53992D - Noday

JCAMA/ ❑DREDGE & FILL A�'
•
3ENERAL PERMIT ' Previous permit#
KNew EModification ❑Complete Reissue El 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 l' Ob
�J !� �j,,,� fj (( �� ❑Rulls,attached.
it Name C ai� NOM�tt ( ✓1 UCti 0 P (fv t ) Project Location: County New [4 it i l t iZ V
n
S 4�0-9' S4-c t t15 (la L(, Street Address/State Road/Lot#(s) CC,(1 -in-h+
/6j\Yr••sit, ,,,, State I\(G ZIP d -(U3 )(-i'l)'r k►I K/ t Atha V. Art .
3�}, 44kQ"13WFax#( ) Subdivision N j-
ted Agent Ag(t 16.1 4 j.31-eittcic1 City kUY. 11:Wa(1k, ZIP `oi 14
I ❑CW ❑EW ❑PTA El ES ❑PTS Phone# ( 1q I0 ) f/4 �i94o� River Basin Cape 1
?OEA ElHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body NIL ►th(, LC &11 (nat /
❑ PWS: ❑FC: U
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body Pc, .&I4 fl L Ca& v�+
f Project/Activity 1 Y1SfAtt 4614 Y �I Y?(Lk ty ('QV1vV rot ) f)(O 4t�( ( ii(k -Ai
V idi ILL t(S al0Il� Q n +: (Scale: 1"
>ck)length
_____• :._.......li 0.A........
>ier(s) �.
.nth - Al IG Avre4ve
imber — I I
'
;d/Riprap length ' N^.� .. , O? + tU AL.(rC.
g distance offshore1111111: ; r
ax distance offshore
hannel `
bic yards $yCV :— E
e.
np ...... — .. — ,� --
se/Boatlift ! T.,,,
•fl E d
r
r t I 1
Bulldozing 1 ! I ♦ r` , . / II
+
40
e Length > IN) / , . ,
not sure yes no l E-13—.Ct Z OP
s: not sure yes no t - I haii.o.19(0%
ium: tn/3 / yes np` _ =tea., '."" .. _..._..__..— ._—_..__---
4ttached: ' (it
yes no /
ng permit may be required by: N1 A ❑See note on back regarding River Basin n
Y'i..i . "a Li- jinh A 1 II IJ i. _ I ---a . .

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 1OVV 6� [?x
h 'Name of,f roperty Owner)
property located at H Va Ol.vi i1 ht
(Lot,Block oad, etc.
on I4(0,14)(' OC.?ah , in \Vrt ,N.0
(Waterbody) (Town and/or County)
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 sei
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.)
yI 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/Applicant (Riparian Property Owner Information)
Applying for permit)
)401- Ar3 pw,t,
Mailing Address S ignatu
V1MA tk Wt) 4,(1) (12 the •C -�
City/State/Zip Print or Type Nat

Page
NC Education Lottery Info
10/20/2009 12:33:32 A.M. Eastern Daylight Time
n: locationsplusmac.com
PNcumulusaol.com
Production Company info is...
Jio Pictures
7 Sterling Place
nington, NC 28403
Itacts: John McCorkle and Jane Elmore
-420-9300
Title is"Beachy Holidays"
vett

•
C e--liu>
;yet 2 000E 5 0:�
E E 2 1 .uE5hbgZ5220101 ��,3
_ 41 o
-- ) MuZgoA4�EM 4
atb'S
J aiii---•l
c6.--c:E $ ..__.3...j-Ac......sr ..mdk
'uo}`3un' M
a7EQ D tt68Z D1�I
aue7 aae9 a3?Zi ZOOL
17E 0000t 9'V'S
£OOOS HONWO __�_._- —.�_.-.—._.._.�—
EEZ ---_ _____-------- --- -