53922D - Scarboro

_ CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
I 'New _Modification . Complete Reissue Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /,9 /L 60
[3Rffes attached.
wit Name np9 ,t 4 011 Sc,9 it f?G/i fJ Project Location: County eg„,vsw,ck
,s 6 9 / /ie i 1 /1 fj x L,i e It /ed. Street Address/State Road/Lot#(s) /3U 27,iZ
P e / (cV Statep'C ZIP ?gj J,4. _
#(I/71) 77$ 2'3 6Faax# ( ) Subdivision j
ized Agent 13>L ( _i}C/,1Aj City 17//c+Q..l /5 e,A ZIP . S y
d ❑CW ❑ DESEW CPTDES ' PTS Phone # ( ) River Basin 41_1-/Aal
❑OEA ❑HHF ElIH ❑UBA N/A Adj.Wtr. Body C 12,v / ®r//P Aitid✓ (nat
PWS: ❑FC:
yes / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body - A / /JAi
of Project/Activity ,r•�,-)45 P L i( i -j r'1ry r'y E,f M o.v C. ,01r .i/1- lf�®ct.
(Scale: 1
lock)length
rm(s) / C , /2 —
•pier(s) I
length I 1
lumber C�� iQm q "`'I}�
sad/Riprap length _
{ I Iivg distance offshore _
nax distance offshore
channel I r
1 p 2 's
:ubic yards ! ,e,ST.,/ ( '' '
r
amp lam — --
Duse/Boatlift 1 j }
ti i
Bulldozing tea ti
I
,x,J r Fjoq4 - .-41_ •.jam i •1 .. .ems
ine Length _� `� 4
not sure yes no
igs: not sure yes no
i1' N
xium: n/a yes ono 1 I
i
yes e,o,J 1 n 1- ! Q G, /
-Attached: yes no ( ��/��f1 / Glf
Jing permit may be required by:/ c7LdO^. 6,/ cA . LI See note on back regarding River Basin
•i c.,e-:,i(--..a:«:,..... A// ,I.-_ a 1 _ _. r 7)/ , "2 �� . — /i

'nnt?review Page 1 of
Brunswick County, NC
II 1— '--
Overview
231 MFQ01
_ =
231 MF033
231 MF002 I }I
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H_____-----
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El
231 M1F003
(..1,, 11
i - ' I 231rd1F036
V
I d I
231 MF004 i
) t 1
n,
I 231 MF035
I
231 MF005 I
I
1
I
231 MF006 231 MF033
I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to O}RR0 L.L , is
(Name of Property Owner)
property located at / c .7)L(l&-6A4b .j
(Lot,Block,Road,etc.)
•
on afidliL. , in 470/-2 A/ ,N.C.
(Waterbody) v (Town and/or County)
Applicant's phone#: f('/D i P/ Mailing Address: S i /tl6-/4. 404X& I-4- RD
LCFo /fL x?37
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
✓ 1:A I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(T b filled i by in_di dual ro sin lopmentQ� G/4 at?L
PRrjpoSED
571 rccT
S4 T RRLK ' 1 r JET GA.K.
PRO?CRTY �`, z
SCHL ?"12"&rl kteEivE
C' - = I'
rI I _ 3uL.KrlcAD AUG 13 2009
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) 1 I N G1N
Ab /1 u L — 2D //j4 tke"
Mailing Address Signature
I / �,

• A
, Av
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H. Gregson, Director William G. Ross Jr.,Secretary
Date I /4 -�t
7N of Property Owner pplying for Permit:
),
like4 y// flJt6-er_IJ
Mailin Address:
i -iik.i _ 7)/[aKietip)1 41.
kati-eAsi J/ e- .;4374
I certify that I have authorized (agent) /20(�C�— to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) r'l GZ ,
at (my property located at) /3 O Akt-01.4(tu_A i
` 014A_ C_
This certification is valid thru (date) 9— 3(3- a 66� ,
dA l ei)) f'/6"- 0
Property Owner Signature Date

yr /
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to a/9R f�0�,� � �d f2 's
(Name of Property Owner)
property located at /g O ,,DK,4 / 4I J1'
(Lot,Block,Road,etc.)
on Chou._ G , in s-DCd ��0-/ ,N.C.
(Waterbody) (Town andlor County)
Applicant's phone#: 9/0 c'Z j 7/ Mailing Address: /91,C/C/�.
AC-o ATG z '37
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
VA4e._I do wish to waive that setback requirement.
ESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: CAic/A I- G
o i led to yin vi u men
op cep
•
RzoPe 9 S�re/itk( I <1--
CoRAiCk.
I
�/?OP r y/ Goy/tETL
lib - i - t a�
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address / Signature

_ -- 1._5 U n<_k j ri y r 1 i f d..
_ __svr, s r ,, n r
r.y _ - INC. 12-06
MARITIME BUILDERS,
t 910-842-3625
115 E ISLAND DR.
OAK ISLAND,NC 28465 7612 DATE —
PAY / _
e TO THE ��
< { ORDER OF E�i �,
`a ,
: Bank of America��
t C r3r.Cn.� .2
ACH RI 053000196
LLL
s 2370005863841I'
z FOR II O0 L98 71I' 1.0 5 3000 L96i: