50253D - Campbell

4_ r
❑CAMA/ Ill DREDGE & FILL
GENERAL PERMIT Previous permit#
liNew III Modification El Complete Reissue III Partial Reissue Date previous permit issued
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 2* /2 6a
ll li'�ROfes attached.
nt Name C•I 0Z (,9 ivi O-e 1/ Project Location: County je r.,',✓J"�/c-,
s,S 6/D /', 2 Lp,, Atff4A/Pi /2C/ Street Address/State Road/Lot#(s)3 r�GG,i?
4 4.1. G c1 // State/N/4' ZIP-2 722-4
if(.209)3_,If.„ 7O7Y Fax#( ) Subdivision
[zed Agent 54 is e I/„, .r fk%t`',,? ;— 4-- City"P g,aJ /P ,0, 4 ZIP 2 FY,
d ElCW E}EW ID-PTA LIES ElPTS Phone# ( ) River Basin L4/,07
❑OEA ❑HHF ❑IH ❑UBA ❑ Z.N/A � /���
Adj.Wtr. Body 0/9r✓f0 (nat
❑ PWS: ❑FC:
yes o PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body ��
)f Project/Activity X P L IJ c/9 I f -1,Z t 521,,, f iG 9 TE a /204/ /y e L+/ &„4:,/ ,I-L
J .1 J (Scaler
ock)length 3 -K'l.� L'Air' ! ' ''4
/
m(s)
pier(s) t r L -\•-
> I
length
I
umber 1
i I
ad/Riprap length i ! t __ e
vg distance offshore ; t ( i f I I
lax distance offshore
I
channel /D/ I , ( U'
ubic yards ifEahak I fs 0.)
mp j' l i- .
I / I , i '
tus�atlit/Z-,e/2 I pto° ' t {
l I 12 'I
Bulldozing JJ -___— > i
'C/ `5 ,f //e-n - i t I I r
ne Length S t.) I 1
not sure yes 0: I 1
tgs: not sure yes jp
x ium: n/a yes 0 1 L
yes , P' 1 / r
—
•Attached: C r=� no 4 /r
ling permit may be required by: OC'0�, - ��f L."O g p,L ❑See note on back regarding River Basin
77 _ / / r/ .el., . -i A I rt -.10' r . .

SHORELINE MARINE CONSTRUCTION 5120
f GREG PREVATTE 66-112/531 }I
j P.O.BOX 10671 BRANCH 03003 j
} SOUTHPORT,NC 28461 5-(D-Q P
y 'Y
# DATE Ii
c PAY TO THE
t ORDER OF N�/o f�/r I 6O i':
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I "ti>C7 A)'U e DOLLARS B� .•«.o^
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j BB&T Business Value Checking
BRANCH BANKING AND 00-BA KBBTTBBT.e mMPANV G p, 54253
1
j FOR C l
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1. l:0 5 3 10 1 L 2 11: 1 3110000 1 5008 700 5 1 20

Atri*vi A
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.
Authorized Agent Consent Agreement
5 ►lc_Ir iiile • ICtri`ne Ccv)S1-. is hereby authorized to act an my bl
(Printed Name of Agent)
order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited
iecific activities described in the attached sketch.
JCATION OF PROJECT:
3 R 01c x-ve 51-
C)ct—c‘t�, _T-s-le (2ecc1 Air_
ROPERTY OWNER MAILING ADDRESS:
Cory Co,, //
5 o I C) t - o g ilo i4-2 rci.
Cif- /o ?lie NC- c82?( PHONE NO. ( 7O j3 3 1 - 7c78V
UTHORIZED AGENT MAILING ADDRESS:
jc•,-c-it n e ✓1.(i.1,n.e
Pc) Sc,,r /©Co `7/
J//2 /4- /r_c°. oYc/(2/
PHONE NO. 9/0 F-4/5-- 22z 7
ignature of Property Owner: 6: ,W

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Cory Ca/ p hP 11
Address of Property: 38 r/o.ore 54-
(Lot or Street#, Street or Road)
Oceo, Isle Qec,c)-, Ate_
(City and County) _
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development ti
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 Cox
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7'
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must bi
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If
wish to waive the setback, you must initial the appropriate blank below.)
jfl' (( I do wish to waive the 15' setback requirement.
Lirr-------
I do not wish to waive the 15' setback requirement.
v
Sign e Da e
Pa yt .-- 1,✓ - V-K
Print Name Ai,.,:i. A

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Card Cci Oho I l
Address of Property: 3 g N►o,re 5_
(Lot or Street#, Street or Road)
Oct=txeN 1S1e eccA ll-C-
-_- (C-ity-and County)___
I hereby certify that I own property adjacent to the above-referenced property. The individ
applying for this permit has described to me as shown on the attached drawing the development ti
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 Coa5
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7:
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must b€
bck a minimum distance of 15' from my area of riparian access- unless waived by me. (If
wish to waive the setback, you must initial the appropriate blank below.)
4-13-41L-- I do wish to waive the 15! setback requirement.
I do not wish to waive the 15' setback requirement.
ame Da e
Print Name.;:

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Proposed efv<:e,
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50'-
Cctcv Card``/