52079D - Cotner

I CAMA/ ❑DREDGE & FILL lre tJ
GENERAL PERMIT Previous permit#
view ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
:orized by the State of North Carolina,Department of Environment and Natural Resources f�jj
:Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC /7/ /.-U
/ IuTes attached.
/C� � C Int Name O/`/4 0 O 72[/ Project Location: County a?,/e-f,-v.<,(�
s I a / R 145 # 1 ',v' 71Z' S/- Street Address/State Road/Lot#(s)/J/ 2 0/9A
Pia,-/li lie StateYQ g ZIP / 2 Y2' CLi 7.71/t / &,i A ft. ',/
#(.3 24 .2 2Y•3Y ax#( ) Subdivision O`77/11i �'A//04 he,,,,/
ized Agent .. 46/L C G,•- C /*4i',E City0G p Pr,fs/.o _"9c h ZIP 2 F%,
d ❑CW DEW ❑PTA DES ❑PTS Phone# ( ) River Basin Lam'I
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
• Adj.Wtr. Body 67i/1/w Q 1
❑ PWS: ❑FC: A//1./Ai
yes / no PNA yes`/gyp- ' Crit.Hab. yes / no Closest Maj.Wtr. Body
Df Project/Activity i7 , v • - e / ea_ /,D G'C ,k ,.:20g.-/L,-2/
(Scale: -
> gt /3 e 'C b 'RA/71 //o'X3 '
lock len h
_`---- -
1
pier(s) _
length /
umber I I f
gad/Riprap length { l
vg distance offshore i _' f ik' f
nax distance offshore j I 1
I
channel ,/DI# I 1.7 lt !
ubic yards
amp 1 ,�� -
i0/7 J( /�/
� e/Boatli , i- -
Aill
111-4
Bulldozing ,
' f L j / t / i7 //(/ I
I
J< J.
_-....._T ,�I "
j .
ine Length /�
—.._._. s i" j —1
not sure yes } Oe; ..
,jL
Lgs: not sure yes ' 1
x /^ium: n/a yes ) i �i/
yes I -
•Attached: yes itfo7 I ! T
ling permit may be required by: �C(�/7�---5 - ' S O/)r. 1 I I See note on back regarding River Basin
. • .... f-'T i-, . -- ..,, i, ... irr Al n T t - . _ - , n , , i - ; -r 7 A

1INE CONSTRUCTION 5073
E 66-112/531
BRANCH 03003 p
61 3--cgs-soB Y
DATE
lC p F N R I $ 5'o cc
JU✓1�l� O O DOLLARS e' s. :.
Business Value Checking
ST COMPANY
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------BNE SAFETY

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor James H. Gregson, Director William G.Ross Jr.,Secretary
Date 3- w 0
Applicant Name 1 pn C CO 4-clef--
Mailing Address i c 1 RU 3 11+01/4 1 Red
a.nui 11e 4 )-782.1
I certify that I have authorized (agent) 5hace.IZnt inaigINe. Con9d—to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) Q;c- J c t cd-I1 J. jock / 4 )44
at(location) / 9/7 00,,e 44/6,4„eyv— i.2 Oce..,,
This certification is valid thru (date) /Signature 414 .-
(570) G.775

cteRh k Beach
N / 0 ,
1 p�
filo��er 161
-t , Sped
/3%1

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: Mc., r
9 Co e(--
Address of Property: I P" 7 ©c4 Dr-.
C)ccc., /U s- ..2Ye(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 roposin 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,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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
_�
(Applicant Information) (Riparian o s ner Inf rmation)
/CV ,Fcil,t
Mailing Address " Si atu
Pe?4 ; lc 1,4. /7, Z/
City/State/Zip Print or Type Name
(5-70 \ .27 V- 3s-a 5r

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: /7c.)//g e -
Address of Property: JQ/ 7 Qc
t(pccs -
(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 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.)
��//
I do wish to waive the 15' setback requirement.
Cif- X I do not wish to waive the 15' setback requirement.
(Applicant Information) (Ripari Property Owner Information)
/0( 4) 10
Mailing Address Signature
(_2/ 41 7 7.z/ p,QAes N. C"(4 e A
City/State/Zip Print or Type Name
(570) .22e./ �Sr �i 1, ss--7 4,ro