50346D - Batts

1it\CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued^/I
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 / - 12
'„' Rules attached.
t Name sQ-`� Sir C Project Location: County G Z 1 6.(-
s I 2.9 S ti. c A S j,,Ab-). . ..3C.r Street Address/State Road/Lot#(s)
> Q. CiT / Statel )C- ZIP'Lai")N`.- jf\MC�`,
#ell ).; `' O,5'2-2 Fax#( ) SubdivisionSi 5 LPN....X 1... C
izedAgent \.-2cs44(ci-Nr.•>`^S\`_ City-5v^0L-C' Gi'f\, ZIP Z1-1
d El [CW EW PTA E ES E PTS Phone# ( ) River Basi AP6
❑OEA ❑HHF ❑IH E UBA ❑N/A Z
: Adj.Wtr. Body�sQ�+'S► 4�;N , �
(nat
❑ PWS: ❑FC:
yes _no PNA yes v Crit.Hab. yes / no Closest Maj.Wtr. Body 1 '�'t"t" S' ^"'1
of Project/Activity 1-t-)51-4...`-L X L1 ?, O a_,- . t,-.// )0'X cii EA,,
Jock)lengtfi j O
t` (scale:1
/� I � I I
rm(s) (Dx N O I i
-pier(s) i
length r
cumber
ead/Riprap length j
avg distance offshore
i
-nax distance offshore
channel I
:ubic yards t +
ampi �. j
ouse/Boatlift c---
Bulldozing
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) '- i
line Length ' I ' / I ' '
not sure yesile' r ; i
ags: not sure yes
i
orium: n/a yes ® ' 1
s: es I:00"
r Attached: no 1
ding permit may be required by614--c aly I See note on back regarding River Basin

LIGHTHOUSE MARINE CONSTRUCTION 3280
P.O. BOX 2532 II
SURF CITY, NC 28445-0028
6 -0'i 66-19/530 NC 1,
DATE 702 1,
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FLNAM
South Atlantic Region 80 91 -
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LL, SOUTH CAROLINA 29059
AC 803-496-5027 Santee Region 800-8
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Toll Free: 1-800-922-7001 803-7
ate Toll Free: 1-800-845-7051
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06/03/086 23:3a 9199,S99705 P'GE 01f01
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: 3. 1A , 44-4-
AddressofProperty: 12q 5hac$ L ,'i-35
S -v-C.: rJC-- 743Lf115
•
(Lot or Street*,&treat or Road,City&County)
I hereby Certify that I own property adjacent to the above referenced property. The individual
applying for this it has described to me as shown on the attached drawing the development
they are props ' 9-A description or drawing,with dimensions, should be provided with this fetter.
;AA hove no objections to this proposal
if you have objections to what Is being proposed, please write the Division of Coastal
management 400 Commerce Avenue.Morehead City,NC,28557 or call(252)800.280s within
10 days of receipt of this notice.No response is considered the same ea no objection if you
have been notified bx_Certffied Matt.
WAIVER SECTION
I understand that 3 pier, dock, mooring pilings, breakwater,boathouse,boatlif or sandbags
must be set back a minimum distance of 15'from my area of riparian access unless waived by
me. (If you to waive the setback,you must initial the appmpriats blank below.)
wls
i Ado wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requitement.
(Applicant Information) (Riparian Property Owner Information)
1-4. S 4 e$ L Rthlo))4 %
Melling Atidross Signature ..
sic C,: NC Zg4-1 5 'V 'a,c ,i ,psi.—.
1Ci!ylt`sMJ2ip _ - Print or Tvie Name '�

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: -. N Is A t f 5
Address of Property: l z 5 I ae S (- y
S'(AfF (‘) ( Z5< Y(-/S
(Lot or Street#, Street or Road, City&County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing,with dimensions, should be provided with this letter.
I s. I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management,400 Commerce Avenue,Morehead City,NC,28557 or call(252)808-2808 within
10 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, breakwater, boathouse, boatlift or sandbags
must be set back 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.)
(or I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information) (Riparian Property Owner Information)
(-t 444
'‘ ShAeS 1-1w),'n ,,,0 i)eC, d ,
Mailing Address Signature'
i
City/State/Zip Print or Type Name