52529D - Wells

:AMA/ LI DREDGE & FILL
ENERAL PERMIT Previous permit#
lew ❑Modification JComplete Reissue Li Partial Reissue Date previous permit issued
ad by the State of North Carolina,Department of Environment and Natural Resources /)
stal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 71 /.2 d d mules attached.
iameKFr1#1/,4 d- cit Ay &/e It S Project Location: County gxe nJs4.,c.e
79 7 CA#arw,ckl leJcis) At , Street Address/State Road/Lot#(s) 5gint
9110/I f StatetY C ZIP 2-7 y76
7/0) 3 t!'- '$S�6 Fax#( ) Subdivision
IAgent ,+ 'e, /4 6a(✓O-/ City 5179 lie like ZIP ' g-j'7c
❑CW D.-EW ..I PTA DES ❑PTS Phone# ( ) / River Basin Lc./A.4
❑OEA ❑HHF III IN ❑UBA ElN/A Adj.Wtr. Body L,liL e 5. /4iye eoe'/'4 na. m2
❑ PWS: ❑FC:
Closest Maj.Wtr. Body 61/hias Apr PNA Ago no Crit.Hab. yes / no
'roject/Activity fn, ye,le /rrt /2oc/
e
r��, , (Scale: ;3
0length 75h. y '
.) l2 /a clpv ) i $, ,/1PS><4 !4, 41Px —L--1
r(s)
iber1 , 1 Moms ;40;/°./ _ ! : l ;
f
4- T
Riprap length Milmil �r�I
distance offshore MIIHIIIII i� � :
distance offshore — --- - - —L
i
11
trine'
F. r t - j
is yards f
e/Boatlift I I 4 -L-k 4-- ill- Erl: . .
fa. 4'r4-
-I-. i 1-- I 14 117 _ i I LE i i
illdozing {„� 4 d
+ j
1! I ak ' ly
—
J 4A, /2X12 I -. _
x
t .__._._.._LC ..
fU
r i' I
f i
Length i. -2+
gt L. —®
not sure yes 4 no �_
not sure yes ;Yn6
'um: n/a yes 1 JL '; J err 14'is k I L}g,r 1--, i'�a• p
yes fnq t v I.
\ttached: yes (`nq !-- I I . //'
ig permit may be required by:?gv,J5t ,,ic Ai Ca,....Ty U See note on back regarding River Basin rt./�
Special Conditions i l eh AI I.ris-S 6-II 2/7'. 4260 ►9 S w 4 f !,�
Ott 1l o7`AFi[ S 7/9/E/

v
3
0
c.,
Shari /
.0 .7 Pi sJ�tGaN
�•D u H°lf b
hg14/ yV
i 1 p°.7
os a
00
----...
A r
'.i.,:'..;,,,, , , '447 1711 EY aP..r, , i ,,--foCIV6
, Alfa
-•fr'') ti?
'rep 1° ?ua +b
411111 , y 5 priaoie :2+°N
a`"1 )1,9+as
e ..)N 7 #°i s
An,.0 0 tilaN J ?? p?so80.)& ,

I
/AI
UrnE SI
o
\ /
Q, EXERTING\ ..........
/ V
FRONT \ /
PILING 'N EXISTING
w. IRON PIPE
ilk A
Q ' LOT 2
✓ THOMAS J. GRAZE
RUN OF SMALL STREAM 2074/781
e- .9 ELEVATION UNE+—
•• CHADwCK LANDING
46_
MAP CAB. P, PAGE 101
9 2/6/09LOT 1
i•%, \ KENNETH E. WELLS
�:.' , , and wife R
.4.; GRAY L. WELLS
���4 2650/1389
` . Ns PHYSICAL ADDRESS
`` a ` \ .;_ 1798 CHADWICK LANDING DR. SW 1.744,
` SHALLOTTE, N. C. 28470 �n''f
I ` A.
EXISTING •.• CHA
IRON PIPE N 7?5 •o4. w :.�
\EXISTING EXISTING
BOAT TIE UP IRON PIPE
GARY R. BURGUN
and We I
?ex,
2561/1048 PAULA S. URGUN
� MAP CAB. 35 '
4 Sy PACE 16
'T<<0,.r 1

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,Governor James H.Gregson, Director Dee Freeman,Secretary
Date 3 - T o
Name of Property Owner Applying for Permit:
l�nnQ7'h 3 gra
Mailing'Address:
/ 7 q? CN _)Witk /44/6 (1 A-
/1 4//c)1/e /vc,. 0 y 76
I certify that I have authorized (agent) 4-t f;ne c to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) y'1 e r
at(my property located at) /`nd CHAL ZJ:Ce IAii,.'J) Zr)I• •
This certification is valid thru (date)
J il.,to

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to K /)h e-fh Cj oho o)(5 's
(Name of Propety Owner)
property located at / / ` D Qoxiwidc Land;p nV
(Lot,Block,Road,etc.)
on l-.l rile 5/ /fb/1 l V c r , in 737run /i)id( ,N.C.
(Waterbody) (Town and/or Count
Applicant's phone#:iliO -251-2 Mailing Address:/291 CAQd,21t'dq.Of i,/k L.
Ail//el/13/ MC • c:29#
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
Z. ,,/ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
3CC Onadit4
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
9g CAC/d art(/4/dIfic trjV C
Mailing Address Signature
�ha1IA 11 11( . .2)41)h, � dua-Gu4_

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BO_ATHOUSE)
I hereby certify that I own property adjacent to KeNelGt 1 t?r`Q e Jf 's
(Name of Propetty Owner)
property located at / I 1 au tut C /1
�
O WJ .and in Drive,
(Lot,Block,Road,etc.)
•
on L_l l�'� 6, Q/(bfe �11l eC , in 7runiwicI( (O/ii ,N.C.
(Waterbody) (Town and/or Counicci
Applicant's phone#:I1iO .?51-o) p,Mailing Address:/291 CI14Cilvr'CALa,'di/1
Mc . Q291/iM
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
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Sec Oil ac% Lc/
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
/? CaJLa) ),'di tic tridC
Mailing Address Signature
4611A ito ,�(, _ J J,I IT r,,4A '7%

F _ ...........---��-oz--r�T--:ems- �.-r _...,-.--r:.:.rs .—�: -�...,............•.t .....Nsw.,-s......t�..........,..,..... ..nn.......«.,....�..........:..>.,....z........,.v..>....t�.....,.............
ATLANTIC MARINE CONSTRUCTION
PO Box 713
Shallotte,NC 28459
Ph 910-754-4247 ') /
DATE s I
Valk E \J
OF ���JJJ---///
•
��
d Ol / Od
�v'J ✓i'1 ✓►G/ �L� 0 DOLLA
BB&T BRANC'B ONBA K BBTT BBT comMPANV
FOR "C.� !M, T GPI ..0�9
00000L33911' 1:053LOLL2L1:00052950 8230