••f 8I.r L k4-9a/ fY e c.1 Pie / c.1' v Zo g/I,/)'-
(Scale:/ "
)ck)length
n(s) /Q < b ' _ _ T
)ier(s)
—
angth
j
ember
_i_ ,
.+v 1
1:9tipraplength S 0
g distance offshore / ' _ I I I 1
ax distance offshore / '
hannel I
1
ibic yards
I y ,
mp I _ 1I
us air /2/2 A 11`Z i I. „.? 17,
' - I
Aulldozing i 4, r.
ea
[jai 8yx x 5.a � ` f
P7 /t .x y — — — _
I M -�-
ie Length ©� 1 4' 1
not sure yes (1 5 r, L . 'S`'fnv )14,Z,yj.j I Ly T
;s: not sure yes I U(� ! !
rium: n/a yes es i C I9 —Tv
Attached' 4 V no 1 7 C/i 4rt.L79j 1
f
ing permit may be required by: 1 0GdoN Y�n D 9c 4 1 See note on back regarding River Basin r
.n, . , I tin -„i _ A. • . . _ .

117 Charlotte St.
4'—
35'
Proposed walkway
Proposed dock
5 0' /
—Porposed vinyl
wall
10' `_ �, proposed lift
12'-6'
`r
8'
-6"
16'
12'-6
Canal "

117 Charlotte St.
3 5'
Proposed walkway
Proposed dock
50 J
i ( `/
Pooposed vinyl
wall
10' r_- _ proposed lift
12'-6'
8' [81-6*
16'
Canal 12'-6'

"1 "`Sep. 15. 2009 3:36PM "'a''MB Dental Assoc PA 843 491 9853 91O-842-4o44o, 2868 P. 5
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H.Gregsen Dee Freeman
Governor Director
Secretary
AGENT AUTHORIZATION FORM
Date:
Name of Prorty Owner plying for Permit
`
Mailing Address:
Phone Number:{ ... . , t
I certify that I have authorized(agent) !� �---
�d�s/ �.L.t- to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to install or
construct(activity)f1/Pa,) j!` �APa�, d C1 =
at(my property located at)
•
This certificab., is valid thr (date) f Ti 0
Pro. ,, Owner Signature Date
12f Canaial DrlveEq.,VINT*glon,NC 29405 �r�y,,,,e
Phrne;910.798-1215 t FAX [phone][Memel:wow nacaariakran ernent�l N Carolina
A^4M4 appotwtr Nksalr.Ac6/6 Emma ( tu{ai`y

''�' "-Sep 15. 2009 3:36PM "''"ME Dental Asscc PA 843 497 9E53 910-842410440. 2868 P 6
4,¢A1t dw v4A, ..
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIEWOORING PILINGS✓BOATLJFTBDATHOU—SE)
I hereby certify that I own property adjacent to 1db At SuSail. 1 5 Cy1Gati. 's
(Name of Property Owner)
property located at /! f L4'ycr-f 71°/ 37 ,
(Lot,Block,Road, .)e
d,^,,etc..)a k�
6 on ""r ,to L/ 4 4 _,N.C.
(Waterbody) (Town and/or County)
Applicant's phone It: Mailing Address;
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 f boatlift/boathouse
must be set back a minimum distance of fifteen feet 05')front my sine of riparian access unless
waived by me. (If you wish to waive the setback,you mast initial the appropriate blank
below.)
•
I do not wish to waive
L.CS I dQ wish to waive that setback requirement.
. DESCRIPTION AMD/ORI?RAW.NG OftPROPOSFD DEVEL)PMG14T:
(To be filled in by individual proposingdeveloopmen0
4 down, Oft Caw4 fGl- ' c _ '"9
(Information for Pro rty Owner Applying .(Riparian Property Owner Information)„.
for Permit)
IIa i 7` L2-1,1,r,s-1,1„ e ...5-,�.tz
Mailinng A ress Signature
/k� fl /�''i •
A'i 2,s'462! ,�_A2 N hi Z N/ e._ Srw1 .1 T 1-
City/Stare/Zip Prior or Type Name
1 ql'�� ���� Rio 6.
. l;,Ty�� , , /. Telephone Number
411, ature Date Date
•

Fm:Rhonda Calson,Richard F.Green Attorney at Law (19108424049) 10:46 06129109GMT 04 Pg 02-02
JU4.24.?m5 8%41A1 PCt NR t-aRO tip.8 P.2
z. DIVISION OF CO,A$IAL MANAGE •
'IT RLPARAN PROP F TY QW 1-10TIF1Ic6.1-1QUt WER FORM
1 ForF ON�1 .�l( n� I
Name of Individual App ytagi
ft I
Address of Property 111 C�WLLD G �1 -1 I
(Lot arStreet#,Street or Road)10�DS1J - , u NIC ZQ4i�i . , !
gay awl C -- ---- ..
I hereby certify that Iowa property adjacent to the above-referenced property. The individual .
applying for this permit has ducrsl cd to we as shown on the=ached drawing the development they
-- are proposing.A descripticai or drawing,with dimensions.should be provided with this letter.
'� I have no objections to this proposal.
If you have objections to what is being proposed,please write the Division of Coastal
Management,121 Cardinal Drive Extension,Wilmington,NC 2840$or call 910-395-900-
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been aoti3ed by Certified Mal
WAVER t i-
SECTION
• I understand that a pier,dock,mooring pilings,breakwater,boathouse or boot lift mast beset
bck a minimum distance of 15'from my area of riparian access-unless waived by me.(If you
•
wish tow ive the setback,you must 9aitial the appropriate blank below.)
• ✓ I do wish to waive tine 15'setback ret}nixetlunt
•
I dilnctrwi..t to waive the 15'setback regtureme>tt.
. . .
3 Nemo • Date
Print Name . '
q(o- 8 42- S1 I c`DENR:
Telephone Number with Ares Cade
. . --
I
. f
I
I
I

� WATERWAY CREATIONS LLC `' j
405 STONE CHIMNEY RD SW BS.910-619-0655 1352 I;
SUPPLY,NC 28462-2662
66-112/531
Yto the Nc, r-order of D I 4i $ /x)Qo, do
OA& usa - o" e s, .
Dollars :.w %
BB&T BRAN'H BA ITANNOKAIIDT
TBBT CCoOMPANY
For Ca'( - -,4
11:0531 1121i:0005 294 29 3 7 54�1'01352 �
COLOMAL CLASSICS