52506D - Teachey

CAMA/ _ DREDGE & FILL 52
iENERAL PERMIT Previous permit#
\lew Modification Complete Reissue 'Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources '`� am,
>astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / (/ - ! L` -
/ .{ _Rules attached.
�
Name W 1,.5 ,j ) Irv-Nt.A 'E'-/ Project Location: County ? iJ1% t" it-
2,,c2Li 2) sky t ‘ 'CL Street Address/State Road/Lot#(s)
Vr4-L.i''.. State 0 ZIP a3`p H >5(LIc (r&(L S OvE
(a to)tiS3 - Z7 1', Fax#( ) Subdivision
d Agent P\ —Z 's) City T'54AZL 4:‘c.A ZIP 7-8 N Li;
❑CW DEW )TA ❑ES E PTS Phone# (cik )y 'B3•27 I j River Basin( ?r-
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑PWS: ❑FC: Adj.Wtr. Body Ga `1JIt-) +AAati- )n;
es PNA yes ` Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity ,-1i4Pt_i-- 11,-X I3t„— �- L - c- f fi—c- ? c fAL &- Or.V1-Dr
i.5\i v G i s ET- (Scale: I. L
c)length
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r(s)
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—r �
i I
ber � •' �Ripraplength H
` 1.,
/ �
iistance offshore
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distance offshore I �I r f I _
I '
nnel
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yards I t
B tlifc 13)(13 -- 1_ - I_ —
1
(dozing 1 \, '
1
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Length J -- 1/
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not sure yes a', ..;) I
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not sure yes o —
m: n/a yes 1 .
yes 641107 , i I i
cached: t',1' no � � 1 � I i I ,� _ I
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permit may be required by: I '?' 4 s 1_ C 1.-\ 'See note on back regarding River Basin rul
pecial Conditions

ATA
N'- DENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H.Gregson,Director Dee Freeman,Secretary
Date 51//�© 1
Name of Property Owner Applying for Permit:
kI I o, I
Mailing Address:
2S4S S Ky( 7)‘.
t/ JI(, ' Z goS
I certify that I have authorized(agent) #r-L to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) o R-r- L•Pr
at(my property located at) 204 gee2tr)604s '¢Ve
This certification is valid thru (date) 6/3(0?
it7;107-r)av't 5///
Property Owner Signature Date

REX RAD/ONC PAGE 02d
11�'20D9 ©9:3GJ 919-784-3180 910 484 3209 P.02iP�
IRY-10-2009 21:52 HUBBARD PIPE
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PEER/MOORING PXLINGSBOAT LIFTBOATHO USE)
1.hereby certify that I own property adjacent to `cl d_SaJ ,5
(Name of Property Owner)
property located at 34:1`f i at s Ave- J
(Lot, Block,Road,etc.)
on KS C. ua. , in PEN oa CO J J ,N.C.
(Watcrbody) (Town and/or Cdunty)
Applicant's phone#: 910 -483't71/ Mailing Address: P$'8 514F 1'°-
grins-t/il te-,tic 73.4b3
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. (Uric(wish to waive the setback,you must initial the appropriate blank
below.)
I d0__o_t wish to waive
I IQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
284E SKye- "De. 4-- _9--i
Mailing Address
F�fc-rizv1/lf,At4 Z$3o3 L r:-\

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to /4(sue-( 4 4R-M 7( 's
(Name of Prbperty Owner)
property located at 'T egg'1)6 S A-v-' '
(Lot,Block,Road,etc.)
�a1-n-lKs Gl�iti IAle.'L in ?e�.i � CQ vey ,N.C.
on (Waterbody) (Town and/dr County)
Applicant's phone#: 9io -` 63-21/( Mailing Address: 2-S+ SK-0- 1:4.
f-Aygunk-up-1 Aic Z8303
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.)
l� / I do not wish to waive
c I do wish to waive that setback requirement''t).
M-_-
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Fr
•1
M �
'C
--,-(
(Information for Property Owner pplying (Riparian Property Owner Information)
for Permit)
28 3 s i4-yE Jam, A,
Mailing Address -��) Signature3 -
,..
L Z8 03 �X�ti m' ,VIAL/,

Bank of America
ACH Rh 053000196
ALLIED MARINE CONTRACTORS, LLC 08-03
910-367-2159
92 HAROLD CT. �-
HAMPSTEAD, NC 28443
PAY TO THE De
ORDER OFff ; V w $ i
) ,-yl 't,2 c C
GP5a.56 - (k.Qci)
k MEMO it 1-Z" `'""� / 'GL�� 43(l r� �LL E'.:.:t'X
AUTHORIZED SIGNATURE
00035880 1:0 5 3000 L 9 61: 000 68 4 ?4 3 ? 8ii'