52488D - Stanley

'CAMA / DREDGE & FILL N? 1
GENERAL PERMIT Previous permit#
Cti'1gew iModification ❑Complete Reissue III Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources L� _,
• Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ,...7
/Z t20
©1Cu'Tes attached.
:nt Name .r/g/VD/S ST,9NLC )' Project Location: County,..3,jri"cSe-1/,e-,
.s : , / to 165 L r9,v_D,,,,f c s7 ci S (-✓ Street Address/State Road/Lot#(s) S,jr'c
A.9 110-41 a State/y C ZIP 2 ?"/7
#(J, ) 2i v` 4/6z Fax#( ) Subdivision
ized Agent /c t, ,4, IA60,0,_ City 5 9//c"7`t' ZIP 2 FP
d ❑CW LI EW PTA LIES ❑PTS Phone# ( ) River Basin L4..,,
❑OEA ❑HHF _,IH ❑UBA ❑N/A C'2P�/C
): ❑ PWS: ❑Fc: Adj.Wtr. Body SAi/cC A� nat
yes /�i PNA ass / no Crit.Hab. yes / no Closest Maj.Wtr. Body /wk✓
of Project/Activity fie, u n-1 e / /,1 ci 1 "", d- IL,QT :2.41
(Scale:
'dock)length (0.2 ' X
trm(s) 7 v
i I } I , I,,zr
r pier(s) l 'd' ,.r I
ilength l,' f
I I number t \1/4\::
M
lead/Riprap length ii
,t1 i:: J �( 4 t
avg distance offshore t' d 4' 1 i
max distance offshore } v% v
,channel I 1/44 v �� LI
cubic yards I I
ramp �: ` 4 d ►... ''�'-�,.
I S RyC �9., CQ ,e
louse/Boatlift f U —,
W ----1 I y f` I V i/ ti = "` 144 1
1 Bulldozing t ! t i I
1 I X i/
W K ' V v d '
,line Length 5 �/Z — 1�' P
v u
not sure yes no _ _
'ags: not sure yes no —" — — —
:orium: n/a yes rno 1 ' G 0~41 ,.., /,. Jj' st/
s: yes j
:r Attached: yes I
(ding permit may be required by:320m+sca,t/c (ou,-,'Y}/ I See note on back regarding River Basir
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ZikiA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley, Governor James H.Gregson,Director William G.Roy
Authorized Agent Consent Agreement
Zkii\N) �� CEO?e _ is hereby authorized to act on rr
(Print_ Name of Agent)
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is lirr
specific activities described in the attached sketch.
LOCATION OF PROJECT:
1-0 9 62 1--0 Rokk (,k)
Spa 1 Io f 1 t )C, Le-10
PROPERTY OWNER MAILING ADDRESS: •
�--ANdi s S �l�e
t 7? Cci L G-Anla1 1\13 �.o S (A)
SDI )Fte , PHONE NO. 910235L` --(o1Q__
AUTHORIZED AGENT MAILING ADDRESS:
1/k/\) D. Cooxc_
P,o, V6ok 1313
stall &
PHONE NO. T O-IM.3 152-9
Signature of Property Owner:
.
Signature of Authnri7eri Anant• 1.tirn_ / l

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DI ISIQNN F,_C_OASTAL MAMA XENT
ADJACENT IP R IAN PROP.R R �IOTIFICATI N /WAVER FORM,
Name of Individual Applying For Permit LANAI ..5114fi I
Ey
Address of Property: L'n ( I— t R.c4 SLI
(Lot or Street , Street or R d)
S1�Rllo` UN w c 1C
(City and County) �----
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the.development they
are proposing. 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 Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 14 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
•
I understand that a pier,dock,mooring pilings,break-water,boat house or boat lift must be set
bck a minimum distance of 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 wish to waive the 1 5' setback requirement.
I do not wish to waive the 15' setback requirement.
-TeRici,o RII- i.vec41,efz Oppog n,+,. rvr4 G/P
Sviask/ A'Sce1'- M4nG5P w�cn4j „zit,c
31409
Sign Name Daze
•
S cc, r SvivsIL/ — PRes; er+
Print Name Agr.?/
Telephone Number with Area Code NCDENR

DIVISION OF COASTAL MANAGEMENT
• ' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WA.IVER FORN
Name of Individual Applying For Permit: LAB; A,S :StANL e"
Address of Property: i! I c Lo L,.AN j i„) . o4 S co
(Lot or Street #street or Ro )
$hM Iolt grUNSI. �cK
. (City and County)
I hereby certify that I own property adjacent to the above-referenced property. The ind
applying for this permit has described tome as shown on the attached drawing the developme
are proposing. A descript.on or drawing, with dimensions, should be provided with this le
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-79
within 10 days of receipt of this notice. No response is considered the same as no obje(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus
bck a minimum distance of 15' from my area of riparian access - unless waived by me.
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.
QA .i EimkUA 31 tOci
Sign Name Date
'---RayS+�n le
Print Name

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