52024D - Floyd

❑CAMA/ ❑DREDGE & FILL '-
GENERAL PERMIT Previous permit#
Clew DModification ❑Complete Reissue ❑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 I SA NCAC 7j4/ / 2 o a
O Lutes attached.
.nt Name , ,,,4L)chi -Z ;7 C Project Location: County, 72 ty S-tpi,e/C-
s Ye c; ( . /C,4,-.s / 57 t E Llt. /),2?, Street Address/State Road/Lot#(s) J 0 S p,1
•
L ' b r- z /c r State NC ZIP 2FJ5"9 /,';. P ('/,) 4 ( Sw
#(9/0 ,,?,-4,4f 7i Fax#( ) Subdivision -Sl/ /4,/ /- T r 472.-;
ized Agent 4 0 .oy /yU 1(I,o-- City$,��p/j ZIP 2TP
d ❑CW I lEW ❑ #,RTA ❑iS ❑PTS Phone ( ) River Basin L!//4%
❑OEA ❑HHF ❑IN ❑UBA ❑N/A Adj.Wtr. Body a7/lit/GI/ (.
❑ PWS: ❑FC:
yes / no PNA yea Crit.Hab. yes / no Closest Maj.Wtr. Body /4/Ai/-1/
)f Project/Activity /it i UA 7 f e i
(Scale:/ ,:
ock)length /f 7",)( V
m(s) /Y' 'X /g ' •
•
pier(s) / 14 �� 4,"length P
umber D!,
:ad/Riprap length $ /ii i
vg distance offshore /1 1
iax distance offshore
channel
ubic yards
imp i ,
I
use/Boatlift I/ C .4
4
Bulldozing -- _ % I
ne Length c—u . ..
•
not sure yes /1'(Oi - r- -� A 1 _ •
r r
gs: not sure yes I
>rium: n/a yes ('i
e 1.-
. , ,
yes t� "f
Attached: yes l I 1
ling permit may be required by: R�0/-5 G✓i CA-- . L See note on back regarding River Basin
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31BULKHEADS
IOROTHY HOLDEN 2972
DL 4576438 HERS 5202642
Y RD SW _ 2 S- ©p 66-1215/53!
/line( (� 840
E R I $ .fpp, oD
5av:i6
41 C 6/li k/S,pcer►t+;
21:8000 L 5 7 5 3000 29 7
WILDLIFE PORTRAITS.WP

• CERTIMD MAIL . aLTU_RN RSCEIP't'Ru4UESTED
ply Qf COASTAkiviANAQMENT
ADLACENT RIPARIAN PRQPERU O)N'NC3 VOTIfjcing/W AIVELFORid
le purpose of this form is to provide proper notice to you as on a4Jacent riparian property owner to the individual or
Jividuals listed below. The CAMA General Permit application procedorse requiro that applicants provide the division of
Wttai Management confirmation that o written statscnent has boon obtained signed by the adjacent riparian property owners
dicating that they have no objection to the proposed wort that the adjacent riparian property owners have been notified
certified mall of the proposed work. Oven these Porno are submitted to the adjacent riparian property owners by a marine
mtractor or ocher individuals acting as an authorizad agent on behalf of the applicant.
his form was sent to you by the following individual or company designated by the applicant as an
uthorizod agent:
Akfct..•--
IP.
uth Agent's Signtuure Date
iamcof Individual Applying For Fermis:
kddress of Property: Seek () . '�- lain &
(Lot or Street 1, Street or Road)
S� 4� 4. 6 z gel
(City aOCoumey)
I hereby certify that I own property adjacent to the above-referenced property. The individual applying for this part
has described to me as shown on the attached drawing the development they are proposing. A description or drawin
with dimensions,should be provided with this lever.
I have no objections to this proposal.
If you have objections to what Is being proposed. please write the Division of Coastal Macagatnunt. 1
Cardinal Drive Extension,Wilmington.NC 211405 or c211910.796.7215 within 10 cloys of receipt of ibis nail,
No response is considered the same as ao objection if you huve been aotitkd by Certified Mail_
WAIVER SECTION
I understood that a pier. dock mooring pilings. breakwater. boat house or boat till must be set buel
minitaunt distance of 15' from my area of riparian access - wakes waived by me, (If you wish to waive
setbacks.you must initial the appropriate bleak below.)
1 do wish to waive the 15'setback requirement y a Jr G�p:`-�-
I Sao not wish to waive tilt: l 5'setback requitttnenC rs A

1-03-2007 10:02 From: To:8929806 F
CERTIFIED MAIL - RETUR vLREC1FIPT R�UESTED
pIV1S1ON OF COt1TAI MAN .GEMENT
ADJACENT RIPARIAN PROPERTY OW 4E13.OTIFICAZIQN/WAIVER FORM
The purpose of this form is to provide proper notice to you ns an adjacent riparian property owner to the individual or
individuals listed below. The CAMA General Permit application procedures require that applicants provide the Division c
Coastal Management confirmation that a written statement has been obtained signed by the adjacent riparian property own
indicating that they have no objection to the proposed work QL that the adjacent riparian property owners have been notific
by certified mail of the proposed work. Often these forms are submitted to the adjacent riparian property owners by n mar
contractor or other individuals acting as an authorized agent on behalf of the applicant.
This form was sent to you by the following Individual or company designated by the applicant as an
authorized agent:
Author' c Agent's Signature Date
Name of Individual Applying For Permit: SC4-(_ _ t"16 '/
Address of Property ,5.2A /1 2 t t C.tom..0 C,, /
(Lot or Street IS, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual apply ing for this pt
has described to me as shown on the attached drawing the development they are proposing. A description or dra,
with dimensions,should be provided with this letter,
,c /��C�= /ij I have no objections to this proposal,
If you have objections to what is being proposed, please write the Division of Coastal Management,
Cardinal Drive Extension,Wilmington,NC 28405 or call 910-796-7215 within Itl days of receipt of this nt
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, bout house or bout lift must be set bu
minimum distance of 15' from my area of riparian access - unless waived by me. (If you wish to wuiv
setback, you must initial the appropriate blank below.)
e,e/k I do wish to waive the 15'setback requirement. ,n J �'C� • d c {'
I di tlgt wish to waive the 15' setback requirement.'" ALS.

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3-03-2007 10:02 From: To:842%
06
NCOLMR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Easy,Governor Jamos It Groeoon,pksctor Wham G Ro
Authorized Agent Consent Agreement
is hereby authorized to act on n
tprWrloe moms of AQa f)
i order to obtain any CAMA permit(s)required for the properly listed below. The authorization is tin
pacific activities described in the attached sketch_
,OCATION OF PROJECT:
•ROPERTY OWNER MAILING ADDRESS:
Saes D
. r)
Y O 5' ,/,r
2,0 / z Leila/ fi( Z.T3 s� PHONE NO. 9/l�,23 ' 0
►UTHORIZED AGENT MAILING ADDRESS:
ausila I
PHONE NO. -11C'}li 8k-4 i
e n n