53920D - Weir

CAMA / DREDGE & FILL
E N E RAL PERMIT Previous permit#
ew Modification Complete Reissue OPartial Reissue Date previous permit issued
rized 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 7#, e yea
3-RUles attached.
it Name ,:/9y A.,4,a i/,t-1 iZ Project Location: County 34 K,,,,j4y,C,,e
> Plc 1 0 el5.21e/c✓.•/c /red. Street Address/State Road/Lot#(s) 8S— a(/- ,9
,?•,9g L� 7171-e State4/C ZIP 2 F226 ..mac I e Jo-c 4 AIej `f, I L ,c✓,
#t!a 3 .3205 Fax#( ) Subdivision zed Agent Y"l,»E S R flli9 jty City a-o4..) --(S /e '0,'c-4 ZIP 2 E%
d Cw LEW E-PTA ❑ES ❑PTS Phone# ( ) River Basin Ly, 7
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body(32d sost,.,d C2 F 1 e na
❑PWS: ❑FC:
yes 4-noo PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body 19/L"N+
of Project/Activity ,t oke iC c' t x • S A.✓f `) ie,,, g„z PA,es-✓F,7/en.At G"""
(Scale: j
dock)length CA,,s ,,�, `
rm(s) --..
pier(s) I
length 7s- �` D t d SOL,r- I ( !e 4 -� �_
iumber / , I
ead/Riprap length
svg distance offshore I
nax distance offshore
channel .
-
:ubic yards ` C A*�
amp ' ►`/`i+
i
ause/Boatlift r
I
Bulldozing I f l v 1
L.K•s1, f fl. .' . ---- —.- /✓♦44►-----s— Ate+►--- `_ -- _—.1
r /r
gi
ine Length Li' Q y 0V 4 I td ^ /
V u it ,
not sure yes afro t , - _ " - �r : 44 4?—.-f _ .
igs: not sure yes rno
>num- n/a yes ,no p
M 1
U i I/
de! yes no ' 1t(r 3 C QC P4;,v X t e G✓o I/ / j , L1
•Attache . yes no 0�' ® � ,f J} )�,G✓:�!
ling permit may be required by:o/ ,p,,,j 2-5 I.Q r�PAc A I See note on back regarding River Basin i
n
/C nri al Cnnditinn ]c 7rA..i J. ,.. s In,,,, ..1V/1 l., .1i._,J A07.,,. r -e'L ., . 1 / 'ei... t i

AIM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
I F. Easley,Governor James H.Gregson,Director William G. Ross Jr., Secr
Authorized Agent Consent Agreement
is hereby authorized to act on my behal
(Printed Name of Agent)
r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to tl
activities described in the attached sketch.
TION OF PROJECT:
DC-k'
)e 3W8 •
ERTY OWNER MAILING ADDRESS:
5 LfA.wA,b�� A
r.zkr4L5 Ci
D.) " PHONE NO.
RI ED AGMAWbIG ADDRESS:
44)1 ka
-7) 4:2 out() te (A` ireAe ))r
Fcacit
- 4-t( C4 PHONE NO. '7G 0'-- 1 ( Y l 1.0
ture of Property Owner: AV . â'e.4:1
ñ

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
For Permit / . � v\�
Name of Individual Applying
Address of Property: '64 6..)C.-t fo L e‘c-
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivi,
applying for this permit has described to.me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 'Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-
within 10 days'of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
•
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
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.)
/9,7 I do wish to waive the 15' setback requirement. •
I do not wish to waive the 15' setback requirement.
K--- Sign Name Date
AAA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVERFORM
k
Name of Individual Applying For Permit: Ll Mc;- e- r^
Address of Property: &1--)- Oe --k-' .. 7\r> 0 e6 k UFO' `
(Lot or Street g, Street or Road)
. . (City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indivic
applying for this permit has described tome as shown on the attached drawing the development
are proposing.. A description or drawing, with dimensions, should be provided with this lette,
. I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co;
Management, 127 Cardinal Drive Extension, Wilmington,_NC 28405 or call 910-796-'
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must '
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (1
wish to wave 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.
S3 os44
1/141' LT ith $. 1-i1-6 1
Sign Name Date
Pvtid W i 40 vvt 4 Se i AWirM1\

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Dat� ' / 7 .Cdp ci - "680
y
Pa to the /
Order of /1//) °";i1_�VI /691,Gi-e%nt I $0.2 6") G c.,
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ACH R/r 053000196 /�p53,2� '\
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