53910D - Martin

71CAMA / ❑DREDGE & FILL e-
3ENERAL PERMIT Previous permit#
Jf4ew ❑Modification III Complete Reissue ❑Partial Reissue Date previous permit issued
)rized 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 7 H . 11( (.
IlRules attached.
it Name C PA v I L - j r P 1 l ,Project Location: County (, N.,SVsJ ! C1,C-
i 47-co LAL 6 ' L ,i) (0(e 1)/41. Street Address/State Road/Lot#(s) [...CT A y
Z A l.-eVi State 4., ZIP 'n012.- 2-C,.tY5 \I\{ . a.-1 ( t,.J tY.
g.W) -7 St- jq'4}Fax#(qjq ) Ai- Subdivision
zed Agent j -t\tT}j'['f 1 k:;00 L-A.'tfro City Urn ( St enNtO ZIP ?6,1-
I ❑CW ❑EW ❑PTA .ES LiPTS Phone# ( ) River Basin Lila'
❑OEA ❑HHF ❑IH 0iUBA ❑N/A
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yes /.a,6-: PNA yes /r Crit.Hab. yes / no Closest Maj.Wtr. Body I,t1
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4ttached: yes r
ng permit may be required by: 0i71 (5, MM7M
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• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Cl a e S iqct r7 ills
(Name of Property Owner)
property located at LoJ 1-/ 3/UC� 9() 5 ci, o i i1-13
(Lot,Block,Road,etc.)
on a✓;,S , in 0 0. k ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 9/9" 78'2-/9 9/Mailing Address:.210 W e571 T E' C a '
Oct x Zs/�
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/boathouse
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.)
I do 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)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) A)/C-(,,-,25gc.)eS�
Mailing Address Si e

day-
.
• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to /I 4./111- . 's lo
(Name of Property Owner)
property located at L o/ y 8LcK 90 Se Cl'i a h AZ.A ,
(Lot,Block,Road,etc.)
OaJi- L n c hef
on i 0 K e' Ck , in OGc X S'Ja 1" cl ,N.C.
(Waterbody) (Town and/or County)
Pe iCcCI,
Applicant's phone#: 9'19--?'2—/( / 44ailing Address:20 ' w e S likale i-
&LK _s aI.
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/boathouse
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.)
I do 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)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
ittOM:see )56-i LA5) Pe icc,"' .)9_ zad.;,„„,
Mailing Ad•ress Signature

JDV �'J a��
i

STATE OF NORTH CAROL INA
3RUNSWICK COUNTY
I, ROBERT B. McHENRY, JR CERTIFY
THAT THIS MAP WAS DRAWN UNDER MY
SUPERVISION FROM AN ACTUAL FIELD
SURVEY MADE UNDER MY SUPERVISION;
THAT THE RATIO OF PRECISION AS
CALCULATED BY LATITUDE AND DE-
ARTURES IS I:10,000+; THAT THE
30UNDARIES NOT SURVEYED ARE SHOWN ‘
4S BROKEN LINES PLOTTED FROM IN- FLOATING
'ORMATION FOUND IN BOOKS REFER-
ENCED.
VITNE'SS MY HAND AND SEAL THIS THE r'
4t. nn+r JUNE A.D. IGGa •1 i.
\ '-I
\
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CAR° \ z
�i TER f \ (.
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z� SEAL v \
L-352I \
7‘
\
e• McHER4' ��—-- DAVIS
; CANAL �� F:\
•
\
\
.\- :.._ \ ! HIGH HATER
\ - c MARK
0'+i-✓ \
EIP \ rrle�
\ 4'+i-
4 \
BLOCK 90 7,423TSQ FT \
SECTION WLB O. ACRES \
LONG BEACH, N.C. \
MB 2 1/2 PGS 182-189 B. C.R. \
0.TY1 worm auu(READ
,\\IH1,1d M 7.7'
a COVERED in
In� , cn
I j 34.0' N
P
`i m -I
LOT S o 2 STORY
c. HOOD FRM : 3 LOT 3
o o, ON PILINGS "' p
in in
'i 'i
O 0
co 34.0' m
O T p
z ). (n
NOTE: PROPERTY IS LOCATED IN FLOOD HAZARD m '''r/.-'
ZONE "UE" BASE ELEVATION 17'. REF: \• •., ,
F. I.R.M. COMMUNITY NO. 375354 PANEL OQ ,
NUMBER 0002 SUFFIX "D" DATED 4/91.
i` t ,`/: -
o
i
PP V --

lug 12 2009 2: 28PM 919-782 1994 p. 2
-12-2029 13;54 From; To:919 782 1994 P.2i2
441.241
NCDElti t
North Carolina Department of Environment and Natural Resources
Dlvlelon of Coastal Management
Michael F Eaalay,Oovemop Jamoa M,0region,Director Morn Q Ro48 Jr.,Socretery
Authorized Agent Consent Agreement
, . ida �s�
(Pt nro0 No otA iir) io hereby authorized to not on my behetf
n order to obtain arty C MA permit(a) required for the property listed below. The authorization is limited to the
specific activilles described In the attached sketch.
LOCATION OF PROJECT:
57
6g J le N 1-c vP
t� lti Ti.LS /ve z. w
PROPERTY OWNER MAILING ADDRESS: •
®r? Lkrc/ i•4r live
Mel L 4/ e dy4,
PHONE NO, 91 A— 'Ilip7--/91
Au OR1ZED AGENT MAILING ADDRESS;
�7Jh 2 t�5,
L176 L iLS Qjg1,
Spt � r Zr //
PHONE NO, // o -al? `i7 n 'l
0,rnit'L E 7-7 /77,1,7-in/
Signature or Property Owner; e1
Signature of Authorized Agent;
Oats: v

lug 12 2009 2: 28PM 919-782-1994 p. ]
1-12-2009 13:54 From! To:919 792 1594 P.1'2
State of North Carolina
Departmental Environment and Natural Resources
Wrmington Regional Office
Beverly Eaves Purdue, Governor Dee Freemen, Secretary
FAX COVER SHEET
Date: f 1 t~f)q No. Of Pages: including covert
To: ('Alciti fJ From; I+p7et+ra.CO: CO: Division of Coastal Management
FAX# + L'L14.7_1"At- FAX#: [phone]
REMARKS: YYSg •PAAt.iii
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07 C1rdtni:l Drive Windom Nimlipton,M.C,$IC .3A111 TiNMMn11010)?1l421 Fu(OM 30140d4
An Eqvul OppsQunly Am,m.ilvd Mon tAikr-
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