53955D - Park

CAMA / , . DREDGE & FILL €' °'
GENERAL PERMIT Previous permit#
XINev;• ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
x'ized by the State of North Carolina,Department of Environment and Natural Resources 11l'
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 114 . 1 i ad
or Rules attached.
nt Name Ailki i CiY1d .;x !'- Project Location: County New I r1t tier
s v t of V• N(t1wC `tt. , t i y L v Street Address/State Road/Lot#(s) ` _
iiIYVIIAt\ill-
'On State N �0 C ZIP q(Jc T
N. oito\i;f1 � elVel'l DrIY
i'UUC `() ll-5l'4 Fax#( ) Subdivision C kjt nine' Hatvin
zed Agent Gv'(q Mt&'v4- n City J(.YU ZIP St{
❑CW ❑EW ❑PTA ❑ES ❑PTS Phone# (°II 0 ) 520- .%1 River Basin Car
❑OEA ❑HHF ❑IH ElUBA LI N/A
Adj.Wtr. Body Cam( -6 ActsGy1 oat and (flat
❑ PWS: III FC: 1,1
yes I no PNA es / no Crit.Hab. yes no Closest Maj.Wtr. Body A 1 W r`4
)f Project/Activity ,61ASh U(4 Aew v►Iny► wAU Nticlil v tlaYL1 tit- �.XIS�'1t f AI(ln VVill3A
i li 1 .�1{L(t� J ( JScale: I//�
ock)length
7k iiu
pier(s) �. A: .:- 74
length f{
umber '
:ad/Riprap length 1, �j ,
....
vg distance offshore
flax distance offshore _ - �� , I
channel f
ubic yards 4 COL To Agpivii
;mp i
,use/Boatlift I ' „ nifit N v II W k 'i a4 1
- I 1•" Z, waker44�1'
:ulldozing I 1 R''X65$►r15. 1jIkL.i* I
ne Length d)4041 40,mA tows oP 1 i A'
not sure yes no I ,
(
a: not sure yes no I
AffaX
rium: .., yes no j i
7 7.9 no 'n. 1
Attached: yes no
C (1
ing permit may be required by: IN(w 4-4 1kV l _ . I See note on back regarding River Basin
_ - . _ 1J- .1 _ —11% 11nn IL,,,,t. IIKv►t,;F1�iAL IAUUU. '1i1 nonce/ L.VzI A11

A7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
;:haei F. Easley,Governor James H.Gregson,Director William G. Ross Jr.,
Authorized Agent Consent Agreement
irnikEriv Adtf4 tau. &MT Vgris hereby authorized to act on my bel
(Printed Name of Agent)
1rder to obtain any CAMA permit(s) required for the property listed below, The authorization i .limited 1
cific activities described in the attached sketch. •_
CATION OF PROJECT:
Ia. N C 1.444,_104,0 E
v�l. „— /VC.
✓d w ,cam-4.0 v gy0 9
,OPERTY OWNER MAILING ADDRESS: •
• 11/ C14.43ti PC. )/dt / bC
C 'y0 9 PHONE NO. 7/D 7f9-579r
ITHORIZED AGENT MAILING ADDRESS:
dZ7-.4- boc4. kakr Lit i= .
V0.9 /V l/AtoCiu s h
�w.; tiq� roc agy
PHONE NO. ?/o .-z ? 6 /
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G-27-2009 09:08 From: To:9107980410 P.3/
08/27/2009 10:00 SZa79e0410 THE UPS STORE PAGE 03/
•
\
k nut DELTA DOCK AND BOAT Lam`
roe TA Dci h Willa -
WI,.h11NOTON,Ns 44,+ #R )s Phone: [phone]
WILMINGTON, N.C. 2841 I For [phone]
1S-4o 0.3
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
•
Name of Individual Applying For Permit: SV rU f- M a D kV Pita-
Address of Property: a 11, N C NA.IUu fe/4 d2
(Lot or Street#, Street or Road)
1�
L I CM N f7 v1M44.00 V a 4.—
_.
(Ci and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development th
are proposing. A description or drawing, with dimensions, should be provided with this letter.
4 - I have no objections to this proposal.
-----#
If you have objections to what is being proposed, please write the Division of Coas'
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-72
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings,breakwater, boat house or boat lift must be
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
2.4, 9'' '(1 07
4 Si Name Date
30 v. Je l /
Print Name Ai

G-27-2009 09:08 From: To:9107980410 P.2/
08/27/2009 10:00 9107980410 THE IJPS STORE PAGE 02/
f,11 WAS IAL`M ANALTI- l I".N I.
ADJACENT RIPAI.IAN �'ROPER7'Y OWNERNOT ICATION/WAIVER FORM
Name of Individual Applying For Permit: o//V 4 f\00.0
Address of Property_ i 01, T4 C.r4 A-M L A/ ' OZ.
(Lot or Street#,Street or Road)
(City and Co nty)
I hereby certify that I own property adjacent to the above-referenced property, The individua
applying for this permit has described to me as shown on the attached drawing the development the:
arc proposir.g. A description 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 Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same AS no objection
you have been notified by Certified Mail.
WAIVER SECTION
. I understand that a pier,4oek,mo.o.r-i-ng pilints,breakwater,boat twist en--beat lift must be s
hck a minimum distance or 15' from my area of riparian access-unless waived by me. (Xfyl
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I dp not wish to waive the a.' setback requirement.
Y1M.. r .�.• ,-r.— ' —Ma-- Imo— ... �r --.•_- • -+i-IVyM�� •..�^^.nJVM•J.._ —.
4 ' Date
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PCICIA
Pant Name
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DELTA DOCK & BOAT LIFT 7994
M
402 AQUARIUS DR. 910-686-9700
WILMINGTON, NC 28405 / — !/O _ ‘y
DATE 66-
PAY � ( / .( _
TO THE f�`�j/)
ORDER OF //��
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77....../1""r) t
First Citizens 5sq.
�j Bank ns.com C� P r�-k h)
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1 FOR 1r� 1/b /f7 G�
1I'00799Lai 1:0 5 3 100 3001:00 3 5 3 199 1 50 0

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
•
item Complete
items Restricted Delivery is d 3. desirredplete A. sig
■ Print your name and address on the reverse X ` ' ❑Agent
so that we can return the card to you. ....
ame CI
Attach this card to the back of the mailpiece, B. Received by(Panted Name t e
or on the front if space permits. ? ?
■
ve,
1• Article Addressed to: D. Is delivery address different from ite • Yes
�(CiVU ��. s If YES,enter delivery address below: Cl No
/ 1-f6g' 3. Service Type
❑Certified Mail 0 Express Mail
❑Registered 0 Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Transfer from service label) 7008 0500 0000 3893 2348
PS Form 3811, February 2004
Domestic Return Receipt
102595-024M-154o