52025D - Collins

�CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources 7
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC /�, /G 61
Cafes attached.
It Name / / % Q e„//,ry x Project Location: County el(w.d_c 1.a/ck
/33 y9 P,';,, -I. de,0/04 t J, Street Address/State Road/Lot#(s)//2 6-e'a
7'Rk /-1, I L State 144 zlPJ y?/ L •/i`. `l/ i �
o(� f'7'-9 6J Fax#( ) Subdivision Z etCP G✓a a Ws'Ws' / C—'/(,, 6/
zed Agent Ga P, il- ,I(1<<O P City5.,7,,Ly ZIP 21ye
i IIICW oEW EiPTA DES ❑PTS Phone# ( ) River Basin L zit"4
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC: Adj.Wtr. Bodylo,C L-✓Gaeet.`l/y Wr e,A ea no PNA y no Crit.Hab. yes / no Closest Maj.Wtr. Body /9/ 4'1✓
yes /
if Project/Activity 1./L//1/7/ / F.i /2)cc + 8 /.43 f 7 7
(Scale:
ock)length 7 1 'X S— ' a A" /6 ' 4 '
/m(s) 1✓rtP ✓ �� 1 Le ivo f , G.z.zi, /Zro --...
1
pier(s) I i
ength i 7
umber ; ti I. 16.01i`' 1
ad/Riprap length 1 V/
✓g distance offshore
iax distance offshore `� 4
1
:hannel 4r
y' ,
ibic yards 1 ..-....
Lmp ( I
use/Boatlift f
Bulldozing —: �i/ne Length "` _
gt i
not sure yes f '_ I .Liimi.rL =--�T
gs: not sure yes , ...57
irium: n/a yes
; t.--
Attached: yes . Pi✓ /q z II e,q/`'G r1 Ri,adI 1 ;
ling permit may be required by:L/. 4 r-1 Lr/i rh/ Co c> ft., ,>. I See note on back regarding River Basin

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k BULKHEADS
OROTHY HOLDEN 2972
)L 4576438 HERS 5202642
Y RD SW Pee _ c� gr.
G 66-1215/531
840
1)E- R I $ -goo, 0 D
U 111,d tgZ -
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1$ c 611 I 4,e4,141; ..)(fAe _
21:8000 L5 7 5 3000 29 7
/ WILDLIFE PORTRAITS°°WP
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1-03-2007 10:02 From: To:8429806 F
AW.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F..Easley,Governs dames H.G►opwn,Director G Rods
Authorized Agent Consent Agreement
is hereby authorized to act on my
(Pnnfed Nome of Agent)
order to obtain any CAMA permit(s)required for the property listed below, The authorization is limits
)ecific activities described in the attached sketch.
DCATION OF PROJECT:
l o�/ A✓a o //7
ROPERTY OWNER MAILING ADDRESS:
'3399 Poll//4 .`i-er L�
Del L. )4 L( ‘; a, ( ot(7/- 3 g/3
PHONE NO. 7o ' 6 S
UTHORIZED A GENT MAILING ADDRESS:
S pl yi ( �� (� -�
PHONE NO, ) g(2J`7 '2 3 2-

PIV 1SION OE 4QASTTLMANAGEMETIT
AQJACER RIAjv_PRQPF%TY OWT BaLQ'TJfJCj T1ONAVAN_ERFOEtM
The purpose of this form is to provide proper notice to you as an adjacent riparian property owner to the individual or
individuals listed below, The CAMA General Permit application procedures require that applicants provide me Aiv+ision of
Coastal Management confirmation that a written storoment has been obtained signed by the adiocen(riparian property owners
indicating that they have no objection to the proposed work plaint the adjacent riparian property owner, have been notified
by certified mail of the proposed work. Often these feems are eubmirsed to the adjacent riparian property owners by n marine
contractor or other individuals acing as an authorized agent on behalf of the applicant.
This form was sent rn you by the following 1ni11vidual or company desicnuted by the applicant as as
authorized agent:
ritApcic. c
AuthoriXd Agent's Signature Date
Name of Individual Applying For Permit. l���e- S J L i
�
•
Address of Property* 1 v.4- g L
(Let or Street . Street or Road)
/Si v vt e
(City and County) T
I hereby certify that t own property adjacent to the above-referenced property. The individual applying for this permit
has described to me as shown on the leached drawing the development they are proposing. A description or drawing,
with dimensions.should be prey- cd with this letter,
I have no objections to this proposal.
if'pm have objections to what Is being proposed. please write the Division or Coastal Management. 127
Curdinntt Drive Extension,Wilmington.NC 20405 orcot191D-716-7215 within 10days of receipt or thug notice.
No response is coosIde red the same ns no objeerlue if you have been midi-led by Certified Main.
WAIVER SECTION
understood that u pier, dock. mooring pilings. breakwater. boat mouse or boat lift muss be set back a
minimum distance of 15' from my area of riparian access -unless waived by me. (Lf you with to waive the
sethock you mu nitinl the appropriate blMuk below.)
I do wish to waive the I 5'setback requirement.
I dojtot wls (live the IS'setback requirement.
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CrA'r M*ulo • a
DIV is10N OF COAS,TAJa das,!us
Af1AfFNTRLI 6 PACI2ELIX,,Q2agjiltallfiCATIONAVAPIER FORM
The purpose of this form is to provide proper Notice to you as en adlaccnt riporlan property owner to Ow individual or
lndlvidwls load below. The CAMA Genteel Permit application procedune require that applicants Provide the Division of
Casual Manogemo►u eons rmasiun mat a%wiriest ecaoament►at bean domed aped by:ha adjacent npanan property owners
indicating that thcy have no otbeetlon to the proposed work gE that the tdjaeans riperios property owners nave been twined
by!crafted mall of the proposed work. Often these Ibttru art sabrnittod to the adjacent riparian property owners by a marine
contractor or other individuals xung os an authorized agent on behalf of the applicant.
Thie Porn VMS sewn In you by the following lWWNid'a(or company dasltttated by the applicant as as
authorized ogeet:
�/`� � j41/ )i` / &. Jv.c l� c
Authori Agent's gputhire DON
Name or Individual Applying For Permit!.1(V\ �tV 4- Q •)1,
Address of Property' \ 17, rr-dAo S Q..
(Lot or Street d. Street or Road)
(City and County)
1 hereby certify:hat I own property adjacent to the abovc.4cfcrenced property. The individual applying for this permit
has described to me as shown on the attacked drawing the development they ye proposing A description or drawing,
with dimensions,should be provkW with this leder.
X t have no objections co thb propose;.
111 you hays objection to what Is being proposed. please write the Dlvillua of Caestal 1'laaogernenl. 127
CAArdinil Drive Extension,Wita►iogtea.NC 2144$or call 910.7%fi.77IS wlthis# U)days of receipt of this mulct.
No raspeeaa is considered the same as so obje fion iryou bore been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock. mooring pilings. breakwater, boat bowie or boat lift roust be sat buck u
minimum distance of IS' from my area of riparian access- ualesi waived by nvg. (U yam wish to wulvc the
sefhoek.yen MMst initial the appropriate blank below.)
I do wish to waive the I S'setback requirement.
1 Laj wish to waive the 1 S'Setback requirement. ATA
Shish Name` 4//� �/ ///� Doti R

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